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FD-258 Fingerprint Card (With Printed Demographics)

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Part Number: 258-02

Please Provide Demographic Information

Address:

Last Name:

First Name:

Middle Name:

Aliases (AKA):

Country of Citizenship:

Your No. (OCA):

Universal Control No (UCN):

Armed Forces No. (MNU):

Social Security No (SOC):

Misc No (MNU):

Sex

Race

Height

Height:

Weight

Weight:

Eye Color

Hair Color

Place of Birth

State of Birth or Country if outside of USA:

Reason Fingerprinted

Reason Fingerprinted:

ORI

ORI:

Quantity