Cx PRIVACY ACT MATERIAL REMOVED _ GOVERNMENT OF THE MARSEALL ISLANDS Majuro, Maxrsnali. Ysiands Speciai Health Surver Nene . Sex F- | Age / nesidence: igsc-1960- A/KIEB Aro 1960-1566¥, 1966-1972.ey Srore Gescription of SYD+ / flit dpeWE LUAKESE , Fen r oj DArCary Moe es —_ ARK mI . . “ost f wy Cvenl er bO Year ¢ mnaVeG you been receiving treatment for any illness for 4 perios over one year? Ye “kas anvone in your fdmily compiained of similar symptoms to tne Cucs you are now experiencing? ) Surgery? Lever DateIA, (2 T7F 5011825 PRIVACY ACT MATERIAL REMOVED