Reader Ad Slot
Reader Ad Slot placeholder
If you would like to support SpookStack without paying out of pocket, please consider allowing advertising cookies. It helps cover hosting costs and keeps the archive free to browse. You can change this choice at any time.
Nation of Islam — Part 2
Page 32
32 / 100
Dopehe. «
s
va
Upon acceptance of the application, a letter is directed to the applicant
enclosing question forms to be answered. Accompanying these forms is the reques
that if the applicant is married, the spouse should sign his or her name and if sade:
7 18 years of age, the parents should sign. The question forms are as follows:
7 | “Question form number 1. .
7 | “All questions must be answered correttly - 100% - By all who
ae accept Islam (Please fill out yourself, ase ink)
Fl fe 1. Are you married? . ..
nel 2. Are you living together at the present time? . . .
bee $. Have you a marriage license? .. .
i z 4. Do you have children?...
ry % §. Are you divorced? ....
beg 6. Have you divorce papers?... .
7, Please state names and ages of your children under 'Remarks'
t 8. Sign the enclosed form - ‘Declaration of His or Her Own. '
F . “Remarks:"
"Application for the Declaration of His or Her Own
ae . Address....
ees er a con eprinsmnnetiy
siesta a a ts cee : wea
De cei amet aided
Ba k (Above filled in when form received)
fo: .
Ph L Father's Name....
° City « e J 7 State ° e to €
ae eee _ Mother's Name....
ao “eee Address... .
» Mesie bead *R
Reveal the original PDF page, then click a word to highlight the OCR text.
Community corrections
No user corrections yet.
Comments
No comments on this document yet.
Bottom Reader Ad Slot
Bottom Reader Ad Slot placeholder
If you would like to support SpookStack without paying out of pocket, please consider allowing advertising cookies. It helps cover hosting costs and keeps the archive free to browse. You can change this choice at any time.
Continue Exploring
Agency Collection
Explore This Archive Cluster
Broad Topic Hub
Topic Hub
investigation which
party does
Related subtopics
Subtopic
Subtopic
Subtopic
Subtopic
Subtopic