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Please Select Please Select Aland Islands Albania Algeria Angola Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Barbados Belarus Belize Benin Bermuda Bhutan Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brasil British Indian Ocean Territory Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia Czech Republic Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guatemala Guinea Guinea-Bissau Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland Indonesia Isle of Man Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Marshall Islands Mauritania Mauritius Mayotte Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar México Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Perú Philippines Pitcairn Portugal Puerto Rico Qatar Rwanda Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Tuvalu Uganda United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

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Expiration Date of Alien Registration Card*

Nationality* Please Select Aland Islands Albania Algeria Angola Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Barbados Belarus Belize Benin Bermuda Bhutan Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brasil British Indian Ocean Territory Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia Czech Republic Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guatemala Guinea Guinea-Bissau Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland Indonesia Isle of Man Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Marshall Islands Mauritania Mauritius Mayotte Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar México Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Perú Philippines Pitcairn Portugal Puerto Rico Qatar Rwanda Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkmenistan Tuvalu Uganda United Kingdom United States Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe

Department of Residence* Please Select AMAZONAS ANTIOQUIA ARAUCA ATLANTICO BOGOTA D.C BOLIVAR BOYACA CALDAS CAQUETA CASANARE CAUCA CESAR CHOCO CORDOBA CUNDINAMARCA GUAINIA GUAVIARE HUILA LA GUAJIRA MAGDALENA META NARINO NORTE SANTANDER PUTUMAYO QUINDIO RISARALDA SAN ANDRES SANTANDER SUCRE TOLIMA VALLE DEL CAUCA VAUPES VICHADA

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