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Form 1-131 No* v. b. mpabSSS? of justice APPLICATION FOR REENTRY PERMIT Immigration and Naturalization Service (Edition January 1941) ^ . Reviewer _.__._ To the Honorable Commissioner of Immigration and Naturalization ; The undersigned, being an alien, hereby makes application for a reentry permit, as provided for in Section 10 of the Immigration Act of 1924, and submits the following data in support thereof: The name I now use is (Print full name) (First) (Middle) (Last) ( Name of steamship — —— I (First, second, or third class) LAST arrived in the United States < Port of arrival — —- , Date of arrival _ _ (Excluding reentries before July 1, 1940, after absence of less than 6 months in Canada and Mexico.) Name under which admitted Father's name —_— - --—~ Mother's maiden name At time of entry my age was _„; I was /Sngl? , V- M^ occupation was (Yrs.) (Mos.) \MarriedJ Place of birth »-..— ~ Date . a ■s « Last permanent residence before date of entry ———----. _ r___ _____ >g ^ (Country) (City or town) ^ Name and complete address of nearest relative or friend at time of entry in country whence came -,. Name and address of person to whom destined at time of last entry f j_f Personal description as of date of application: ''S Age _ Height ~ ft inches. Weight lbs, ■g Complexion _..____„ _ - Color of hair __ —— Color of eyes —— Q Marks of identification _ _ — —- u «g By whom accompanied at time of last entry % Applicant's present residence in the United States (Street and number) __„_„___— >g (City or town) - (State) —__ —__ " Resided at the above address years „———- —- months. ^ My temporary address abroad will be _ p Single Wame an(j address of nearest relative (give name of husband or wife if married) -. g *£ My business or employment is — . — •»§ Place of business or employment ___ ________ 0* g< Name of employer ,_„____—_- - jg Port and date of proposed departure from the United States — ^-t-z "g _- _r (Port) (Date) eS Name of vessel on which sailing —— Length of proposed absence _ ,_,. ^ Countries to be visited _ ——— Reasons for going abroad ___- — (State fully) My last application for reentry permit was filed Application number Have you registered under the Alien Registration Act of 1940 ? ______ If so, give receipt card number _ ~ — Money Order No. _— - - , in the sum of three dollars, payable to the Commissioner of Immigration and (Postal or express) Naturalization, together with two unmounted, unretouched, and signed photographs of myself, accompany this appli- cation. If you are the holder of a certificate of registry or of lawful entry, give number of the certificate _. 1 i hive not! declared ^ ^tenti011 to becoKle a citize* <first PaPer> on (S-So (Day)-" T-i-T " numbered ._ in the Court of. at ___„.__.- -(«3_)—- (Full signature of applicant as now used) (Note: Jurat and other side of this application must be executed)
Object Description
Title | Application for reentry permit. |
Title (alternate) | [Blank] Application for reentry permit |
Type of alternate title | original |
Description | Institution name: USC Korean Heritage Library; Acquired from: Korean Independence Historical Association, Inc. (KIHAI); Processing funded by a grant from the Library Services and Technology Act (LSTA), California State Library; Blank form of application for reentry permit; [Blank] Application for reentry permit (title in index); Volume abstract: Records of financial contributions from Korean- Americans in Hawaii to the Korean Provisional Government; Hyon Sun's political activities in Hawaii; Newspaper clippings on Korea before and after Korean independence |
Contents | Unit_ID: p001.; Unit_ID: p002.; Unit_ID: p003.; Unit_ID: p004. |
Creator | U.S. Immigration and Naturalization Service, Agency; Hyun, Soon, Collector |
Publisher (of the digital version) | University of Southern California. Libraries |
Type | texts |
Format | Printed form |
Format (extent) | 4 pages |
Language | English |
Contributing entity | University of Southern California |
Identifying number | OCLC# 40622171; gendb id: SHyun06/Item048 |
Legacy record ID | kada-m370 |
Part of collection | Korean American Digital Archive |
Part of subcollection | The Reverend Soon Hyun Collected Works |
Part of volume | Resettlement in Hawaii : Independence Movement, 1923-1941[i.e.. 1923-1946] |
Rights | © 2000 University of Southern California University Libraries; Copyright: November 30, 1999; May not be duplicated in print without the written permission of the owner, David Hyun.; License begins: 2/20/2000 0:00:00; License term: 5 years; From the private collection of David Hyun.; David Hyun |
Physical access | Send requests to East Asian Library, University of Southern California, Los Angeles, CA 90089-0154 or kklein@usc.edu. |
Repository name | East Asian Library, University of Southern California |
Repository address | Los Angeles, CA 90089-1825 |
Repository email | kklein@usc.edu |
Filename | KADA-shyun06-048~1; KADA-shyun06-048~2; KADA-shyun06-048~3; KADA-shyun06-048~4 |
Description
Title | Page 1 |
Contributing entity | University of Southern California |
Filename | KADA-shyun06-048~1.tiff |
Full text |
Form 1-131 No*
v. b. mpabSSS? of justice APPLICATION FOR REENTRY PERMIT
Immigration and Naturalization Service
(Edition January 1941) ^ .
Reviewer _.__._
To the Honorable Commissioner of Immigration and Naturalization ;
The undersigned, being an alien, hereby makes application for a reentry permit, as provided for in Section 10 of the
Immigration Act of 1924, and submits the following data in support thereof:
The name I now use is (Print full name)
(First) (Middle) (Last)
( Name of steamship — ——
I (First, second, or third class)
LAST arrived in the United States < Port of arrival — —-
, Date of arrival _ _
(Excluding reentries before July 1, 1940, after absence of less than 6 months in Canada and Mexico.)
Name under which admitted
Father's name —_— - --—~ Mother's maiden name
At time of entry my age was _„; I was /Sngl? , V- M^ occupation was
(Yrs.) (Mos.) \MarriedJ
Place of birth »-..— ~ Date .
a
■s
« Last permanent residence before date of entry ———----. _ r___ _____
>g ^ (Country) (City or town)
^ Name and complete address of nearest relative or friend at time of entry in country whence came -,.
Name and address of person to whom destined at time of last entry
f
j_f Personal description as of date of application:
''S Age _ Height ~ ft inches. Weight lbs,
■g Complexion _..____„ _ - Color of hair __ —— Color of eyes ——
Q Marks of identification _ _ — —-
u
«g By whom accompanied at time of last entry
% Applicant's present residence in the United States
(Street and number) __„_„___—
>g (City or town) - (State) —__ —__
" Resided at the above address years „———- —- months.
^ My temporary address abroad will be _
p Single Wame an(j address of nearest relative (give name of husband or wife if married) -.
g
*£ My business or employment is — . —
•»§ Place of business or employment ___ ________
0*
g< Name of employer ,_„____—_- -
jg Port and date of proposed departure from the United States — ^-t-z
"g _- _r (Port) (Date)
eS Name of vessel on which sailing —— Length of proposed absence _ ,_,.
^ Countries to be visited _ ———
Reasons for going abroad ___- —
(State fully)
My last application for reentry permit was filed Application number
Have you registered under the Alien Registration Act of 1940 ? ______
If so, give receipt card number _ ~ —
Money Order No. _— - - , in the sum of three dollars, payable to the Commissioner of Immigration and
(Postal or express)
Naturalization, together with two unmounted, unretouched, and signed photographs of myself, accompany this appli-
cation.
If you are the holder of a certificate of registry or of lawful entry, give number of the certificate _.
1 i hive not! declared ^ ^tenti011 to becoKle a citize* |
Archival file | kada_Volume2/KADA-shyun06-048~1.tiff |