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nelson-mandela — Part 03
Page 6
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ALL INFORMATION CONTAINED
HEREIN IS UNCLASSIFIED EXCEPT
CLASSIFIED BY NSICG/C98W57B22
Record Roquest
REASON1.4c
WHERE SHOWN OTHERWISE
FD-125 (Rev. 1-30-75)
DECLASSIFY ON:02-20-2039
DATE:02-20-2014
Duto
Birth
Crudit
Cnmina
Douth
]INS
Muruge.
Motur Vuhiclo
Other
Driver's License
To
Buded
b1
JA
b3
Retum to
b6
SA
b7C
b7D
Name und alinsss of subject, applicunt, or employee, fand spouse
(S)
Date and place of marriuge
(if applicablo
Ruco
Sex
Age
Huight
Weight
Huir
Eyes
Mule
Fenale
Birt
Birthplace
b1
eSano i
b3
Arrest Number
Fingerprint classification
Criminal specialty
b6
b7C
Specific information desired.
b7D
Sociul Security Number
i WS
2
CRuinn( - Wcs o
P.D'J
(S)
Results of check
C1ns, Dexrbon P,o,!
b6
b7C
'Wcso
I85-D-601793
OADR
(Use reverse'siduif necesnary)
U0.P.O:1906-491-509/54777
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