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Page 19 text:
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1. Name tlast name1 tpresent name1 2. Sex How often?-m. .. s 3. BirthnnnYes No 4a. Home address tstreet1 tcity1 tstate1 tzip1 b. Mailing address - 0. Parents' address d. Summer address e. Oberlin address f. Business address g. Total address 5a. Father's name b. Father's maiden name c. Living? nunH... Occupation d. Dead? -1nnnnm.n1 Occupation 6. Religion Why not? 11 7. List one zoo from your home town 8. List activities other than academic or extracurricular: 9. Place yourself on the following scale: 1 2 3 4 5 6 7 8 9 10. Do not write in this space 10 tplease print1 11. Signature Witness 123. ID number b. EGO number 13. Other important numbers ,,. 14. Add 123, 12b, and 15; divide by 3g 15. None of the above
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Page 20 text:
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