Photocopy of a declassified questionnaire used to determine if the person named is to be considered an enemy alien. This page covers question 10 of 111 and contains the left side of the form only covering only entries into the United States. Question 10 asks about all entries and departures from the United States. Dr. Koyama …

Photocopy of a declassified questionnaire used to determine if the person named is to be considered an enemy alien. This page covers questions 6b - 9 of 111. Dr. Koyama writes that he lived in Shibata in Niigata Ken, Japan from October 7, 1897 to December 1914. He states that he is a Japanese male, 5'4" …