| 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 29-Column
Form
Left-facing Page
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 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.
Right-facing Page
13. No. on List.
14. Whether having a ticket to such final destination.
15. By whom was passage paid?
16. Whether in possession of $50, and if less, how much?
17. Whether ever before in the United States:
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. [Can't read, I'll have to find a better page.]
20. Whether a Polygamist.
21. Whether an Anarchist.
22. [Can't read, I'll have to find a better page.]
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?
16. Whether in possession of $50, and if less, how much?
17. Whether ever before in the United States:
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. [Can't read, I'll have to find a better page.]
20. Whether a Polygamist.
21. Whether an Anarchist.
22. [Can't read, I'll have to find a better page.]
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 fried; 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
11-Column Half-pages
For the Baltimore Passenger Lists, Ancestry.com is 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.
... |
| Please Note: When I fill in the forms for my web pages, I abbreviate
"yes" as Y; "no" or "none" or "nil" as N; and "good" as G; I also abbreviate
colors (e.g., brown as brn, black as blk, grey as gry, blue as blu,
etc.). |