| UNITED STATES DEPARTMENT OF JUSTICE IMMIGRATION AND NATURALIZATION SERVICE ALIEN REGISTRATION FORM 1. My name is: ALBERT EDWARD HORSWILL I entered the United States under the name of: ALBERT EDWARD HORSWILL 2. I live at: 4381 MARYLAND ST., GARY, LAKE COUNTY, INDIANA My post office address is: SAME 3. I was born on: MARCH 26TH 1879 I was born in: FOREST GATE, ESSEX, ENGLAND 4. I am a citizen or subject of : GREAT BRITAIN 5. I am a: MALE My marital status is: MARRIED My race is: WHITE 6. I am: 5 feet, 10 inches in height, weigh 175 lbs., have GRAY hair and BLUE/GRAY eyes. 7. I last arrived in the United States at: NEW YORK, NEW YORK, in June ? 1912 I came in by: SS OLYMPIC I came as a: CREW MEMBER I first arrived in the United States in: SUMMER 1902 8. I have lived in the United States a total of: ABOUT TWENTY-EIGHT years I expect to remain in the United States: PERMANENTLY 9. My usual occupation is: SEAMAN My present occupation is: PAINTER My employer is: CARNEGIE ILLINOIS STEEL CORP. whose address is: GARY, INDIANA, and whose business is: STEEL INDUSTRY. 10. I am, or have been within the past 5 years, or intend to be engaged in the following activities: In addition to other information, list memberships or activities in clubs, organizations, or societies: NONE 11. My military or naval service has been: Country: GREAT BRITAIN Branch of Service: NAVY From: 1896-1902 12. I HAVE applied for first citizenship papers in the United States. Date of application: Oct. 1940 First citizenship papers received: HAVE NOT RECEIVED SAME AS YET Filed petition for naturalization: NO 13. I have the following specified relatives living in the United States: Parents: NO Husband or wife: YES Children: FOUR 14. I HAVE NOT been arrested or indicted for, or convicted of any offense. 15. Within the past 5 years I HAVE NOT been affiliated with or active in organizations, devoted in whole or in part to influencing or furthering the political activities, public relations, or public policy of a foreign government. I have read or have had read to me the above statements, and do hereby swear or affirm that these statements are true and complete to the best of my knowledge and belief. ALBERT EDWARD HORSWILL |
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