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The application was dated 6/26/58 at New Xerk, wer? York, er @ate of birth was listed as at Indianapelis Iudlene, - @nd her permanent residence was JU Grace Court ; Wew York, where she fesided with her husband WILLIAM KDWARD BUROHARDI Dv! BOIS. Travel plens ene ae follows; port ef - departure New Yerk, departure 6-12 (no ear), pode ef _ Gravel, Pan American iinlines, “tatend stented, stay bread ear tres te ' pe four menthes posed itinerary, tng . Purpese ef trip oes te hee lana, renee whe anh 90 Fe old on a vacation trip. Her ecription was Aisted as re lows: ~ Mair Black with gray Eyes Height . ryt Serks ; Sear on neck @ooupetion writer - Mo answer was made en the application ef SHIRLEY GRAHAM BU BOIS seus any past er erning t wenpbership. The identifyi ene es cl i; a friend who nown wogect or ares. 4 letter dated 6/26/58, at lew Yerk, Mew York, , ert Signed by SHIRLEY GRAHAM DU BOIS reflected that she refused to sign questions re seubership at time in a political party gnoluding the Communist Party,on the grounds set forth by the Suprese Court ef the United States in e reeent decision. . SHIRLEY GRAHAM DU BOIS's photograph eu the 6/26/58 passport application was cepied. The following additional information not previously evallable was obtained from the passport file ef Dr. WILLIAK EDWARD BURGRARDT DU BOIS. er te the Secretary o e Co, oriticizing “the Departuent of state for denying passports on "political Crean He mentioned Dr. We ‘&B. B. DU BOIS as ene who had kept isn his ewn ocuntry. reassess! reviewed the subject's passport file on 10/7/55 at assport Office, Department of State. The file reflected thet passport number 110354~, New Yor: series, wae Lesued on 6/30/53 to ETLLIA™ EDWARD BUAGRAEDT DI OI. Fic aprlicetion wag euocitted on 6/26/53 at New Yor., New Yor. - kk o