1 2 1 0 0 CUNEO CN

SETTANTA E QUARANTASEI

7 0 4 6 7 0 4 6 SETTANTA E QUARANTASEI

7 0 4 6

GERMANOTTA STEFANI JOANNE ANGELINA GERMANOTTA STEFANI JOANNE ANGELINA

G E R M A N O T T A S T E F A N I J O A N N E A N G E L I N A

1 2 0 4 2

SETTANTA E QUARANTASEI

B R A

V I T T O R I O E M A N U E L E I I , 1

VITTORIO EMANUELE II, 112042 BRA CN

VITTORIO EMANUELE II, 1 12042 BRA CN

S T E F A N I J O A N N E A N G E L I N A

G E R M A N O T T A

CUNEOC N

C N

B R A

AFFIX TAX STAMP HERE

COMPLETE FORM IN BLACK INK ONLY

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FIRST TIME ISSUEPERMIT OF STAY

"24" FOR STUDYSEE PAGE 9 FOR OTHER CODES

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G R M S F N 8 6 C 6 8 Z 4 0 4 K

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U S AU S ACOUNTRY OF BIRTH

OR "M" FOR MALE"A" SINGLE"B" MARRIEDA

N E W Y O R K

4 8 5 1 7 2 3 3 61 2 0 9 2 0 2 9

0 1

COUNTRY OF CITIZENSHIPSEE PAGES 10-12 FOR COUNTRY CODES

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D

S T U D I O

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3 6 5

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EU POINT OF ENTRY

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12 - 14

1

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V I A V I T T O R I O E M A N U E L E I I

B R A

C N