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Form IVRC-1 October 1942 APPLICATION FOR APPEARANCE INTERDEPARTMENTAL VISA REVIEW COMMITTEE State of NEW YORK ) ss: County of NEW YORK ) Germain Seligmann )..... Applicant for appearance )Do not write in this )space ) )Docket no. ).............. (Here insert name of applicant for appearance concerned. If the applicant is a married woman, her given name (not the given name of her husband) shall be used, preceded by "Mrs.") I, Germain SELIGMANN , whose residence is ____________________ (Name) 47 East 61st. Street New York New York ____________________________________________ (Street and number, (post office) (State) or other address) (Home:)47 East 61st. Street, (Office)5 East 57th. Street, and whose mailing _______________________________ address is (Street and number, or other address) New York New York _______________________ and whose office telephone (Post Office) (State) number is PLAZA-3-0250 _____________, hereby apply for appearance as Sponsor- being the uncle _________________________, in connection with the (Sponsor, attorney, witness, intermediary) prospective visa application(x) of the following alien (x): Name Date and place of birth Present address ___________________________________________________LEVY, Alan June 26,1913-Jouy-en-Josas, Miranda Ebre Gauthier France Concentration Camp, Spain. __________________________________________________ The total compensation, received or to be received, for all my services, rendered or to be rendered, in connection with the visa(s) sought, is as follows: (Here set forth in full any agreement concerning compensation; if the agreement is in writing attach a copy thereof). As close relative neither wish nor expect compensation. (Part to e filled in only by an attorney at law appearing in that capacity) Name of court before which admitted: Place of such court: I have never been disbarred by any court or by any governmental agency, except as follows: (Signature of applicant) Subscribed and sworn to before me this 26th, day of February, 1943. (Signature of notary public) (See instructions on the reverse side of this application)
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Reopened for Editing 2024-02-13 16:25:28
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Reopened for Editing 2024-02-14 11:22:38