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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)

Transcription Notes:
---------- Reopened for Editing 2024-02-13 16:25:28 ---------- Reopened for Editing 2024-02-14 11:22:38