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Certificate exempting Antonio Cubillo from the dictation test
[Main heading in bold text:] CERTIFICATE EXEMPTING FROM DICTATION TEST.
I, Clifford Charles Green [name handwritten] the Sub [word handwritten, inserted above] Collector of Customs for [words 'the state of' crossed out] Darwin, North Australia [location handwritten] in the said Commonwealth, hereby certify that Antonio Cubillo [name handwritten] hereinafter described, who is leaving the Commonwealth temporarily, will be exempted from the provisions of paragraph (a) of Section 3 of the Act if he returns to the Commonwealth within a period 3 years [time handwritten] from [the words 'this date' crossed out, replaced with handwritten text:] date of departure.
[Handwritten signature:] Clifford Green
Sub [word handwritten] Collector of Customs.
Date [Handwritten:] 11th January 1928
[Bold subheading:] DESCRIPTION.
[The following information is presented in 2 columns. The questions are typed and the responses are handwritten.]
[Left column.]
Nationality[:] Filipino
Age[:] 51 Years
Height[:] 5 ft [feet] 3 ins [inches]
Build[:] Medium
[Right column.]
Birthplace[:] Calope [Calape] Bohol P. Islands.
Complexion[:] Olive
Hair[:] Black
Eyes[:] Brown
[End columns.]
Particular marks[:] Small scar left wrist.
[Bold] (For impression of hand, see back of this document.)
[Dividing line.]
[Bold subheading:] PHOTOGRAPHS.
Full Face:-
[Front on photo pasted here. Annotated with handwritten note that reads: 'Antonio Cabillo [illegible signature] 31.7.29.']
Profile:-
[Side facing photo pasted here. Annotated with handwritten note that reads: 'Antonio Cabillo [illegible signature] 31.7.29.']
[Stamped six times across the photos in blue ink. Stamp reads: 'AUSTRALIA H.M. CUSTOMS PORT OF DARWIN'.]
Date of departure[:] 1.8.29
Ship[:] Antonio.
Port of Embarkation[:] Darwin
Destination[:] Manila
Date of return [no response.]
Ship [no response.]
Port [no response.]
[Blank space for signatures, labelled:] Customs Officers.
[Form number in bottom left corner in small text:] A.214/3.17.-C.3005.
