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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: PANA-24DEC1923-3-10-0005 Age: years Birth Date: Home Address: Birth Place: Occupation / Employer: / Citizenship Status (Country): Height / Build: / Eye Color / Hair Color: / Nearest Relative Name: Relationship: Nearest Relative Address: Nearest Relative Immigrant ID: AMLG-17AUG1925-3-13-0001 Comments: scar on forehead / person who will always know your address (additional): John Ipjian (brother-in-law), Perfecto Cleaner