First Name:

Last Name:

Other Name:

Gender:

Marital status:

City:

Year of birth:

Iwa

Nishihama

​

F

Single

​

1944

Entry Type:

B

Entry Date:

​

Departure Type:

D

Departure Date:

​

Destination City:

---------

Destination State:

​

Family #:

21226

Individual #:

21226I

Citizenship:

C

Camp Address:

1-60-11-D

Farline Id:

11040