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OT me ae a aaa eh rien eee ee ete . PASSPORT RENEW APPLICATION a conformity with the rules and regulations Renewal Borie: Mo... ~~ prescribed by the Secretary of State, applica ee We chee eh ton is hereby made for a renewal of the pase- Pampert _Sb30x vont Seaved on .. Ages Sy 54? . ( ad on, B.C wm Yen Cohn eo pele iaaltemer ew " | Place of birth QnrGance Des, I: i. Dateot birt CVn 4 Pe TE FUME SECTION GGT OF PULLED Bl CY Ab, FENDER WO TAYE ACQUENED CITED Themever GARBAGE OF WATURALIZATION Ad All MEEINCAN Since my present passport wee iateed I have bem outeide of the United States ot the following places fer the eee erent 2: fom eee sce a a te rere SP eee seme vereremsere treme cenes cmmermmmes reves memes AYPOMB a eee cree OP oo nee, The purposes of my visits te the foregoing countries were as follows (stra reason or reasons for wtay in anch been meturaliond a o toes of a fersign tate; talon an oath or made an aflrmation or ether formal to a foreign ptats; entered of served tn the armed forces of ft atate; pecepted ‘ormed the duties of any ofice, post ot emplormesi ander tis government of fereige pate ot olla! mibdivslon Unre wohl B political elect & foreign partici slection or sovereigtty over foreign terri 17; made a formal renunciation of aationslity before u diplomatic of sonsular officer of the Ueived ate en frets Application end passport paluitied fer Departenent's eonsideration wy .—. Tigi wees Aguacy, = saaeeenny <a — fz, tag . Sk = Md rors PS el ee * JAN 27 1949