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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) [[right margiN, 11 row column]] OFFICE USE [[/right margin]] c16-26140-1
Transcription Notes:
Unknown words marked as [[?]] at 3b and 8b