Passport ID:                    

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


Name:                           
Immigrant ID:                   LBRT-01MAY1907-3-41-0024 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Emigrated From (Date):          
Resided in USA:                 

Naturalization Date / Location / Court:
                                 /  / 

Comments:
purpose: securing acceptance of self and child at NY

Children:

Action	Name	Birth Date	Birth Place	Comments
	Misakian, Ersa	1896	Harput (Parchanj), Mamuretulaziz, Turkey