Diala Rimon Farid Rantisi is a female Roman Catholic student from Ramallah, Palestine. She provides her contact information, as well as information about her health and family. She has government health insurance but is not a social case. Her health status is listed as good and she has no disabilities. Her family includes her mother Suzan and sisters Nancy and Marlin, who are all in good health, as well as her brother Farid and father Rimon. She signs a disclosure statement certifying the accuracy of the information provided and authorizing the university to investigate it.