Passport ID:                    

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




Name:                           
Immigrant ID:                   CONS-16MAR1922-2-UC1-0001 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 

Emigrated From (Date):          
Ship Name:                      
Resided in USA:                 

Naturalization Date / Location / Court:
                                 /  / 

Left Country:                   


Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:
bearer of passport 73493 issued 9-Aug-1921