EFTA01263148.pdf

Scanned Document Collection Page 1 of 4 • U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS ^r,,°,7-w° ''°"•“ *Ass BMW Lagary Wig Mc* itak Only Mlialluo Oen] O.ORNINC. past I of em.M.Sr** Plow NATO Ow Scums** lot latish yua aft s Passpon Boo', Cl u s Pft. lcori 0 Pep Beta l l ( "1. sOc B r. • V.lje 4ik• • • • • -4 - kc: ••• re ••• •••••••• ry • •-• ••••• •-••••• •• ' tc• . •••• 1. maim Lam MAXWELL YP L a WS. NOELLE GHISLAINE 2. Os 0 Binh (414105Y17Y) 0. Social 94KNOTT Number 111 III 5„2 • • ••••-•TSCO68 C 4il so* a Mos of 6;roo wen sago:trim uis.. ways coontry es a a rinnet) (, MAISONS LAFFITTE FRANCE A9FIPMets. .g my_amsgaown TANI 1 T. Prirntry Coast Priors Numbr 8. MIME Address I I StieeVRFOO. P 0 Boa or UR 8 morns I fl 4,44olord neanony. Rol/4 LS Auberg. Nato m Gm Of Or Riatilan ~la leg in CVO -Jos Doe Act • 7031 Coy NEW YORK n • NY CI :Odd Co ay 'MO Cl Um 181.11441 9 UP 01 Other 11.1111114 1.011 haw 9440. W. Ana** Ott' NOM Madan. Press Meo$g. Arcs Ns* Gaspe nem assanyi pages OntedsC 0 10. PalSpon Book MSS P1111441011Quil lilbents4lon vs name as Wed on Sul frost real Papal took soot pavoon and GHISLAINE NOELLE MAXWELL Mail reoviloins4.44 t0,11 rusks NAM most Tampon COO MCC*, Sue dale arwstassyvy, 12,04/2002 fisuedoomno•ttmerno I Ns - ' Nur • x r+1 , cfm ems lar yrs - 900a - magma/cat Cr.' 4* IIe. - r000th sr ONO '4 W40/1 Jet eta ml o• pas :oo• M . " id" • t..4.. " .9 / f. le nose ones* ea ten ass by. extu UM, asp* _ _ CONTINUE TO PAGE 2 YOU MUST SIGN Ale DATE TNB AVAUGATION IN THE DESIGNATED AREA BELOW sus mos panlrl> ass, m d r• %Awns 411 ••• 01444 eflooOlterl taus On Un Sabi s NMIP KI MOD spun U S owes of msa. sass aunt.> a 'as sow us et Csalere aa V+ Ass skims asses sir sorats ~re Ransil* Zs moms ore p.w SoNATAm ass ay . vot ~rya al wash Ins las $4014,•••• Or 141,44•4 1104 44on4414 o wool Spicelat 41 MO saessa storasi • anew oart mmismovierm se+ Nra Mel iind 'tangos to swag 0 , Pa Or 0 goosoocon WIN 4OW.41404 tom ks."••••sca..;) FOR ISSUING OFFICE ONLY e: • r" c• LJ " ••;•:• ••••a• en.n, 1ma vie' lit Illllllllllllllllll no 1.-1 .11 0342 12-2010 P4op 1 s: SDNY_GM_00000750 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020 EFTA_00114834 EFTA01263148 Jcannect Document Collection Page 2 of 4 Normal ApplIcant ant newts's* MAXWELL. GHISLAINE NOELLE IL Height II . • Cak ii ^', Cola• it mamba it greplayes a• SIS.001 1•00.tabal 5ft 8in. Br( vn P ... 1 D iN: II AN ' ca El% 'I ft' t .) O. AMASS C0 rsxta Neaten. Oal• 0/ BIM VreV0110)7/ Po's. A 00 t& Puwalempat Adana VP O. samosa ceder /Hap Aetna a Ifinaltrot 4 cillari born Mara Atibeii SteWRFD • at UR 0 (MO P.O. 104 Ann Sang Oly MIAMI FL Eneerney Coreael • As,. a torsinisuon a wenn no nerepap nor'...bop °Maraud OthoW4 tamporty. Hare Mew SIneVRFD S of PO. WOE POlerf•Irtl." 1 DANA BOW' ; cty NEW YORK voaronevtre 20 Tea* PIM* NY of Ire I svnttnny) Only. at Inc 04/1212012 2 WEEKS AY Op er Prr e' NY Ca/ISSN serene FRANCE SUS 710 0:00 AS AP ' STOPI YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE C•st2 12 200 Per 2 On I SONY GM_00000751 https://ccdi.state.osis.gov/p1s/ppT/rpt_passport images.display docall?p hash=CF15C41... 2/24/2020 EFTA 00114835 EFTA01263149 Scanned Document Collection Page 3 of 4 lir_ 24 te rfirpnestinzeuht•diam _ • or 39 g .1 t 2)616-1119 Letter of Authorization To The US Passport Office "car Sir/W3c.im: 6% 51.A11.3e AMU,. EAA- hereby authorize Passport Rush. LW. to submit my passport and collect it when issued. The following visas are required prior to my departure: Date of both: / 2 /2S//?6 f Thank you for your prompt atte Ocri na ure of appr rt • m,ror spplten For my soloat.gmee Prohibited SDNY_GM_00000752 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020 EFTA_00114836 EFTA01263150 Scanned Document Collection Page 4 of 4 //T4 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS Pinto Pant {middy Using Black Ink Only *Jo 1405-0220 ' , 1•010Art Allergen Read WARN iNG on pogo l d iron (ec z Plena Sera the decor:Noel lot which you 3. Pa ;port Book El UrstrI Car LI Both g i t « • t T sr. s mu.-• ,..ltŒr..•-,,iente 128 P et At t. techrel mar no 5. nicer. 4 to stet Ns' si WS SI -SO. oils et Is noe II di ii t" mu le> MAXWELL Ent GHISLAINE 2. Ora of Binh (rNotWYSY/, , gZ4 S. Social Security PBS NOELLE 3. sex 4.. Pen of Bain (alyd Slab inn sie Œff, or CRy Country es if e preoureney ero, eÇ Il X, Î MAISONS LAFFITTEI FRANCE J Adams ab 9 MY-••••000 1••• cony 1 t. Primary Contact Phone Number 111111 III III I II a. Main 'aortas: lira I Specie:1FGe. P 0 Box or ORB Address LAO 2 Clot Gay NEW YORK .rY I. Lust all ems names you um used. gales. Bell Nan* MS /meow Manta Lae Min Change. Abet ecleleral ' Apyttneix. Caren . Suite. Urid. en* axe ( 1O 1 or 01larillon or SI Ill Kay. at de al A B 10. Passport Book leaddardinporl CaM kdorameteee Your name as bled onannoel mart COMM 0002 WOW 2010000 caM GHISLAINE NOELLE MAXWELL Most recall PastOon tact amber Most recent Otard011 adaliobler issue dale (m, 12104/20( Sue OS (MSc 11 Mn. 9wM1.YIblrltlConpMa name la Odfaront man sat possum boot fl an ore • *" Sege '`SW Dr,' Ter - sy MKS /CZ :OS :9à tsf - stn. • cr. et- • d, ae m• Cuyes come...Ono E TO PAGE 2 You SUIT mom AND DAII T1ON IN lltE DESIGNATED AREA BELOW I Liectiee V. pcsairc Cl peony SI of INC Poona Wan t 011ten Or semi». nabonal or the lineal Star and MM ML WO tramp U a 000,94.p or nellonekty, peer* , d by lad wore 'Act* or Gentian* on re wane oie• ne aorecaren /tome. erreenelorr •••••• • •••••••1 2) e• ••••••• cm. On Se tomcat«. are omnsy 01 1 Savo not Mooney W Sane sob Mlle scocestetà • SCSI« wee clean« ellcippOrt d Ads ilp•Cation, 4) ice geouonen tubMals:1 le a "inn retenle OWL Untie. reel one uneersiood Sr scents on peas ep, p (Son ion, FOR ISSUING OFFICE ONLY ,,er inen J FPran K Menage Conhambe Dad Cocci *On Oar Fuetcont From vio hz- 0.0 lot Sung Once Orty • Oa regal_ Os Fee DS.82 12-2010 • DS 82 FI 12 2010 I • Patel of 2 SONV_GM_00000753 https://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display_docall?phash=CF I 5C41... 2/24/2020 EFTA_00114837 EFTA01263151