Registrant ID:                 

Country:                       
Registration Date (Conflict):  
Registration Location:         
Serial Number:                 

Registrant Name:               
Immigrant ID:                  LLRN-13SEP1920-3-14-0027 CTBM-09JUN1930-3-32-0003 
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: VEST-03JUN1916-3-4-0012 
Comments:
                               scar on cheek near right eye