Passport ID:                    

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

Child Number:                   

Name:                           
Immigrant ID:                   LTRN-07APR1907-3-20-0029 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:
[application number actually 4, but changed Passport ID due to duplicate number in same year and form type]

Applicant/Parent:

Action	Name	Birth Date	Birth Place	Comments
	Magosian [Margosian], Mariam	1877	Harput, Mamuretulaziz, Turkey	[application number actually 4, but changed Passport ID due to duplicate number in same year and form type] / purpose: securing acceptance of self and children at NY