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Registrant ID: Country: Registration Date (Conflict): Registration Location: Card Type: Serial Number: Registrant Name: Immigrant ID: Age: years Birth Date: Home Address: Birth Place: Occupation / Employer: / Citizenship Status (Country): / Marital Status / Dependents: / Height / Build: / Eye Color / Hair Color: / Nearest Relative Name: Nearest Relative Address: Nearest Relative Immigrant ID: Comments: [current address dated 13-Sep-1918 and written in margin / 800 La Salle St., Racine, WI, and 920 Bolivar Rd., Cleveland, OH crossed out]