passport photo for Step I

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Should be "passport style" - as in, a clear picture of your face, probably with a white background. I used a copy of my composite photo. Yes, you can just print a 2x2.
 
I did the same thing. Nothing fancy - just printed a 2x2"copy of my school composite photo.

Although it is a shame the NBME doesn't encourage glamour shots :naughty:
 
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