◆ SpookStack

"FOR REGISTRATION ADDRESS CARD AND APPLICATIUN * _UMIVERSITY OF CALIFAgMA a SERXELEY “First and lacie Manes “= t UNDERGRADUATE Reentering ~te----- nee ee ee ee o~ } Cot 3 . f ' 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 ” Yelepdane Kuma ml ! ot bes eye . . ‘ j + opadim te || Wo eh lee ae . ae av Ad { a, — ai At pee va / RL, iss bers. arte w<-55