This page only includes descriptions of forms as actuallly used in
the Sources of the family group sheets
on this web site. It is not a comprehensive or exhaustive list of
the many forms in use.
When I fill in the forms for my web pages, I abbreviate "yes" as Y;
"no" or "none" or "nil" as N; "good" as G;
and "fair," with regard to complexion, as F. I also
abbreviate colors (e.g., brown as brn, black as blk, grey as gry,
blue as blu, etc.). |
The
22-Column Form
1. No. on List.
2. NAME IN FULL.
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to — Read. | Write.
8. Nationality (Country of which citizen or subject).
9. Race or People.
10. Last Residence (Province, City, or Town).
11. Final Destination (State, City, or Town).
12. Whether having a ticket to such final destination.
13. By whom was passage paid?
14. Whether in possession of $50, and if less, how much?
15. Whether ever before in the United States; and if so, when
and where?
16. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address.
17. Ever in prison or alms house, or institution for care and
treatment of the insane, or supported by charity? If so, which?
18. Whether a Polygamist.
19. Whether an Anarchist.
20. Whether coming by reason of any offer, solicitation, promist,
or agreement, express or implied, to labor in the United States.
21. Condition of Health, Mental and Physical.
22. Deformed or Crippled. Nature, length of time, and cause. |
The
22-Column Form with Addition of Personal Description
1. No. on List.
2. NAME IN FULL.
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to — Read. | Write.
8. Nationality (Country of which citizen or subject).
9. Race or People.
10. Last Residence (Last permanent residence, Country and City
or Town).
11. Final Destination (State, City, or Town).
12. Whether having a ticket to such final destination.
13. By whom was passage paid?
14. Whether in possession of $50, and if less, how much?
15. Whether ever before in the United States; and if so, when
and where?
16. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address.
17. Ever in prison or almshouse, or institution for care and
treatment of the insane, or supported by charity? If so, which?
18. Whether a Polygamist.
19. Whether an Anarchist.
20. Whether coming by reason of any offer, solicitation, promist,
or agreement, express or implied, to labor in the United States.
21. Condition of Health, Mental and Physical.
22. Deformed or Crippled. Nature, length of time, and cause.
PERSONAL DESCRIPTION.
Height. Feet. Inches.
Complexion.
Color of — Hair. Eyes.
Marks of Identification.
PLACE OF BIRTH. |
The 27-Column
Form
1. No. on List.
2. NAME IN FULL
3. Age — Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to — Read. | Write.
8. Nationality (Country of which citizen of subject.)
9. Race or People.
10. Last Residence. (Last permanent residence, Country and City
or Town.)
11. Final Destination (State, City, or Town.)
12. Whether having a ticket to such final destination.
13. By whom was passage paid?
14. Whether in possession of $50, and if less, how much?
15. Whether ever before in the United States; and if so, when
and where? Y or N | Year | Where
16. Whether going to join a relative or friends and if so, what
relative or friend, and his name and complete address.
17. Ever in prison or almshouse, or institution for care and
treatment of the insane, or supported by charity? If so, which?
18. Whether a Polygamist.
19. Whether an Anarchist.
20. [Too small to read in this image.]
21. Condition of Health, Mental andPhysical.
22. Deformed of Crippled. Nature, length of time, and cause.
23. Height — Feet | Inches
24. Complexion.
25. Color of — Hair | Eyes.
26. Marks of Identification.
27. Place of Birth. |
The 29-Column
Form
Left-facing Page
1. No. on List.
2. NAME IN FULL: Family Name | Given Name
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to — Read. | Write.
8. Nationality (Country of which citizen or subject).
9. Race or People.
10. Last Permanent Residence: Country. | City or town.
11. The name and complete address of nearest relative or friend
in country whence alien came.
12. Final Destination: State. | City or town. (Intended
future permanent residence.)
Right-facing Page
13. No. on List.
14. Whether having a ticket to such final destination.
15. By whom was passage paid? (Whether alien paid his own
passage, whether paid by any other person, or by any corporattion, society,
municipality, or government.)
16. Whether in possession of $50, and if less, how much?
17. Whether ever before in the United States: and if so, when
and where?
a. Yes or No.
b. If Yes:
(1). Year
of period of years.
(2). Where?
18. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address.
19. Ever in prison or almshouse, or institution for care and
treatment of the insane, or supported by charity? If so, which?
20. Whether a Polygamist.
21. Whether an Anarchist.
22. Whether coming by reason of any offer, solicitation, promise,
or agreement, express or implied, to labor in the United States.
23. Condition of Health, Mental and Physical.
24. Deformed or Crippled, Nature, length of time, and cause.
25. Height: Feet. | Inches.
26. Complexion.
27. Color of —: Hair. | Eyes.
28. Marks of Identification.
29. Place of Birth: Country. | City or Town. |
Alternate
29-Column Form
Left-facing Page
1. No. on List.
2. NAME IN FULL: Family Name | Given Name.
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to — Read. | Write.
8. Nationality (Country of which citizen or subject).
9. Race or People.
10. Last Permanent Residence: Country. | City or town.
11. The name and complete address of nearest relative or friend
in country whence alien came.
Right-facing Page
12. No. on List.
13. Final Destination: State. | City or Town.
14. Whether having a ticket to such final destination.
15. By whom was passage paid? (Whether alien
paid his own passage, whether paid by any other person, or by any corporattion,
society, municipality, or government.)
16. Whether in possession of $50, and if less, how much?
17. Whether ever before in the United States: and if so, when
and where?
a. Yes or No.
b. If Yes:
(1). Year
of period of years.
(2). Where?
18. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address.
19. Ever in prison or almshouse, or institution for care and
treatment of the insane, or supported by charity? If so, which?
20. Whether a Polygamist.
21. Whether an Anarchist.
22. Whether coming by reason of any offer, solicitation, promise,
or agreement, express or implied, to labor in the United States.
23. Condition of Health, Mental and Physical.
24. Deformed or Crippled, Nature, length of time, and cause.
25. Height: Feet. | Inches.
26. Complexion.
27. Color of —: Hair. | Eyes.
28. Marks of Identification.
29. Place of Birth: Country. | City or Town. |
The 33-Column
Form
Left-facing Page
1. No. on List.
2. Head-Tax Status (This column for use of Government
officials only.)
3. NAME IN FULL: Family name. | Given name.
4. Age: Yrs. | Mos.
5. Sex.
6. Married or single.
7. Calling or occupation.
8. Able to — Read. | Read what language… | Write.
9. Nationality (Country of which citizen or subject).
10. Race or People.
11. Last Permanent Residence: Country. | City or Town.
12. The name and complete address of nearest relative or friend
in country whence alien came.
13. Final Destination: State. | City or town.
Right-facing Page
14. No. on List.
15. Whether having a ticket to such final destination.
16. By whom was passage paid?
17. Whether in possession of $50, and if less, how much?
18. Whether ever before in the United States; and if so, when
and where?
19. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address.
20. Purpose of coming to United States: ? | ? | ?
[Too small to read.]
21. [Too small to read.]
22. Whether a Polygamist.
23. Whether an Anarchist.
24. [Too small to read.]
25. [Too small to read.]
26. [Too small to read.]
27. Condition of Health, Mental and Physical.
28. Deformed or Crippled, Nature, length of time, and cause.
29. Height: Feet. | Inches.
30. Complexion.
31. Color of —: Hair. | Eyes.
32. Marks of Identification.
33. Place of Birth: Country. | City or Town. |
The 36-Column
Form
Left-facing Page
1. No. on List
2. HEAD-TAX STATUS (This column for use of Government
official only)
3. NAME IN FULL: Family name | Given name
4. Age: Yrs. | Mos.
5. Sex
6. Married or single
7. Calling or occupation
8. Able to —: Read | Read what language [or, if
exemption claimed, on what ground] | Write
9. Nationality (Country of which citizen or subject)
10. Race or people†
11. Place of birth: Country | City or town
12. Immigration Visa Number
13. Issued at—
14. Date
15. Last permanent residence: Country | City or town
†List of races will be found on the back of this sheet.
*Permanent residence within the meaning of this manifest
shall be actual or intended residence of one year or more.
Right-facing Page
16. No. on List
17. The name and complete address of nearest relative or friend
in country whence alien came
18. Final destination (*Intended future permanent residence)
19. Whether having a ticket to such final destination
20. By whom was passage pair" (Whether alien paid his own passage,
whether paid by relative, whether paid by any other person or by any corporation,
society, municipality, or government)
21. Whether in possession of $50, and if less, how much?
22. Whether ever before in the United States; and if so, when
and where: Yes or No | If yes — Year of period of years | Where?
23. Whether going to join a relative or friend; and if so, what
relative or friend, and his name and complete address
24. Purpose of coming to United States:
| Whether alien intends
to return to country whence he came after engaging temporarily in laboring
pursuits in the United States
| Length of time alien intends
to remain in the United States
| Whether alien intends
to become a Citizen of the United States
25. Ever in prison or almshouse or institution for care and treatment
of the insane, or supported by charity? If so, which?
26. Whether a polygamist
27. Whether an anarchist
28. Whether a person who believes in or advocates the overthrow
by force or violence of the Government of the United States or all forms
of law, etc. (See footnote for full text of this question)
29. Whether coming by reason of any offer, solicitation, promise,
agreement, expressed or implied, to labor in the United States
30. Whether alien had been previously deported within one year
31. Condition of health, mental and physical
32. Deformed or crippled. Nature, length of time, and cause
33. Height: Feet | Inches
34. Complexion
35. Color of—: Hair | Eyes
36. Marks of identification
NOTE.—Full text of question 28 is as follows: Whether
a person who believes in or advocates the overthrow by force or violence
of the Goverment of the United States or of all forms of law, or who disbelieves
in or is opposed to organized government, or who advocates the assassination
of public officials, or who advocates or teaches the unlawful destruction
of property, or is a member of or affiliated with any organization entertaining
and teaching disbelief in or opposition to organzied goverment or which
teaches the unlawful destruction of property, or who advocates or teaches
the duty, necessity, or propriety of the unlawful assaulting or killing
of any officer or officers, either of specif individuals or of officers
generally, of the Goverment of the United States or of any other organized
goverment because of his or their official character. |
The 11-Column
Half-pages
For the Baltimore Passenger Lists, Ancestry.com is (as of this
writing) only supplying the left-facing pages; the right facing pages are
not included.
Left-facing Page Only
1. No. on List.
2. NAME IN FULL: Family Name. | Given Name.
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to— Read. | Write.
8. Nationality (County of which citizen or subject).
9. Race or People.
10. Last Permanent Residence: Country. | City or Town.
11. The name and complete address of nearest relative or friend
in country whence alien came.
... |
The
Canadian Form
Left-facing Page
1. Line
2. Family Name, Given Name
3. Relationship
4. Age: Male
5. Age: Female
6. Single, married, widowed or divorced
7. Country and Place of Birth
8. Nationality (country of which a citizen or subject)
9. Race of People
IF IN CANADA BEFORE
10. Between what periods
11. At what address
12. Ever refused entry to or deported from Canada?
13. Do you intend to remain permanently in Canada?
14. Can you read?
15. What Language
16. By whom was passage paid
Right-facing Page
17. Line
18. What trade of occupation did you follow in your own country?
19. What trade or occupation do you intend to follow in Canada?
20. If destined to relative, friend or employer state which and
give name and full address. If not joining any person in Canada,
give the address in Canada to which you are going.
21. Give name, relationship and address of your nearest relative
in the country from which you came. If a wife or children are to
follow you later to Canada, give names and ages.
Have you or any of your family ever been
22. Mentally defective
23. Physically defective
24. Tubercular
25. Passport: number, place and date of issue
26. Money in possession belonging to passenger
27. Traveling inland on
28. Action taken and civil examiner |
Norddeutscher
Lloyd, Bremen, Steamship Company
1. No. on List.
2. NAME IN FULL.
3. Age: Yrs. | Mos.
4. Sex.
5. Married or Single.
6. Calling or Occupation.
7. Able to: Read. | Write.
8. Nationality.
9. Last Residence.
10. Seaport for landing in the United States.
11. Final destination in the United States. (State, City or Town.)
12. Whether having a ticket to such final destination.
13. By whom was passage paid.
14. Whether in possession of money. If so, whether more
than $30 and how much if $30 or less.
15. Whether ever before in the United States, and if so, when
and where.
16. Whether going to join a relative, and if so, what relative,
their name and address.
17. Ever in Prison or Almshouse or supported by charity.
If yes, state which.
18. Whether a Polygamist.
19. Whether under Contract, express or implied, to labor in the
United States.
20. Condition of Health, Mental and Physical.
21. Deformed or Crippled, Nature and Cause. |
Hamburg
Passenger Lists, 1850-1934; 12-column form
In header:
Verzeichniss [List/Register]
der Personen Passagiere welche mit dem [of Persons
Passengers with]
Dampf [Steam] Segel [Sail] Schiffe [ships]
unter ____ Flagge [under ____ Flag] Capitain _____ [Captain _____]
nach [to _____]
zur Auswanderung durch Unterzeichnete... [emigration by undersigned]
Abgang des Schiffes, d. [Departure of the vessel, date ________]
In list:
No. [Number on List]
Die zu einer Familie gehörenden Personen sind unter einander zu
notiren und durch eine Klammer als zusammengehörig zu bezeichnen.
[Belonging to a family people are with each other to record and denote
by a clip as belonging together.]
1. Zuname. [Surname.]
2. Vorname. [Forename.]
Geschlecht [Gender]
3. männlich [male] | weiblich [female]
4. Alter. [Age]
5. Bisheriger Wohnort. [Present Residence.]
6. Im Staate oder in der Provinz. [In State or in Province.]
7. Bisheriger Stand oder Beruf. [Present Position or Occupation.]
8. Ziel der Auswanderung, Ort und Land ist Anzugeben. [Goal of
Immigration, indicate Place and Country.]
9. Zahl der Personen [Number of persons.]
Davon sind [Of these]
10. Erwachsene und Kinder uber 10 Jahre [Adults and children
over 10 years]
Kinder [Children]
11. unter 10 Jahre [under 10 years]
12. unter 1 Jahre [under 1 year] |