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Statement of Hmong or Highland Lao Tribal membership
Revised Date:
July 25, 2014
Statement of Hmong or 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