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I
I have
used another name in this country than that given at the beginning of this form. If so, it was
I used that name because
The full name of the person shown on my steamship ticket was Jose Da Lilva Praticante
My mother's maiden name was Threasa Jesus Costorda
My maiden name was (if woman)
My post-office address
is Strington Com
The ticket which I to this country bought at Ponta (City) Del gada (Country)
on came was
If
arrival by ship: Name of steamship line was White starr Line
1st cabin
2d cabin
3d cabin
I arrived as (passenger, stowaway, seaman, member of crew, or otherwise)
Passenger
(State which)
I traveled on (an immigration visa, a passport, a permit)
Passport
(State which)
I paid $ 60
head tax at
Ponta (City) Hel gade (Statepr
on november 5 1915.
(State amount)
country)
(Month) (Day) (Year)
I was examined
by immigration officers at Ponta Del gada
At that time I intended to remain in
(permanently, temporarily, for visit, transit)
Permanently
Praticante
(State which)
The person in the United States I was coming to was (Give name in full)
The was
place in the United States I going to was starington Conn
The names of some of the persons or passengers I traveled with were
Dome Laginho
ADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:
(a) The place in Canada where I landed was
, on
(Month)
(Day)
(Year)
Canada
(b) The place in
from which I entered the United States was
Mexico
(c) On
(Month)
(Day)
(Year)
(d) The place where I was examined for admission at the United States border was
(e) If not examined, state why, and give the circumstances of your entry
Canada
(f) The place in
Mexico
where I bought my railroad ticket to come to the United States was
PRINTING OFTICE 14-8
(OVER)
(Signature of applicant)
Page data
- Page
- 1132
- Source index
- 0
- Type
- photo
- Media ID
- 2f69e0d200db8e8f
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "I\nI have\nused another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nThe full name of the person shown on my steamship ticket was Jose Da Lilva Praticante\nMy mother's maiden name was Threasa Jesus Costorda\nMy maiden name was (if woman)\nMy post-office address\nis Strington Com\nThe ticket which I to this country bought at Ponta (City) Del gada (Country)\non came was\nIf\narrival by ship: Name of steamship line was White starr Line\n1st cabin\n2d cabin\n3d cabin\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\nPassenger\n(State which)\nI traveled on (an immigration visa, a passport, a permit)\nPassport\n(State which)\nI paid $ 60\nhead tax at\nPonta (City) Hel gade (Statepr\non november 5 1915.\n(State amount)\ncountry)\n(Month) (Day) (Year)\nI was examined\nby immigration officers at Ponta Del gada\nAt that time I intended to remain in\n(permanently, temporarily, for visit, transit)\nPermanently\nPraticante\n(State which)\nThe person in the United States I was coming to was (Give name in full)\nThe was\nplace in the United States I going to was starington Conn\nThe names of some of the persons or passengers I traveled with were\nDome Laginho\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\nCanada\n(b) The place in\nfrom which I entered the United States was\nMexico\n(c) On\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nPRINTING OFTICE 14-8\n(OVER)\n(Signature of applicant)"
}