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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: LPRV-04MAY1912-3-9-0014 NIAG-12AUG1920-3-21-0021 Age: years Birth Date: Birth Place: Occupation: Height: Eye Color / Hair Color: / Residence Address: Emigrated From (Date): Ship Name: Resided in USA: Naturalization Date / Location / Court: / / Left Country: Other Relationship: Name: Immigrant ID: Occupation: Witness Name / Occupation / Residence / Time Known Applicant: / / / Comments:have been residing since 1913 at the vilayet of Harpoot [Mamuretulaziz] / now temporarily residing at Tiflis, Russia