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*Date and seaport of entry | *Date and seaport of entry | ||
*Final destination | *Final destination | ||
*Name of passenger | *Name of passenger | ||
*Birth place | *Birth place | ||
*Age | *Age | ||
*Gender | *Gender | ||
{{col-break}} | |||
*Occupation | *Occupation | ||
*Whether or not can read and write | *Whether or not can read and write | ||
*Nationality | *Nationality | ||
*Last permanent residence | *Last permanent residence | ||
*Destination | *Destination | ||
*Who paid for passage | *Who paid for passage | ||
*Whether or not has been in U. S. before | *Whether or not has been in U. S. before | ||
*Name and address of relative or friend passenger plans to join | *Name and address of relative or friend passenger plans to join | ||
*General condition and statement of health | *General condition and statement of health | ||
*Description of passenger | *Description of passenger |
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