This Sheet is for.

 

passengers

List #

Extracted information from List or Manifest at Port of Arrival

S.S.

 

Other page nums:

Sailing from

 

Arriving at

 

 

Date

 

Date

 

1

Line Number on List

 

 

 

 

 

2

Name in Full

Family Name

 

 

 

 

 

Given Name

 

 

 

 

 

3

Age

Years

 

 

 

 

 

Months

 

 

 

 

 

4

Sex

 

 

 

 

 

5

Married/Single

 

 

 

 

 

6

Calling/Occupation

 

 

 

 

 

7

Able to:

Read

 

 

 

 

 

Write

 

 

 

 

 

8

Nationality

 

 

 

 

 

9

Race or People

 

 

 

 

 

10

Last Perm. Residence

Country

 

 

 

 

 

City/Town

 

 

 

 

 

11

Name and address of nearest relative/friend in country whence Alien came.

     

 

 

12

Final Destination

State

 

 

 

 

 

City/Town

 

 

 

 

 

13

Line Number on List

 

 

 

 

 

14

Ticket to final destination?

 

 

 

 

 

15

Who paid passage?

 

 

 

 

 

16

Have $50? If not how much?

 

 

 

 

 

17

Ever in US before?

 

 

 

 

 

If yes:

Year or period

 

 

 

 

 

Where?

 

 

 

 

 

18

Joining a relative/friend? Who and where?

 

 

 

 

 

19

Ever in prison, asylum, etc?

 

 

 

 

 

20

A polygamist?

 

 

 

 

 

21

An Anarchist?

 

 

 

 

 

22

Whether coming by reason...

 

 

 

 

 

23

Mental and Physical health

 

 

 

 

 

24

Deformed/crippled? Nature & cause

 

 

 

 

 

25

Height

Feet

 

 

 

 

 

Inches

 

 

 

 

 

26

Complexion

 

 

 

 

27

Color of

Hair

 

 

 

 

 

Eyes

 

 

 

 

 

28

Marks of Identification

 

 

 

 

 

29

Place of birth

Country

 

 

 

 

 

City/Town

 

 

 

 

 

Source info:

Extracted by:

 

 

 

Extract date:

 

 

Title of microfilm publication

 

NARA pub.num

 

Publisher

 

 

 

 

Microfilm roll #

 

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Page #

 

The exact spelling of the primary name as indexed:

 

Copyright 2003 by Lisa Perkins. All Rights Reserved.