Passport ID:                    

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




Name:                           
Immigrant ID:                   ROCH-21MAR1923-3-U1-0007 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 





Other Relationship:             

Name:                           
Immigrant ID:                   DOMI-25AUG1913-3-M-0009 

Occupation:                     

Current Residence / Purpose:     / 

Emigrated From (Date):          
Resided in USA:                 

Comments:
scar under left eye / [birth year and age are inconsistent]