U.S.

DEPARTMENT OF LABOR
IMMIGRATION SERVICE

SALOON, CABIN, AND STEERAGE ALIENS MUST BE COMPLETELY MANIFESTED

THIS SHEET IS FOR STEERAGE PASSENGERS.

page

LIST OF MANIFEST OF ALIEN PASSENGERS FOR THE UNITED STATES IMMIGRATION OFFICER AT PORT OF ARRIVAL.
Required by the regulations of the Secretary of Commerce and Labor of the United States, under act of Congress approved February 20, 1907 to be delivered to the United States Immigration Officer
by the Commanding Officer of any vessel having such passengers on board upon arrival at a port in the United States

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26

Color
of -

28

29
Place of
Birth
Country

27

City
or Town

26

Hair
Eyes

25

Marks of
Identification.

Information Req. by Naturalization Act of June 29, 1906

Complexion

24

Height

23

Feet

which ?

22

Inches

Ever in prison,
almshouse,
institution for care
of the insane or
supported by
charity ? If so

21

Deformed of Crippled

Whether going to
join a relative or
friend; if so, list
name & complete
address

20

Condition of Health

Whether ever
in U.S. before.

19

Whether coming with

offer, promise, or
agrement of labor ?

18

Whether an Anarchist

Whether in
possession of

City
or
Town

By whom was
passage paid ?

State

destination.

Name & complete

address of nearest
relative or friend in
country from whence
alien came

17

Whether a Polygamist

16

How

15

Where ?

14

Yes or No.

13

, 19

Arriving at Port of

Final Destination
ticket to such final

Race

12

11

Last Residence

Nationality

Able To

10

Whether having a

No. on List

Write

Age

19

City / Town

Occupation

Given

Married -Single

Family

Read

Sex

No.
on
List

2
Name in Full

Years/Months

sailing from

Country

S.S.