EFTA00151145.pdf
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m
O
V.S. Oepartrtnt of Sae
APPLICATION FOR U.S. PASSPORT BY MAI'
M1 228W0111 1 j
STREET : RFD
OR P 0 BOX
N CARE OF irF APPLICA EnEe
PLACE OF BIRTH
C ty E State or City a CouertrEr
APT.
STATE
?IP CODE
HEIGHT
Feet kx.hes
5
8
HAIR COLOR
COLOR
HOME TELEPHONE
Dark
Br
Brown
NOTE: Most recent
r
T be enclosed!
U.S. PAt PCP Nu
Eh
.
_ISSUE DATE
PLACE OF ISM .',NCE
! I
OCCUPATION raw maNfareor
Yew
,
_
_
..._
) I 4 1 21 ,
0 1 ..:, Vial'
-
. a5SPC 'C A Y
;
PEPARTLAE CA II --- 1ITF awl r.Ar:s (NW fitaneatarr•Ar Al_ tbligt
ekik, WI:: TR .T1 )F STAY OVor Mandatory,
March
16,
2003
I tric::let
estlay °.-dan,
Saudi
Arabia
09
7 ANN
: 1
PERMANENT ADDRESS (Do not Il l P.O. Sox/
End e
111
Data
D
OP
III
SOCIAL SECURITY taJMIIER
$
IAA LAW1101Kit W lawtriS$ ssa,
F
BUSINESS TELEPHONE
57AT-rim__
I
EMERGENCY CONTACT. II you wish. you may MON IhIl name. address. end telephone numbef of a person not
vin•Ing with you to be contested in cam of emergency.
NAME
STREET
TELEPHONE
I !RELATIONSHIP
I
OATH AND SIGNATURE:
•
I have Tot.
tantenditio
or:wring United States CItIlt-IS1 D. T.tiftrmed ...Hy of the acts listed
sonar two Otielia .[ANT
UnCer *Acts Cr Co
n:, on the leveSSE o!
lir
:
r,1
Olio
....less explanatory
n4OTOS "ATM LIGHT, RAIN
statement es atfached.I
BACKGROUND
••
NOTE: APPLICANT MUST
SIGN & DATE
I solemnly swear (or *thrall that the statements made onthis application are true and
the photo
that I have not boon issued a
passport s
SIGNAT
DO NOT WRITE BELOW THIS SPACE
- F
APIlakn APinvel
I I Eraenoe of Name Change
DATE 03-06-2003
DO NOT WRITE BE OW THIS SPACE
O
1.lan np. Col
Date
Elect
• ,J0
-
.41! 1.1 7 i
•24 CI CK
{MOO
To _
_
_
:',25 EC CK
160.00
weroft
n accordance with 5 CFR 1320 SIM poisons we not remised to (*VOW to the gMlIttlen of
this Information unless this form displays • amend), valid 0/AS control numbs, .
Pope 3 (a
0
0
0
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https://ccdi.state.osis.goy/p1s/PPT/rpt_passport_images.display_doc_all?p_hash=0A0F406... 2/24/2020
EFTA00151145
acannea Document Collection
Page 2 of 7
' Il-f7-2021
10:12a
Pim-
•
AIR
SA001 ARABIAN
ELT:616
LV AMMAN
DEPART: NORTH TERMINAL
A' RtY.i014
A.-RIVE. TERMINAL
21 MAR 03 - T,U14,:DAY
AIR
Ai; r.ANCi
LV RIYADH
DEPART: TERMINAL :
AR PARES
DE GAuLLE
ARRIVE: AEROGARE 2 TERMINAL I
MAXWELL/GHISLAI
SEAT- "..s
A:A
AIR FRANCE
FLT:2:e
LV PARIS
DE GAULLE
DEPART: AEROGARE 2 TERMINAL C
AR NEW YORE JFK
ARRIVE: TERMINAL I
MAXWELLisMISLAI
SPAT- 2a
HUT 1842
FIRST CLASS
200P
SCOP
Flt
.4SA
610A
FIRST CLASS
82SA
103SA
Cm' NAR In,,,11-20
TA NBA 14
er. 'STERED 04:0 TRAVEL AGENCY
ML NBR 11 2.
.5.• . -CS -'' NO "3 i
i-694
ANY CHANC
77 c.. T 1.77
:777. 7 AT 2 3D
TO AN :EC a_
Fawn.
'MEETS A -F.
.F1
T-122
P umn Fri
LAMM
nn" Q4
ntn4
EOP: MD-90
"
' w--
32NA OOMIN
NON-STOP
Mt -I1
EU: AIRBE A730
06HR 4SMIN
NON-STOP
REF: X1297/1
MULTI NEES
POP: BOEING 771
08NR 10MIN
NON-STOP
REF: X12PV7
If you need hotel accommodations during your trip, we are pleased tc offer
you the following hotels which are members of the Fine Hotels Resorts
Spas program - an exclusive benefit for Platinum, Business Platin”m,
Corporate PllitiAJM, Centurion, and Business Centurion Cord member,.
When you reserve your stay through PTS/CTS/OPT/CPT, you will receive tne
following program amenities: A room upgrade at check-in, when available:
Continental b **** f a st for two each day of your stay; 4pm late check-out:
and a special amenity that varies by property.
DAN TEL AVIV
99 RAyARXON STREET
TEL AVIV ISRAEL 63432
THE KING DAVID .7.7E,SSALEH
23 XING DAVID STREET
.7EkUSAIEM ISu.i.L 74.:11
AJC :racrIr.g a: F-C7-rH-SA-.1.7,',-CTZIRT
https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc all?p hash=0A0F406..
2/24bA7A
EFTA00151146
.333111TICU LOCUM=
collection
Page 3 of 7
«fT-t107
irmr,
Helen Kim
From:
Oiled Replies Ate Not Currently cce0ted (00_nol_replygeoe.r .4 -hied p-so'utior cer.
Sent:
h
20" 7''. AI
To•
He ENo. ui X CI VI
Suble011
Tn el rrie ry 'CT 3A RGC
EP :1
2I ZIT 1:42
T-812
P
A122
F-2? i
Tracc.rg 4: PCTJ04-9RG0' EPICS'
PLEASE SOTS:
IRIS E-MAIL ADDRESS CANNOT CURRENTLY ACCEPT REPLIES-
TRES
.TINERARY IS BEST VIEMED IN A FIERO-WIDTH roan (SUCH AS COURIER NEN /OPT).
If you love the idea of selling
the Mediterranean and visiting exotic
ports but think a cruise is nor for you, may we suggest Windater?
The
WindStar's Wind Surf is a luxurious, masted sailing yacht that carries 308
discerning guests on unitive voyages off the beaten track.
Choose Voyages
of 7 to 12 days to ports in Italy, Malta, Spain. Portugal, Denmark,
England, or Prance.
And in addition to preferred pricing. Centurion Card
members who book select Mind Surf Mediterranean voyages in cetegosy
through ree, urion Trowel Service tCTSI by April IS, 2003 will receive a
comPlumr-tav one-category upgrade, as well e% Cruise Privileges /realties
For resprvarlon,
sa.r call i7Ts et $77-9/1-098' or refer
your tray.: pryfetr:or41 t, CTS.
Attention:
The fare with taxes will be $8362.03. The paper
tickets will arrive on Monday.
Please let me know if you need anything else.
Thank you for choosing American Express.
Kimberly Smith
SALES PERSON: KM
ITINERARY
DATE; 07 MAR 03
CUSTOMER NOR: 0312002704
EPECDG
TO: CHTSLAINE MAXWELL
FOR: MAKie,.. eamtAINE
16 MAR
- SUNDAY
AIR
EL Al ISRAEL
FLT:2
FIALT CLASS
m!.
Lv NW YORK TX
730P
EP: aAnn 747 4CC
54KR 21K1:4
AR TE: AVIV
TIN
123SP
NON-STOP
REF: LAMM
17 MAR 03
-
MONDAY
A:R
ROYAL. JORDANIAN
ELT:3405
ECONOMY
=V TEL AVIV
TLV
830P
AR AMMAN
ARRIVE: SODTH TERMINAL
22 MAR 03
-
SATURDAY
91St
ton: nags e 'ERROR
<Salta
HOU-STOP
REF: NLSHI
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EFTA00151147
Scanned Document Collection
Page 4 of 7
BP 06/2003
22:20
7127 798397
~vier.
j
:7:14
EL Al. ISRAEL AIRLINEH laMAR NEW YORK HT
TELAVIV YAFC
It 2
GUN
JOHN F KENNEDY BEN OUNIO Thu
F FIRST
TERMINAL Ali
MEAL
RESERVAT IOM C4HrikriCD
AIRCRAFT: REWIND 747-400
9CPPE RS TRAVEL INC
RAGE
0:
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DATE 07MARCH03
AGENT 9E/9E DOOMING REF X7211II
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/0111sLAINE
ROYAL JORDANIAN
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reLHOMY
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AiNcRANT: Fatima 777-200
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littps://ccdi.state.osis.gov/p1s/PPT/rpt_passport_images.display doc all?p hashr0A0F406... 2/24/2020
EFTA00151148
Scanned Document Collection
Page 5 of 7
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EFTA00151149
Scanned Document Collection
Page 6 of 7
COCA171CFCE
L.S.J., LLC
6io0 'Het) :Wok Quarter
Suite B
ST Thomas, 'USVI 00802
relephOtte: (340)774-16)1
March 7, 2003
LS Passport Agency
1.,
tor.
V.
Con.,:rr
am me it waging member of L.S.J..
('l.S1"). and I write this letter in
support of the application of Ghislaine N. Maxwell. an executive of LS), to obtain a
second valid passport.
Ms. Maxwell's responsibilities at LSJ require her to travel extensively throughout
the world. She is currently scheduled to travel on March 16. 2003 to Israel. Jordan and
Saudi Arabia. She requires a second valid US passport in order to avoid conflicting visa
stamps.
For both safety and business reasons, it is imperative that Ms. Maxwell have the
necessary flexibility of a second passport. On behalf of Ms. Maxwell, we, therefore.
respectfully request that Ms. Maxwell's request tOr a second passport he granted.
Should you require any additionat inMmtation in u..iiric;Tioti with. NI.. NtiVh el I's
requeNt for a second passport. pt
sc do not hesitate to ,..,fila,:t
We thank you for attention to this matter.
Very truly yours, _
Jeffrey Epsteia------
Managing Member
tICI-OT000000
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EFTA00151150
Scanned Document Collection
Page 7 of 7
LS 1., ££f
61 o
,I
Si ite 3-
I.
'Tlltuqu),
'uSls
00S02
Tdepliont (;4o) n4-r611
March 7.2003
Passport Agency
It May Concern:
I
-I an cx run. : t 'LS.
, iscc n
d State- Virg I and ih
ario I v. ize
lc;
.11 support 01 iny
uotain a second vand L.) passport.
I am currently booked to travel on LSJ business on March 16, 2003 to Israel,
Jordan and Saudi Arabia. I require a second valid US passport in order to avoid
conflicting visa stamps that would prevent entry into Jordan and/or Saudi Arabia. as a
result of my Israeli visa stamp on this trip. I, therefore respectfully request that my
application to be issued a second valid US passport be granted.
Should you require any additional information in connection with my request for
a second passport, please do not hesitate to contact LSJ at 340-774-1611.
I thank you lo
- attention to this mat r
cfl.
C..
Clhislaine N. .
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EFTA00151151
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| Filename | EFTA00151145.pdf |
| File Size | 1948.6 KB |
| OCR Confidence | 85.0% |
| Has Readable Text | Yes |
| Text Length | 11,027 characters |
| Indexed | 2026-02-11T10:55:28.617452 |