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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: MJST-22AUG1912-3-C33-0004 OLMP-03NOV1931-3-UC2-0004 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: LLRN-02JAN1912-3-2-0004 Comments: scar on back of left ear