ON THIS FORM PRIOR TO COMMITTING TO MCC/MDCs. Name: Last First AKAs: Race (Check) B W A I Sex (Check) M F Ethnic Origin FEDERAL BUREAU OF DRTAAMP ,-------- Last nail CAMACHO Sisst Naga FERDINAND )116:11 NW !dila most Weight 5,07" 180 Nafr BALD Mlle 79355-054 Hispanic or _Ot CHARG