for the Issue of Oats (ostrntyy), applicant's signature 3MiTeirximi4611660Rangirtiftir" ST. THOMAS, USVI 00802 340-775-2525 39. Place of birth (Stan ri eutsia. den. wastage aid mit moray you axioms re) NEW YORK, USA 40. Place of work or study, present position Oars mums flow and to runes En.a0 FIN