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 Date: 2014-06-06 13:04:46United States Department of Homeland Security Visa Waiver Program United States Citizenship and Immigration Services |
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| First Page | Document Content | |
|---|---|---|
Date: 2014-06-06 13:04:46United States Department of Homeland Security Visa Waiver Program United States Citizenship and Immigration Services |
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FLORIDA FOREIGN PHYSICIAN WAIVER PROGRAM HEALTH AND HUMAN SERVICES VISITOR EXCHANGE -HHS AFFIDAVIT AND AGREEMENT FORM BEFORE ME, the undersigned authority, personally appeared as ,