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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: OLMP-18JAN1912-3-C32-0007 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: CHGO-23MAR1909-3-3-0006 NYRK-21MAY1920-3-14-0023 Comments: signed: M. H. Arzo