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Erp ee Se rs ee” ceensemenmeentt tad eT RO ¢ e 7 * i 10” Tam .« have been within the past 5 years, of intend to be engaged in the following activities: force | / Te addition to other wnlurmatnas, Uist memberships of activities in clubs, organisations, or aocerties _. |... |. 1 Lee (aeaber for < yrs) Regre Congress Youth Council, 200 b. livth St., Me¥., NY. wavicnas as:'n ror the auvancesent of Cclored People, 8J-5th “ve. Ne. Yora, N.Y.-aeaber for 2 ve toung Compinist League, cf E. lieth >t., New Yoru, N.Y. (continued 1) My miltary -4 naval wrvee has been none woteres: From : te (day uncnown) om | a 6¥e epphed fo feel cituenship papers on the United @etes Date of eppleaton GbOoUt T Lea’ T Oe ae - —* : iwi ae ee Burstoutiuenship papers recetwed _ go b ye t im ied ten for netaaheate mm os a ste ee F. peice r aah sare . Theve the {3 -eing epecahst relatives living in the United States: Parcatéat r ra wher . Husband «¢ wife husband Pr ye ot Fhe -.§ ee Aone. ave noct been erreated of indicted fur, of convicted uf any offense (os ufieneen}. These offenece are: wath mete es Nature of offers Dare of arrest Place of acreet Disposition of case | Withen the past S year do... have aot - been offillsted with os active in (a member of, oficlal of, a sad) wath ee wiaker for orgameate pe, stey- tes! in_wh- le os im part-to iwluem ing of furthe.ing the political activities, public rclationa, of publec policy of e foreign goverament...... i ____.... AFFIDAVIT FOR PERSONS 14 YEARS OF AGE AMD OLDER Subseribed and swore te (or. IT have read ut have had trad tu ine the above statementa, and _ firmed. before me at the piece and — ‘to hereby owees for affirm: that theee SRatements art tre and om_the date here dt complete to the best of my hnowledge and belief. official prat-office ramp » below. ef + Shae tha at — ote i PGMA FRCINE ott AFFIDAVIT FOR PARENT OR - OUARDIAN < ONLY a ee es PRINT RANE ADDRES, 48D DUMB MES OF PESOS G0 0ING TUR AFFIDAVIT LS 61°>, Fam the . . cae anova. . i ee) LoS ee ee 2 ab. Pees 8 Pod, Bubscribed and sworn to (or teree 18 Th ake tue oe peek affirmed) befure me at the place and and have made the slove alicgetionn fog fim others. EF have om the date here designated by the feadop have Kadthe sae ccad to me. end do hereby ewcar oficial post-office temp at the of efirm: that they ate teue and complete ta the bert of my tight. bnowlatge. inf-rpaton, ant be fief. the above named al.en, wh - ‘oes Oh ap ep PO fare alibae 2 7 Te penis cere ees OU