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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: MJST-18SEP1913-3-C32-0012 Age: years Birth Date: Home Address: Birth Place: Occupation / Employer: / Citizenship Status (Country): Height / Build: / Eye Color / Hair Color: / Nearest Relative Name: Nearest Relative Address: Nearest Relative Immigrant ID: MNDS-07MAY1923-3-0-0858 Comments: residence address was changed from 136 Nichols Ave., Watertown, MA / [wears] glasses