Passport ID:                    

Court/Consulate Location:       
Passport Type:                  
Application Number:             
Oath Date:                      

Child Number:                   



Name:                           
Immigrant ID:                   

Age:                             years 
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:
[unnamed daughter]

Applicant/Parent:

Action	Name	Birth Date	Birth Place	Comments
	Aktarian, Satenik	1895	Erzurum, Turkey	applicant resided Aug-1913 to May-1914 at Los Angeles, CA, last left USA May-1914, arriving at Smyrna