Passport ID:                    

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


Name:                           
Immigrant ID:                   NORM-29MAY1897-3--0294 

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:
                                 /  / 



Other Relationship:             

Name:                           
Immigrant ID:                   NORM-29MAY1897-3--0295 

Occupation:                     

Witness Name / Occupation / Residence / Time Known Applicant:
                                 /  /  / 

Send Passport To:               
                                

Comments:
[wife mentioned, but not named] / face covered with a large growth beard, black mixed with gray

Children:

Action	Name	Birth Date	Birth Place	Comments
	Derstephanian [Stepanian], Hagop	1888-02-10	Harput, Mamuretulaziz, Turkey
	Derstephanian [Stepanian], Loosaper	1895-08-14	Providence, RI, USA