English Translation

```
23 Seymour Place,
London, W.1.

The Under Secretary of State,
The Home Office,
(Finance Division),
Whitehall,
London, S.W.1.

Dear Sir,

I now enclose the following documents:-
1. Application for Certificate of Naturalization.
2. Cheque for £2.0.0d.
3. The issues of the 11th and 18th instant of the
   Marylebone Mercury containing the necessary
   advertisement.

Yours faithfully,

J. CZERNIN

Mother's full name before
marriage in country of her
birth (in BLOCK LETTERS)
VILEMINA CZERNIN

Present address (if living)
23, Seymour Pl., London, W.1.

Nationality (if dead, at time
of death)

```