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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: VOLT-18FEB1909-3-M4-0009 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: HAVR-03DEC1912-3-FF-0022 Comments: residence: Jensen Ave. & Black Ave. / mole above right eyebrow center forehead