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.. . (;7) Since '!'Y n~tllf~li~ation or repatriation, l have . . los my citizenship in ny ·manner~ / t~ 1 .: '(8) Sin..c'.' the·date'·th~ natUfaU~ation, or citi~e.n~~P ·paper,was issued tD me 1 have-n~ b~n· absentfrom· the .tn

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DBPA.RTBD PROM·THB UNrfED STATES RBTURNBD TO THE UNJI!ID'BTATES. ('

Answer (10) Only' if'You Are Applying For a·N~w Papa~ i" a Changed'Name. (lQ) MY ·'name ·w~s· changed by~. · · · · ·

·. , (a). M11ri'iage; fro~ the ·.n~me of .:--·.~:::---.~:--:---::--:----:-- to --~:::-:-:-~=-:-:-::-~----• · 1 .. 1· · " , : · · ' .: • · · · · ·(Name aatureU .. d.IIDder) (PreUIIt,lllllll'ied aUJe)

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. (bfDecr~~ o~ -~--------------· . :a,o~t, ·at ._ ... -·,.... ... ·-~(-nirclr.::t,::-::or::.t=owo=)-...,...-----1

l certify:· that the· above st~tements' ~re true 'and: correct U), the. bes.t . ,' ;''

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Porm 1'1~565' UNfl'l!D•:rfATit!l DKPAMTYltNT 01' JUSTIC.E

Jnianl11rutlun. und l'lalurallatdjon Service ' · <R•~· .4o)._6l) ·

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... ·· EXAMJliER"B''REPORT\. ~· . /

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I have investigated this application nnd lam satisfied thn.t tho ·applicant is __ tho porslln to whom tl•e· original record relates and that·. the applic_ant,df 1nntur11Hzod or. ropatri'a,~od, has 4luzA:· · bo~til!le expatriated. subsequent to acquiring United Stat.oH·citizonship, llnd th~t ~he .naturalizatiorfor ci~i_zen.ship· P,flper -describe~,..~

~~ the ~pplication has --- bQOn . . iv· 5 r I

(Loot, mUtUoled, deatroyed, turremleted)

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The naturalization .or declaration· has ___ ._· _ boon verified.

SUpplemental 'Opolj. iS 44&4:- atlachod loeroto. ' • ' . ., ,1· ' • 1',' ,.

___ . ..,.;granted.

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. ~NST~lUCTIONS TO .THE APPLiCANT· . , .

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(Thli.fO,m ·mviitbo co~plltolr.f,;liod o~ ln'lnk.~,.ori a t;powrlt.,, Thla opplic:otion·ia·for use.br a p.i.On ~ ha~ fll~d-.a doclarat'lon of '. v lnt11,1tlon Or ha.1 beon not"!'ollzod.ot fDJ111111~tod o~ wtioeo'docl~otlon of Intention orcerllflcoto of natutolitotlon, cltlttnshlp, a·r ropotrlotlon hal f...) been loat; mutilated; _Of• deatroyod;',lt mar·~lio be ulod by a nlituralh:ed pouon whoso·nallla haa been changed by.mcirrlop:or·br'ordilr Of ci cOUtt: rv and who do1lf11 a"''~ p~P~,In:t~eJ·chongOct nome•) , . . . · . , , . , , :1, . :. , , , • • , • ·•• • • . '

PhoroQropllo,-.You oro reqvl~od to eond with thl1 appilcatl~ two ph~tugrapha Of~ro~~ol~ tak~n. within 30 ~arl: ~.thO d.otiuf..ihl.l appllt:0!10n., : Thtao photOQl:aphl 011111 bo 2 ~r 21nchoa In 1l1e, ond1tho 'dl•tance from top of:hood to point of chin thovld bo Gppf'qlmatolfllt$ lnchcia. Ther aiuit not bo po~tod o~ lar4t:ar moli!'t~d· In any f.!'hltr~ war, must b~ on t~ln ·p~p~,havo. a light. bac_k11round, !lftd cle!"ly ~~··~:frllnt v.lew of youdace : 'J. without hot; Snopahote, group, or full•lonsth portrolta·wlll not be accoptod, Your photograph• •hould.NOT. bO tlantd until tftar tho now noturaii10.. ::S: tlon OJ cltlao~ahlp papor hal boon mad• out1. bU! on .the bock of aach photograph rour noma ·MUST NOW bo prllit~llghtlr~.and' C!-fefullr;.ualnlrc~ .1cift · n.i penc(f to·ovold·mutllotlon of tho loco of tho~photograph,, . .. . . : _ . .. . . ~ . . . , ·- . . .. ·. .

tO · ~~roofol ollenQ~CI ~.me.••lf your no'!'O.h~a .. boon c~anaed br,rno"l.ogo tubloquont to ,ro~•notvrali•atlan and;y~u are opplrlng f01·neti pclllll'.ln rU ·

tht cy.Cod n~me, you ~"If .. oHach.!o thlo oppl!co!lon;ocertlfled copy e,f tho pvbllc_rec:atd .of _ro'!f: mo~loge. If your nomo hoi bocm ,chang~ ~ o' . decrH ~ourt of 'competent lllfladlctlon avb10quont to your nilturollaatlcin, "'il mvat attach to' tlio application a certified coi7 of the docr11' · · · · · covrt·ch~flns rovr nomo; end If yaullvoln .o.Stoto ~!thoro, undor.tho docroo ofc:ourt•chG~~glnnovr no1110;'furthor oct• Gr. reqvlfed of rou before tho dacru bi,mnflilol, In iucli coao you 'mvit oi.O ottoch to thla application a cortlflcotefr'om the' eovrt that',Ou'.hne.~llt4 with all condltlen• of tho docroa chanalng Y.,ur nom~ •. ' . ·. ' ~.· .. ,: ·' . . " . . . . . . "'. ' · ..

. , , · .. - . . \. . ·. .. , . \ . . , .. ..., .:_... . t· , .. . CorUI~oafo ol_flefu!ellaaflon ~ ,CIIIun~N_l!•"': Y.ou ~"'!' avbmlt with thla oppllcatlo~ ,tho cltl'tl.flc~ of. natvrall~otlan 01 of C!tl~1hlp whJ~.. .~ 11J

woa .luuod til rou prior to your chOnao of namo, or'whlcli;hnboen mutUotecl, for rotontlon!~y '"' Immigration ond ~uroll1otlon ~lc:. lf·tha · • 0 •

oppllcatlen Iii grantod. U you are vnablo;to evbmlt,euch coitlflcato btcavlolt Ia 'loat or dolfrorOd, atato tho clrc111111toncea fully on· a oeparat1 · 0 ahoet of pap~·t.he' aoinulae'o•,t~l~~ap~lli:ot.l~;' .·· .. ·. ·, , , • · .. • • . . . · .. ~~· . '. ·:: . ··. ,.: ·_.:. 0

Y••·~·A fao.offlva dollon ($5) muat'occcimpanr thla lippllc:atlon, union vou ora applying foro copy of procMcllnga undtr the act'Qf Juno 25, 1936, 01 amondcid,' that le, unla11.you ate o woman bani ln.tho Unltod Stot .. whO loat, clthtonehtp br matrlqa.to on ollon before Soptombar, 22, 1922, and oro applrlng for o copy of the procotdl~ge thr0119h which rou wero r.Patrlot~d by taking can.ooth of oii.VIinca to tha Unltod Stotot • .Tho ~ f10.fo~ a !=!IP.Y, ~touch pracoedlngo I• $1.50. ;J'hfdeiHI·requlrod fOt filing tho appllcotlon and Ia not roturnoblo, rogardl111 of. action tokon·thotaon; . ' ~. ·~ ··;:; . . . ~ ' . . ,' . . ' .

Roml"onc11 .• ~uld bo modo poyablo to tho' "Immigration and Noturallaotlon Sarvlce, Dopartmant of Jvotlco.'! If rt~ldlna ln.tho Vlrgln,lalilnde,. remittance• ahould be drown ln·fovofaf tho "Ccimmlialoner of Finance of tho VIrgin ltlond•." If rotldlng In Guam, r~mlttancoo 1hould be drawn ln.: favor of the "Ttooovtot, Guam.'.' lhou.mall tliio a,~llcatlon, ottoch monoy Otdor or check •. DO NOT SEND CASH. '

I ' 't All oppllccant f01 a niw declaration of Intention 01 c:ertlflcate of naturollaotlon In llou of ono loat, mutilated; or doatroyed, who wot o malllber ·

of tho mllltcirr "O.novol,forcll of the.Unlted Stotoa et an; tlmo oftor April 20, :1898, and before July 5,.19Qt or at any.tlmo after April 5, 1917, Cmcl · befoto NoveMber 12; '1918; 01 ~o .e.;ytd O.,·the.Mtalccin bordor ol a membor of tho Roaular Army or Notional Guard betweon Juno 1916 tnd April .. 1917; cit who hnnrvod Of htrooftor tlfYIIIn tho military,. olr, or no'lol force• of tho.Unlte~d Stotoe oftor Saptombor 16, 1940, and who waa.not.at ' ali; tlme,dvtlng avc.h pttlod,or thor~ltil!f IIJROrotiod from .. avch fore•• vndor oth.r thon h~ablo condition•, ,•ho·wot not o con•clentlou•·~iec:tor who performod'no military duty whatovo; or rofv11d to wear tho uniform, or who wolnot:at a~r tlmo durlng.auch period or thot.oftOt·dla~hatged freaL euch military~ alt';.at naYOI forc11 on account ofollenogo,:la not roqvlred.to por1onyfoo. In 1vch coao rOut honcirobli dlachorgo 111111t be proeontod with thlo' ~P.P l!~"lon, . , .. · ' · ., · ' ·

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TO BE FORWARDED TO IMMIGRATION AND NATURALIZATION SERVICE

No.

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7385297 ~)IJfJJ§t~PeQ!!Pf•«!(!f'£YTI~f!?'~ ~~§!f&P~'Sm-!M§i!i~~

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~~nue/.-n/dm,~,r$_/~Aktgf/~~7NLh~:n~/U/~k2)ak.~~;d_ September -;1~~~ .;...HN?mal e .· ~y~nnP. m~d1um .-:-..~Jff~'xpt;,~~ b.,_ .;-e~~~;_bro'IGI ,/A,~~-5--~~- 10 /,r?,~J.· ~A;?M_2.D_QQ~ovb."/~-D£e,~~no!i!Pe~~~v.e,./1 noaa -~/t!'anhd"".J,h~ marrtaL · .. #.n~U3~~,,ho~u,.4/~'--;-;;:.--~~,...1~.<~a~niHid~:----n-::~------=";---

.fAr<,/W/A',.../'/.AD~;~~.;,.;~M,khy,.~:A!.""'mp.--.A;f~"j&"'""-

~ . _(6on'P/e/ea,ur/Ju/S&/urm/1!'U/h.o/derJ UNITED STATES OF AMBRICA ~ SS:

' SOUTBER.N DISTJUCT OF NEW YORK l . (, <JJ:e ,f qj}e~~NHUN:/An«'-bl;jc,H(:~:!#; ..:. ____________ District---~-------~# --.~~·; - /~~~~-a-..4«!/d'«~~~ ·The United ~=YorkQ;;- ----- --~-~- --:_ ----- ---

_. \_." -_-.· 1_- ~ Decemtier 27. 1954 ;~_..8"--.-,-H~.-.-~ · _ · < . \ . 1.. - / ---:-7>"""-"'"'R...,o...,ma~7"""'n~B=1.....,.,u.,.m~•----=c-=-:=---:---------------,---~ ~-. =-~ .· _ ·. /~~o/.-~rL. 2700 Jlr~nd;.o2on~n~a. B~x1 N.Y.. . -~ /~/iwdlbH4~i/,;/~'R!u~~?l/;;;;;7.:./A~ ?buh-;:;.ykk ~~:,A'~~~«?"~~

/utb.~"'"AW'Af~Yn,;;:f#A//1/~~/m.Yh,kJA,~~,,~,~~~~~~»NA~--''u-4 ( _.~' \ _./Ar;u,A./!.d"'"~,;te-/!~~#?H./..P/#,cA:nnht'dWAwoh@p&u;;'d_,(fw.'/~_;;,n~PN/d~_k/k ~L/ I ..-'~d?~u(/,f~4~~c,.H~~~.,.i!~ ~./#'u~~..t?t'::U/'~~6/A~/:.-~,,c~fi_ ~dew~a. w~$~~PP-d ~ "' /u.dn?U/~(4:1~.#7~~. , ~~/~~n/~~@.n~cnJ . . ,.. .

· .fib-A~~~V/''¥~e- v.cnYp{jA~Jn~~/A9N,~~nwJ~L#!&-J 27th · ,.rVI'¥¥' DeceDJt>er . /~~~V'K~~.n~r~~/h(/i~I/Aundhfdnn.rlf ----~------------~5~4~~~---~H~~~,~)Ju~~AV~N~~~~~N~~~If ,and_ . 79th .

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; · 1 . · · . ;, p,:._ : i-~- (Cbliclt cme) : · . . \·~1·,~ DAft MARIIIBih ' - :D.iu.MAilluJ.o]\BNOBD..,' .Nw OI:PIIIiaoJr·io,WBOu .. MJ.BBimf , ·-: ~~ -~~N.M!B.' BIID:·' · :~ow'MAIIEU.OI") ~ ,f\~~~ .. .'~ 1 r \.....-:.:-~~~ .. _..~ ..;,~ ~.~,, ~I-..,, A\ t)lil .. '"t··~·~J'·,•· 't• ·, : · ;1 '-~~·P.'~WAB1 L,.• .,,. .J.,.·IIIDID,

;,~~~~1~:~~~~j2~;iii~;. • :(IJ): B'avo you ever been an IDmilte or an lnsano as:vttain'or sliru~'tutionf Y [))to.·. . . ," ~- . . . . . ~' , • . . . , . ~ . .

· ~~!.:!::~O:=~~~~t!:!:'!~~C}J~~~~tfvr~on~~rla~orordbmn~~~mto·~~a~~®··~· · . !moo Imprisoned, or pll~Ctid on p:tObntlon or Jllii'Olo, or fDr&iited~ any act InVOlving a felony, mlsdemeauor, or breach or any public 1aw or ardllumeo? 0 yej,llj 'No. .

•U'lYes" llivo tbe toUowtng mrormatlon'toreveryC1lllfl, ··UacooSS817 continue tblsllst on anothouboot ofJlllpcr.- .... . ... ·· · · .. · · ·· · ~ · ..., ·. "'r ; ~,··wa5 · 1 wma···· · · • (CitY); : .. · • - ·<S~tAi> · · ' -· · (COimtl:y) -- · ···orr~8ri INVomo ·

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... · . ALIEN REGISTRAnON Nama ... JJ9.m~ n. Blain/ .. : ....... ______ :_ .No. . .l.m-9..6.6.~-------·--~---

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DEPARTED PROM THE uNITED STATES J ~-·-~- . , . . . :· . ..\. . ··". RE~URNED TO THE tiNITEp BT!;;t'BS

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"DCT-2 0 1954

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The ABOVE SEll'l'EN~ WAS WRIT'EN BY THIS APPLICANT IN MY PRE~NCE.

This _app11can~ is.

This applicant is

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qu81if'ied on reading and writing Englis~

qualified on knowle~ of Governmenfi. . q£LL· Examiner.

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· ;:·. available :oDl,y 1t0 :suc1dxi~sw or~nc1es: as ·JIIai beclestgnatecl bi'. the awntssiemer ot ImmtgratScm BJKi Natural• ~ . :·'. n,,"_..,_..:~tatlan'lv~~·Yap~fOVifat'thfi·itt~~·;.:":'fifst~awa(i~~.~1Jillrf1'(4Uir.e:]iQI,~t~oti~\·~~.£!Ui;~~-..-~~.

' tee :o~~ nr~ '.cent_s '::( ~ )t tor .. f!U'nl~blng 1ntorma.tlo~ JrOI!I ort)clal records ·o~. tb~. ~Ser\t.l.C;e. :·'to ·~ •· ,:relll1 t~c1;, bi ; ' pos.ti111ilone1 or48rV.pa,jab1e to the •Treasur~tr ;r tl'te. unh.ed Status j Nilw, r'.IJ'.IS.. Jta V·. • · · · ' • • • 1 • •• , ' • ·r. , · · ' • '· i~ ' - · · ' ' • ' · · • ·

. .!; '2 •. ·Records prlor ·t.O .Jul.V ·it 1924; Of.~rivtq.alleoa· are ~~.Pt atttle .various ·P~ts otentr~ and .~.uot~1'. 1n 1' U\A. CUtrU ottlce; To .locate such ft. recorci 1t18 usua111 reces~: to bave camplete llltormat1o.aus.to the D&lllth • · .. ~

· ''-1D4fr.WblOl1 the p'ersanwaa 841111ttedlr&thexaot speU1n8 an4 111oiitlfand7ear or ~tntey,. name,ot'tbe·atelllisb1p''a.M · 1\ · .. · :· ~.:: · ot arr~w1.· It·is eapecla~l.Y necessa11. that suCh. lntormat1on be turnlshe,dihutey occurred pr.loi' to J~lJ' . ,:. ·, · · tr.' .1$(12, ~ecol'dS.at arrivals at. New· York prlor to June ,16, t81r7• are DD rue 1n· Tbe National· Arl:h1ves-Wasb1118•

. ·tan,· D.C •• and commun1Catlcma concerning lntormatlon c1ealred .frOIII such records· ShOuld;:.. be 84dresaecl .. io that ·; llltPC1 aru1 ~ot·Jo the, Iinm~U.on .an4 'NatW''aUzati~n Sirv.tae i .. u,: ~1.11 ~'ot ~s-s.~c~. 1( locatt~. ~··,or ~li aJTlvalB tO!JhO¥ the. nauonau t1 ot the P$l'&,ons. co;.ce!'ned. and the names ot ba.Porta:tromwh1ch ~ .... . .

,~ • .&1 tor the Un1ted State.&~ R8CGJ'd80fentr¥01lthi cana418ll bOrder, prlori:0.19()3, 811.<1'0%1 'the MeiJ~:~.t$,~~~. :· · Jl'1or to 1908• are .not avraU.able.. Records Otc1eparUIJg alleus are 011 tlle onl.Y att.he. ports .ot ~epart1Jl'84'~ '·

., USU&ll.Vaonot a.atedate MB.rcJ1. i, '1929• ·.It 1sne~'es811.11 tolUUM'.tht.rPGThJlfillllt$)t~·~~ ~-~~tl!Po ·alld <late ct!t,~e~ · ~t.~e,.:l;~·.!H'~er·tci.·~~~Ge·.such .. ~_.r~coi'd~··~.· · · ·. · · .. '. , . ·. . .· .... ·~ . a. Illllll1;ra~1DD records ot arrl~lB prtor ,to~TulJ 1. , Q24, do uot · sJl(M;: the' date at blrtll at thBi.•petsOD con· '

'~me4 but me~Jo¥ ~ agns.stateelatthe tlmeotarrl~l. SUb~equent·t~J~ aq, teU• 4&~o!blrtbareshoim . . c,13J · . ~n ceru..tn· re~ ~elat1ng· .to a4m1ss1.cm~. tar. permanent reslr!euce:. ~· : - · ~

. · 4 •. An au~ rea14erit ot.tll$ ~~ed: ~ca~:s· tO.tb~~i~·an one:·sne~s:stble·~~tt.l;enehlp) .. wh.o de.~i~es.,ao:AIDe~· :. 1CaD ;consul to be turnlshec!:'.iiltb 1ntol'lflat10n a8 tel h)UawM ·adJrll-sslOil: to thls CO\Uitl7 tor peJ'IWlent residence, ..

: tor use''lzi conriecttlem wl til tha awucatlon or a rela1i1 ve tof aA 1inlliiarahao'uaa·t'aidtrttlle,llim1st!lti'oli A.ct or 1924, .. · · , ... aa· ~emte4.·1118¥ ezecu.u···~ ~~~J5 (old -'Form S75l· ~w:h' rn lll1l1 be Obtained ·itaiD ;an,. oruce'~f~e',~~~-' . - ..

tlcm a.a11 NaturaUzat1on Servlce, or tram the Cammlsslaner or llllll!lt;ratlon and NaturallzattDth W8.Sll1n8tmu·. D •. c,. . · 'Ale farm shoUld b~.IIIB4&, out, ap;4 .tlle4 'lli strlct accordanc.e .wltli the 1.1\StruetlODS thereon;. . . :

< ••

.·. 6·' ~~-~~ seheralU' ne*s~:1n orller to io~t.e au<2 ld.entltl a natura.11zat1'on re·cord' to haw' the. il4mll Bll4 . '·, :; ...... -":'": ~;Ot.;;.~wmflrumtcli:-:J:I&t.Uraitza.t·la~e4~G::ld ... t.tt.;e~~dHe·.~.mtura-Hzatlcm - a.lld- ~ BClJll&. ~ ..... ,..J;;>;..,

. 1dentU7,1ng\ll!forui&t.1on,,suctusdate an11.place-~t:blrth. and~ ltliiarrlec1, .. .oame:or&NSbaD4 Ol',wlte .:.·;~: o~ , · "lldren.· ~t~tlOn aa:to .tha.:Dallle aru1 locat1on,ot.the.cour.t~1nwli1cb admltt'ed·tocUlzeuatllp, ·~anaaat sn• :~· tormailcm.~ ~~o"the. pl.ace.s .. orrea1d,el.\C!I in~~Unl·~~~St~tes;qr;~~.'per&911c9.onc~~e~ -at!:d-.f.!le:~at;e~,.b~twefiD· WtJ!Cil:. ·· Ia" ~res1cte41n ·GaC!FPlace,,la,abs'olutel¥ ne·cesaan'.·1tt!IB na.turallzatlan:oc~d.:pr.lor to,SeP,te~er 'l/l;·tsoe. · · aS t.tiE.I. onlt recOrdS ot . personS: na.turallzecl:Prlar to:tba:t ·.4ate are .those· On tlle· l.li. :the '·respectl've. COUrts ... \... .

, .·.·.-~:·~ .• ,'- r. r·':·· ·/,~:,,·. ··.····~ .. ·.·,; .. ·.r,;:;, ..... -~l· .. :·::· .. ~•·· .... :·~.···.··,···~·."1 ·~:~·, • ' ....... ·:·\' .·.• .... ,,J •· .. • •

·6. . PBrscins· WhO iteslre 1ntonnauon 'rrOlll 'the· re~ol'ds tor lise l'D· ill.lsn&lcai:iir nat.uraU.zat1on, appUcat10118 . $1CJ!ll4:...ei~t.cut, to. t~· tie.~t oHhe1r a~llltr. the:. approprSate appUce.t1cm ronn:.-mar:be Ol»~llled lr.om 8DJ tlalh" ·

· oruce ot tlle. Imllllgratlon aDd Nat.Urillzatlcm . Service~ .. rrcmi'UI·Dollllllaaloner ot ImiDlsratlOil 8114· lfa~Uoa. . ~tngt.cm.·~D~' ·c., or; 1~ ·.t~ ·case ot.natilra1lZ~~~cm "ppllcatlcms~ ,trOI!l c~errs of 'nat.ura_llzat~cm COIII'ts· • .'.'lhB · blgrat1on;!UJi1t.Nat.vaUzat1cm Ber.vlce. ctoen1ot Nrnlah 1ntqrma~lon ti'CIIIlts ~.cords tor u.se lu~e~tlD8>&PP11~. catlcms ; ·however, appro&a"late' searches. arfl c0lll1ucted usrjn t!le basls ar: lntormatlon Nmlalled · 1D . appllcat.lons · .WhlCh 1J&ve. b~tp executed'aa.cGmpletelJ' as PCJS8l~le and aUbml~teif'tathS·s\lf!ice:- -~·. - ,. ·~ .. , . , __ ." ··~~: ..

~-,. rt ... on8 desl~Di· verittca~1·Q!l.Of·C1~11tnshl,P, age. or J.esai~f&sideo~~; ~-'ttl~' Unl~Cl :States ·r~r·use· .in·~. appJiiq tor old-ase· pens1cm' or .. pubiJc ·aaasate.nce ot iD1 ~114 sliould~.~lcate_ with the· P&areat 'ortlc:.e . ot.}

.tbe.· llllll1~tlcm ~·Nat.ur8Uza~1cm· service,·- FOI'III-~8-1111¥ be wfed Ill Bll_c.h; Cae~8 ·WlttiOilt be1ng sworn .to~ . . !·. ,, '· '~ ' ,'• '• , • , o'.' :• ,·. '-""-":.~ ._. H.,:·-'·.: ,._.::_;'j';'' 1 ,·

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~~~~;;;drii!-::~~l~=r~~~4~;l;;z. ~::=..t:l~;~~=-:.;~,-~+~iY*•h-···-·· WHEN: IS •REPORT -DUE_:LoOic:bel~ :d· Licai.-"d.~~:period:d~ra."Whkh yoci weio ~admttted'to lhts -. - ··:~~9ry)·N • .t.O u·i~·the.dahi'.'tfle·raporiSmlno lie mda..· - · .· . - - .. · -. ·

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FOUIOIUEIVICE ... ~N~ STATES OF AMERICA .

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MliiCAl EIAMINA110N OF VISA ~CANIS

PLACE

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DA.,.

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.. r .. .' .. At tlie 1~9uest ~I the AmeilCCIIJ ConsriJ at -~~ .... Bntz.~!Dmkfnrt~in,Qer~.-..~c'~.~·~-~..:.,., ........ 1 :· :l . T ·. · · ; ,; . · ,.· · · · ; · · · ': · . · aium Romn~'- · ... · · · · · · · · ~Mitll ·.• · !.·.. .r.. · j '· · , licertlly·that oil the ~bove date I exa~ned ·~~·: ................ .t ...... h ... : .. -·-····,..~·; .. ~···c"""'"~"""~:·~·~·~~ ....... ~ ... ..: .. \.~:-: ... ~ ~L~- .. ~·-1 · · · · }·

i.ll ; ' /.;_Inert sPecuicql/y louvldenceol any ollhe lollowlng condluons:- . . . . . ·. · ~ 90 Jl ~· t .. ·r COIIBIOIII ~~~~ IDBIUdlng:· . . ..i:

' ' .·.j t'Ub~qsfs .(In any form) .

; ... l· j .. ( . . . )

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' ~" . .: Other loathsome or dangel'()us con~ous disease: .. . '•1 · AclmomYcosts Keratoconjunctivitis fufeCttons Smlstosom!asis • ·

Amebiasis .· · · Lefshmaniasjs · · · Chancroid · · ·/ · Blastomyeosls .teprosy. . . Syphilis, infectio:us state ·

.. raws . Lymphogranuloma Venereum Trachoma · · . :·. /" · · ; ~ilartasts : .. ·. ' · : Mycetoma · . · · '. · · Trypanoso~asfs~ . ~ · \ i

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./ ' Gonorrhea Paragonimiasis ·.YaW& · · ~ran~o)na ~e .~~Worm of Scalp

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?\ mraLCollomon& _lnelodln.a: ..

,:Xdiacy' Im~illtY

· Feeblemindedness· . 'Epuem (Iili~tbie) · -· -

Iiisanlty . Chronic alcoholism

. Constl\Utlonal paychopatblc inferiority · ·

t .... \"

' ' . . \ One or more a~yks of tnsarilty./.

·at 8llY, 'time. previously . ·;· other m~tal· c9n~tion

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. :·j:: · My_exami~ati~n;dJd,.not revecil e~ldence·ol any of the above o~:r~lat~dconditions. A. · .

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.. : .' · 'Bl!lll4, IROmaD1'{rinoip&l 4PP~1c~:t,•: ,Age D ·~·· ·:The :.thorough_invaet::Lg.ation· wh~ch has: l,een ·c.onductei. lin~~ .· .1· ...

. .th~ .... c11~ract~~' his~ory _and eligibility of the<Principal Appll-: . ·. -: c.~~- ~d ~f~IDllY,,. as supported by .the .. statements,· certification•t ... · .

· ·:·and· other. documents contained.in the Commission's. files ·has .' · ·; 'established .to ·the satisfaction of ·the Oommiss'ion· as. foilows: · .

• ~. . . . - r ~. ' : ' . ' , •. • • • • . ~. ' • • • . • • • ·: • : • ; . I

· · · '· . .. . :' .·' Character . , · · . · . ...,.. · ·t ·1

. l ~: .. ' . '·

. .,

,' ' ' • ' ' ',• ,c .._ ~ ,· ' ' ' ' ' ' ·'. : ,' l ': I ' ,. I ' ', :, ' ~ ... ~-:-:"'; ' i

· ·. · ~::. · ·. ~ . .:· T~at the: Principal:.lpplicarit and tam.lr are of ·.good c~ · . :. ~· : . . ;: · · :. , .;· · · .· ractf!r and. ·behavior• .. · .· > .

. . ;r,; ~ .t ~ ~J'iDOipafAp;J.i~Bilt , and faiDiit ~re hot : ~ ~V~ ~. ~- ' . · :.~ not .'been me~b.e~a of, or P.a.rticipat~d 1-n, a~ move.ment which is . ·~ · ' .. 'or· .has ·.~een hostiles to ·the. Uh1te4 ~tates .9'+ ~he· form .. o·f Gover:fi-o'

· · ·. · ment .of the .United tates. · · · · · · · · · ~ ~ j • • (, •• . • : • t ' '

(',· .~ ' . i ·.: ... - , ; .1!1isto~, , , ..... · ... >"· . . · .. : '{'.' ' ,. ' . ' ' ;That the, ~~rinoipal Applicant. was ~orli ~~ SepteJ~iber. l,,, 1914' ' f

• l · •.• . at· ·Warsaw, P0lan4. . ·. · ~··. · · · · · .. · · · · . . ) .~, ' ·, 0 '\ I f ( '< • , • ' t I ' 0 ' ' ~ ' : ' • • I ' I (f.

,: ·-. : · · · · :rtjat ~:, wife Pi the Pfipgipal Applicant whose·. malden . .. .

:.: ~- ·: ·I 1.··.. . I . J.... . : . ...:

"' • I· .

:" ~.,, . . . :. . ... ~~ ap~lica~t was in Warsaw. Poland ·until. 19.40.. From ~ ·~ /~. ·:' ~:··.. · · ~940~t.o· '1945 h~ ·was ~etained ·in ~oroed lab,or: camps ~n Po~~rid · . l

: ~ . . ·" : ·. ·. ·. · an~ ·ermal'lj •· ... ~Hi a, first . regi stratio~ ,,it~ ·Ull.RRA was ~n Octob~r .. : . ::.-.'· ·_. < - · · 1945;- and· has:.been .the· conce~ of ~--IRO .. $in_ce. · · · . · ·: .. ·~

' . ' ·. ' .. · .· . . . Eligibiliti . ;'. I

.t . '' • ' ' . '

' . I, .' I .

' : .. 1, ; . . .- ..... i •

· .. ·· . : . That the. ~rincipai·,Applicant is ·a ·~~aPlacea· person as ·d.~·· .. ! ) ••

:~ .. .:·.fined :in· Anriex 1 ·of the O.onsti tution ·of the International ·Be-fugee .. QrgaDi~ation~ ·and is the. concern of ·that. orgam~a~ion. · ·. ·~f:;\~

. ' , . . .... -..· •. , . . , ·, -- ) . . . : , .· . :: . . , ·.. : .. 'I

.·.... ·. ·· That· ·the:.·PrinQ~pal 4pplio'arit.entered ·into and wa·e .. present· ' .. < .. · : .. · .fn one· of: the .Areas'' wl:thin and on the appropriat.e_ dates, .as ... ·. : (,

• ' ' · .• ,' . ' ·,·· • • • . • • ' • . I' . • • • . • I . ·.~ ·;:··.. ·, .. ··prf!SQ~be_d.:l~ ·th~ Ao~. ·· .. · · ·· · · .: · . . · . ·.·.;. !

• • :. ' • ,'' ' .,,. ·'··. • • ' ' ' •• "' ~-~.. ' 1' 1 . ' . l ' .. ·., . . i •r • t• ~'' ,~'I t < ' ~ ~ '.- • • t: "I ' • ' {

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(b)(6)

48

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. I - .: . : . . . . . . . . ' . . . . , '. ·~ . . - , · 2. · ;The Comm1ssion··further states: ··

. ,; , . · • , t~at . ·.&:ss~e~ ~ave ,'been gi veil to .~~.· c~llUDisSiOii ~n ·~ • 1 :J . half· ;()f the Principal Applicant· by 'Hebrew Immigrant Aid: :Society:. . ... !

I . • • . . . . . : '·. . ·: .. . ., ··/.

· ' · . ··. · ' · l . . I~

:That· these· assUra.nces are in ac·oordance wi·th the requi~ r · >'.'. ~ ·.:.. · inent~ :~f .. the· Act ·e:nd .. Regul.~tiona,. b.fve .bee~ app~oyed· by the· .· :. ,~, ·1

·· ·· ... ;O_omm~ssion-a:Q.d bear the Commission a(:lhil'J8ton_.Nu,m~er·(~l23o).: .J . • . . . . . .. . . . - . .. . . . . . •. . I'

.- ,,._ .. _. · .'That the PnJlcipal'Applicant"will be ·eJDployed.aa·a.painter · ;. ·:. . a~d that he and. family wi_ll ·reiide.· at 2?01 Walton. Ave. ,.Bronx, ·

" : · .. ~. Y~-, ~ew YQrk. . · . .. · .. · , .· . · .' · . · · .:· ·: · . . .. I;. -,, ~ , . -· • . ,.

· / '··> .. >- ., : '··· · :liy virtue _··of the' foregoing, the c'ommission ··finds: ~· • . .• ; . • • l -: ' . ·.1 . . • . . . . ' • .• . . . • . . . .• ' . . ,; .. . l .

·\: '.~ .. ~.. .~. :~. ·.· .... · .·.', · [Th8~ .. t·h·e P._rinc:ip~l. ~pp~i .. cant i·s a ·diSpl.~oed _perso·~·:e~iS:iJ>;J:e ... ': ·. ·I·~., . ~ · .. for admission-:in~o ~he· U~ted State~ un<ler.Se.otion-2. (c) (l} and .. ' ,'. · : . . , ;:(3) .~~ .t~e :A.qt,. an~ that sue~ ac1Jr41:'sidm; ,oUld, be in ~o·cordano~ : ·'. f: .. .. . . wi·th :the regu1at~ons ·of ·the .CoDUJi1ssion.-. · · · . . , , ..... : .l: . ~. ' .. · . ' . .. '·: . . . ·. . .. : . ' ... ' ~· '

J ·-~)(e) · · ~8 ~~~J;;lt~:~P~!:~~!~ !~;i1:~r.ble ~or ·~~ ~dmiasi~i -,-~ ,; : •- · ... 4. The~efore: in aCcord~e w1 ~~ ~ectioll. 100,8 (!J)--o~ the • . -

. ,. . . r.egulations,_ .. thi'B· report ,is·. ~ubmitted. to:the Office~. 'of, the ·. ~::. ·. : L ... ·· U.S •. Fo_reign'·Servto~ .. at Butzba.clit Gei'mtiny ·f.or· OO~B~4e~t~orf .. ·. .. J

·.in._oonnec·tio~. with ~~he subj-,c~' e applicat.ion for-~n _i.gration , vi ea.;· .. . >. !

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1~ Bra~~~,:am!M~in;.H.9¢h~t.:.o~ kpr~t.:.'lth;· 19~ · ')!ef Qre, tije. · ·tin~eJ;~t S#ed, :N oia~y' · F.US+ic

. ) ... · · .~r~. s·~~·- h\.1' 1 l' e .. r·· .··:' . . I .:· • ... ··· .. · ···.·· ·. :;· . . , .. · .... ·::.'

,t~' tl;I.!!··.Di·e~ri,ct;. ·o+ :.the ·ProvillcJal O.Put~ in· F:r;oankturt am' Main ·. · i;ii-~h· ()ffid~~t'dorilici·le ·in::Fi·~n.kfur.t .al!f Main.;;~9ohst: . · . ·app~_ared ·t~~~~ ~ ·. . . . . ,· .. . . ·.. .. : .. J;5 :tjle· ;e~h~~,¢.t:~ · .B· 1 ~.u ·It! ·Romani 'Ff~.-z-~iJ:iiJ.l~im. ·~\J .

., · 'rh• .P~>'Soiis ,apptJ~rlnl! ·lfa~nti!ied tl>~mselVes by presentau on of t'be.fil · . tde'rl:~·w~carda:·~r:oyid~.d·:w·~~h photograpps •. · .. · .· ' · · ' · · · ·

'~h.ef.decla.red·,t~e~t,'. i.~~~nt.i-~n to. ~~k'~.~ an :a:rrida~it. · . ··orJi:~.,oN.~acy, Pub~c t~o aP,Prise4 t~e :perSO:n~ ~pe~ring Ohne :lmP<!l't&!~e

· : Of~B!!''af~{ davit;, he: &sPeCtally· bas. c.alclea ~h.Gir •ati; eDt tOll, tq: ~h.~ #i 7

·. . ;~···: . ,' . . . . . .i' .·. . . : . . . . . . .. ' . . • · ·;¢1~~t~ ()f.a ·.f.alse. ·affidiwft ~~de b.efo~e a ·Not~ ~blic.: •.. ·: . ·

T!ie. {ers~n appear~·ng :eo.:.l)!. in~de the f:9h9v.d·l:lg affi~arl:.;·;. · i ~ :~.qrn·,f~ ~aChe~ (\V~Sa~hn Polibd '9D S~pti!mber r5tli;. l914; ...•.. · ·~Y-~f~,hlier·:WS~ tne, merc~t· Biwn. Hen.ricp;_,: lforn ... f:~:&!e·~Y'ea.r 1895:,,~r1'elie<t

. (n . .tli~ • .;rear 1~1' &®• ney' .. ~~·~····· ius, wife li1Um s~. 0€0 k'lt&r,, b(!r~ );'~· ~~~e~·i.~~r. i89~.\ perfSh.~ ·;.in ~he'· ~etir . .iQ4.l. · · .· ,· . · . · .

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. We'· ar.e. ii~ap :fi:,Qll w.\r~cba~ (iiafsliw).• Wel!nSw,ttie .per~oll S:pPeli#llg' t.~ t) th'er~~ We· m~. u illt.dav~t that i.is •. &til cements· · ar.e coit~~i;:, .. · · · · ~· il~t.e .• o(·lita:~~rh~g~ !:~ ~~ab· known to .us:~· ~·~ ~'side:~~Stlloir ln

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