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HEARNAP — Part 37
Page 475
475 / 604
"FOR REGISTRATION
ADDRESS CARD AND APPLICATIUN
* _UMIVERSITY OF CALIFAgMA
a
SERXELEY
“First and lacie Manes “= t UNDERGRADUATE Reentering
~te----- nee ee ee ee o~
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' oibere ot Scnoat and Maicr Suspect . - Cominuing |
| PLEASE MAKE NO CHANGES OR ENTRIES ABOVE HEAVY LINE. COMPLETE SPACES BELOW, LEGIBLY ANO IN INK ONLY.
| AGREEMENT: i heredy azoly to: segisicatoa as a studest of the Universily during Ihe current quarterMaad 1 odligate myself {even ta Uo event of ay early
aithdransl) to pay all fees incidental to such segistratica, at set forth i ia the official schedule of studeal fees.
Coblege residence * Ai an
uaril furtner notice Bty | i ew wth ea _.
(Fiesne acllly ibe Rs Tateas Grae murmnes ong hemes, VE Cabeeraoty retloence hath, c ane 7] d
Stomptty ol any be Rad ~ Od Cate nore Pa halt 407 fpam numer. “% » Code
Waar Suoyect oF a Son Class eh
Corneylem . Thus: Engilsn, Math, Civil fagin. Eieap.. Sopa., Jva, of Sea,
“a
Are you acrtizen cts. 78.0 2 te nat a citizen Of U,S., please indecale country of colizenship: ~~~ ee
. A NES or NO ; 4
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