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0211-09-01 Illegal or Prohibited Drugs - Substances Affidavit - Declaration
0211-09-01 Illegal or Prohibited Drugs - Substances Affidavit - Declaration
________________________________
Affiant
SUBSCRIBED AND SWORN to before me, on this ____ day of _______________, _____, Affiant exhibiting
to me his Passport No. _______________, issued at ______________, on ______________.