111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296110 Name of Applicant (Last. First & Middle) Date of Birth (mmiddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. 1.1.1.n. GRAY BLUE 15. Occupatio

Office Only —0 , Bk Fee Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013 Page 1 of 2 EFTA00296116 Name of Applicant (Last. First & Middle) Date of Birth (mmfddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. E

111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296128 Name of Applicant (Last. First & Middle) Date of Birth (mmiddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color set llin. GRAY BLUE 15. Occupation

3(s_ 111 11 For Issuing Office Only Bk Fee _ Cd Fee EF Postage Other DS-82 08-2013 Page I of 2 EFTA00296104 Name of Applicant (Last. First & Middle) Date of Birth (nmiddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. E

For Issuing Office Only —le Bk Fee Cd Fee EF Postage Other. DS SIB S2 DS-82 08-2013 Page 1 of 2 EFTA00298136 Name of Applicant (Last. First & Middle) Date of Birth (mni/ddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color Sit. llin. GRAY BLUE 15. Occupatio

IIII 1 For Issuing Once Onty —le Bk Fee. Cd Fee. EF Postage Other. DS-82 12-2010 Page 1 of 2 EFTA00523273 Name of Applicant (Last. First & Middle) Date of Birth (mmiddlyyyy) 12. Height 13. Hair Color 14. Eye Color 15. Occupation 16. Employer or School (if applicable) 17. Additional Conta