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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: NIAG-05APR1910-3-8-0016 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: CHGO-30AUG1909-3-2-0030 Comments: mailing address: 2044 Mariposa St., Fresno, CA / mole on temple over right eye