ON, NOTIFY PSYCHO • Y) OK FOR GENERAL POPULATION: YES NO tIF NO, EXPLAIN) EFTA00048738 NYMDH 535.08 • FRDRRAL BUREAU OF PRISONS PAGE 002 • :NTAKE SCREENING FORM • 12-02 2016 • 15:45 19 NAME CABINES, UNIQUE REGISTER NO: 77001-054 008 (AGE): 05.04-1980 (36 RACE / SEX.: BLACK / MALE ETH