Transcript of 166-12c-1_serial_1_section_4_56-la-156_la_report_6.9.68-part_1_of_4.pdf
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LA 56-156
SECTION IV
Los Angeles Report 6/9/68
Pages 913-1082
SIRHAN BISHA RA SIRHAN
CIVIL RIGHTS
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LA 56-156
JOS/rah
BA CKGROUND CONCERNING STRHAN FAMILY
Fie
mh
913
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FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGA TION
6/7/83
Date
ARTHUR N LILLENAS telephonically contacted the Los
Angeles Office of the Federal Bureau of Inveetigation from his
place of emp loyment with North American Aircraft Corporation,
Downey
9
California
9
telephone nuber 923-8111_
9
extengion 2545
ARTHUR LILLENAS etated that he reeides at 9939 South Larrylyn
Drive, Whittier_
2
California , telephone nunber OW 7-8577
ARTHUR LILLENAS gtated that his unc Le HALDOR LILLENAS ,
died in 1959: ARTHUR LLLLENAS stated that
he did recall
that hie unc le HALDOR LILLENAS
9
had spongored a family with the
name of SIRHAN into the United Statee fron Jordan
9 a number of
years ag0, but he did not recall the details ARTHUR LILLENAS
further 8 tated that he did not pereonally know any membere of
the STRHAN family and wag not acquainted with SIRHAN BISHARA
SIRHAN
ARTHUR -LILLENAS
stated that HALDOR LILLENAS widow
3 LOLA LILLENAS
9
prerently residee in Miseiong Kaneas , a suburb
of Kansas Kangae , but he doeg not Icnow the exact addree e
91
6/5/58 Los Angelee , California Loe Angeleg 56-153
On at File #
SA MYRON Ma HITCH/lb 6/6/68
by Date dictated
This document contains neither recommendations nor conclusions of the FBI. It i8 the property of the FBI and is loaned to
your agency; it ad it8 contents are not to be distributed outside your agency.
City ,
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FD-302 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
Date
6/8 /68
On June 5, 1968 , Mr GEORGE K_ ROSENBERG , Disbrict
Director , Immigration and Naturalization Service, Los. Angeles,
California, made available their files on the following members
of the BISHARA SALAMEH GHATTAS SIRHAN family.
Father : BISHARA SALAIEH GHATTAS SIRHAN
9
Alien Registration
No _
Mother : MARY BISHARA SALANEH SIRHAN neo MARY MASHA R , Alien Regis-
tration No _
Son: ADEL BISHARA SIRHAN , Alien Registration No
Daughter: AYDA BISHARA SALAMEH GHATTAS SIRHAN
3
Alien Rezistration
No .
Son : MUNIR BISHARA SALAMEH SIRHAN
9
Alien Registration No .
Son: SAIDALLAH BISHARA SALAMEH 8 IRHAN
9
Alien Regigtration
No .
Son: SHARIEF BISHARA SALAMEH GHATTAS SIRHAI Alien Registration
No .
Son : SIRHAN BISHARA SIRHAN ,Alien Registration No.
Information concerning each member of the family 18 set
out hereafter:
915
6/5/68 Los Angeles , California Los Angeles 56-156
On at File #
SA EWING G LAYHEW /ka f 6/8 /68
by Date dictated
Thig document containg neither recommendations nor conclusions of the FBI: It i8 the property of the FBl and is loaned to
your agency; it and itg contents are not to be distributed outside your agency.
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LA 56-156
EGL: fet
BISHARA SALAMEH GHATTAS STRRHAN
Alien Registration No.
Father
He was born on at Zaibeh, Palestine PII
By nationality he i8 a Jordanian His occupation at the time of
immigration was a8 a mechanic His father was SALAMH GHATTAS
SIRHAN
9
deceased 1939; mother NASRA SALAMEH GHATTAS SIRHAN
9
born
1893, residing in Jerusalem a8 of 1956. He was the holder of
Jordanian passport No . 092300 issued on December 27
9
1951 He
was granted a non-quota visa no. 1665 issued under Public Law
203-4(a) ( 14) on September 1956, by the American Embassy at
Aran The visa application indicated that he woula be acc ompanied
to the United States by his wife end the following children:
AYDA , ADEL
9
SIREAN and MUNIR Be was admitted to the United States
at New York, New York, on January 12, 1957
A re-entry permit Wa8 issued on July 27 , 1957, at Los
Angeles , California, with ertension granted to June 20, 1958_
He was re-admitted &t New Yorl on 14, 1959. 't the time of
the application for the ertension he indicated residence at 1321
North Mentor Avenue
9
Pasadena , California.
On his original immigration t0 the United States, he
and the member s of the 1 'amily accorpanying him were sponsored in
the United 3tates by HALDOR LILLIWAS letter dated August 31,
1957
9
to Immigration and Na turalization Servico
9
LILLENAS advised
Imnitration and Naturalization Service that he orisinally met the
SIiHAN family in the City of Jerugalem in 1955 and made arrange -
mentg to spongor the family into the country_ The wife and
children seemed to be very happy in the United States, The father
wa8 unhappy and dissatisfied.
LILLENAS assisted him in obtaining emp loyment but
SIRHAN quit hig job, stating that the work was too hard and the
hours too lonz. He informed LILLENAS that he was very unhappy in
the United States , he did not lile the cus toms or the laws here ,
that he could not make his family mind a8 in his home land and he
considezea returning to Jordan
916
24,
Nay
By
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EGL:fet
LILLENAS 8et forth quotos from letters he had received
from SIRHAN prior to their arrival in this country: "If you
sponsor us you will be delivering
a
Christian family from absolute
darlmes s and hopelegsne8s I assure you that I will be willing to
perform any type of service or job in whatsoever nature garden,
Servant , sweeper Be
humbly and mildly_ I have a sincere purpose
to become a U.8 countryen with 8
willingne
88 and readiness to
do any krind of work to the satisfaction of any employer_
LILLENAS stated that SIRHAN failed to live up to these statements
4 postscript to the letter wag a8 follows : nMr SIRHAN has aside
from the things mentioned above , boen very brutal to his
children-
71
By letter deted February 27
9
1960 , Mrs HALDOR LILLENAS ,
3105 Highview
9
Altadena , California, requested information con-
cerning the whereabouts of SIRHAN . In this letter she said he
was "an undesirable alien no doubt. Hi8 family are fine
9
hard-
working, worthy people and are getting along fine_ Ti
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LA 56-156
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MARY BISHARA SALLNEH SITHAN nee MARY VASHAR
Alien Registration No .
Hother
She wa8 born in Jerusalem, Palestine PII
By nationality she is a Jordanian Her father wa3 YACOUB MASHAR ,
deceased; mother FARHA MASHAZ , deceased. She held Jordanian pag8 -
port No . 142026 dated January 2, 1956 She had non-quota visa No .
1666 issued under Public Law
203-4 (&)(14)
on Septerber 24, 1956,
by the American Embassy at Aman The visa application indicated
that she would be acconpanied by her husband and the following
children: AYDA, ADEL , STRHAN and MUNIR
She was aditted to the United States at New New
York, on January 12, 1957 An I-53 filed on January 15,
;,o1960,e
reflected her address a8
696 East
Howard Street , Pasadena,
California 91104. She was employed a8 a housekeeper at the
Wes tminister Nurgery School, 1757 North Lake Avenue , Pagadena .
She holds Social Security No. PII
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ADEL BISHARA SIRHAN
Alien Registration No.
Son
He was born on at Jerusalem, PII
Palestine nationality ne 18 a Jordanian He was issued
Jordanian passport No 142027 on July 2, 1956_ He held non-
quota visa No. 1668 issued under Public Law 203-4(a) ( 14) on
September 24, 19569 at the American Embassy in Amman. Ie was
aditted to the United States at New York, New York, on
January 12, 1957 _
An I-53 filed on January 15, 1968 , indicates his
residence to be 696 East Howard 8 treet, Pasadena
9
California 91104.
He i8 employed a5 a picture framer with the United Picture and
Frame Company , 2295 East Colorado_Boulevard, Pasadena, California
He has Social Security No. PII
919
By
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LA 56-156
EGL:fet
AYDA BISHARA SALAIEEH GHATTAS SIRHAN
Alien Registration No .
Daughter
She was born on at Jerugalem, Palestine PII
nationality she 18 a Jordanian. She indicated that she had no
occupation She possessed Jordanian pagsport No_ 142028 isgued
July 2, 1956. She held non-quota visa No 1667 issued under
Public Law 203-4(a) (14) on September 24, 1956, by the American
Embas8y at Amman She was aditted to the United States at
New York, New York, on January 12, 1957.
920
By
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TA 56-156
EGLifet
SIRHAI BISHARK SIRHAN
Alien Registration No.
Son
He Wa8 born on at Jerugalem, Palestine PII
Israel ) . By nationality he is a Jordanian He wa8 included on
Jordanian passport No . 142026, which 1s the passport issued to his
mother MARY SIRHAN _ Ie held non-quota visa No . 1669 issued
under Public Law 203-4(a) ( 14)
on Sep tember 24, 1956, by the
American Embassy at Axan He 1a3 admitted to the United Stateg
at New York, Iew York, on January 12, 1957 . It is noted that on
hi8 application for imnigrant visa his name wa3 carried a3 SARHAN
BISHARA SARHAN .
An I-53 filed on January 15, 1968 , indicated that he
resided at 696 East Howerd Street , Pasedena , California 91104.
Hig employment was given a3 a store clerk for Or 'ganic Pagadena,
1380 North Lake Avenue, Pasadena , California. His Social Security
number 18 PII
921
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IA 56-156
JAWsro
Mr JANES BUZZELLE , U S _ Immigration and Naturalization
Service, Federal Building, Los Angeles _ on June 7, 1968
9
made
2 vailable a certified copy of 3 City of Pasadena
9
Department of
Health Certificate of Dea th, Number 7069-424, reflecting that
gubject' 8 sister AIDA SIRHAN MENNELL_
3
died on March 20
9
1965. at
6:05 2 m_ This certificate reflecte her father a8 BISHARA SIRHAN-
JORDAN and her mother as MARY MISHER-JORDAN This certificate
reflecte the cause of dea th a8 acute plastic crisis (anenia )
secondary to chronic myelocytic leukemia The certificate
reflected that MENNELL was buried on March 23, 1965, at Fores t
Lawn Cemetery and that WILLIAM T STAHLMAN of the Lamb Funeral
Home , Pasadena
J
California
3
was the emba lmer
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LA 56-156
WRW:gcw
MUNIR BISHAR4 SALAMEH SIRHAN Brother
Captioned individuel wa8 born on PIM
Jerugalem, Palestine
Netionali Jordani he wa$ included in Jordanian
Paggport #142o26 of his mother Nonquota Visa #1670 igsued
under PL 203-4 (a) (14) on September 24, 1956, Anerican Embassy ,
Amman. He wa8 admi tted to the United Stateg at New York on
January 12 , 1957.
Hig marital status 18 gingle. He indicated on
January 15, 1968 , when filing I-53, that hig address was 696
East Howerd Street, Pasadena , Californie, 91104; employed a8
a store clerk at F_ C Nash Department_ store, 141 Eagt Colorado
Boulevard, Pasadena, California; Social Security No . PI
tioned individual hag never been married
He has never been in the Armed Forces He obtained
hig present employment on October 4,
i967e
and for epproximately
one and one-half years prior to this he had almost no erployment
of any kind and wa8 supported by his mother He has no assets
and no liabilities except for the cost of an attorney regarding
his deportation proceedings, wlich his brothers are financ
Hig health i9 good except for gome difficult with his eyeg _ He
cleing to be of Protestent faith he occagionally attends
church_ He doeg not belong to any organizations, clubs or unions
His principal lelsure interests are in rebuilding and selling
bicycles and raiging parakeets .
Captioned individual was taken into custody on June 10,
1966,by California state Narcotic Officers and the Pegadena
Police Department , for an alleged violation of Section 11530
of the Health and' Safety Code, being in posgession of marijuana,
and Section 11531 , offering to gell_marijuena_ On October 13,
1966, he wa8 found guilty a8 charged on both counts . He was
placed on five years | probation, wito the first year of probation
to be spent in the Los Angeleg County Jail
On 1967, he wa8 ordered to show cause under
Section 241 (a)
Januii}
9 98 to he ghould not be deported , and
on July 11, 1967, 8 Special Inquiry officer ordered him deported
to Jordan.
923
ty ? an,
Cap
ing
and
11,
why
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LA 56-156
WRW : gcw
On 24, 1967
9
he made a motion for reconsideration
of ebove order, which was denied by a Special Inquiry Officer
on September 7, 1967 .
On March 27, 1968
9
the Board of Immigration Appeals
remanded his case to a Special Inquiry Officer to congider
jurisdiction of the sentencing court in entering
a subsequent
order setting aside the finding of "guilty" to ebove charges
and certifying captioned individual to the Juvenile Court
As of June 5, 1968 , the decision of the Special Inquiry
Officer on remand was pending.
924
July_
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LA 56-156
WGA/sdb
The following investigation was conducted by SA
WILLIAM G ATHERTON
9
at Pasadena , Califom ia
9 on
June 6, 1968 :
Mrs VIRGINTA WITHROW of Personnel Department
9
F C Nash Company_
9
141 East Colorado
Street , Pa sadena ,
California made available the following information concerning
MUNIR BISHARA SIRHAN:
Address 696 East Howard Street
Pasadena California (3 years)
Phone SY
Previous Addresses 1647 North Lake Avenue
Pasadena California (5 years) ;
1265 Lexington Street
Pasadena , California
(2 years)
Sex Male_
Date of Birth PII
Height 5'6"
Weight 120 pounds
Eyes Brown wears glasses)
Hair Black
Scar Right lower arm
Marital Status Single
In Case of Emergency
Notify MARY B, SIRHAN_
9
same address
Residence in
California Ten years
Citizenship Not a citizen of United States ,
has 8_ Visa
Social Security No _ PII
Emp Loyment Currently employed a8 houseware
stock-boy and security worker
a8 of October 9 ,
925
8-2136
1966
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WGA/sdb
Previous
Employment Pasadena Organic
1365 North Lake Avenue
Pasadena California (truck
deliveries)
Education Longfellow School
9
Pasadena ,
California 1957 to 1962;
John Muir High School,
Pasadena , Caiifornia,) 1964 to 1965,
did not graduate _
Mrs WITHROW stated that MUNIR is known as "JOE" and
he has been a very good worker for her
She stated that she recalls other employees discussing
the fact that MUNIR was watching television in the store lounge
while a film of the shooting of Senator ROBERT F KENNEDY was
being shown _ She stated that MUNIR jumped up and exclained
i1 God that looks like my brother She stated that she has
no knowledge of MUNIR 8
political beliefs , or any statements
which he might have made concerning politics _
926
"My
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LA 56-156
MUNIR SIRIIAN attended Longfellow Elementary School
in Pasadena fron January 1957 to June 1961
9
where he completed
his fourth, fifth and sixth grades in school Fron Septenber 1961,
to December 10, 1963, MUNIR SIRHAN attended Eliot Junior High Scho?
in Pagadena where he completed grades seven and eight From
December 16, 1963, until April 27
9
1964, SIRHAN attended
Washington Junior High School in Pagadena , where he was enrolled
in the ninth grade MUNIR left Washington Junior High School
on April 27 1964, and trangferred to Continuation High School on
April 27
9
1965
MUNIR did not reenter Continuation High School
and the Pasadena School System nae no further record on SIRHAN
eince that date
927
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FD-3 02 (Rev. 4-15-64 )
FEDERAL BUREAU OF INVESTIGA TION
6/7/68
Date
On:" June 6, 1968, JOHN T HARRIS , Coordinator 3f
Pupil Persormal Services , Pasadena Unified School District,
Education Ce: *er, 351 South Hudgon , furnished the elementary
and junior righ school record of MUNTR SIRHAN , YB +s file contained
the following information on MUNIR SIRHAN :
Name MUNIR SIRHAN
Sex Male
Address 1321 North Mentor
School last
attended Lutheran Church School
Grade Third
Date of Leaving December 14, 1957
Gitp Jerusalem, Jordan
Age Nine
Birth Data Jerusalem, Jordan PII
Father BISHARA SALAMEH SIRHAN , Arabian,
Occupation
J
Gardener
Mother MARY SIRHAN
Spongor HALDOR LILLENAS
MUNIR STRHAN 8 health record contained the following
information:
Addreeses 1321 North Mentor;
1647 North Lake;
696 East Howard
Family Pnysician HARRY BROWN (address 351 South
Hudson, Pasadena, California)
Sponsor to country Sponsor to tr; 3 country as of
January 1957 was HALDOR LILLENAS ,
1945 East Mountain
928
6/6/68 Pasadena, California Los Angeles 56-156
On at File #
SAs RICHARD H ROSS and
DAVID PENDER /DRP /gk 6/7/68
by Date dictated
This document contains neither recommendationg nor conclusions 0f the FBI. It is the property of the FBI and is loaned to
your agency; it ad it8 contents are not to be distributed outside your agency.
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LA 56-156
GLD/vjh
SAIDALIMAH BISHARA SALANEH GHATTAS SIRHAN
9 FIRST' NAVE ALSO SPELLED SA DALLAH
9 ALIEN RECISTRATION NO BROTHER
Documents were noted indicating birth and
na tionality of SAIDALLAH by a certificate of birth issued
by the Ministry of Health, Hashemite Kingdom of Jordan,
No 672061, registered January 27 , 1960_
9
for a male named
SAIDALLAH , date of birth at Jerusalem, to PII
BISHARA SATAMEH GHATTAS SIRHAN
9
father , and MARY YA COUB
MUZHU , mother Permanent home address was noted as
Jerusalem With nationality of Jordanian
Other documents noted that SAIDALLAH applied for
an Immigration Visa on March 23, 1960 on a nonquota ba8i8
under Section 15(a) (3) of the Act of' September 11, 1957 .
With this application
was a letter sponsoring him by the
Church World Service, 475 Riverside Drive , New York 27 ,
New York, which contained an affidavit of support dated
February 19, 1960 , and a letter from the First Baptist Church,
75 North Marengo, Pasadena, California, dated February 8,
1960
On Form FS 511, United States of American Immi-
gration and Alien Registration Report No I-448735 issued
to SAIDALLAH BISHARA SALAMEH GHATTAS SIRHAN , it 18 reflected
that
3 on a nonquota Symbol K-lO, Immigration Visa No 6252
was issued March 23, 1960 and gcheduled to expire June 22,
1960 to Jordanian Passport No 077730 The visa further
reflected that the immigrant arrived at the port of New York
via Mn Saturnia on June 27
9
1960
Immigration and Naturalization Service INS ) files
reflect that SAIDALLAH BISHARA SIRHAN entered Petition No
272786 under Section in U_ 8 District Court, Los Angeles ,
California, on October 1, 1965 Subseq ent investigation
by INS revealed FBI record No 312 561 wherein it was
noted that SAIDALLAH had three arrests for being drunk and
drunk driving _ After interview with INS examiner, petition
was withdrawn on 16, 1966.
929
316
E,
May
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GLD/vjh
Documents were then noted that on November 27
1967
9
SAIDALLAH SIRHAN again petitioned the U . 8 District
Court , Los elez California, for naturalization under
INS file No 293
298 .
Biographical information in this
MX petition contained the following
Residences
June 1647 North Lake Avenue ,
January 1962 Pasadena, California
January 1962 128 Sierra Bonita Avenue ,
January 1965 Pagadena , California
January 19665 308 Burton Court
December Pasadena
3
California
December 1080 North Lake Avenue ,
April Pasadena California
April 1966 through 1659 North Lake Avenue ,
November 1967 Pasadena, California
Employment
July 1961 Miller Dial and Name Plate
December 1961 Company , 4400 Temple City
Boulevard_ El Monte_
9
Calif ornia
January 1962
V
Instrument Emaneline
9 July 1962 1190 North Fairoaks
Pasadena , California
May 1965 Self-employed
a8 a
painter
April
April 1966 Michel Ganguin Incorporated,
Present 53 West Union Street,
Pagadena _
J
California
It is noted in the investigator 1 8 report that
subject terminated his employment at Michel Ganguin on
May 22 1968. The owner, MICHEL GANGUIN_
9
stated he was not
subject to rehire but that he would not recommend against
SAIDALLAH for citizenship_ It was also noted that SAIDALLAH
was arrested on August 17 1966 and charged with PC 415,
mutual combat, which was
iater
changed to intoxication
930
Arg
1960
8966965
1966
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GLD/vjh
The file noted that Certificate of Naturalization
No _ 9009736 for Petioner No _ 293 289 had been prepared for
SAIDALLAH BISHARA SIRHAN
9
residing 1659 North Lake Avenue
to before U S _ District Court, Los Ange
ie8 ,
on June
9
ig33peafl
INS advised that this 18 presently being
held in abeyance pending investigation
931
gasaderee 7
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FD-302 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
6/7/63
Date
Records , United California Bank, Pasadena Ma in
Branch, 505 East Colorad) Boulevard , were revizwed and the
follow information obta ined:
Account No wa9 opened in the name of
SAIDALLAH S IRHAN, 1930 North Lake Avenue
9
Paeadena
>
California
telephone number 737 on December ?1 , 1965 , with an
initial deposit of 8463, 30 in cash
The balance in this eccount a8 of June 7, 1368,
wa : $557 23
The bus iness addre8s for SAIDALLAI S IRHAN was
reflected a: Bullock'8 , Pagadena
9
and hie occupation wa:
reflected a8 pa inter
These records reflect that on November 15, 1367 ,
8IRHAN purchased a United California Bank foreign draft
N) 651338 pajable to BISHARA S TRHAN and drawn on the Br itish
Bank of the Miadle East , Jerusalem, Jordan
According to the records 3f this bank; this draft
wa $ returned by SAIDALLAH 8 IRHAN who returned the draft on
December 1967 , with the explanation that his father
could not cash tha draft due to the military conflict in
Jeruealem
These recorde reflect that SAIDALLAH S IRHAN on
this same date purchased 3 foreign draft No 9083903 in
the amount of $253.02 payable to BISHAR S IRHAN and drawn
on the Morgan Guaranty Trust Coinpany , New York, New York
These records reflect that on subsequent dates
SAIDALLAH 8 IRHAN purchaged additional foreign drafts drawn
on
the Morgan Guaranty Trust Company 38 follows :
Date Draft Number Payee_ Amount
1/10/63 3033324 BISEARA S IRHAN 8253.03
2 /16/68 3088908 BISEARA SIRHAN 203 03
2/21/68 3088229 BISHARA S TRHAN 103 22
932
6/7/63 Pasadena , California Loz Angeles 56-156
On at File #
SA JOHN F RUSSELL, Jr : jmk 6/7/63
by Date dictated
This docunent contains neither recommendations nor conclusions of the FBI: It is the properly of the FBI and is loaned to
your agency; it and its contents are not to be distributed outside your agency.
ing
_8371,
21,
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LA 56-156
These records reflect that a8 of June 7 ,
the following checks drawn on the account of SAIDALLAH S TRHAN
have been presented for payment :
Check Number Da te Payee_ Amount
211 5/2/68 ROBERT T BURNS 862 00
212 5/19./68 MIKE RYMM 3,30
215 5/20/68 Cagh 52 23
217 5/24'/68 Cash 53 02
218 5/26/68 First Nat ional Bank 12 77
of Vieta
Vista
2
California
213 ROBERT T BURNS 63 22
220
5/321668
Cash 30. 33
There 18 no account at this bank in the name of
SHARIF S TRHAN
9
ADEL S IHAN, MUNIR S IHAN , BISHARA S TRHAN
9
or S IRHAN S IRHAN
The above informat ion 18 t? be iad2 public only
following the issuance of a 8 ubpoena duces tecum, which
8ubpoena should be directed to Mr STANIEY C DYE Operations
Officer
8
United California Banlc, Pasadena Ma in Office,
505 East Colorado Boulevard, Pagadena , California
933
1268_
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AOR :mak
PA SADENA POLICE DEPARTHENT REPORT VICTIM
SA IDALLAH BISHARA SIRHAN
9
BROTHER OF SIRHAN
BISHARA STRHAN
On June 7, 1968 information wa s received from
the Pasadena Police Report that on June 6 , 1968 SA IDALLAH
BISHA RA SIRHAN made a report to that department claiming
to be the victim of a 211 PC (Strong Arm Robbery ) The
Pasadena Police Department case number on this matter is
566093_ This report reflects that the incident occurred on
June 5, 1968 at approximately 11 p . m and was reported
to the police department on June
'30 Rgos
at 12:50 2 . m The
incident occurred at 1659 North Lake Avenue_
9
apartment 7 ,
Pasadena
3
California
The victim SA TDA LLAH BISHARA SIRHAN advised that
he 18 the older brother of the suepec & who allegedly shot
Senator ROBERT KENNEDY The victim reported to the officers
that he had been contacted earlier in the evening by CWo
M "Life magazine reporters Thege reportere were ROBERT B.
KA ISER 444 Regents Court_
9
Westlake Village_
9
telephone
889-0429 and CA 9-1360 and HOWARD BINGHAM, 9570 Wilehire
Boulevard , Los Angeles _ CR 3-1530 and 321-3344 The victim
indicated that these individuals W ere very polite and asked
the victim if he would them a photograph which was
later taken in the reported robbery The victim stated that
he advised the two reporters that he did not wish to have
his photograph taken or to them a photograph_ The tw?
reporters left his residence without any incident
Further the victim added that at approxima
11:30 p . m he heard 8 omeone kicking at his front door He
answered the door and just a8 he unlocked the ecreen, suepect
# 1 kicked the door open, hit the victim on the cheek with his
fist and then stated _
9
"Damn-it , W e re going to kill al1 you
M Arabe The suspect then went into the living room the victim
sat down on the sofa and told the suepect to ca lm down _ The
suepect # 1 stated 11 If you don' t give this photograph to 'Life'
9 M we 're going to talce it from you At this point suspect # 1
tool the photograph from a small table which was in front of the
934
give
give
tely _
==================================================
Page 24
==================================================
LA 56-156
sofa Suspect # 1 then ezited the apartment by the front
door Suspect # 2 did not enter the apartment and the
victim could only s ee the reflection of light off his glassee
Victim did not see or hear any vehicle
The victim added that he could identify suspect # 1.
Suspect # 1 was identified a8 a
male white, 35-40 years
6'1"'
9
200 lbs
9
dark brown hair_ dark grey sport coat , dark
blue pants The des cription victim could furnish
concerning suspect # 2 wa8 that he was a ma le wearing glasses
The item taken was one photograph of the victin,
a black and white meaguring 3/4" X 1"
935
only
only
==================================================
Page 25
==================================================
LA 56-156
AOR/mcr
Records of the Veterans Administration, Washington,
D.C., made available on June 1968 ; reflected that SIRHAN
SELTM SIRHAN C number
2oso5287
wa8 given a phys ical
examination on July 9, 1957 while in the United States
Axmv The
birthdate reflected
on these records 18
PII
PII Jerusalem, Palestine _ He had Army Serial Number
16470219, and he served in the Unlted States Army from
August 9, 1954, to July 26, 1957.
Upon discharge , this individual llsted his home
a8 Detroit,Michigan and his father was SALIM SIRHAN and his
mother wa8 MARION M SIRHAN _ His wife_ NELLY was bozn at
Salt (Jordan) whom he married on 27_
9
1957, at Salt. The
search of Veterans Administration record8 contained no
identifiable record on SIRHAN BISHARA SIRHAN or on any of
the known brothers of SIRHAN BISHARA SIRHAN .
May
936
==================================================
Page 26
==================================================
1
IA 56-156
AOR/vjh
The Los Angeles Police Department furnished
ihfdrmation
conc erning employment 0f SAIDALLAH
SIRHAN
9
brother of SIRHAN BISHARA SIRHAN
9
at Bullock 8
Department Store The application for employment with
Bullock' s wab dated October 29, 1963 _ and SAIDALLAH furnished
his Social Security Number a3 On this_appli- PII
cation, SAIDALLAH listed his street address as
308 Burton
Court , Pasadena
9
telephone number 449-9121 He listed
a reference a8 the Independent Star News and wa8 requesting
a position of Christmas help _ He reflected that his past
employment was that of a house painter, self-employed The
records of the Bullock' s Company reflect that SAIDALLAH
SIRHAN began work on October 27 1965 a3 a painter The
personnel record of Bullock' s further reflected nis birth-
date a8 at Jerusalem in Palestine_
9
and Indi- PII
cated that nis Tanguage preference was Arabic He indicated
he was a high school graduate, was single , and reflected
that
9
in cabe of emergency , his mother MARY SIRHAN of
696 East Howard, Pasadena_
3
should be advised The telephone
of his mother was listed as SY 8-2136. On January 14 , 1966,
a request for termination was 81gned by SAIDALLAH and the
for termination of employee was dated January 19, i9g8estefiecteng
that the termination was at the employee '$
request and the reason for termination waS that he had found
a better positions
937
==================================================
Page 27
==================================================
1
LA 56-156
WLH/aLm
SHARIEF BISHARA SALAMEH GHATTAS SIRHAN
BROTHER
This individual was born PII
Jerusalem, Palestine, and his nationality is Tisted as
Jordanian, according to an epplication for an immigrant
vica and alien registration made by him at the American
Embassy , Anman , Jordan, on
March 23, 1960.
In this application he indicated that his purpose
in going t? the United States was t? join the remainder 3f his
family for permanent res idence He indicated that he would
join his mother , MARY BISHARA SALAMEH GHATTAS SIRHAN at
1647 North Lake Ayenue , Pasadena 6 , California He
indicated that he was single and that his brother SAIDALLAH
B.S.G SIRHAN was imnigrating with hin
He indicated that from 1949 to 1956 he had resided in
Jerusalen , Old City Jordan, where he Nas a etudent From
1956 to date of app
iication
9
he had resided in Arinan , Jordan;
where he was an accountant
On this application, he indicated that in 1948 he had
been a member of the YMCA in Jerusalem, Jordan
He indicated that he can speak, read , and Write
Arabic and could speak English and read and write some English_
He claimed that he had never previously been in the Uilited
States
On the application he claimed to be a non-quota
immigrant and his claim was based on the fact that he was a
refugee es capee falling Within the provisions of Section 15
(a ) (3) of' the Act of Septenber 11, 1957 He stated that his
application was approved by the Department of State, Case Nunber
10591
938
==================================================
Page 28
==================================================
2
LA 56-156
WLH/a lm
With the application he submitted a birth certificate,
good conduct police certificate , medical certificate and
statement of evidence of 8 upport furnished by the Church World
Scrvice, 475 Riverside Drive
9
New York, New York, Thich
guarantees that immigrant would be properly resettled , adequately
housed
9
and suitably employed
On March 23 1960
9
he was issued non-quota visa number
6251 at the Anerican Embassy
9
Arman, Jordan, under Section 15
(a) (3) of the _Aet Jf September 11, 1957
He had a Jordanian passport Number 108809 which was
issued April 5, 1955
This individual arrived at New York , New York,
F June 27
9
1960 , on the "M/D Saturnia and was admitted to
the United Statee on that date
A: 3f March 6 1967
9
he Ias res iding at 1711 Corson
Skreet
9
Pasadena California and was employed by the Southern
Baptist Church
9
Pasadena, California,
as a bpokkeeper
This individual has FBI Number 802 378 E which
indicates that he Ivas arrested by the Pasadena , California
9 Police Department on December 18
9
1963_ when he was charged
with attempted murder On March 4,
1964,
this charge Was
reduced to four counts of breaking 3r removing vehicle parts
A; ter a jury trial in the Municipal Court of
Pasadena
9
California extending fror December 19, 1963,
through March 4
'1964_
9
he was found not guilty on three
counts and guilty 2f one count of brealing or removing
vehicle parts without consent of O1ner
It appeared t? the court 3n January 24_
9
1964 , that
this defendant could be mentally il1
939
==================================================
Page 29
==================================================
3
LA 56-156
WLH/alm
On February 6, 1964 , a report from the Superior Court ,
County of Los Angeles
9
declared the defendant not mentally ill
On March 31
9
1964 , the case was called for hearing on
probation and for sentence The court ordered that further
proceedings be s uspended and defendant placed 3n probation for a
period of one year on the terms and conditions that
1 Defendant to cooperate with the probation
officer in any plans for psychiatric,
psychological
9 or other treatment
2 Defendant tj seek and maintain residence
and emp loyment as approved by the probation
officer
3- Defendant not to further molest CAROL or
MARY BENNETT or to go in the Vicinity of
their home
Defendant to al1 laws , orders
9
rules
9
and regulations of the cburt and probation
department
It was further ordered that defendant return to court on
July 16
9
1964,, with a report from a psychologist or a
psychiatrist
and for a hearing on progress under supervision_
On July 23_
5
1964
9
the cas e was called for further
hearing on progress and it Ias ordered that probation be modified
in that defendant need not report to the probation department
The matter Was continued for further hearing on progress of
defendant in obtaining emp loyment and psychiatric
or psychological
couns eling
940
obey
==================================================
Page 30
==================================================
LA 56-156
WLH/alm
This matter was called for further hear on
October 27
9
1964, at which time defendant Tas declared in
violation of probation and probation was revokea and he
was ordered to pay a fine of $150. 00 or serve five days
On November 23, 1964
9
this order was modified for
defendant to pay three separate installments of $50 00 On
various dates
9
hearings on this matter were held to revise
methodg of payment
On 12 , 1966_
9
the court ordered that the finding
of guilty entered on March 4, 1964
9
be vacated and the matter
dismissed under the provisions of Section 1203.4 of the Penal
Code of the State of California
In connection with this matter, the following
correspondence was contained in the file
"iDale N Dunlop ,_ PHD
Certified Psychologist
595 E Colorado Blvd Suite 310
Pasadena
9
Cal
681-8362
Oct 29, 1964
fi Joseph Sprankle:' Jr
9
Judge
Pasadena Municipal Ct
Pasadena
9
Cal Re Sharif Sirhan
"Dear Judge Sprankle
"I have seen this young man for 4_ hours professionally-
The content of his remarks for these hours has been ess entially
the same whether his judgments have truth 3r fantasy , he has a
highly systematized feeling of persecution This is not
conducive to adoptive behavior in our 8ociety He does not
comprehend this one bit Because of his resistant behavior in thes €
hours , and because he has no visible means of S upport and since
he has not paid the previous psychotherapist he cons ulted ,
941
ing
May
==================================================
Page 31
==================================================
5
LA 56-156
WLH/a lm
I terninated his conierences with ne I did this on the
condition that he attend his probation hearing with yDu
obtain funds with which to pay me before I could or would
see him again_
Unles8 he comprehends his severe and' acute need of
treatment , I see very little hope that he Till becone a
productive member 3f our 83ciety
Sincerely
2
Ti ii8 / Dale Dunlop
1, Joseph A SprankLe , Jr Judge
The Municipal Court
200 North Garfield Avenue
Pasadena 1, California
November 5 , 1964
TiU S Department 3f Immigration
510 Sputh Vcrmont Avenue
Los Angeles
9
California
Dear Sirs
'I am1 informed that Sherif Sirhan is an alien who
may be seeking citizenship in the United States
He has been before me 3n a criminal matter, has failed
tto c omply with the terns of probation and I now believe him either
to be a mentally il1 person 3r criminally oriented I think your
942
and
==================================================
Page 32
==================================================
TA 56..156
WLH/alm
office should be informed of this matter and I am enclos ing
& copy of a letter Zrom Dr Dunlap indicating that there is
very little hope that he will becone a productive member of
our society'
truly yours
9
I' "is/ Joseph A Sprankle , Jr Judge
943
iVery
' )
==================================================
Page 33
==================================================
1
LA 56-156
VLH/aLm
The folloving information was contained in the files
of the Visa Office Department Jf State, Washington_
9
D C
) pertaining to the background of SHARIF BISHARA SALAMEH GHATTAS
SIRHAN relative t? his application fjr a visa dated Nvvenber 24 ,
1958._
He indicated his permanent addres e vas P. 0 Box 33 ,
Anman , Jordan, and listed a date 3f birth 2f PII
at Jerusalem, Pelestine
His degtination in the United States was listed a8
Mrs MARY SIRHAN
9
1647 North Lake A enue , Pagadena 6 , California
He listed his rather a8 BISHARA SALAMEH GHATTAS SIRHAN
Tho was born at Et Taibe, Rama llah Dietrict PII
Palestine
9
Jordan His mther was listed as Mxs MARY BISHARA
SALAMEH GHATTAs SIRHAN wh? #a8 born JerusaLem , PII
Palestine
9
Jordan
Under places of residence he indicated that he res ided
at Kha lidi' & Hous near che Ex Pales tine Broadcasting Hous e
St Paul street New Jerusalem, Palestine until the termination
of the British Mandatory Regeme ,_ then in the Armenian Quarter ,
Old Jerusalem, until December , 1954 then in Amman since
the beginning of 1955 tj the date of application
He indicated that his father had applied t? the
United Statee Embassy at Atman, Jordan, for his registration on
Majy 31, 1955, under refugee quota f3r an immigration visa
He stated that he had a Jordanian passport number
108809 issued at Jerusalem 3n April 5, 1955 He indicated
that he had never travelled abrjad
He indicated that he had been issued U. N. R. W.A
ration card number 1913/142013/14501802 for the Jerusalem area
and had been living 3n U.N.R-W . 4 rations
944
e,
City,
==================================================
Page 34
==================================================
EA 56-156
WLH/a Li
He indicated that he was unemp loyed and that he had
fled his former home because of armed Jewrish occupation
He listed the following pers 3n8 who know hin
persnally
Mr TEWFIC ARANKI
9 Engineer
5 Jerusalem Aiman
HANNA HADAWWAR
Carpenter
9
Jerusalem
ABU-MASLOUCL EL BITUNI
Bakery keeper
>
Jerusalem
NAZIM RATIAS
9
Merchant
Aronan
FUAD ABU-ZEID ,
Merchant
Anman
He indicated that his profeseion ~jas auditing and
accjunting but his experience I28 in echool only and stated
that he wtas unemployed
945
==================================================
Page 35
==================================================
FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
6/8/68
Date
On June 1568, Mr W _ M. WOCKOS President IT?
Cannon Electric_
9
'3268
Humboldt Street , Los les ,
Caiifornia _
9 advised that employmei:i records reflect the following informa
L
tion relative to SHARIF B. S TRHAN
Name SHARIF B, SIRHAN
Address 696 Howard Street
Pasadena _
2
California
telephone SY 8-2136)
Sex Male
Citizenship United_States Citizen
Date of' Birth PII
Height 5 ' 3"
Weight 115 pounds
Hair Blaclc
Eyes Brown
Marital Status Single
Social Security
Number PII
Military Service None
Previous Addre8g 121 North Sierra Bonita Avenue
Pasadena California
Personal References PAUL KHIOURY
128 North Sierra Bonita
SALEM NAHER
506 Prospect, South Pacadena _
9 California
Education Pasadena City College in 1963
Previous Employment Southern California Baptist
Convention, Accountant
(1962 August , 1964)
Mr WOCHOS advised that the file further reflects
that he has been employed since August 25, 1965, and when he
applied he scored low average on aptitude test and notation on
file reflected that he had a language barrier
946
6/6/68
Lo: Angeles , California Lo8 Angeles 56-156
On at File #
SA WILLIAM B= FARDY/ cyn 6/7/68
by Date dictated
This document contain8 neither recommendations nor conclusions of the FBI. It i8 the property of the FBI and is loaned to
your agency; it &nd its contents are not to be distributed outside your agency.
Ange
==================================================
Page 36
==================================================
2
CA 56-156
SHARIF S IRHAN is currently employed as a mulit spindle
operator The file contains no derogatory information, and
SHARIF has received four merit pay increases
947
==================================================
Page 37
==================================================
FD-3 02 (Rev. 4-15-64 )
FEDERAL BUREAU OF INVESTIGA TION
Date
6/7/68
On June 6, 1968 = Dr IRVIN G_ LEWIS Administrative
Dean for Students Persona 1 Service_
5
Pagadena City College GPCC ) ,
Pasadena_
5
California, caused a search of school records for
attendance at PCC ADEL SIRHAN , SHARIF SIRHAN , MUNIR SIRHAN ,
or SAIDELLAH SIRHAN; however_ there was no record that these
brothers of SIRHAN SIRHAN
had
ever attended PCC _ Dr LEWIS
located a record of attendance by ATDA SIRHAN sister of
SIRHAN SIRHAN , which reflected she was born PII
in Palestine and attended PCC from January 1957 into the
spring semester of 1958, during which semester she withdrew
from the school Her school record read as follows :
January to June 1957
Subject Grade
Grammar
Spelling Clinic
F
September 1957 to January 1958
Basket Volleyball Typewriting
GoapositTech:
Arithmetic
February 1958 to June
Swimming Safety Withdrew
Business English Withdrew
Clerical Practice Withdrew
Typewriting Withdrew
Reading Tech - Withdrew
Biogy Withdrew
948
6/6/68 Pasadena , California Los Angeles 56-156
On at File #
SAs LLOYD D JOHSON DAVID Ra PENDER,
and RICHARD H
Ross/LDJ/rah 6/6/68
by Date dictated
This document containg neither recommendations nor conclusions of the FBI. It i8 the property of the FBI ad is loaned to
your agency; it and its contents are not to be distributed outside your agency.
by
1958
==================================================
Page 38
==================================================
IA 56-156
GLD/vjn
On June 5, 1968,
9
SA KENNETH J HASER , Washington
Field Office, advised that Mr JANES p BROOKS Special
Assistant to the Director, Passport Office, U_ S Depart-
ment of State (USDS) had made a thorough search of the
passport files concerning SIRHAN SIRHAN and his known
brothers with possible variations of spelling of their
surname in both the Passport Office and the Washington
National Records Center at Suitland_ Maryland with nega -
tive results BROOKS al80 teletyped the Los Ange les and
San Francisco Paeaport offices to check on recent appli-
cations with negative results _
Special Agent SIDNEY T TELFORD , Office of Security,
USDS advised that a_ check had been made of the files of
the Office of Security, General Correspondence files of USDS
)
and Visa Office, USDS but no identifiable record of
SAIDALLAH SIRHAN could be located_ He further stat ed that
a check is continuing of the files of the Refugee Relief
Program in retired files concerning SAIDALLAH SIRHAN_
USDS furnished copies of the Department of State
Status of Special Nonquota Visa Applicant concerning
SAIDALLAH SIRHAN dated December 21, 1959_
On the arpllcatio it was noted that SIRHAN stated
that he was In school in
1948 and took refuge in the old
city of Jerusalem 88 a_ result of the Arab/Iaraeli conflict
He stated he lost his home and belongings in Palestine and
was unable to continue his studies and had to leave school
to look for employment in order to earn his living Due
to the laik of work in Jordan he had been unable to find
a decent job It was , therefore , his desire to join his
parents sisters , and brothers who immigreted to the
United States in 1956 under the Refugee Relief Act of 1953.
949
==================================================
Page 39
==================================================
FD-302 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGATION
6/7/68
Date
Mr GEORGE K ROSENBERG
1
District Director,
Immigration and Naturalization Service (INS ) Los Angeles
) California , furnished the following:
He furnished five Immigration and Naturalization
Form I-538 which were filed with the Los Angeles Office
of INS in
i968_
The five INS formg concerned the following
individuals : SIRHAN BISHARA STRHAN INS No
MUNIR BISHARA SIRHAN INS No ADEL BISHARA
SIRHAN INS No MARY BISHARA SIRHAN INS No
SAIDALLAH BISHARA SIRHAN , INS No
ROSENBERG stated that the INS forms commonly
called registration cards
J
show that al1 0f the SIRHANs
were res iding at 696 East Howard Street, Pasadena , Cali-
fornia, as of January 1, 1968, with the exception of
SAIDALLAH BISHARA SIRHAN , who was residing at 1659 North
Lake Avenue , Apartment 7, Pasadena , California ROSENBERG
noted that 211 of the INS registration cards appeared to
ha ve been executed by the same person with the exception
of the signatures on the cards ROSENBERG stated that ,
according to SIRHAN BISHARA SIRHAN 8 registration card, he
was employed a8 a store clerk at the Organic Pasadena
Company , 1380 North Lake Avenue , Pasadena , California, a8
of January 15, 1968_
ROSENBERG stated that additional re tration
cards for previous years regarding SIRHAN SIRHAN could be
located at the Federal Records Center, 4747 South Eagtern
Avenue , Bell, California
950
6/7/68 Los Angeles , California Lo8 Angeles 56-156
On at File #
SA THEODORE E CH LDRESS /vjh 6/7/68
by Date dictated
This document contains neither recommendations nor conclusions of the FBI. It i8 the property of the FBI and is loaned to
your agency; it and its contents are not to be distributed outside your agency.
gis
==================================================
Page 40
==================================================
FD-3 02 (Rev. 4-15-64)
FEDERAL BUREAU OF INVESTIGA TION
6/7/68
Date
Mr GILBERT DORAN _ Chief Reference Service
Branch, Federal Records Center,
Beli,
California, furnished
the following:
He caused a search of Immigration and Naturali-
zation Registration Card files for the years 1966 and 1967
and a
registration card Form I-53) for SIRHAN BISHARA
SIRHAN Immigration and Naturalization Service No
Al0 881,
was located for the year 1966. The '1968i88 tra-
tion card revealed SIRHAN resided as of January at
696 East Howard Street , Pasadena , California- His employ-
ment was shown a8 student
DORAM made the registration card available to
the FBI
951
6/72 Los Angeles , California
Log Angeles 56-156
On at File #
SA THEODORE E
CHILDRESS /vjh
6/7/68
by Date dictated
Thi8 document contains neither recommendations nor conclusions of the FBI. It is the property of the FBI ad is loaned to
your agency; it ad itg contents are not to be distributed outside your agency.
71i
/68
==================================================
Page 41
==================================================
Jo My NAKKE I5 H(z) KY RigisiRATIC;; L377en6
1965 ALIE ' ADDRESS REPCRT itdUBisiTE
IS TRuCTIC#S
Sirl,e Sirh&n Bishara
75 0 ( ily #57070 Fillixg Qut This Card JFMLyi KTrs #bay# 1
cc TLI L "ENS_ Paft 0r TY?z AnswcRS- [3) #Y Ao57egs IN Tke United States 1S (Fili inazl Afprop?iate Ttcts)
1
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1'l6
==================================================
Page 42
==================================================
Do.Not: WfiTE JN This Spice ( #Y Sane IS: [ZL RECISTupiiKo
Sv8 SKAN shAnA
(Lact) (First) Vioolei
(31 #Y A#bacSS # The #ni;ed S{itzs iS:(fill in Approprnte i7245)
LALGHE QEL
1966 ALIEn AdREsS REPORT
Euctiois
t9EENun StReFT
Li?u8T MI#CUiE 42 ! ISIREEL0" 4u0il4 #EAO crRfuliy 3e7(i Fiiimg Jut Tms CARD.
Cc #Pletc L E#5 Ow EDEY Siccs OF This Card. Ls"~ELES' (AxF cW
7 primt 08 Tr?e AKsmcRS
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8
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Copy C; Gis Crrd {Kc Lettce A0 mUEm ExACT- L0#ALE 2.OFexAlE J
Ly 4 {ney MPPak0" You: Alien CrRc 4hi
IT | W 6 citize: &: Tet ENTEtco JiE U77e6 M TES; 8#3 6f YOv MF ^ Pzf#nNRT Rzsidet Cf Thc
"ted StcS 57 TE YouR #EAn iCORESS_ Kt V On / 7
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"hen cetieteo 0i42 TnE Catd PE?MANENT Residcn{ 6. Ostudent 7.DoThzR ( SPECiFY:
70 CLffX IR mY U,s. POst office.
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iOcrekan 6 conditional Entrant
20 * V RART TC BECOME A U.citizen?
17 So _ YoW CaX Ctain 63 AP?licatiot AT Any PleaSE Co@PlEte REVERSE Sidg ALso c3 No wwite Rrlow This LImE
ITICR W filizotion servicz 0fFice
45774723 507,757 * TSTcE
ici ^d N eilizafox 2ERVIcE col St C0s Nt PoL {7' 38e*c
9
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Page 43
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(io) Ex?LcymZXT In TXE Unitzd States !CxzC TKz APPROPRATE Eox)
Xave NevzR CzC; Z Loyed N 7XSWfted STATZs. (Skip To ITev 13 )
25- m O7 #Nve DEEN EELOYEd iX TksNniTEO STATES ANd
#Y occl?aticn IN TNE UNIfEd STRTzs [5
SToRE LieRk
(I} IchEcy ONE) (12) (Fill I COmPLETELY)
C mXPrenT Exployz? Is LRAANLe 2A4EXA_
'0f 20 CR
2Dwy #cst REcFNT EXPLoyER '{c 1Rth
LAKE ALE TRSRDEN laltF
3
(F 8o; rcm; EEployed) srEzt ^2BRcSS! (cifv) 441Z)
(141 IF Yoj ^x: OVER 18 YEARS Of AGE Avd #fve BEE;: |n Tme Uwitec StAtEs #S APeuWEnT
{43' *Y SOChAL SECURlIY #0_IF ANYLS: REsiOENT FoR OVER FIVE {5} YEARS, ChEck Thz APPRopriAtE Sox
HAVE APPLIED FOR U.S. Citizenskp PII
2 FAVZ Not AppliED FOR U.S. C;tizenship
"5} centify ThAT TxE ^eove StatEmenTs ARz TRUE To Txz BEST Of MY XnowLEdGE_
~liJ Aixl-in
LXL |3 17 ! E
(Your SiGNATURE C? I UdER 14 YEARS OLD SignatvRE CF PARENT QR GUARDiAN:} (Datz)
B2 SURE YOU HAVE coMPLETED ThE OThER SIDE _
7881 (-93Rcr-I-Sm 39877: FoRm APPRov{? E#OSET BuRz:W * 43-{3cs ::
WAs ?, 17
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Page 44
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D0 ~oT wac UN This SPACE i1 Yy MI5: @agliluulloi NO.
MRHAN AARY #isil,rt
{Last) Wirst} #ddle)
((31 #Y ADOREsS i ThE Uxteo S7hf2S i5:ifill Mm ^prtortiate iteks)
LNGME @FL
1268 ALIEN {DDRESS FEpoRT 696E Hcnp Scfet
ISIRCTlONS
KEgU CAsefuLLY ZEfo7z f`lLing Qu7 TxS CaRD. BRARINENE 04HCUSE Ko ISMELORALPLL_RPUIU
CC #PLeTe ALL {#S Jy 0QTW *Jes Of This CARO.
2" Apeeles CAuf <04
5 PRi; 9R TXfE AuseRS
raoAo2N4 0)
[Eiit) 'CountY) Wte! M7i5 Cof{i 172X(2' LoSx #; TN: RU:BI7 O4Yoek [Lien CARD: #T &T:(cEcX 0 761 #^s "0r# Dj "i #7
8
Tmi"uanec #u TMELetteR 4' 257035 !T
Cc?r 0" {nis CARD Tie Lettes Ko wu*beg D*iC- #Dele 2.@FExALz 7 < 1 PII
iY Tm #P{ 6& 6; Yo# AL!m 067D AcSLNaYu
66 Ciizex OF : 7a; 0772755 Thie tmte) StItrs: MTevi #YoxKPE 6Pc58nPT {esDent Of THE
#Xtd? STTES STAT{ Youa ?Em*8t ADOTESS. ~ AT Ne Cn
i5 {Jt, Sho# YCu? RODPESS in Tms Urited StrjeS 104x! rlics cr Poni JD4 {3j4{mi 74
^; Cf tXz 36tz 03 Tms Rp2R7 1i 4 In {#E Uxiteu SMteS KS: {ChZcX Crei
#MeN Cbplete) ";b HEcaRd PE7raNenT Resident 4 Dsivoznt 7. DozhER ( SPECiFY1
70 -LtRXm:6 U5 Pos; cffice. 2DvisitoR 5 ExchanGZ' AiIN 22#OL_#ALL
3 CRem#aN 6 Conditional EnteaNt 00 Y !anto BEC,E ^ U.$. citizen?
IF SQ, YQu cff; Obtaim f Ap?lication AT ^ny PLEASE Co@LETE REVERSe MD: iLSO. Dc vot Rite Bclow IeL:
14 :i9; 3: 0 6MilizatwN ServicE CfF;CE
SITMes S-nnatd 07 JaFice
46367 Aillnicn f"MC COU 57 coc Mn; Fc E w: {20770
T
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Page 45
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(2: GlSY: 7;S 37s)STnTZRG 7r ^7o70-214-E @ox}
{nzzver tr?wlcri):tcetZ) stRtz_ (5k'? 70 :TEX 13}
{: C? "cta E#2yC? : 7 2 ix72) S-TES ^Nd
cccl?sTin : TrE URITE? STTeS {S HfeeC_
{21 67Ml T ' {omietEly
PMT {?loyER 3
{5 2 icyE
"1'): 7.7;7nnl 6: #
RIS: For G:'rn F{VrWYIn7S CcX Tc 6 20
C#6E npFled 5C" S.citizc?sm?_
3 Mw? "OT 772'[D 703 ;S :izix;
7f 3iz 637iE S7zc"t3 RE TnvZ Tc 7hii CzST Jf % Komizzcc
1 {6
{ycr? S.Sw7usc 03 '? !*?eR YEARS 0i3/3'ni?5 'JF ?IRERt 07 cui?d:an ) (D,Tc;
32 SuRE Yoi XAVE coVPL2tzD ThZ OTkzR 3132.
:7"73i'w: 7o7m #?F?3*-9 327 C;;RoniecJ-:CG:
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Page 46
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MRRR3RtopCE IN This SPiCE ( My nane IS; Ifoitncraori Ko
siRh#V sai0#LLRi
(Last) IfirSt} (ic?le)
ici KY Aonress intre Uxited states is:,fill in #ppnopriate iters'
x Ciaq QE)
1968 ;Lizn iDDRESS REPO?T 1844 ] 7 fcih is'{ &
3
i IUcuONS
Vmtt Ca HCusE #1 KECi C# RUral RoulL: Ker0 CaReFUlLY 9e703i "LliG Out This CARD.
CC #li7s L[ E43 Ow @R1M SIDES OF Tkis CaRD. '{ni.lcei 6.".
Prim Or xve Ws#ERS
C8: '111€ ko
La! (courIYA L@E {71p c9 ITE%'2 Loc% # Tve #ek On Youp ALien CarD. 4Y $ IS::iecK 0xc ) (31 Mis #orn W: (m 4 Da{ 0i XId; T{iz #MGk #Y Hgve THE LeTjER { #ror:"
cozy G% {xis CaeC Th: iZTTER [mDE7 ZXACT- 'Dwl 2OFEXALE oIv ,0
PII
Ly ;$ Tacy _Ppis 0% Yuus ALc" 0to LCQLIA_
KT} T4 cijizen 9F: T0) #wcD 750 "ned $777e7; ITEvi3} !F Yo;iRE 1 PEpwaMErT Res!dent Of THZ
M{? STATES_ SjatE YcCr PERSanENT ADiRESS Ce
Li
L ^7 6Y
17
8 #Ci swom YOMR EocsesS # Tke Cniteo sfates 3
J94gi 00 cor0i [Dal I VM 4: Gf ThE DaTE Qf TWs REPORT Es} #etu Urited STFTES 6; {Cicx Om{1
"hEn CorplETEd HaNo THE Card 'EPERAANENT RtSICeNT 4 Studint 7. DotkeR ( SPEC#FY 1
7C CLERX v n>y U5 P057 JFFice. 2Ov5itcR Exchange ALIEN LC_ ioT #ALL
CREwRAN Conditional ENt{NT
Y-#MtTo BECOME A U.S.Citizzn
5{0 Yol cin ##th' 6 12F'Lication AT AmY PLEASe C2PLETE REVZRSE %10E 4S0= 224 Pate CelcE TxiS Line
47C: K0 #TURAuZio: SeRvice OfFiCE
TZu 37ntes d07Rte6t 0f jestics:
" {ilct AaWUiA" swvice €ol cc" #Wic
B;1r{
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196$
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Page 47
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(O) ExPLoyvent in TXE UFTED STATES (CxZCK TXZ APPTOPRATE eox)
1Ol?nVe NEVZR BeeN ZmpLoyzd in Txe USITed Stats. (Skip To iTEm 13 )
2] 1M 0r HAvE WzEw ExicyE? 1 TxE UNITe) STATES ^fd
#y occu?ation WN Txz Unxted StiTes !S
{1
iriky
(1) !ciscyo:Z: {2; (fill IN COKPLETELY
C PRESENT EXPLOYEF 15 L4__ire022ie) JjilC 22
0R
2 Dw MoCt ReczvT EnP_oyER "IS 23 : 2 ~ i1 ~t;r-rxi 22-9. l
: Ct &|
(F XQT No" E4PLOYEc) (StKzfT ^o3:55 (c;tY} I7
8
i:A) If Yol ARE OVER / Yf^RS Of AGE iNd HAVE BEEnN INTRE UNITEc StATes As 1 PEXKAMENT
(I3) % seckl SecuRiT Y #O_ 0 Any) !5: ?EsiDzNT FCR OvET FiVE (S) YEARS, CiECk TME 1PPRop?itE Box _
121#AVE ^pPlcD For U.S. Citizensxip_ PII
2 0 HAVE #ot AppLied For US. :itizenship_
(i5) Centify/txAT TKz A EOVE /TAtzments ^RE TFUE To THE DEST 0F Biy KNONLEDGE_
{1L 46 , J[ L-e--> -L
7) = 2 $
(YCUR SigmatvrE 0R URDE? 14 YEARS QL DL signaure Of PARET OR GlaRdian.) (DATE )
BE SURE YOU HAVE COMPLETZD ThE OTAER s1D= _
FoR% 1-53E!--c) I:3s;i {oRM 1p?rDvEd Ducce? DurecW*43-R736
{blii ~ai
~k
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Page 48
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c0 Mo7 "oc '4 Ths SpacC " Fy *WE i I2
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{ICSEES ITA;W0 5707I5 'fkL OP
4C 67e; EPrt
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8
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3r'c{ Vac 5 3v0e ^L'e:
CRe Coowarr R* 3Sc7 ZEN?
#"cRo: 6 #Y pi S3
7vC5 ^Fic
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Page 49
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{to} EMPLOYWEXT iN TMZ UNITZD STATEC (CXEC Tz APPROPRIATE Box)
iXAVZ XEVER 2EEn ExloYe?{N Txe UMITEd StntzZ_ (Sxi? To iTEX 13)
AK OR HcV 3ZEX EXLOYED ' TNE United STATES AN'D
MY occu?ftio I TkZ Unted STAtrs /S~
5tews
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QiyRESEw7 EKPLOYER IS
[uk LGr SX
Cf
2 D"Y OST Rzcznf fxplCteR 1 6 Cc-tsL-tk 87
(f Not Now ZePloyEC) (STZEEt AOOREss (STKTE)
{1a) 1F Ycu ARE OJVER 16 YEAAS Qr /G2 ANd Kave Bzemin 7XsumTE? STATES AS 4PRmsncnt
031 Sccifl Szcu?ity XU.{f ANY}IS: REsident Fof OvE? FivE (5) YCARS chzck Thz APpRo?Ritte
VhAVz 4?PL!ED fc7 U.S.Citizenship_ PII
2 HAVE Not AP?lied For U.$. citizcnship_
8
th5 ) CERtIFY TkAt TXE 4 ROVE StATEMENTS ARE TRUE To TXE BESt Of my KNOMLEDGE
/3_a2- Aon1<,1512
(YCVR SiGNATuRz OR 17 UXDER 14 YEARS OLd, SigNATURE QF PARENT 0f GuaRdimn) (34T2
B2 SURE Yoi HAVE comPiETED ThE OThER SDE.
Fos, {-53fR5V-:-44) In; 39371 Fork APprcvco Dujjet duren" #0.c3-2732.
2['
pl:-ic maS->
Eox
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Page 50
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00 Not VR'TE UN TXs spice W My #5 I5: {21 Recistratioy %0.
SRNdn rdzl Bis +,9R4
#LaST) Iias;; #roL {)
((3} "Y ,0JR5S In The Urited StaTEs iS:(fill ix {Fpropriate itrc)
N#CA 32 Or)
1263 ALIEA' ADDREsS RePoRt
J #ticziots
bSl Hon8i) St.
4iRILAEtii 04_HouEE #0 LSERE{ 00'Zliil [9444! RerD CAserully 3270r8 filiig Out This CFRd
Cc #pLjte 24 EKS ON fQIl SidcS Of This Cird.
Primr OR TXPe Kusmers
PAsAEvr, Le:aeELESCALE -1L4
231 28! Sa5: "32 JIE (2_Lcox_" Jne-R#er-On' YouR^L'E^' CARD: #y SLX G;em Ju:i 75; 7 Zos# #y Df & #;yi 7 TE743 iY #ivi {kE Lttct ^ 957032
Copy Gw {iS CacD Txs Lettcr AnD UKRerEXACT- DAAE 2OFexAle : 0an 8 PII
LY 4 They Ppnox YoR ^lien CrRd [R3R
I717*T2 #oZmm 0? Iig} ! E tereW FmE usitlo S7gls; 77e9m5 iF *0"ARE {?e83xyt RES'DE T OF ThE
URTED S7ates StnTe Yo'jt Penenxt ADDRESS 8 6i ON i2
i7 %Otsho; YOU? +7jRis; # Tim Wmiteo STATES (cqu"Try) L4 or uT 'ii
45 Gf -n5 DtTs C 7b:io7t 1s; 4 IT "riteo {tcis 45: {Cvlck Oue
Mher CemplETEO #6" The CaRD Lj?EFKANENT RESIdENT STuceT ~DorxE? ( SPecif Y:
T clerki*i J.3 Fost orfice . 2DvsiToR 5. ExchanGE {iiex 22 401 #i
~DcRzwxa" 6 ConditionsL Entrant 50 y + WaNT T5 SeccrE A U.S.citizen?
30 _ YCU C6 CBifn A Lpplicatiow At 4y PLzGSZ CORPLETE RVERSE S!di ALSO c0 "07 nR1e BeLOF TmIS LM:_
5etos 4# MAt RLiietion Se?vicZ 0ffics
3777 6797 CF Justce
Uralizaticn senvice Cou 0 2 Poe Mderis
Xv
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