Registrant ID:                 

Country:                       
Registration Date (Conflict):  
Registration Location:         
Serial Number:                 

Registrant Name:               
Immigrant ID:                  HAVR-03DEC1913-3-X-0012 MJST-19MAY1925-2-10-0026 
Age:                            years 
Home Address:                  
Birth Place:                   
Occupation / Employer:          / 
Citizenship Status (Country):  
Height / Build:                 / 
Eye Color / Hair Color:         / 

Nearest Relative Name:         
Nearest Relative Address:      
Nearest Relative Immigrant ID: ROMA-31MAY1926-1-2-0008 
Comments: