| Field | Value |
|---|---|
| Version | 3.0 |
| PRODID | (redacted) |
| Name — Family | (redacted) |
| Name — First | (redacted) |
| Name — Middle / Prefix / Suffix | (none visible / redacted) |
| Formatted Name | (redacted) |
| Electronic Mail Address | (redacted) (Home Preferred Internet) |
| Telephone Number | (redacted) (Preferred Voice Cell) |
| Comment | (redacted) |
| P# | (redacted) |
| DOB | (redacted) |
| Passport Expires | (redacted) |
| Travel note | (redacted) will be traveling from (redacted) going through Moscow to Paris |