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Biographical Encyclopedia of America 309-311 Fifth Avenue, New York, N.Y (THERE IS NO OBLIGATION WHATEVER INVOLVED IN THE SUBMISSION OF MATERIAL IN THIS QUESTIONNAIRE) Name (in full) _______________________________________________ Position, Title, or Professional Activity ____________________ Office Address _______________________________________________ Street City _________________________________ State ________________________________ Residence ____________________________________________________ Street City Date of Birth ________________________ Place ________________________________ City State Name of Parents _______________________________________________ Father's Name Mother's Given and Maiden Name Genealogy _____________________________________________________ _______________________________________________________________ Education (Given schools, also degrees, and dates when received _______________________________________________________________ _______________________________________________________________ Married _______________________________________________________ Wife's Maiden Name or Husband's Name Date of Marriage _________________________ Children _______________________________________________________________ ________________________________________________________________________ CAREER, (list chronologically all positions, including professional activities since commencement of career, and give dates and places showing complete personal history.) ________________________________________________________________________ ________________________________________________________________________ (OVER)
Transcription Notes:
The dots (.....) are the lines in the questionnaire
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Reopened for Editing 2024-02-11 15:56:53