|----------------------------------|--------|-----
|CONTRIBUTOR AND |ALIASES |HAIR |EYES
|ADDRESS | | |
| | |--------------
-------------------------| | |DATE OF BIRTH
SIGNATURE OF PERSON | | |
FINGERPRINTED | | |--------------
| | |PLACE OF BIRTH
| | |
|-------------------------------------------------
-------------------------|YOUR NUMBER |LEAVE THIS SPACE BLANK
SCARS AND |AMPUTATION | |
MARKS | |------------------|CLASS
| |PLACE FBI NUMBER | -------------------------
-------------------------|HERE |
SIGNATURE OF DATE |------------------|REF.
OFFICIAL TAKING | _ CHECK IF NO | --------------------------
FINGERPRINTS ||_| REPLY |
| IS DESIRED |
---------------------------------------------------------------------------
1. RIGHT THUMB|2. RIGHT INDEX|3. RIGHT |4. RIGHT RING |5. RIGHT
| | MIDDLE | | LITTLE
| | | |
---------------------------------------------------------------------------
| | | |
---------------------------------------------------------------------------
1. LEFT THUMB |2. LEFT INDEX |3. LEFT MIDDLE|4. LEFT RING |5. LEFT LITTLE
| | | |
| | | |
---------------------------------------------------------------------------
| | | |
---------------------------------------------------------------------------
LEFT FOUR FINGERS TAKEN |LEFT |RIGHT |RIGHT FOUR FINGERS TAKEN
SIMULTANEOUSLY |THUMB |THUMB |SIMULTANEOUSLY
| | |
| | |
| | |
| | |

A practice which has been of the u