Passport ID:                    

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


Name:                           
Immigrant ID:                   SPRE-13SEP1897-0-2-0017 

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:                   

Occupation:                     

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

Send Passport To:               
                                

Comments: