App. not Req. 
k K 
De_c..__22,„_19.43_ 
(Date) 
(Local Board Date Stamp With Code) 
PERMIT OF LOCAL BOARD FOR REGISTRANT TO DEPART FROM THE 
UNITED STATES 
Alexander 
This is to certify that__lililL?."!?._ 
(First name) (Middle name) (Last name) 
Order No. ..., Serial No. .^1^020_, Class, Division_ 
(Number) (Letter) 
a registrant of this local board has applied for a permit to depart from the United States, and this local board 
being convinced that the registrant’s absence is not likely to interfere with the proper administration of the 
selective service law, hereby authorizes the said registrant to depart from the United States and to remain 
absent therefrom for 
six months. 
(Designate period of absence) 
In his application the registrant gave this information: 
1. Countries to be visited __ 
2. Individuals or organizations represented_ 
Institution. ___ __ ___ 
3. Nature of business __.Mficial.InxestI^ations 
Description of registrant: 
RACE 
HEIGHT (Approx.) 
WEIGHT (Approx.) 
COMPLEXION 
White 
■ 
X 
6’ 3" 
188 
Sallow 
Negro 
EYES 
HAIR 
Light 
Blue 
Blonde 
Ruddy 
Oriental 
Gray 
Red 
Dark 
X 
Hazel 
X 
Brown 
Freckled 
Indian 
Brown 
Black 
Light brown 
Black 
Gray 
X 
Dark brown 
Filipino 
/ 
Bald 
Black 
Other obvious physical characteristics that will aid in identification — 
• Date of birth _ June.JL8 iL ..1886 
or Clerk of the Local Board 
NOTICE TO DECLARANT ALIENS (ALIENS WITH “FIRST PAPERS”). —Before leaving the country, get a reentry 
permit at the nearest office of the Federal Immigration and Naturalization Service. 
I>. S. S. Form 351 
(Revised 6-22-42) 
U. S GOVERNMENT PRINTING OFFICE 
16-17327-2 
