Epstein Secrets

for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21.

gle (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21. Your father's full name SEYMOUR EPSTEIN "22. Your mothers full name PAULA EPSTEIN

fficial passports "28. List all educational institutions you ever attended, except high schools 1. Name Address and phone number COOPER UNION 51 ASTOR PLACE NYC, 2123534195 Course of study PHYSICS Dates of admission and graduation 09/1969 (urntir) 0011971 (mrIWY) 2. Name Address and phone number NONE

al status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21. Your lather's ha name PAULA EPSTEIN SEYMOUR EPSTEIN . I 23. Hove

0. Who will pay for your trip to and stay In Russia? SELF 17. MarItal status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21

l passports "26. List all educational institutions you ever attended, except high schools _ T. Name edthess and phone number COOPER UNION 51 ASTOR PLACE NYC Cone or NWT PHYSICS Dates of admission and graduation 09/69 • orwri)1971 Dkjoirqf 2. Name Address and phone number 1 !Corns of study Dates of

ver married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh "21. Your father's full name SEYMOUR EPSTEIN n22. Your mother's full name PAULA EPSTEIN 2

y for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh

fficial passports "26. List all educational institutions you ever attended, except high schools 1. Name Address and phone number COOPER UNION 51 ASTOR PLACE NYC, 2123534195 Course of study PHYSICS Dates of admission and graduation 09/1969 ("nth 00/1971 frornYA 2. Name Address and phone number NONE NONE

or your trip to and stay In Russia? Independently 17. Marital status married J single (never married) X divorced separated I widowed J 18. Spouse's full name Winced a separatat pleasSeale resift remellamictu) N A 119. Spouse's date of birth (0,..w) NA 20. Spouse's place of birth 1 A. "21.

fficial passports "28. List all educational Institutions you ever attended, except high schools 1. Name Address and phone number COOPER UNION 51 ASTOR PLACE NYC Course of study PHYSICS Dales of admission and graduation 09.196LI frown 0 Li 971 (rnmYY); 2. Name Address and phone number NONE NONE Course