Passport ID:                    

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


 

Name:                           
Immigrant ID:                   Error - Source page unknown, = 
Error - Source page unknown, = 


Age:                             years 
Birth Date:                     
Birth Place:                    

Occupation:                     
Height:                         
Eye Color / Hair Color:          / 



Other Relationship:             

Name:                           
Immigrant ID:                   

Occupation:                     

Current Residence / Purpose:     / 

Emigrated From (Date):          
Resided in USA:                 

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

Comments:
resided 1904-1908 at Worcester, MA, last left USA 1908, arriving at Harput, Turkey (accompanied grandmother)