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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: NIAG-10JAN1911-3-1-0007 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: FINL-21AUG1920-3-16-0023 Comments: place of employment: Hwy. 99 & Peach Ave. / vaccination scar on lower left arm