Epstein Index›Documents›EFTA00522224
💨IMPACT LEVEL 1 — MEH

Epstein File EFTA00522224: Minor and Pregnant (DS9)

General DocumentDate unavailableEFTA005222241 keyword hits
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Form document dated October 8, 2017 at 10:24 AM containing participant information for Karyna Shuliak (birth date and address information partially visible), including sections for adult participant/parent or legal guardian of minor, and health screening questions regarding pregnancy status.

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PersonKeyword
Excerpt 1
Adult Participant and/or Parent/Legal Guardian of **Minor**: First Name: Karyna Last Name: Shuliak Birth Date: State: Address: City: Postal Code: 10065 Email
Excerpt 2
: Phone: nu Legal Signature of Adult Participant or Parent/Guardian if a **minor** participant(s): EFTA00522226 Date and Time Signed: 10/08/2017 at 10:24
Excerpt 3
YES NO If yes, please describe: Are you **pregnant**? YES NO If yes, when is your due date?

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