201-203040 DIAZ-GARCIA, SANDELIO HERMINIO (IMMIGRATION AND NATURALIZATION SERVICE FORM)

Approved for Release: 2025/07/08 C07184104 INFOR SPOUSE CIF FATHER MOTHS) RESIDENC �.� 0 s7FATE), FAMILY NAME (FOR WIFE GIVE M )NE SD STATE) GIVE MAIDEN NAME) UN TEP STAT RTMENT OF T NAME BIRTHOA 4 TICE FORM APPROVED NEAU NO. 4a, F4,3E Y^YEE$ ALIEN REGISTRATION N ANY) 00 AL AE LIE ANY) CITY & COUNTRY OF BIRTH DATE OF MARRIAGEPLACE A AGE FIRST NAME UIRTHDATE DAE AND PLACEMARRIAGE AT N PLACE OF TERMINATION OF MARRIAGE FAMILY NAME FIRST NAMEAT TY AND COUNTRY OF T (I NO4 "Y AND COUNTRY OF RESIDENCE...