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 (2 copies)
Date
From:
----
To:
Industrial- Security Officer, Commander Fleet Activities,
Yokosuka
Subj:
Personal History Statement: request for
1. It is requested that Personal History Statement(s) be issued to
the following personnel of our company who desire(s) to conduct
business within U. S. Fleet Activities, Yokosuka. His (Her/Their)
KOSEKI-TOHON(
is attached herewith.
NAME (w/Kanji) DATE OF BIRTH TYPE OF WORK
PERMANENT ADDRESS
Requested by:
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