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[[top left box]]
FORM AR-AE-22
Alien Registration Receipt No. 1107950
Indicate if registered
by Consular Official   no
or as Alien Seaman     no
[[/top left box]]

UNITED STATES DEPARTMENT OF JUSTICE
APPLICATION FOR CERTIFICATE OF IDENTIFICATION
(Aliens of Enemy Nationalities)

I hereby apply for a Certificate of Identification and make the following statements and answers under oath or affirmation:

1. Name YASUO (FIRST NAME) (MIDDLE NAME) KUNIYOSHI (LAST NAME)
2. Registered Name (See Instructions) (FIRST NAME) Same (MIDDLE NAME) (LAST NAME)
3. (a) Present residence 30 East 14th St. (STREET ADDRESS OR RURAL ROUTE) New York City (CITY) N.Y. (COUNTY) N.Y. (STATE)
(b) I receive my mail at Station D. [[?]] 4th Ave + East 11th St. (POST OFFICE) NY. Cor. (STATE)
(c) All other residences since January 1, 1941:
118 Waverly Pl. New York City N.Y.
4. Employment since January 1, 1941:
Name of Firm   Address   Approximate Dates   Employed as
Art Students League of N.Y.  215 W. 57 St. N.Y.C.  Oct. 1934- to-date  Art Instructor
New School for Social Research.  66 W. 12 St. N.Y.C.  Oct. 1935- to-date  "
5. (a) Date of birth  Sep. (MONTH) 1 (DAY) 1890 (YEAR) (b) Citizen or subject of Japan (COUNTRY)
6. Relatives (see Instructions) living in the United States:
Name   Relationship   Address   
Sara Kuniyoshi  Wife  118 Waverly Pl. N.Y.C
7. Do you have any children serving in the armed forces of the United States? no (YES OR NO) If yes, give names and branches of service
8. (a) Relatives (see Instructions) living outside of the United States:
(b) Relatives (see Instructions) serving in armed forces of a foreign country: 
Name   Relationship   Address
Takako Kuniyoshi  Step-Sister  Nakaizushi St, Okayama Japan (last known 1931)

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OFFICE USE
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c16-26140-1

Transcription Notes:
Unknown words marked as [[?]] at 3b and 8b