Citizenship and Alien Status - Statement of Hmong/Highland Lao Tribal Membership
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Citizenship and Alien Status - Statement of Hmong/Highland Lao Tribal Membership


Revised March 25, 2011



APPENDIX III

Statement of Hmong/Highland Lao Tribal Membership

I declare, under penalty of perjury, that I was a Hmong or Highland Laotian tribe member when the tribe assisted the U.S. military during the Vietnam era (8/5/64 to 5/7/75).

   
Signature Date
Modification Date: March 25, 2011