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Mercedes-Benz E-Class (W213) - Page 1 - Mercedes - PistonHeads UK

Mercedes-Benz E-Class (W213) - Page 1 - Mercedes - PistonHeads UK - The image is a screenshot of a form with various questions and checkboxes. At the top, there's a title or header that reads "Personal Details". Below this, there are sections for "Name", "Email", "Phone Number", and "Address". These fields have text boxes next to them. In the middle section, there's a table with two columns and several rows. The left column lists different questions with checkboxes next to them: "I have a valid visa?", "I am above 18 years of age?", "I have never applied for asylum or refugee status in any country?", "I do not intend to leave the United States while my application is pending?", "I am not a citizen of the United Kingdom, Ireland, Canada, Australia, New Zealand, or South Africa?". The right column shows multiple checkboxes, some of which are checked, indicating the responses to these questions for an individual or individuals. The form appears to be related to immigration or visas, as suggested by the questions and their checkboxes. The text in the image is too small to read in detail, but it's clear that it's a structured document with specific sections and a table designed for data collection or input.

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