Passport ID:                    

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

Child Number:                   



Name:                           
Immigrant ID:                   ROCH-01JAN1924-2-U1-0015 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Comments:

Applicant/Parent:

Action	Name	Birth Date	Birth Place	Comments
	Boghosian, Youghaper Yeghan	1885	Harput (Ich'me), Mamuretulaziz, Turkey	scar on right cheek