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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: DOMI-16JUN1913-3-I-0017 NORT-21DEC1927-1-2-0003 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: NORT-21DEC1927-1-2-0004 Comments: operation mark on right side