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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: LGSC-21JAN1907-3-4-0024 PROV-12NOV1927-2-U2-0001 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: PROV-12NOV1927-2-6-0004 Comments: tat[t]oo on right fore arm