I M P O R T A N T

The person to whom this passport is issued must sign his name on page three immediately on its receipt. The passport is N O T V A L ID unless it has been signed.

The bearer should also fill in blanks below as indicated.

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Should you desire to obtain a new passport after this passport shall have definitely expired, this passport should be presented with your application for a new passport.

Nam e oftperson to be notified7. O C O

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This passport is not valid for travel to or in any foreign state for the purpose of entering or serving in the armed forces o f such a state.

t h is PASSPORT IS NOT VALID FOR t c a V F ! TO ALBANIA, BULGARIA, CHINA, CZECHOSLOVAKIA, H IL A R Y ,POLAND iJJM AN'A OR OF SOVIET SOCiA--1ST L 1Cb

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IM P O R T A N T

Under the provisions o f the Immigration and Nationality Act, American nationality may be lost through being naturalized in, taking an oath or making a declaration o f allegiance to, serving in military forces of, accepting employment under the government of, or by voting in the elections o f a foreign state. Naturalized nationals may be expatriated by residing for 3 years in the country o f birth or former nationality, or by residing for 5 years in any other foreign state or states.

American nationals abroad may consult the nearest American diplomatic or consular officer for information as to specific provisions o f the Immigration and Nationality Act.

C A U T IO NA person to whom a passport has been issued,

who uses or attempts to use it in violation o f the conditions or restrictions contained therein, may have the protection o f t&e'Ufiiitea States w ith­drawn from him while he continues to reside abroad and may bfc liable for prosecution under the provisions o f section 1544 o f title 18, United States Code.

This passport is a valuable document. I f it is lost or destroyed, the fact and the circumstances o f the loss should be immediately reported to the Passport Office, Department o f State, or to the nearest American consulate, or, in an outlying possession o f the United States, to the chief ex­ecutive thereof, and to the local police authorities. N ew passports can be issued in such cases on ly after exhaustive investigation.

This passport must not be altered or mutilated in any manner. N o stamps, statements, nota­tions, or other additions should be placed or made in this passport other than by officials o f the United States or of foreign countries in connection With official matters. The alteration o f the pass­port may render it IN V A L ID .

U. 8. GOVERNMENT PRINTING OFFICE

©l|is is to certify ifjat

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a college faontan of ability aith character, Ijas became a member of

~ P w . O _____________ Chapter

of ilie

A l p f y a K a p p a A l p l j a § > u n u ‘ U y

uitfr is entitled to all the ricjlfts auh pcifoileges appertaining thereto

,3!ii fnihu’ss fo lim 'o f 6ie Ijafie Iti'miniit sef our Ijaubs arth ll;e

^ c a l o f the Jsornritg, i l p a b a g n f_■^>iy\ m> ^ ^

one tlnutsaii& nine Imubrett anb -^ c r< ^ -

vA a (T 3 v g v ^ ^p t ^ r nV~ d v\ a I ) v e v \3 ^ ^ _____________

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? Q } J§>tpi’ente (©lamntatexia

____. £L _______________________________________________Q v Qlljapter J^asileits

Collection Number: AD843

XUMA, A.B., Papers

PUBLISHER:

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Location:- Johannesburg

©2013

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