SECTION XVIII
FATHER-IN-LAW
1. Full Name (Last, First, Middle):
2. Is Living: Yes No
3. Date of Death:
4. Cause of Death:
5. State all other names used (aliases, maiden name, names by former marriages, etc.):
6. Date and place of birth (City, State, Country):
7. Present citizenship (Country):
8. Current or last address (No., Street, City, State, Country):
9. Citizenship (Country):
10. Occupation:
11. Present employer (Name and address):
MOTHER-IN-LAW
1. Full Name (Last, First, Middle):
2. Is Living: Yes No
3. Date of Death:
4. Cause of Death:
5. State all other names used (aliases, maiden name, names by former marriages, etc.):
6. Date and place of birth (City, State, Country):
7. Present citizenship (Country):
8. Current or last address (No., Street, City, State, Country):
9. Citizenship (Country):
10. Occupation:
11. Present employer (Name and address):
SECTION XIX
RELATIVES BY BLOOD, MARRIAGE OR ADOPTION WHO RESIDE OR HAVE RESIDED ABROAD, OR ARE NOT U.S. CITIZENS, OR WHO WORK FOR A FOREIGN GOVERNMENT
1. Full Name (Last, First, Middle):
2. Relationship:
3. Age:
4. Address (No., Street, City, State, Country):
5. Frequency of contact:
6. Date of last contact:
7. Citizenship (Country):
8. Employed by:
SECTION XIX CONTINUED TO PAGE 11