Author:
Lord Curzon [George Nathaniel Curzon (1859-1925), 1st Marquess Curzon of Kedleston] [Rear-Admiral Edward Bernard Cornish Dicken]
Publication details:
28 August 1922; Foreign Office, London.
Folio, 3 pp. Fair, on lightly-creased and aged paper. The lengthy form is printed, and completed with typewritten additions and its own 'Registry No.'