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Passport ID: Court/Consulate Location: Passport Type: Application Number: Oath Date: Name: Immigrant ID: 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: / / Left Country: Other Relationship: Name: Immigrant ID: Occupation: Comments:last left USA on board S. S. Erny / purpose: secure acceptance of daughter at NY
Children: