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NAA: ST84/1, 1904/101-110, page 3 of 36

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pick_page_typecertificate_domicile
cd_dateApril 19th 04
cd_nationalityChinese
cd_birthplaceCanton
cd_age41
cd_hairBlack
cd_buildMedium
cd_eyesBrown
cd_departure_dateApril 20th 04
cd_destinationChina
cd_destinationChina
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