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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: Age: years Birth Date: Birth Place: Occupation: Height: Eye Color / Hair Color: / Residence Address: Left Country: Other Relationship: Name: Immigrant ID: Occupation: Witness Name / Occupation / Residence / Time Known Applicant: / / / Comments:father William Van Der Heggen born in Antwerp, now residing at New York, emigrated to USA 1907, resided 1907-1921 at New York, naturalized at New York, NY / bearer of passport 161222 issued 20-Jan-1920