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Sec. 2. Physical Description:
Age: 24
Sex: Male
Height: 5'9"
Weight: 140
Eyes: Brown
Hair: Brown
Complexion: Dark
Scars: Forehead
Build: Slender
Other distinguishing features: None

Sec. 3. Marital Status:
A. Single: Yes
Married: [Blank]
Divorced: [Blank]
Widowed: [Blank]
State date, place, and reason for separation, divorce, or annulment: [Blank]

B. Wife or Husband:
If you have been married more than once, include annulments, giving data as requested below for all previous marriages:
Name of Spouse: Not Applicable
Place and Date of Marriage: [Blank]
His (or her) address before marriage: [Blank]
Living or Deceased: [Blank]
Date of Decease: [Blank]
Present, or last, address: [Blank]
Date of Birth: [Blank]
Place of Birth: [Blank]
If born outside U.S., indicate date and place of entry: [Blank]
Occupation: [Blank]
Employer or Business Address: [Blank]
Military Service From: [Blank] To: [Blank] Branch: [Blank]
Country: [Blank]
Details of other government service, civil or foreign: [Blank]

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