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Form AE2
[[underscore]] Alien's Declaration of Intention to Travel [[underscore]]

Jan 5, 1942

I, Yasuo Kuniyoshi, hereby submit the following information to the United States Attorney for the Southern District of New York, in accordance with the Presidential Proclamations of December 7th and 8th, 1941, and the rules and regulations promulgated thereunder, concerning the travel of alien enemies:

1. Home address: 3003 14th St. N.Y.C. Telephone No.: OR4-3096

2. Business address: none  Telephone No.:

3.  Alien Registration Number:  1107950

4.  Purpose of trip (in detail):  I have been invited by the Penn. Academy if Fine Arts to serve on jury of 5 artists to select paintings submitted by other artists
(Use reverse side if more space is necessary.)

5. Destination:  Philadelphia-Penn.

6. Date of departure: Jan 7-1942
(Must be at least one week after date of this declaration.)

7. Date of return:  Jan-9-1942

8.  While away from my permanent residence, I will be at:
Address (Street and Number)  City or Town  State Date
Bellevue Stratford Hotel Jan 7-9-42
Philadelphia
(Use reverse side if more space is necessary.)
9.  Route to be followed:
Penn Station N.Y.C. to Philadelphia

10.  Carrier or means of transportation to be used (Airplane prohibited):
Railway  
Yasuo Kuniyoshi 
Signature of alien
Signed in presence of:
[[strikethrough]] Charles J Tanenbaum [[strikethrough]]
Robert [[??]] Werner  Copy received:
Robert [[??]] Werner
Assistant United States Attorn
January 5, 1942

(To be executed in quadruplicate - four copies)

  

Transcription Notes:
Do we need to indicate that this is a form with handwritten entries?