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Registrant ID: Country: Registration Date (Conflict): Registration Location: Serial Number: Registrant Name: Immigrant ID: DOMI-06AUG1911-3-D-0012 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: GWLD-30JUN1905-3-27-0028 Comments: residence: Mitchell Ave. between Highland Ave. & Thompson Ave. / small scar on neck back of right ear.