(a) Nombre y apellidos.
(b) Nombre del padre y de la madre.
(c) Sexo.
(d) Color de ojos.
(e) Estatura.
(f) Lugar de nacimiento.
(g) Fecha de nacimiento.
(h) Si es ciudadano de los Estados Unidos de América.
(i) Dirección residencial que establece domicilio.
(j) Dirección postal.
(k) Dirección electrónica.
(l) Número de licencia de conducir o los últimos cuatro (4) dígitos del número de seguro social, exclusivamente a los fines de cotejo de identidad y sujeto a las limitaciones dispuestas por la sec. 621b del Título 29.
(m) Lugar y fecha en que se haga la solicitud.
(n) Firma o marca del peticionario y de no poder hacerlo se consignará la razón para tal hecho.
(o) Autenticación de la firma.
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