Scanned Document Collection Page | of 7 APPLICATION FOR U.S. PASSPORT BY MAI’ * way ]rmat MipODLE [MAR PASSPO! f) ) 2 ® | SOCIAL SECURITY NUMBER DATE DF BIRTH SEF FROPRAL TAX LAW NOTICE OM REVERSE HEIGHT HAIR COLOR COLOR ial HOME TELEPHONE BUSINESS TELEPHONE [Feet [inches] a Da NOTE: Most recent T be enclosed us ISSUE DATE aa) Month | Dey Ve t OCCUPATION (Wot Atanctatory DEPARTURE DATE TRAVEL PLANS (Not Mam v8 ve} LENGTH OF STAY (Not Mandatory rch 1 2003 Israeli, J MANENT ADDRESS (Do not fist P.O. Box) 7 10mas vI | EMERGENCY CONTACT. If you wish. you may supply the name, address, and telephone number of # person not f OATH AND SIGNATURE 4 staternent is attached —> NOTE: APPLICANT MUST SIGN & DATE SIGNATURE DO NOT WRITE BELOW THIS space - FOR one OCihIOO ot SAL. oe Cd expabit }O NOT WRITE BELOW THIS SPACE required to respond to the collection of n accordance with 5 CFR 1320 Sib), p aty valid OMB control number this information undess this torm Page 3 bt 4 di.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=OA0F406... 2/24/2020 EFTA00099196

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Scanned Document Collection Page 2 of 7 age 2 0 rieariseae Tarr Poezue F278 FIRST CUS — Pe, wo-s0 00047751-0501 O2HR QOMIN S00P NON-STOP e 4 A OGHR 45MIN 630A NON-STOP REF: X72eV7 PIRST CLASS MULTI 825A BOP: BOEING 777 O3HR 10MIN \ ivapahskentalacsauguecopecuctenavensapatntssnenresstewerstarerevsesr nn =<. If you need hotel accommodations during your trip, we are pleased to offer * jouthe following hotels which are members of the Fine Horels Sesnsts & %, Spas program - 8n exclusive benefit for Platinum, Business Platinum, Corporate Platinum, Centurion, and Business Centurion Card member's. When you reserve your stey through PTS/CTS/BPT/CPT, you will recelve the following program amenities: A room upgrade at check-sn, when available; * Continental breakfast for two each day of your stays 4pm late check-out: * and a special emenity that varies by property. AOS e Seeercoacscrestewsetonverenersnnzus creas sas OnPPrnCeP UNSER aren. * DAN TEL AVIV 99 RAYARKON STREET * ‘ TEL AVIV ISRAEL 63432 . peerrrrrrrrrrr iiss eeeeeeet senaere sengereneterneces Disetasure seer ee edenenreee Prohibited https://cedi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=0AOF406... 2/24/2020 EFTA00099197

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Scanned Document Collection Page 3 of 7 https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=O0A0F406... 2/24/2020 EFTA00099198

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Scanned Document Collection Page 4 of 7 83/06/2883 22:28 2127798337 SHOPPERS TRAVEL INC PAGE 81 Ona4 7e4_ nen DATE O7MARCHOS = AGENT 9E/9E BOOKING REF X72Yx! MAXWELL. /GHTSLATHE SERVICE ar Pro 5 SEP ORT RRIVE @RAEL AIRLINES LéNAR NEU YORK HT TELAVIV YAFO 730P 1295P suUM JOHN F KEMNEDY BEN GURTO INTL A7MAR TERMINAL 40 HEAL NOM STOP RESERVATION CONFIRMED 10:05 DURATION AIRCRAFT! BOKENG 747-400 ROYAL JORDAK IAN 17NAR TELAVIV YAFO APIMAN g90F 9i5P RY 340" riOoM «© BEN GURIO INTL QUEEN ALIA ¥ €coNOMY TERMINAL 5 NON SMOKING SNACK HOM BTOP KESERVATLON CONFIRACD ° DURATION AIRCRACT! DE HAVILLAND DHC-@ DASH 8 SAUDI ARNBTAM AIRLINE 22PIAR AMMAH RIYADH 200P soor SV 636 LT ia KING KHALED IN f LRGT e TERMINAL WON OTC Gk, CURF JRNC 2800 DURATION ALRCKAFT: MC DOKAELL DOUGLAG AN-90 PRITISH ATRWAYS 27MAR RIYADH LONDON 2008 6200 PA 262 THU = KIMG KHALED IN HEATHROW — F FIRST TERMINAL 1 TERMINAL 4 = NON SMOKING MEAL NON STOP = RESERVATION CONFIRMED 720 DURATION | AIRCRAFT: BORING 777-200 —| oo VRITISN ALRWAYS 27mAR LONDON NEW YORK NY 8258 11108 5 BA 117 THU © MEATHROW UOMK F KENMEDY — F FIRST TCRMINAL 4 TERMINAL 7 — NOM SMUKING REAL MON STOP RESERVATION CONFIRMED 7:45 DURATION ALKCRAFT! BUEING 747-400 REBERVAT TDM HUMPERCS) A/REMUIT RI/HLSZE [y scdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=0A0F406... 2/24/2020 EFTA00099199

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Scanned Document Collection Page 5 of 7 + mameed herein te puss withent delay or hinder ame! fe one of weed 40 gine all law fel aid amd prsterrion = A Bhat es Dos ds PAsmcrique rte por les prdvemtes wetaritts compéteutes de Laisser parser le viteyen | 4a) ressertisnamt des Etats-Unis titehaive die présent passepers, sans dé hab ih / Pificutse ct, om cas de berin, de Ind actonder toute aide et protection léqitiates NOT VALIO UNTIL “1 GNED ae © pibe cg gy Ltda oe LL See! Phen ares | Peern /Menewe ae GHISLAINE NOELLE ~ Aor Pefonen Moneta , UNITED STATES OF AMERICS, piel pte te ae P28 Dec 1964 Y fe Yarm. Gene, Pace ot Ue nsaten Lagat o rected? Saat Ope Lal ie taoeieat Padépert 03 Dec 2012 hy Koen / Mladen | Prema See Peanat <USAMY SWELL << oaTS TNE NOE LL UK€> ede ed cecc GOB 26 GUL AG FR°S1F” 2) 20° [x ceex “Ke eee<ceoe ‘ ee: Cone Sd endseror AT counter https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=0A0F406... 2/24/2020 EFTA00099200

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Scanned Document Collection Page 6 of 7 a 00041751-0505 ized Telephone: (340) 774-1611 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 peas gece poser ase apd bck pcersbonee Maxwell, we, therefore, Ch0d-8T000000 Jeffrey Managing Member Prohibited https://cedi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=OAOF406... 2/24/2020 EFTA00099201

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Scanned Document Collection Page 7 of 7 00047 754-0506 ized Telephone: (340) 774-1611 March 7, 2003 US Passport Agency RESLediietiaun 1 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. 1, 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 atteftion to this or Disclosure Prohibited https://cedi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=OA0F406... 2/24/2020 EFTA00099202