12
, I ! I ,, " 00 H < ' "'' < ' , ' ' ' ' p. 0 , iD . ?- .. . . filijos A us z ue aus dem Buche der 6eborenen und Getauften des Kirchspiels Kretinga •\ .. ................ ........... ... Jilialgemeinde i Jahr I'\\ IJl Siuo vertimo tvirtlnu: ... ....... ......... :········ ::'

J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

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Page 1: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

, I

!

I ,, "

00 ~ H

~ ~ < ~

~ ~ ' "'' < ' , ~

' ' ~ ' ~ ~ ~'

~

' p. ~

~ 0 , iD . ?- ..

li~DUi~~ . ~~~~U~liU

. filijos

A u s z u e aus dem Buche der 6eborenen und Getauften des

Kirchspiels Kretinga •\ .. ................ ........... ... Jilialgemeinde i

Jahr I'\\ ~ IJl Nr.~\. J~

Siuo vertimo tiKrum~ tvirtlnu:

~lebcnas, liun~~ ... ~~ ....... ......... :········

::'

Page 2: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Approved B •l; No.47

I, th•

ALIEN R:E

at---------·

1. Family

~nsin --·~~· 3. ~ther nt . .. 5. Address··

150 WE

7. Name an

Cousir

9. Hair

------

In amtlichen Umfang. und soweit Uaterlagen in der Bundesrepublik und im Lande Berlin vodiegen, vermerkt. Amtliche Fiihrungszeugnisse

oder Uber das Allgemeinverhaltf"n !1les Inhabers.

·A~tliches Fiihrungszeugnis (Die Riickseite ist zu beachten) ·

Herrn -~XX~1Hii~ ............ Alb.e.r.t . E .n ... s .. L .n ........... --'·········. ...... ... . ... . .. . . . ............ . {Vo~ .. und Familienn.ame. bei Frauen- auch der Geburtsname)

gemeldet !n ' ... L .. U .. b . e ... c ... k.~ .. Yorw.erker.s.t.r.,. ... l.03., .. Er-<>-4/l----·· ................. .

{Wobnot:t) K1:eis, StraBe und Hausnummer}

.R.lJ.d.ai te.n .. . . .. ... . .. Kreis ..... Kr.o.t.tingen ... : ................. .

geb. am 18,Q5~1922 .............. in

wird zum Zwecke der Vorlage bei.. . . Q.~:J:' ,l\l,l_S_'l,J.?:Il.¢iE'l:r'.:t:lilg. ..

bescheinigt ts. Riickseite):

,' !J A ;; m-;; ,;-;;, , Hm '"" '" Z'"'"'''""'"'' '"'"''" d<> '""'"""'"' '"'• """ ••C •~ '" Zo"' ""'""" om" •'""""'"= • """''"' ''" '""'"''""' •'" · im Lande Berlin bis zum .................................................................. wohnhaft gewesen in .................. : .................................................... ". Bitte wenden I

md

Page 3: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Fonu­(Revfsed,-

Approved: No.4

I, th

ALIEN R: r--"' at _______ _!

1. Family

l~nsit --•--3. Q.ther n . ...

5. Address

150 w. 7. Name a1

Cousii

9. Hair

d. brown

19. Ocm

EI 22. Interi

\

33. I have nevJ as hereinafj

~mfang, und soweit Uaterbgen in der Bundesrepublik und im Lande Be·din vorliegen, vermcrkt.

oder iiber das Allgemeinverhaltt"n ~es Inhabers.

AmtHche Fi.ihrungszeugnisse geben kenl Urteal iiber den

-Amtliches Fuhrungszeugnis (Die Riickseite ist zu beachten) ·

Herrn -JaliX~ifl]{: __ ·

gemeldet ~n ' ... .L .ti ... b .. e .. C.~·.k.p ... Y.o1;~:a;:~~t,':~t:t·:~d-~a?.?~~-~~*r.,,.4/l......... ..., ............... ..

geb. am_ . 18"5~1922 ..

wird zum zwecke der Vorlage bei.

bescheinigt ts. Riickseite):

' '

___ in Ruda.Lt.en .... . _Kreis ...... Kro.t.ti.ngen .... : .. .

---- , s Bundes ebietes auf, dann tst~vor der Zetle ,.geboren am" einzus~balten: ,.zuletzt tm Bundes~eb!et od~: A n m e r k u n g : Halt SH:h der Zeugntslnhaber auBerhalb de g wohnhaft gewesen m . -

im Lande Berlin his zum _______________ - ---- Bitte wendenl

(Dcit~ of birth)

(5)

NAME: (Date of birth)

(6)

NAME: (Da,te of bi1"th)

Q, Si_ngle_ ma~ .. wit:bin age rang_es __ of __ -__ years to ___ years.

0 ~ing,le w_~man within age ranges of ___ years to __ years.

0 Man and wife within age ranges of ___ . -years ~o_. __ .. _yea·r_s.

(PZace and coun.t1"y of. bi'f"th/

(Place and count'f"y of bi1"th.)

(PZace and count1"y of bi1"th)

.. 1.16382 JUL 11 OS6

I' !

I ~~.11J: DEPUTY AOi•·11NlS fRAiOft.Q)

I .. -REfUGEE- RELIEF-PROGRAM

0 Man _an~ wife_wi t~i.n. a_g~ .ranges ~f ____ years to ___ years an·d wi·th minor clii:ldren with

age .t;:anges. o_f __ years to _______ years_.

34. I have never been excluded, deported, or removed from the United States at Government expense, except as hereinafter stated:

I I ~ e;

Page 4: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

ll'

~~-'"-·-

Fop:!l.F< ·\ (Revised Au~\

Approved Bur~ No.47-Bl\

\ I·

I I, the u:i

\ ALIEN REGIS I

H at ____________ _]·. '

\

\i. Family

(l;}8;J!SlSU;J!Q)

~i;;l!fi~~.~aaqn1····

AUSWAERTIGES AMT 205 • 212- 10 2434/54

y__ e r b a 1 n 0 ·~

-- •-nh<>ft. unter Bezug·

\ and

L __ \

~ \\

Page 5: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

- J

----------------------··--------------·---------------------------------------------·-·------------------·- --- -----·------·--·---

·----------------------·-··-··---------------------------------------

----------------------------t.-:: .. f.

Approved Bure1 No.47-Rlv.~--------------- -~

i

! i

I, them,

ALIEN REGH

F at-------------·

1. Family na~ 1

~nsin C --·---' 3. ~ther nam

• 5. Add-ress in

150 Wat.

7. Name and j

Cousin:·

9. Hair

d .. brown

19. Occupatio!

Elect) 22. Intended i

I

New Yd 26. Places of J

Lith., 1 1051.;.;pre

27. Names an

Wife: Daugh~

following

I am an

.providei

of the I

32. I haven the benel

33. I have ne' as hereina: ··

AUSWAERTIGES _AMT 205 - 212 - 10 2434/54

V e r b a 1 ri o .. t.e

Das Auswaertige Amt beehrt sich, der'Anierikani'sch€m -Bbtschaft' unter Bezug­

nahm e ~ut die Note vom· 22. F~bruar Hi 54. betretfend"die-'Durchfuehrung des Fluecht­

ling.shilfegesetzes von ·1953, mitzuteilen. dass die Btindesregierun-g -bereit ist, ._jede

Person, die im Bund·e.sgeb.iet oder in Berlin. (west}, autgrund des- Fltiechtlin'gshilfe:.

gesetzes von 1S53 einen Sichtve~merk zur 'Einreise in die Vereinigte'n Staatem erhalten

hat, in das Bundes-gebiet wieder zi.Jrue~kzuneh-men~ wenri in der Folgezeit festgesteHt

wird, dass diese Person den Sichtvermerk durch Betrug oder falsche Darstellung wesent­licher Umstaende erbalten hat.·

Zur DurchJuehrung dieser Zus age auf Wiederailfnahme in das' Bundesgebiet

wird das .Auswaertige .Amt die Vertretun·gen d.er Buhd~srepublik Deutschland in den

Vereinigten Staaten anwe-isen, den Personen, bei denen die vorgenannten Voraussetzun­

gen gegeben sind, auf Verlangen der Behoerde der Vereinigten Staaten die fuer die Rueck­

kehr in das Bundesgebiet erforderlichen Reisegap,iere oder Einreisesichtvermerke zu er­teilen.

Bonn, den

An die

Amerikanische Botschaft

Bonn, Deutschland

D ~ing.le w_orman within ag_~ ranges of ___ years to __ years. [ ~ - (-./ ~~lr ~ .~ ---- ----·

I ~~~~IS rRlToffQl 0 Man and wife with in ag~ ranges--of ____ -Years ~o_. __ .. __ year_s. · ~--·REFUGEE RELIEF-PROGRAM-

, C:J Man ~an~ wife_wi t_hi_n. ag_r .ranges ~f ____ years to ___ years an·d w:i-tli m'in·or children wi tb

ag_e t:anges. of __ years t?_-____ years.

\'--

___ j _-

34. I have never been excluded, deported, or removed from the United States at Government expense, except as hereina:fter stated:

I

.and

L---~-~~--~~~---------~-------~--{Ar-pp-l-~-a-ti-on--co_n_h~n-u-ed~o-n--re-u~--se-s~w~e~)----------------------___ j

Page 6: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

I I

.I I

I, them

ALIEN REGIS

H at _____________ _

1. Family nan

___!fnsin (

3. ~ther name

• 5. Address in t

150 Wat•

7. Name and a

.&u-auuao •uuog

• .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua

.to stuaumoop· laAt~ll pa.t!nbal aqt •sa~n.toq1n-a sattllS pat~un aqt JO tsanba.t uodn •anss~ O:J sat'BlS paHUfi aQt. Ul on<tnda'H ]t!.tapal.!l Ut!Ul.taO aqt JO SUO~SS'!W aq:} :}OD.I:}SU'! H'!M a::>UJO

uil"!a.tod aqt • .K.ton.i.tat l'B.tapaa aq'l 010~ uo'!SS'J:Ulptla.t JO 1uamaa.t2t1 s~lll 1uama1dm~ o.r.

· ·sl::>'BJ l'B'!J.a:Jt!Ul 2unuasa.tda.ts~m q~no.tql .to pn-a.tJ q2no.tql 'BS~A aq1 paA~aoa.t uos.tad

qons 'l'B.lll paqsHQ'BlSa .Alluanbas<tns s~ H H •(lsaM) un.tag u~ Jo .K.tOtP.tal l'B.tapa.i[ aq1 U~ £~61 JO 1ov Janaa aa2nJa'H aqt o~apun sat'BlS panun aq1 JOJ t!S'!A ·'B paA~aoa.t suq oqM uos.tad

.Aut! .K.td11J.I81 l'B.tapa~ aq1 o1urnmpt1a.t 01 pa.tt~da.td S'! 1uamu.taAOO l'B.tapad aq11'Blll ·£~61 JO

lOV Jana'H aa~nJa'H aq:} JO UO!'}tllUaUlaldlli! aq1 ~u;p.t-a~a.t'•v~6l •zi Al'BDJQad JO a10U SH Ol

aoua.tajal l{HM • ASS'BQUl:il U'BO.~.tamy aq1 Ul.IOJU'! 01 JOUOQ aql S'BQ a::>~JJO U21al0d aq.L

v~/v£vZ 01 - ztz - ~oz :!IDlt.!lt.!lO NOI:il'HOI.!I

NOI.LV 'lS NV'H.L

f'ORM OSR-8

DEPART-Ml::NT vP STATE WASHINGTON, 0. c.

ASSURANCE BY AN INDIVIDUAl SPONSOR WITH ENDORSEMENT BY (~M ORGANIZATION RECOGNIZED BY THE ADMitHSTRATOR

or use under the .RefJ.tffee. Relief Act .of ~953).

!, _____ _.

NAM!f:

residing at

11 r NAME: (Last)

( Na tiona li ty}

VS'>R\J:e:Xl¥- ~ \'{ ADDUSS:'

<r-g \\J~ .. .\ ut\ts\L , :>nu E &V~G ,. (

(Location of American Consulate at which 121 Sp,ouse of principal applicant: apptication will be made, if known)

(b)(6)

:/ I 1

I 0 I 0 I'-

L

Page 7: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Approved Burea1 •l• No. 47-RJ();

I, the u

ALIEN REGil

I at-------------

1. Family na'

Jtnsin I --•---3. ~ther nam

• 5. Address in-·

150 Wa 1

7. Name and

Cousin:

9. Hair

d.brown

19. Oceupati•

Eleci

22. Intended.

New Y<

26. Places of

Litho' '1

1051;.:prf 27. Names a1

Wi:fe: DaughJ

i

I am ar: . providei

of the l

32. I have J the bene!

Jog/f?EJ>~ 01 - ~H - go~

30It.!lt.!l0 NDI2'HOt.!l

NOI.LV 'lSNV'H.L

71.5J7S~ FORM DSR. 8 6. I. 55 DEPARTMENT GF STATE

WASHINGTON, D. C.

BUDGET BUREAU NO. 47.tllu. 1 l APPROVAL EXPIRES 11. 31. !it!

ASSURANCE ·BY AM I NO IV I DU.AL SPONSOR. \f ITH ENDORSEMENT BY·AN ORGANIZATION RECOGNIZED BY THE ADMIH1STRATOR

(For use under the RefJJ.~ee: Relief Act .of 1953J. DO NOT WRITE· IN THIS SPACE

READ INSTRUCTIONS ON PAGE _4 BEFORE FILLING IN FORM

I, _____ --1

NAME: (b)(G) -·· residing at ___ --1

~--~.v~. ~~-~~~~~.~~~~-~w~,~~::~~~o~r~K~.~~~~.v~ •. ~N~o-.,-.~.a~i~ty-,~0-ou-.n~t-y,--~~~~-at-e~)--------~-­sponsor the admission into the United States under the Refugee Relief Act ~·f 1963 of pal app;J.ican.t, ,_.spouse, and children, as described below:

princi-

(U . S t" SEC!IOI .I ":THIS SE~TIOI ~OR USE IF PIIICIPAL APPLICAIT 18 lAMED se ec ~oon II OJ pnnctPal apfJhcant t.S not named. Do nqt f~ll in both Sections I and II) Principal ..

1-11 Applicant "1\\\\t R1" E.\{!)\ t{ ;NAA,H~R~:~-----------;(?:.i~r=s~~~)~. ~--------~(~H~i~dd~Ze-)~--------~~(LLals~t~)------~-----

., - .. : ,- ~· :

(Dat~ of birth) ( _f lace and _CO~f!t.ry Of birth) (Nat..ionality)

ADDUSS:' ·"(dam~~· or "Street and 'xo~,. ·aity, Pro;;i.nce,.. aountry). . J -- .·

\-\ l\\M,u:«u

121 .(Location of American Consulate a't 'which..a{>p.t.(cation wiU be made, if known)

Sp,oose o~- I>.rinc~pal applicant:

1 l ---------------------------------------------------------------------- I 141~~~---------------------------------------------------------------------

NAHK: (b)(6) (Date of birth) (Place and. country of birth)

15!~--~----~--------~------~------------~---------------------~--~-------NAM!f: (Date of birth) (Place and country of birth)

161 ________________________________________________________ ~----------------------~

NAH8: (Date of birth) (Pl~ce and country of birth)

171 _________ ._~--------------------~--~~~~--~~~~----~~~---------------------NAMR: (Date of birth.) (Place and country of birth.)

I· am t._.t.l related to the .alien .listed under Ill t2i', being his/.JHM- S·t.S\.~"t. /"/ . . . SECT I ON II - . THIS. SECTION FOR USE IF PRINCIPAL APPLICANT IS UN HAMED ....•

-~ ·(Use1_.Section.I for 'named piincipal applicant. Do not fill ~h·'ooth. 'SeiJ..ion I 'and' iiJ v c:.naFiED

Q_ Si_ngle. ma~_.wi t.hin age ran~es _of ___ ._ years. to ______ - years. 116382 JUL 11 VS6

D Single w.qman within age rang.es of ___ years to ____ years. I!

~"~·' I

i DEPUTY AOf•1lNlS fRi\i'O , · D Man and wife within age ranges of ____ .years ~o_. __ .. __ years. t ~ ··-REfUGEE RELIEF-PROGRAM· f-:

. D Man and wife_wi t~_i.n. ag: .ranges of ____ year·s to ___ years an·d w-ith minor cliildren with

ag_e .\anges. o,f ______ years to_. ____ years:

. ,._

34. I have never been excluded, deported, or removed from the United States at Government expense, except as hereinafter stated:

(Application continued on reverse side)

and

-I 0 0

~~ lud~tten, tu, I y ••

Page 8: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Approved Bureau •!• No.47-R101

I, the ui

ALIEN REGIS

H at--------------

1. Family nan

l!nsin ( --~·---~· 3. Qther name'

.• !

5. Address itt 1,

150 Wat

7. Name and

Cousin:

D Wi?ower within age rang_e .of-_._._._years to __ years and with ___ minor children

ra11g.e .of _____ years t.o -.-. -·-. years .•.

P W_idow wi tb in .~g_e r11-nge of ___ years to-.-.-. y;e_ars and_,.wit b minor children within

Second c boice -::;--~-,---c------.,.,-.,-.:-''-::-~.~-: ·: ; , ..

Third choice

'\- -~·7 ~·.r-,.'.1~.,-1\ 0~, ..

_( des igna te.-=--'-'-'-'-'-::--"--..:.......:;'-"---"-'7'ic-..,..::-c.:.,--~..,.:-:'-----:;--~---=-----.--·---· ----··_--_--_-_-_-_ •. _. -_-_._-_-_·-·--_·-

for this purpose of nominati~~r!~n!f~!!01o~.,..w~~!u~t~~ys~t:~~iing this usurance.

accept a child born to the principal applicant or his wife after the ·execution of

this assurance. •; : -~~ .. : · .. c_:j

,:ll I assure that the principal applicant and ·the members of bis ·family listed above or belolf

wiu·'no't' bet:o~e public charges. \ tl."' : ~ . ) . ,., .. ~· )

I a.s~iJ~e tba't tbe principal a.ppiicant will be employed, with~:t -di;pla.:;~~:-~u-y- :tb~-~ -;:;~·· s_'?n,_ as: !If principal applicant is tbe wife who will not_ be eJ!IployEtd,,. aq:oJllpa.ny_ing.h.us.bJilld .. w.i.ll

' be e~~lo~ed, a~-: I ·.· ·- . ., ... -----··-· . .. ... ..... ..

·! ;, .J, J:, •.:;!.· 1 :. 'EsC I ; ·• i :~}'j !al No. days WOfktPE!r._.wee~--:...=-.......::..- lb.l -N?.•.:<ho~rs.·pet: . .-.day.:...·· ---=:-,.:;....'--':-' __

(c) Rate of :;:·y;·· ~~--h~-u~~~/.·~·· , or month ____ •

Is .room and board- inc 1-uded:- CJ .. y~s .. · ... ldlJ No

.ldL .. Dura.tion.of job: ...... (YLPe.r-manent, or D I-nde-finite·.--·- .... :1: :! · ... :. ~ - .t: i:. :. . . -

i' Are~·:the above w~ges pre:r,j!.i).ing ~wages in1t.he locality:?

. ,1.:' ~· ~"! ~ • ~ .!.., ., •• ~ 'J<

,l_el .B,rief summ~ry,~~f" !iu~_ie,s ·in_volved.

t't&.

)

further assure that the principal applicant and the members of his family vil.l without displacing any otber person,

(b)(6) :at ____________ ~

C'J.!I'~:

-in __________________________ ~9~·~o~~~~~~--~~~b~d~-~¥=~~r~~~·~t~~~--------------------------(Type of housing available, including number of rooms and facilities, if known)

t e Un-ited States.·

I was born· at

;::~ .. Persons. dependent': upon for· support._:---'----'-

(Numbed · < (b)(6) ), :.;

I have within the last five years sponsored the immigration into the United States .of

------- persons. (State number)·

h!l-ve previously submi.tted an assurance under th·e· Re.fugee Relief :Act of 1953.for 'the fol-

persons: (b)(6)

Name Relationship to me Date submitted

and I

\-----

Page 9: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Approved Bureat 1ll No. 47-RIO:

I, the u

ALIEN REGII

l at ____________ _

5. Address iti

I

Cousini

d.brown

19. Oceupati<

Elec1

22. Intended,

New Y~

26. Places of·

Litho' 1 1951.:.:;pr~

27. Names a1

Wife: i Daugh1

I am ari

.provide(

of the £1

32. I haven( the bene~

··.;>, :. :1 -~ .. Is -room.and boa-r-d--incl-uded:. CJ ·Yes... -rn No

(dL .• Dura.tion. of

\. ,, , r·· . AFe .. :tbe above l"~_ge_s pre,:r,!l:_i~ing ·w!'-ges in;·t.be locality:_?

.. :; ',;; ~: : .., ~ ·.. -~ ~.rie~ su~ry ,qf.·!iut,;i.e,s: in,volveq ..

,'fa ..

. J

further assure tha.t the principal applicant and the members of his fa.rnily will be without displacing any other person, (b)(6)

a.t _____ -1

·in ________________________ ~9~· ~~~~~~~~~~~~d~~v~~~r~~·~·~t~~~·~--~------------------(Type of housing avaiZabZe, incltu!ing numbe'f' of 'rooms and facilities, if known)

a.m; a.. c-it izen,,·of t pe Un.f ted S ta t'es. ·

wa.s. bou. ~~ ~L""P'P"_""'""' __ ""!"!"'I~=""'l~--~~~-----...,:r:::"':"t'"'T"""-----;~~--'7:::":":71~ ICttj) lCBunty) iSiaie) Ofonth) (Day) (Yea'/")

: ·~ < r o:;. (b)(6) for·. support.L•~·. · · ., :·:;.- ),. •.• ~ • • t"' .. l ·-- .. Pers·ons·. dependent'-'-u-pon-

· · :v '(Numbed.,<<·' ;..-t .i

I ha.ve within the la.st five years sponsored the ·immigration into the United States .of_

-------· _.·.persons.· (State num-ber)· ·.i'

h!lve previously submitted 'an assur·ance n'iider~ the' Re:fugee Re·lief• }Ai::i ·of; 1'953: f·or 'the fol­.~lowing persons:

:,·Name,·-· Relil.t ions h1p 'to ine--

.IL-------~~---~~-'---~.,r.:.l'_·

I understand that the assurances given by me ·provided i·n ,f. be ·Refugee :-Re:Hef''Act. ,w ~

stated above my personal obligations, a.s

·..~ ·- ;.. ~ . -~ •.· .. >.~. ~-· "'' . ' '

--""'--='c..:.::......---'-~~:_:·_-195~; c. __,;,_--=.--"' --=·· ·....:..''-·-=· "--'-'-. ~..:::!.· ·==-·· =-=· ·,· ._· ---'-·. Q:.3...·~o~~~·'-.!~~-':::::,· ~-· __ :___..:....:._ _____ ___:_ __ _

:\his

:the Administrator,

ha.lf and in

(Signature of Ame'f'ican citizen assure'/")

::designated by tbe sponsor .. listed· ab'ove 'lias nom'iirated

'' · ( N.idd·fe)'

a.nd his accompanying spousE\ a.nd children listed below a.s the a. lien Is I in whose behalf· the a.ssur-

34. I have never been excluded, deported, or removed from the United States at Government expense, except as herclnafter stated:

(Application continued on reverse side)

\

and

Page 10: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

Ill Child (ren I~··-----..,...--....------------------------~------(3toie na~e.

. (State nase.

· {State naae,

{State nase,

do~e ·of !Jh·~fl. f>'ace

aot*l of birtll, f>Zace

date of '!Jtrth., Place

a ate of birth, PlaCe

- ·-· --

INSTRUCTI'ONS

AND -·PENALTY PROVISIONS

IJnd country, OftCI uUmsaut,J

and c~ntry, .afl&· nca ~ 'O?J"a U t1)

~

anti covntt·,. Clfl4 noUontJUt}')

and country, and naUoftti&UyJ

...

If more ·s·pace is required for entries, use a sheet of paper a ad attach it to

this form.

·This form should be prepared in six copi·es'. All que's't"ions should be ~nswersd.

li'ben completed, the forms !lbould be signed.by the assurer. One copy·should be kept

by tbe assurer and one by the local representative of the endorsi~g agency. The

' orighal iud ·tbree•copies should be submitted to tbe follow-ing organiZation or agency;

The organiza'tion or voluntary agency.sbould subm.it the· original and- two sign.ed __ _

copies of the assurance to the Chief, Assurances and Liaison Divisioa, Refugee l!e­Uef· Program, ·oepariment of Sia:te, wa.·shingt'on 2·5, -D·~ ·c;-· ·

A.ny·statement· of finding and--r~cominendation from tlie· loca'.i!;office of t.lle· U~:~ited States lor tbe Statel 'Employmeat Service serving tbe area of the propose-d ·employmeat

concerning: ·tbe antllenticity and· bona fides of the Assurance· gf.·employtrient may be

submit ted.

'Tbe spoasorvbo gives tbe assuran'ce of.emllloyment and:l!ousing wlllch.d.oes not

show the specific address of sucb employment e.nd housing ·shall inform the Administra­

-tor promptly concerning the specific address a.nd type of hoasing an.d employment made

available to'the alien and the members of his family' after tbey arrive and tate vp

residence in t be United States.

Section 1001, Title. 18, United States Code, provides !;lenalties for knowingly

and willfully falsifying or concealfng' a ematerial fact in a statement or document

.. submitted·:to an·y departme!lt ··or agency of the Un-ited States 'Government concerniag a.

matter under its jurisdiction.

Section l•C,c'l. of"the"Re{ugee Relief Act of 1963 provides.tllat any persoawllo:·;,·

II:Dovingly violates any provision of tbis Act is guilty of a felony and may be fine~,

. not more· tbaa SlO, 0.00 or may be imprisoned not more· than ten years, or bot b •

. ·- ~ '~ -

fOREIGN SERVICE OF THE UNITED STATES OF AMERICA

AfPEF&.iC4_TNQ_M .. FOR IMMIGRANT VISA AHD A~ DEN REGH§IfRA YS©IR')

I· 1398754 gh

Albert 18 Iviay 1922

Rudaiten, Lith •. Age

34

Luebeck, Vorwerkerstro 103, 4/1, Gy.

(b)(6)

15. Race 18. l\iarital status

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1963 l)rovides .that any tiersoa lilio:-·,; Section 14 !~l of- the· Re{ugee .Relief Act of . . f f lony and may be fined

- i i of this Act is guilty o a e ·' knowingly violates any prov s on lmt~r isoned not more than ten years, or both •

. not more than SlO, 000 or may be

! . .-- .·-

FOREIGN SERVICE OF THE UNJTED STATES OF AMERICA

APPLIC~JIQN -FOR IMMIGRANT VISA AND ALIEN REGISTRATION

I- 1398754 gh

a SPECIAL NONQUOTA I, the undersigned, being duly sworn, state the following facts regarding myself and hereby make application for Ia&¥ IMMIGRANT VIsA and

the Refugee Relief Act of 1953 and ALIEN REGISTRATION under/the Immigration and Nationality Act to the American------------------------------------ Consul~1~--g~l].~~?:.L ____________ _

at ------------=~~~-~-=:~------------'--g-~~~~~~----------------------------------------------= Given name

Albert

d.brown brown grey s ____ ft. ___ 3. in. ___ 15_9._ lbs.

19. Occupation

Electric welder None 22. Intended United States port of entry 23. Final destination

New York, N. Y. Stoughton, Mass.

2. Place and date of birth

18 May 1922 Rudai ten, Litho.

Age

34

1 03, 4/1 , Gy ..

(b)(6)

17. Sex 18. Marital status

M~

F 0 Married GJ Single 0 Widowed 0 Divorced 0

25. Purpose of going to the United States

to reside

26. Placesofpreviousresidence Birth-1938 Rud~iten, Lith., 1938-1939 Schuttparsen/Memel, Lith., 1939-1941 Rud Lith., 1941-1945 German Waffen SS, 1945-1948 POW, 1948-1949 Luebekk, Gy., 1949-1951 Bad Schwartau,

+. (!d

"·. ~' ( Name and address of"\ather

·i:lic1\eT'~nsin~deceased

(b)(6)

1 30. I claim to be a {~} immigrantfand my claim is based on the

}I following facts:

31. Available documents required byfthe Immigration and Nation~lity Act are filed herewith and made a part hereof, as follows (Sec. 222 (b)).

I am an eligible Expellee provided in Section 4(a) (1 ) of the Refugee Relief Act of 1953.

DSR-8 Assurance Birth Certificate Police Certificate Readmission Certificate

· •t t• h •t 1 or other place, for insanity or other mental disease; 32 I have never been: Arrested; convicted; in prison; in _an almshouse_; treated in an mst1 u wn, osp1 a, · the beneficiary of a pardon or amnesty, except as heremafter stated.

33. I have never applied to any American consular officer, either formally or informally, for a visa or other documentation as an immigrant or nonimmigrant, except as hereinafter stated:

34. I have never been excluded, deported, or removed from the United States at Government expense, except as hereinafter stated:

l_--~--~------~~~------~~~----------~(~~p-~~~-at~w-n--cmU-:i~n-ue~d~o~n-r~e-v~~s~e~s~id~e~)----~------------------

_j

Page 12: J~ - Homepage | USCIS · 7. Name and a .&u-auuao •uuog • .&fddtl suo!·npuoo ~u~o2a.io:;. aqt moqM 01 suos.tad asoqt 01 st~s~A .K.ttua .to stuaumoop· laAt~ll pa.t!nbal aqt

permanently

36. ~~·~• preyio~ly ""'n in the United State& dU<ing the following pe'i""'l· ;

..

35. I intend to remain in the United States for the following period of time:

37. I have had the following excludable clauses explained to me and state that I am not, except as hereinafter noted, a member of any one of the following classes of individuals excluded from the United States under the Immigration and Nationality Act: (1) persons who have had one or more attacks of insanity; (2) persons who are narcotic drug addicts or chronic alcoholics; (3) persons who are afflicted with tuberculosis in any form, leprosy, or any dangerous contagious disease; (4) persons afflicted with any other disease, physical defect or disa_bility whi«h is of such a nature as may affect such persons' ability to earn a living unless affirma­tively established that they will not have to earn a living; (5) paupers, professional beggars or vagrants; (6) persons convicted of, or who have admitted committing, a crime involving moral turpitude, or committing acts constituting the essential elements of such _a crime, with the exceptions noted in the Act; (7) persons con­victed of two or more offenses for which the aggregate sentences to confinement· actually imposed were 5 years or more; (8) polygamists, practitioners or advocates of polygamy; (9) prostitutes, persons who have engaged in prostitution, persons coming to the United States solely, principally or incidentally to engage in pros­titution, procurers and persons attempting to procure, or persons who have procured or attempted to procure or import, prostitutes or persons for _the purpose of prostitution or for any other immoral purpose, or persons who are or have been supported by or receive or have received the proceeds of prostitution, or persons coming to the United States to engage in any other unlawful commercialized vice; (10) persons coming to the United States to engage in any immoral sexual act; (ll) persons coming to the United States to perform skilled or unskilled labor who do not meet the requirements of the Act; (12) persons likely to become public charges; (13) persons excluded from admission and deported, or persons arrested and deported, or persons fallen into distress and removed, or persons removed as enemy aliens, or-persons removed at Government expense, who do not have the Attorney General's permission to reapply for admission; (14) stowaways; persons procuring, or wno have sought to-procure, visas <;>r ot}_ler docume~tation, or who seek to enter the United Sta,tes by fraud or willful misrepresentation of a-matl-rial fact; (15) immigrants not possessing valid unexpired immigrant visas, reentry permits, border crossing identification cards or other documentation required by~the Act, and a valid unexpired passport or other suitable travel document or document of identity and nationality; (16) quota immigrants possessing visas not issued in compliance with the quota provisions of the Act; (17) persons ineligible to citizenship of the United States, or persons who have departed from or have rema1ned outside the United States to evade or avoid military training or service in time of war or national emergency; (18) persons convicted of a violation of any l~v or regulation relating to the illicit narc~tics drug traffic or of apy(law·or-,regulation governing commerce or manufacture of narcotic drugs as provided in the Act; (19) persons w'ho seek admission from Ioreign contiguous territory or adjacent islands after arriving therein by nonsignatory or noncomplying transportation lines; (20) persons seeking to enter the United States solely, principally, or incidentally to engage in activities which would be prejudicial to the public interest, or endanger the welfare, safety, or security of the United States; (21) persons who are, or at any time have been, anarchists, Communists, or other political subversives, as specified in Sec. 212 (a) (28) of the Act; (22) persons who after entering the United States probably would engage in activil!ies prohibited by the laws of the United States relating to espionage, sabotage, public disorder, or in any other activity subversive to the national security, or~ engage in anyactiV'ity a purpose of which is opposition to, control or overthrow of, the United States Government by force, violence or other unconstitutional means, or join, affiliate '\Vith, or participate in the activities of any organization registered or required to be registered under Sec. 7 of the Subversive Activities Control Act of 1950; (23) persons accompanying other persons ordered excluded, deported, and certified to be helpless from sickness or mental or physical disability or infancy pursuant to Sec. 237 (e) of the Act, whose protection or guardianship is required by the persons excluded and deported; (24) persons who at any time, knowingly,and for gain, encouraged; induced, assisted, abetted, or aided any other alien to enter or try to enter the United States in violation. of law. . ' . . . I have been fnformed concerning both the classes of excludable aliens enumerated in sectwn 212 (a) (28) of the Imm1gratwn and Nabonah~y A7t, and the defector and other classes provided for in subparagraph (I) thereof. I hereby declare that I am not and never have been a person specified m such section, except as may be clalined under Item 38 of this ·application. ·

38. I have had the exceptions to the foregoing excludable classes explained to me and claim to be exempt from exclusion on account of membership in the class or classes noted above because: - · · ::: -

UNITED STATES OF AMERICA

IMMIGRANT VISA AND ALIEN REGISTRATION

PORT oF 0 J (.1 6 u. ,~ .. Q~~r., .. oF Jumct:

I

I certify that the i~migrant named here. in arrived i~!h'iJtJJit~df'E?~tes at this

port on the --:r--1 r ----v-7 3 ~ _._ : JAM ~2 3 1957

IMMIGRANT CLASSIFICATION: 1

_

Nonquota I':!:~-~?-~~-~~.':-~S~~-~-_:1_}__________ Quota -----~~~~~c~ __ }?_l_C_E~}:-~-~-~ (Symbol) (Symbol)

on ----------- __ ------____________________ -------------~- _______ .,: ___ -~-:::. _____ ----~---- ~----- ------ __ -- ----_ ,

American <:.~::~-~!~!~--~_:1_1_::~:---------------------------------------------------------------------. {ad~ti~d'onth, year> NEW YORK~. li· y · · ... and was m~pected b7- / detaiaed fm fw Cliet ~m~~~~~n~&mcer

under S~-~~:~~~~~~~~~--~~ at ---------~~~-~-~:~ _______________ ! __ C}_~-r:::~~~r---------------------------------------------·

IMMIGRANT VISA NO. -------~---------r~;-f'J ___ c2.__t;;) __ l__S__(o _________ . . ~:,£~tionoflicer)

ACTION OF SPECIAL INQUIRY OFFICER

The immigrant named herein was (admitted) (excluded) { :~~ ~~;fftet~~:!en} under Section------------------------------------ of the Immigration and Nationality Act.

Date------------------------------------------------

(Special Inquiry officer)

ACTION ON APPEAL

Admitted ----------------------- Excluded ----------------------- Date -----------------------

{S~uota) Issued on ---------------------------------------~j_7_ __ ND.V.fMB_EftJ956 _________ :_~~~~~------

(Da.y, month, year)

The validity of this visa expires midnight, E. S. T., at the end of----------------------

---------------------------------------------------------~AR..J ... ~.J951_ ____________________ _ (Day; month, year)

Nationality (if stateless, so state, and give previous nationality) ______ Q_~E-~~~---

Issued- Albert En,sin

~~ ~~~~~~~~~~~~~~~~~~=t~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 17 Sept 1961

Expires --------------------------------------------------------------------------------------------------