CODE:

Last Name First Name Middle Name

CITENSHIP: SEX: AGE: HEIGHT: BUILD:

COMPLEXTION: EYES: HAIR: WEIGHT: RACE:

ADDRESS: LEAVE THIS SPACE BLACK:

FPC

REF

PLACE OF BIRTH: DATE OF BIRTH:

RIGHT HAND
THUMB N16 INDEX MIDDLE N8 RING LITTLE

D16 D8 D4

LEFT HAND
N4 THUMB INDEX N2 MIDDLE RING N1 LITTLE

D2 D1