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9. (a) Have you, since August 27, 1940, applied for or received first citizenship papers, or petitioned for naturalization in the United States? no
If yes, state which, and place and date
(b) Have you ever been refused or denied naturalization? no
If yes, explain fully

10. Have you ever been naturalized, partly or wholly, in any country other than the United States? no
If yes, state whether partly or wholly, also when and where and in what country

11. Have you ever taken an oath of allegiance to any country, state or nation other than the United States? no
If yes, state when and where and to what country

12. Have you read or had read to you a summary of the provisions of Presidential Proclamations and Regulations concerning the conduct of aliens of enemy nationalities? yes
Have you complied? yes
Have you been granted any exemption? no
Were you registered for Selective Service? no
If yes, state where and local draft board order number

Name the clubs, organizations, and societies of which you have been a member or with which you have been affiliated at any time during the past 5 years: Society of painters & Sculptors & Gravers - American Artists - Congress. An American Group. Inc. 

15. Additional information (see Instructions): I was born in Japan. I left there in 1906 to come to America because I sought the freedom in living and equal opportunity to be found here. Since that time I have considered America as my home and have been loyal to her. For names of persons who will vouch for me see attached paper.

I solemnly swear (or affirm) that all the above statements and answers have been read by or to me and are true and complete to the best of my knowledge and belief.

(SIGNATURE OF APPLICANT)

Subscribed and sworn to (or affirmed) before me at the place and on the date here designated by the official post-office stamp at the right.

(IDENTIFICATION OFFICIAL)

(STAMP)

RIGHT INDEX FINGER

PHOTOGRAPH

DESCRIPTION OF APPLICANT 
(To be filled in by Identification Official)

Height _ _ _ _  feet _ _ _ _ _ _ _ _ _ inches.
Weight _ _ _ _ _ _ _ _ _ _ _
Eyes _ _ _ _ _ _ _ _ _ _ Hair _ _ _ _ _ _ Complexion _ _ _ _ _ _ _ 
Distinctive marks _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
One copy of this Application sent to Alien Registration Division. Duplicate sent to Federal Bureau of Investigation office at ______

c16-26140-1 U.S. GOVERNMENT PRINTING OFFICE

Transcription Notes:
Check formatting for boxes/unfilled blanks etc