Passport ID:                    

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




Name:                           
Immigrant ID:                   LSVO-12OCT1919-3-U9-0003 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:
married / permanent residence: Watertown, MA (never lived in USA)