BIRTH 0 /101•14 /A An NOICII PS •ILVD14; wee. I „ I SOCIAL SECURITY NUMBER HOME TELEPHONE BUSINESS TELEPHONE DEPARTURE DAR — I IF AWL PLAI• Woe On/.:art, S At A m -NA , March 16, 2003 I rt tiligiete st si<ii -dan, Saudi Arat ia caw AIN PERMANENT ADDRESS (Do not Itt P.O. Boll STREET / R.F D.