Name: Paul Fullajtar

Address: 3414 Rosehill, Philadelphia, Pennsylvania

Date of birth: December 22. 1888

Declared intention to become U.S. citizen

Place of birth: Nagy Szent Miklos, Hungary

Occupation: Wood finisher

Employer: G. W. Smith & Company, Inc., 39th & Palton Avenue

Dependents: Wife and four children

Married, white, 5 foot 9 inches, 136 pounds, gray eyes, brown hair

June 5, 1917 (signed) Paul Fullajtar