◆ SpookStack

4 s § g aes peel Clete SHR P@RPOSED REVISED FORM Extremist Photograph Album | FD-432 (Rev. nari ~ Ry ap) 2. Aliases 3. Date andPlace of Birth 7. Height 8. Weight 4. Citizenship |6. Race [} black [] white \ (_) orienta . 5. Sex ig | Di other: 10. Eves (Cj female | ———_— PHOTO 11. Build ([) small [(] medium [7] targe (7) thin [35 athletic {_} obese 12. Characteristics (C] glasses ((] dark glasses mustache beard (1 Afro clothes (_} Afro hainds Oo (C] bushy (7J short ([) long ([) others: 13. Scars and marks 14. Tattoos 15. Marital status (single (Jj married (7 separated [_] divorced 16. Education (check highest) (<) elementary [_] junior high school [_} high school (] college ( other: i 17. Military ee (J Army (7) Navy (1) Marine Corps ((_j Coast Guard Date taken 18. Residence 21. Relatives (list name and city) Father ___._>__ 19. Occupation ; Mother —_____———— Spouse —_____—____——— 20. Employer Others ———____—>_—————————— ee Enema 22. Identifying Numbers ¥ Alien Registra- Social Security No. ———___ tian No FBI No. —_____- Military No. Others Passport No. iss (date) 25. Fingerprint Classification 93. Known to carry weapons C1) No (7) Yes Type 24. Previous Felony Conviction [DO No (7) Yes Offens WIExtremist Activities "Affiliated with Official s Position if none, succinct characterization eats (use other side if necessary) Bufile No. Date prepared Office of Origin File No. ~~: "IVAOUddV UOd ' Gd GRSIATY ’ eT ae aah