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SCENARIO #3

2. Date of birth:
18 August 1965

3. Gender:
Male

4. City/Town of birth:
Munchen

5. Country of birth:
Germany

6. Applicant photograph:
Three recent photographs in JPEG-format will be submitted.
(one of Peter Pan, one of his wife Maria, and one of his son Junior)

7. Mailing address:
Wahler Strasse 32
D-40472 Dusseldorf
Germany

8. Phone number:
Peter Pan's phone number will be included.

9. E-mail address:
Peter Pan's e-mail address will be included.

10. Country of eligibility: Are you claiming eligibility based on your Birth Country?
Yes

11. Marriage status:
Yes

12. Number of children that are unmarried and under 21 years of age:
1

13. Spouse information:
Name of spouse: Pan, Maria
Date of birth of spouse: 15 July 1966
Gender of spouse: Female
City/Town of birth of spouse: Munchen
Country of birth of spouse: Germany
Photograph of spouse: (a photograph will be submitted - see point 6 above)

14. Children information:
Name of child: Pan, Junior
Date of birth of child: 5 April 1996
Gender of child: Male
City/Town of birth of child: Munchen
Country of birth of child: Germany
Photograph of child: (a photograph will be submitted - see point 6 above)