SS Presidente Wilson
AFFIDAVIT OF THE MASTER OR COMMANDING OFFICER,
OR FIRST OR SECOND OFFICER.
I, Cap. Ettore Zar, Master of the "Presidente Wilson" from Trieste, do solemnly, sincerely, and truly swear that I have caused the surgeon of said vessel sailing therewith, or the surgeon employed by the owners thereof, to make a physical and mental examination of each and all of the aliens named in the foregoing Lists or Manifest Sheets, twentysix in number, and that from the report of said surgeon and from my own investigation,I believe that no one of said aliens is of any of the classes excluded from admission into the United States by section three of the Immigration Act, and that also, according to the best of my knowledge and belief, the information in said Lists or Manifests concerning each of said aliens named therein is correct and true in every respect.
____________________
Master
Signature is unreadable except for a Z, probably Cap. Ettore Zar. Sworn to me before this Jul 4 1921 at New York, N.Y. (signed) M Stern, Immigration Officer
AFFIDAVIT OF SURGEON
see Page 1
ALL ALIENS arriving at a port of continental United States from a foreign port or a port of the insular possessions of the United States, and all aliens arriving at a port of said insular possessions from a foreign port, a port of continental United States, or a port of another insular possession, in whatsoever class they travel, MUST be fully listed and the master or commanding officer of each vessel carrying such passengers must upon arrival deliver lists thereof to the immigration officer. This (yellow) sheet is for the listing of SECOND-CABIN PASSENGERS ONLY.
SS Pres Wilson, Passengers Sailing from Trieste, 18 GlU (June) 1921, Arriving at Port of New York July 4th, 19(no other numbers listed here).
Columns represent:
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 in Years/Months
5) Sex
6) Married or single
7) Calling/Occupation
8) Able to Read what language (or if exemption claimed, on what
ground)/Write
9) Nationality, (Country of which citizen or subject.)
10) Race or people
11) Last permanent residence
12) The name and complete address of nearest relative or friend in
country whence alien came.
13) Final destination (Intended future permanent residence)
14) No. on List (Since this is the same as column 1, column 14 will
be eliminated in the passenger paragraph)
15) Whether having a ticket to such final destination.
16) By whom was passage paid? (Whether alien paid his own passage,
whether paid by relative, whether paid by any other person or by
any corporation, society, municipality, or government)
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?
(If yes, year or period of years. Where?
19) Whether going to join a relative; and if so, what relative or friend,
and his name and complete address.
20) 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.
21) Ever in prison or almhouse or institution for care and treatment of
the insane or supported by charity? If so, which?
22) Whether a polygamist.
23) Whether an anarchist.
24) 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.
25) Whether coming by reason of any offer, solicitation, promise, or
agreement, expressed or implied, to labor in the United States.
26) Whether alien had been previously deported within one year.
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.
93 Pelosa
94 Zadkovich C
95 Zadkovich N
96 Pagliari
97 Kocian G
98 Kocian E
99 Kocian S
100 Germek
101 Premrov
102 DeRosa
103 Slatich
104 Bosich
105 Rabach
106 Zambarda Mrs
107 Zambarda V
108 Zambarda A
109 Zambarda I
93* Pelosa, Jelena; 21y; Female; Married; Privat
(6-95106 - 4/2/40 written above the word Privat)
Can read/write; Read: Slovenian
(3-7624 written above the word Slovenian)
Citizen of: Italy; Race: Croatian
Last residence: Mune piccole, Italy
Nearest relative: Mother, Maria Jelsa
Address: Italy, Mune piccole
Destination: Loweville, Oh
Does not have ticket for final destination; Paid by self
In possession of $25; Never before in US
Joining: Husband, Michele Pelosa
Address: Box 256, Bessemer Law Co., Loweville, Ohio
Not returning to alien country; Intends to remain in US
Intends to become a citizen (T.A. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'1"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Mune piccole, Italy
Reviewer's note: 6-95106 - 4/2/40 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
94 Zadkovich, Caterina; 28y; Female; Married; Privat
(6-114528 - 6/27/41 written above the word Privat)
Can read/write; Read: Croatian
(7-1624 written above the word Croatian)
Citizen of: Italy; Race: Croatian
Last residence: Mune piccole, Italy
Nearest relative: Father-in-law, Valentino Stambulio
Address: Mune Grande, Italy
Destination: Loweville, Oh
Does not have ticket for final destination; Paid by self
In possession of $25; Never before in US
Joining: Husband, Zatkovich*, Michele
Address: L. Co. Box 238, Bessemer, PA
Not returning to alien country; Intends to remain in US
Intends to become a citizen (T.A. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'2"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Mune grande, Italy
Reviewer's note: 6-114528 - 6/27/41 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
95 Zadkovich, Nada; 2m; Female; Single; Child
(3A-6092 - 10/20/42 - 505 is written above the word child)
Can read/write; Read: Croatian
Citizen of: Italy; Race: Croatian
Last residence: Mune piccole, Italy
Nearest relative: Accompanied by the mother
Destination: Loweville, Oh
Does not have ticket for final destination; Paid by mother
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen (T.A. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: (lined through)
Complexion: Fair; Hair: Fair; Eyes: Fair
No marks of identification
Place of birth: Mune grande, Italy
Note: This passenger is linked with brackets with the one above,
#94, and noted dau.
Reviewer's note: 3A-6092 - 10/20/42 - 505 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
96 Pagliari, Napoleone; 31y; Male; Married; Trader
Can read/write; Read: Italian
(4-624 written above the word Italian)
Citizen of: Italy; Race: Italian
Last residence: Trieste, Italy
Nearest relative: Sister, Jermencich, Margherita
Address: Italy, Trieste, Via T.S. Pietro
Destination: New York, NY
Does not have ticket for final destination; Paid by self
In possession of $60; Never before in US
Joining: Cousin, Bonifacio Gastone
Address: Hotel Pensylvania (spelled as written) New York
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 6'1"
Complexion: Fair; Hair: Black; Eyes: Black
No marks of identification
Place of birth: Spalato, Jugoslavia
97* Kocian, Giovanna; 38y; Female; W (Widow?); Seamstr.
Can read/write; Read: Italian (something is written over
the word Italian, possibly Slovenian; 3-3624 written above
the word Italian)
Citizen of: Italy; Race: Italian
Last residence: Trieste, Italy
Nearest relative: Friend, Zuljan, Giovanni
Address: Trieste, Colonia 16
Destination: Lorain, Oh
Has ticket for final destination; Paid by brother
In possession of $50; Never before in US
Joining: Brother, Kos, Alois
Address: Lorain, Ohio, 29 Str. 1721
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'5"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Grizane, Italy
Reviewer's note: ADMITTED is stamped over SI. SI stands for special inquiry, see
PAGE 64, passenger 97 for more information.
98* Kocian, Edoardo; 8y; Male; Single; Student
Can read/write; Read: Italian
Citizen of: Italy; Race: Italian
Last residence: Trieste, Italy
Nearest relative: Accompanied by the mother
Destination: Lorain, Oh
Has ticket for final destination; Paid by uncle
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 3'2"
Complexion: Fair; Hair: Fair; Eyes: Fair
No marks of identification
Place of birth: Trieste, Italy
Note: This passenger is linked with brackets to the one above
and below, #s 97 & 99, and noted ch.
Reviewer's note: ADMITTED is stamped over SI. SI stands for special inquiry, see
PAGE 64, passenger 98 for more information.
99* Kocian, Stanislao; 2y; Male; Single; Child
Cannot read/write; Citizen of: Italy; Race: Italian
Last residence: Trieste, Italy
Nearest relative: Accompanied by the mother
Destination: Lorain, Oh
Has ticket for final destination; Paid by uncle
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 2'1"
Complexion: Fair; Hair: Fair; Eyes: Fair
No marks of identification
Place of birth: Trieste, Italy
Note: This passenger is linked with brackets to the two above,
#s 97 & 98, and noted ch.
Reviewer's note: ADMITTED is stamped over SI. SI stands for special inquiry, see
PAGE 64, passenger 99 for more information.
100 Germek, ?iustina (first letter likely G, cannot be read due to
heavy check mark covering letter)
24y; Female; Single; Privat (Dom hand-written above)
Can read/write; Read: Slovenian
(3-1624 written above the word Slovenian)
Citizen of: Italy; Race: Slovenian
Last residence: Dolvavlje, Italy
Nearest relative: Mother, Maria Germek
Address: Italy, Dolvalje (spelled differently than above)
Destination: Canton, Oh
Has ticket for final destination; Paid by father
In possession of $24; Never before in US
Joining: Sister, Mathilda Cerne
Address: 6 Drojnel St., Canton, Ohio
Not returning to alien country; Intends to remain in US
Intends to become a citizen (T.A. Svc. or Soc. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'3"
Complexion: Fair; Hair: Fair; Eyes: Fair
No marks of identification
Place of birth: Dobvovlje, Italy (spelled differently than above)
101* Premrov, Antonio; 21y; Male; Single; Laborer
(6-32546 written above the word Laborer)
Can read/write; Read: Slovenian
(3-624 written above the word Slovenian)
Citizen of: Italy; Race: Slovenian
Last residence: Predjana, Italy
Nearest relative: Mother, Maria Premrov
Address: Italy, Prediana (spelled differently than above)
Destination: St. Mary, Pa
Has ticket for final destination; Paid by self
In possession of $25; Never before in US
Joining: Father, Premru, Anton
Address: St. Mary, Pa, Box 255
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'8"
Complexion: Fair; Hair: Fair; Eyes: Fair
No marks of identification
Place of birth: Predjana, Italy
Reviewer's note: 6-32546 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
102 DeRosa, Maria; 39y; Female; Single; Privat
(Dom hand-written over)
Can read/write; Read: Italian
(4-624 written above the word Italian)
Citizen of: Italy; Race: Italian
Last residence: Trieste, Italy
Nearest relative: Cousin, Ernesto DeRosa
Address: Italy, Via Canova 12
Destination: Chicago, Ill
Has ticket for final destination; Paid by self
In possession of $50; Never before in US
Joining: Sister, Elisa Stabile
Address: Chicago, Ill, S. Hill Bonru 5246 Ave.
Not returning to alien country; Intends to remain in US
Intends to become a citizen (T.A. Svc. or Soc. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'9"
Complexion: Fair; Hair: Black; Eyes: Black
No marks of identification
Place of birth: Trieste, Italy
103* Slatich, Elena; 22y; Female; Single; Privat
(Dom hand-written over;
21-20435 - 5/2/41 written above the word Privat)
Can read/write; Read: Slovenian
(3-1624 written above the word Slovenian)
Citizen of: Italy; Race: Slovenian
Last residence: Clenosciacco, Italy
Nearest relative: Mother, Maria Slatich
Address: Italy, Clenosciacco
Destination: Portland, Or
Has ticket for final destination; Paid by self
In possession of $37; Never before in US
Joining: Bridegroom, Giorgio Bradetich
Address: P.D.1 Box 11 B. Bend Or
Not returning to alien country; Intends to remain in US
Intends to become a citizen
(T.A. Svc. or Soc. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'1"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Clenosciacco, Italy
Reviewer's note: 21-20435 - 5/2/41 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
104* Bosich, Maria; 28y; Female; Married; Privat
(Written over, looks like h wf);
Can read/write (something is written over yes for
read, may be no); Read: Slovenian
(3-2624 written above the word Slovenian)
Citizen of: Italy; Race: Slovenian
Last residence: Rospo, Italy
Nearest relative: Mother, Maria Mosich (spelled with M)
Address: Italy, Rospo
Destination: Trinidad, Colo
Has ticket for final destination; Paid by husband
In possession of $25; Never before in US
Joining: Husband, Giovanni Bosich
Address: Morley, Colo Box 151
Not returning to alien country; Intends to remain in US
Intends to become a citizen
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'2"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Rospo, Italy
Reviewer's note: ADMITTED is stamped over SI. SI stands for special inquiry, see
PAGE 64, passenger 104 for more information.
105 Rabach, Maria; 18y; Female; Single; Privat
(Dom hand-written over;
21-20436 - 5/2/41 written above the word Privat)
Can read/write; Read: Slovenian
(3-1624 written above the word Slovenian)
Citizen of: Italy; Race: Slovenian
Last residence: Clenosciacco, Italy
Nearest relative: Mother, Elena Rabach
Address: Italy, Clenosciacco
Destination: Portland, Or
Has ticket for final destination; Paid by uncle
In possession of $25; Never before in US
Joining: Bridegroom, Giovanni Bradetich
Address: P.D.1 Box 11 B. Bend Or
Not returning to alien country; Intends to remain in US
Intends to become a citizen
(T.A. Svc. or Soc. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'2"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Clenosciacco, Italy
Reviewer's note: 21-20436 - 5/2/41 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
106 Zambarda, Augusta; 29y; Female; Married; Privat
(2-587205 - 10/14/38 written above the word Privat)
Can read/write; Read: Italian
(624 written above the word Italian, probably preceded
by additional digits covered by the 10/14/38 date noted above)
Citizen of: Italy; Race: Italian
Last residence: Calavino, Italy
Nearest relative: Father, Iginio Pisono
Address: Italy, Calavino
Destination: Cliftonville, W Va
Has ticket for final destination; Paid by self
In possession of $55;
Has been in US before; 1913-1919; Moon Run
Joining: Husband, Zambarda, Beniamino
Address: Cliftonville, W Va, Box 79
Not returning to alien country; Intends to remain in US
Intends to become a citizen (ital. soc. written above)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: 5'3"
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Calavino, Italy
Note: In surname box Augusta Zambarda is written,
then Augusta repeated in given name box.
Reviewer's note: 2-587205 - 10/14/38 is written in the occupation coloumn, this
pertains to naturalization, click here for more information.
107 Zambarda, Vittoria; 7y; Female; Single; Child
Cannot read/write; Citizen of: Italy; Race: Italian
Last residence: Calavino, Italy
Nearest relative: Accompanied by the mother
Destination: Cliftonville, W Va
Does not have ticket for final destination; Paid by mother
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen (
(ditto marks indicating ital. soc.)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: (lined through)
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Calavino, Italy
Note: This passenger is linked with brackets with #s
106, 108, 109, and noted ch.
108 Zambarda, Anna; 5y; Female; Single; Child
Cannot read/write; Citizen of: Italy; Race: Italian
Last residence: Calavino, Italy
Nearest relative: Accompanied by the mother
Destination: Cliftonville, W Va
Does not have ticket for final destination; Paid by mother
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen
(ditto marks indicating ital. soc.)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled;
Height: (lined through)
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Calavino, Italy
Note: This passenger is linked with brackets with #s
106, 107, 109, and noted ch.
109 Zambarda, Iginio; 5m; Male; Single; Child
Cannot read/write; Citizen of: Italy; Race: Italian
Last residence: Calavino, Italy
Nearest relative: Accompanied by the mother
Destination: Cliftonville, W Va
Does not have ticket for final destination; Paid by mother
In possession of $0; Never before in US
Joining: Accompanied by the mother
Not returning to alien country; Intends to remain in US
Intends to become a citizen (ditto marks indicating ital. soc.)
Never in prison; Not a polygamist; Not an anarchist
Not planning overthrow of government
Not coming to US with offer of work; Never been deported
Health: Good; Not deformed or crippled; Height: (lined through)
Complexion: Fair; Hair: Brown; Eyes: Brown
No marks of identification
Place of birth: Calavino, Italy
Note: This passenger is linked with brackets with #s 106, 107,
108, and noted ch.
Transcribers Notes:
* Column 14 has been eliminated since it is a repeat of column 1.
* Columns 11 and 33 show Country first, then city or town.
These have been reversed for ease of reading.
* A few numbers in column 1 are over-stamped with Admitted and
overwritten with the letters S.I. An asterisk after the passenger
number has been used to identify those.
* Column 2 is blank except for a stamp reading Under 16 for passengers
under 16 years of age.
* In all cases Yugoslavia is spelled Jugoslavia.
Reviewer's Note:
A lot of the passengers have numbers such as 4-624 or 3-1624 written in the language coloumn.
This means that they were given a reading test upon arrival. The first number is the language code,
such as English, Spanish, etc. The other numbers are for the sentence number.
DOM could be the initials of the custom's inspector dealing with the passenger.
National Archives and Records Administration, Film T15, Reel 2991, Volume 6822
Transcribed by Lorrie Losapio a member of the
Immigrant Ships Transcribers Guild
12 June 2000
Reviewed by Ines Mannhardt a member of the
Immigrant Ships Transcribers Guild
May 2004
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