FORM 3BV, 1966
REAR: (1)_____, (2)_____, (3)_____.
MIDDLE: (4)_____[Teacher], (5)_____, (6)_____, (7)_____, (8)_____, (9)_____, (10)_____, (11)_____, (12)_____.
SEATED: (13)_____, (14)_____, (15)_____, (16)_____, (17)_____, (18)_____, (19)_____, (20)_____, (21)_____.