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Date: 03.23.

2022

Request for replacement of Consular Report of Birth Abroad


(CRBA)

-Requester name: JAMEELA AHMED TAQI


-Requester date of birth: 08.14.1998
-Requester place of birth: KUWAIT, Kuwait City
-Passport Number: 565842432
-Passport Date of Issue: 04.18.2018
-Passport Date of Expiration: 04.17.2028

Parent’s Information
Mother – PATRICIA JEAN ARMIGER
Place of birth: MARYLAND, USA
Date of birth: 12.18.1968

Father – AHMED HUSSAIN ABDULLA TAQI


Place of birth: KUWAIT, KUWAIT CITY
Date of birth: 06.02.1964

-Mailing Address: Rruga Shengjin, Lagja numer 8 Durres city ALBANIA


-Phone number: +355 69 524 3036
-Email address: jamieidrizi@gmail.com ( Preferable)

________________________________
Signature

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