[104-10164-10002.pdf — page 70]
# PERSONAL INFORMATION#162REPA. A-12 552 976NAME: Bortes Clarense FransiscoPHONE NUMBER: 235-5402SOCIAL SECURITY NUMBER: 436-68-1564MALE: ☑FEMALE: ☐MARITAL STATUS:SINGLE: ☐MARRIED: ☐ENGAGED: ☐WINDOWED: ☐DIVORCED: ☐SEPARATED: ☐PRESENT ADDRESS: 1604 Mason Smith Ave Metairie La.PERMANENT ADDRESS: SAMEDATE OF BIRTH (MONTH, DAY, YEAR): 9-14-1920PLACE OF BIRTH (CITY, COUNTRY): Havana-ClibaHEIGHT: 178COLOR OR HAIR: BrownCOMPLEXION: StronDESCRIBE ANY SPECIAL OR OUTSTANDING CHARACTERISTICS OR IDENTIFYING MARKS:HEIGHT: 6'6"COLOR OF EYES: BrownPASSPORT PARTICULARS: Issuing Authority: State Dept.Date of issue: 4-8-454KIND OF PASSPORT:PLACE OF ISSUE: Havana-CubaVALIDITY PERIOD: 4-8-62CITIZEN OF U.S.A.? YES ☐ NO ☑PASSPORT NO. 09063NATURALIZED:HAS YOUR PASSPORT EVER BEEN CANCELLED? YES ☐ NO ☑. IF ANSWER IS "YES" GIVE FULL DETAILS:Nationality: CubanDate:Place:## EDUCATION| NAME AND LOCATION OF SCHOOL                                                 | DATES ATTENDED     | GRADUATE DEGREES     | MAJOR SUBJECTS       || --------------------------------------------------------------------------- | ------------------ | -------------------- | -------------------- || High School: La Salle Carric Femen at Havana                                | 4 years            | 1940                 | Business and Science || College: University of Havana                                               | 5 years            | 1946                 | Public Accountant    || TRADE, BUSINESS OR CORRESPONDENCE SCHOOL, OTHER WITH DATES:                 |                    |                      |                      || SUBJECTS OF SPECIAL STUDY OR RESEARCH WORK: Statistics                      |                    |                      |                      || VOCATIONAL QUALIFICATIONS LICENSE, CERTIFICATE, ETC.: Aviation Council Cuba |                    |                      |                      || WHAT FOREIGN LANGUAGES DO YOU SPEAK FLUENTLY?: Spanish                      |                    |                      |                      || U.S. MILITARY SERVICE (BRANCH): None                                        | Type of Discharge: | Read: Yes Write: Yes |                      || Present Membership in National Guard or Reserves:                           |                    |                      |                      ||                                                                             |                    |                      |                      |RANK:ACTIVITIES OTHER THAN RELIGIOUS (CIVIC, ATHLETIC, FRATERNAL, ETC.):Previous Addresses During Past Ten Years:| Dates                | Street                                | City/State | Country || -------------------- | ------------------------------------- | ---------- | ------- || From 1955 To 1960    | 1002-19 St                            | Havana     | Cuba    || From Mar 1960 To Now | 1455 Jefferson Terrace New Orleans La | N.S.A.     |         |SPOUSE (INCLUDE FIANCE AND PRIOR MARRIAGES) - CHILDREN| Name | Date of Birth | Present Address | Occupation || ---- | ------------- | --------------- | ---------- ||      |               |                 |            ||      |               |                 |            ||      |               |                 |            |