Passport ID:                    

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




Name:                           
Immigrant ID:                   LEOP-16SEP1920-3-U1-0016 

Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 

Residence Address:              

Left Country:                   


Other Relationship:             

Name:                           
Immigrant ID:                   LGSC-17APR1905-3-GG-0006 

Occupation:                     

Witness Name / Occupation / Residence / Time Known Applicant:
                                 /  /  / 

Comments:
documents submitted: letter from brother in Detroit promising to support child and educate him