| Name: | John Simon Griffin | Gender: | Male |
| Date of Birth: | 2-2-0-3-5-7 | ||
| Emotional condition: | Very frail | ||
| Address for future income payments: | Heaven | ||
| Certificates of Publication: | None | ||
| Or any hope of being published? | No | ||
| How many people like your poems? | One | ||
| In forty words or fewer here below give reasons why you want your Pass renewed: |
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| I want to keep my License up-to-date so I may be permitted rhymes that you'd not normally allow and to create more verse in which facts need not be precise and use conceit or linguistic device |
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| If this Application is allowed | |||
| will you observe the rules and codes of dress | |||
| and will you wander, lonely as a cloud | |||
| yet never write of daffodils? | Oh yes | ||
| If your verse is broadcast, plays enacted | |||
| or novels published, will you still agree | |||
| to waste whole days in fancy, quite distracted | |||
| like bards have always done? | Oh yes. That's me. | ||
| It just remains for you to sign hereunder | |||
| within the space provided, your initials | |||
| then, at the perforation, tear asunder | |||
| and do not touch the space for the Officials. | |||
| Then post it to us with the usual fee. | |||
| Signature in block caps: | JSG | ||
(Nov 23rd 2006)