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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: LBRT-11JUL1910-3-4-0023 MGHL-01DEC1921-1-U1-0005 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: / / Leaving Country: Jun-1921 / New York, NY / Constantinople: visit relativesOther Relationship: Name: Immigrant ID: Occupation: Birth Date: Birth Place: Witness Name / Occupation / Residence / Time Known Applicant: / / / Send Passport To: Comments:formerly known as Sahag Derderian / mole on right temple