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Port: ______Microfilm Publication Number: ______March 1924 to June 1948 Roll Number: ______Page or Group: ______Line or List: ______List or Manifest of Passengers For the United States

ALL arriving at a port of continental United States from a foreign port or a port of the insular possessions of the United States, and all aliens arriving at a port of said insular possession from a foreign port, a port of continental United States, S.S.______passengers sailing from ______, ______, 19___

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

HEAD- Immigration Visa, Last Place of TAX Name in Full Able to - Place of Birth Issued

Age Nationality Passport Visa, or STATUS Residence List Reentry Permit (Country of (This Race or which Number (Prefix on Sex

column for People number with QIV, o. citizen or City or City or

use of Read What NQIV, PV or RP and N Government subject) Town, State, town, State, Language (or if give Section of act of use for column (This Family Name Given Name Country Place Date concerningData Country Married or Single

officials Yrs. Mos. Read exemption claimed Write Province or involved) Province or Government officials only) officials Government Calling or Occupation or Calling

only) etc. on what ground) District verification of landings, District

National Archives and Records Administration NARA’s website is www.archives.gov NA Form 14132e (3/05)

Immigration Officer at Port of Arrival or a port of another insular possession, in whatsoever class they travel, MUST be fully listed and the master or commanding officer of each vessel carrying such passengers must upon arrival deliver lists thereof to the immigration officer.

Arriving at Port of ______, ______, 19___ 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37

The name and Whether ever before in the United States, and if Color complete Final destination Height Whether Purpose of coming to United By whom was (Indented future of so, when and Where? forms of of –

address of States

permanent residence) (Last residence only) going to nstitution passage paid? nearest

join a relative or (Whether alien

paid his own relative or

friend in In U.S.A., its

n? passage, whether If Yes – friend; state territories or country ) paid by relative, name and

n the n the

whence alien possessions whether paid by

complete

came, or if question) any other person, address,

No. on List No. destinatio none there, or by any Complexion

Feet

and if Hair Eyes less, how much? how less, corporation, then in Inches Whether anarchist an relative, polygamist a Whether Yes orYes No?

City or society, lengthof time, and cause Marks of identification country of deported within one year. one within deported United States exact United States municipality, or er arrested and deportedany at time State

which a town Deformed or Crippled. Nature, implied, tolabor inthe United States Where? of years government) relationship engaging after came supported by charity? If so, which? so, If charity? by supported Whether coming by reason of any offer, offer, of any reason by coming Whether Length of time alien departure? (port of departure of (port temporarily in laboring laboring in temporarily law etc. (See footnote for full text of this this of text full for footnote (See etc. law the overthrow by force or violence of the the of violence or force by overthrow the Date of last Whether alien intendsto citizen or via country Foreign become a citizen of the previously been had alien Whether for care and treatmentof the insane, or intends toremain i Whether alien intends to to intends alien Whether return to country whence he he whence country to return Year or period period or Year pursuits in the United States United the in pursuits Condition of health: mental and physical and mental health: of Condition Whether in possession of $50, and if if and $50, of possession in Whether Whether having a ticket to such final final such to ticket a having Whether solicitation, promise, or agreement, express or or express or agreement, promise, solicitation, Whether person a believes who oradvocates in Ever in prison or almshouse, or i or almshouse, or prison in Ever Wheth subject. all or States United the of Government

National Archives and Records Administration NARA’s website is www.archives.gov NA Form 14132e (3/05)