TNAG-0890-FCO40-1100-Refugees-from-Vietnam-in-Hong-Kong-Vietnamese-boat-people-1979 — Page 153

COUNTRY OF POTENTIAL ADVISEICH

DATE

LIST (C. Noi of Cases

No. of Fersons

Case No.

Name*

Sex

Date of Birth

Family Name/First Name

Place of Birth Day/Month/Year City/Province

1/1

/2

13

2/1

12

/3

15 16

*List Name of principal applicant first followed by names of

members of his family for whom entry visas can be madeavailable.

Relationship to

Address of

in SRV

Principal Applicant | Principal Applicant

Nominating Fors Organization! Country of Fol

Admission and Relationship,

Applicable

Principal Applicant

Principal Applicant