SS Presidente Wilson
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, thirty 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 but probably Cap Ettore Zar
Sworn to before me this 4th day of July 1921 at New York M Stein, 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.
S.S. Pres Wilson. Passengers sailing from Patras, 20 June 1921. Arriving at Port of New York July 4th 1921
Column Headings:
1. No. on list.
2. Head-Tax Status
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/Write, Read what language
(or if exemption claimed on what ground)
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.
14. No. on list.
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
If so, when and where. If yes-Years or period of years, Where?
19. Whether going to a relative or friend; 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
engagaing 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 almshouse 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.
811 Benjamin Ma
812 Benjamin Mi
813 Joseph
814 Lazo
815 Valentin
816 Stankov D
817 Stankov R
818 Cosiancich C
819 Cosiancich A
820 Rakos
821 Kuesevic
822 Pavelock
823 Trpin Matteo
824 Trpin Maria
825 Trpin V
826 Debegnak
811* Benjamin, Maria
(line drawn through name and all information ).
18y; female; single; private
Can read/write; Assirian; Citizen of: Persia; Race: Assirian
Last residence: Persia, Mossul (a definate u typed)
Nearest Relative: cousin, Jonan Johanna.
Address; Persia, Mossul. Destination: Conn, New Britain.
Does not has ticket for final destination; Paid by self.
In possession of $50, Never in US,
Joining;father in law, Benjamin, Joseph
Address; PO 827, New Britian, Conn.
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 goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,
Height: 5' 3"; Complection: fair; Hair,black;
No Marks of identification
Place of birth: Persia, *Urunmiah (may be Urmia)
812* Benjamin, Miryam
line drawn through name and all information ).
45y; female; married; private
Can read/write; Assirian;
Citizen of: Persia; Race: Assirian
Last residence: Persia, *Mossul (a definate u typed)
Nearest Relative: accomp. by daughter.
Destination: Conn, New Britain.
Does not has ticket for final destination; Paid by self.
In possession of $40, Never in US,
Joining;husband,Benjamin, Joseph
Address; PO 827, New Britian, Conn.
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 goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,
Height: 5' 0"; Complection: Fair; Hair,brown; Eyes,brown
No Marks of identification
Place of birth: Persia, *Urunmiah (may be Urmia)
813* Joseph, Nimrod
(line drawn through name and all information )
25y; male; married; *Tishler
Can read/write; Assirian;
Citizen of: Persia; Race: Assirian
Last residence: Persia, *Mossul (a definate u typed)
Nearest Relative: brother, Jouil Joseph. Persia, Mossul;
Destination: Conn, New Britain.
Does not has ticket for final destination; Paid by self.
In possession of $80, Never in US,
Joining;father in law,Benjamin, Joseph
Address; PO 827, New Britian, Conn.
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 goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,
Height: 5' 9"; Complection: fair; Hair,brown; Eyes,brown
No Marks of identification
Place of birth: Persia, *Urunmiah (may be Urmia)
814* Lazo, Giorgiof
(line drawn through first name and Nanto written in)
1997/8; 7/41 20y; male; single; farmer.
Can read/write; Bulgarian 3/661;
Citizen of: Albania; Race: Albanian
Last residence: Albania, Gorica
Nearest Relative: father, Naste Giorgiof.
Address; Albania, Gorica
Destination: Pa, Grays Landing.
Does not has ticket for final destination; Paid by self.
In possession of $44 (0 written over); Never in US,
Joining;cousin, Boiche Bisteff
Address; PO 78, Grays Landing, Pa.
Not returning to alien country; intends to remain in US.
Intends to become a citizen
Never in prison; not a polygamist; not an anarchist
Not planning overthrow of goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,(Sp. X written over);
Height: 5' 6"; Complection: fair; Hair,brown; Eyes,brown
No Marks of identification
Place of birth: Albania, Gorica
Reviewer's note: S.I. and Admitted means the passenger was held for special inquiry, see PAGE 66,
passenger 814, for more information. The name is spelled differently though.
199288 7/11/2? is written above the name, this pertains to verification of landing for
naturalization purpose, click here for more information.
815* Valentin, Rodolfo; 24; male; single; mason
72-18304; can read/write;
Croatian 4/3650 Ital written over Croatian;
Citizen of: Italy;
Race: Croatian; Last Residence: Italy, Trinaistic
Nearest Relative:
father. Valentin, Francesco. Italy, Trinajstic
Destination: Cal, S. Francisco;
Has Ticket; Passage paid by: self
In possession of:$?(Jp written over with a 5);
Has never been in US before,
Friend/Relative:
uncle, Pacich, Giuseppe, Humboldt, Cal crosed out,
written in 225 - 1st, Eurika, Cal.
Not returning to alien country; Intends to remain in US,
Intends to become a citizen.
Never in prison, Not a Polygamist or Anarchist;
Not planning overthrow government.
Not coming to US with offer of work.
Never been deported.
Health: good, no deformities or crippling; Height: 5' 3"
Complexion: fair; Hair brown Eye brown;
No marks of identification
Place of Birth; Italy, Trinajstic
816* Stankov, Draginja
(line drawn through name and all information ).
34y May be 54; female; widow; private.
Can read/write; Croatian;
Citizen of: Jugoslavia Race: Croatian
Last residence: Jugoslavia, Katz
Nearest Relative: sister, Fontelio
(may start with a P), Anna.
Destination: Mich, Detroit.
Does has ticket for final destination; Paid by brother.
In possession of $10, Never in US,
Joining;brother, Tader (may start with F),Likich;
Address; 155 Hawthorne Ave, Detroit, Mich.
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 goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,
Height: 5' 3"; Complection: fair; Hair,brown; Eyes,brown
No Marks of identification
Place of birth: Jugoslavia, Lodnici
817* Stankov, Radinka
(line drawn through name and all information ).
9y; female; single; child.
Can read/write; Croatian;
Citizen of: Jugoslavia Race: Croatian
Last residence: Jugoslavia, Katz
Nearest Relative: accomp. by mother.
Destination: Mich, Detroit.
Does has ticket for final destination; Paid by uncle;
In possession of $0, Never in US,
Accomp. by 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 goverment
Not coming to US with offer of work; never been deported
Health: Good; not deformed or crippled,
Height: not given;
Complection: fair; Hair,brown; Eyes,brown`
No Marks of identification
Place of birth: Jugoslavia, Bukovac
818 Cosiancich, Carlo
(Husb. written in); 27; male; married; farmer;
can read/write; Slovenian 3/1366
Citizen of: Italy; Race: Slovenian;
Last Residence: Italy, Dol
Nearest Relative: father. Ivan, Cosiancich, Italy, Dol
Destination: Mont. Klein;
does not have ticket to final destination;
Passage paid by: self
In possession of: $150 (has 21? written over);
Has been in US before,
1912-1920 Ja? (may be an i), Morgenton.
Friend/Relative: cousin, Sam, Pietro,Box 47, Klein, Mont.
Not returning to alien country; Intends to remain in US,;
Intends to become a US citizen.
Never in prison, Not a Polygamist or Anarchist;
Not planning overthrow government.
Not coming to US with offer of work.
Never been deported.
Health: good, no deformities or crippling
(Sp.X written in); Height: 5' 5"
Complexion: fair; Hair brown Eye Brown:
No marks of identification
Place of Birth; Italy, Dol
819 Cosiancich, Anna;
(wife written in) 26; female; married; privat;
can read/write; Slovenian 3/1366
Citizen of: Italy;
Race: Slovenian; Last Residence: Italy, Dol
Nearest Relative: accomp. by husband;
Destination: Mont. Klein; ;
does not have ticket to final destination;
Passage paid by: husband.
In possession of:$0; Has not been in US before,
Friend/Relative: accomp. by husband.
Not returning to alien country;
Intends to remain in US,; Intends to become a US citizen.
Never in prison, Not a Polygamist or Anarchist;
Not planning overthrow government.
Not coming to US with offer of work.
Never been deported.
Health: good, no deformities or crippling
(Sp.X written in); Height: 5' 3" inches
Complexion: fair; Hair brown Eye brown:
no marks of identification
Place of Birth; Italy, Kubat
820 Rakos, Stefan; 20; male; single; farmer 11-85947;
can read/write; Slovenian 3/1366
Citizen of: Czecoslov; Race: Slovenian;
Last Residence: Jugoslavia, Hrujevac
Nearest Relative:
father. Martin, Rakos,Jugoslavia, Hrujevac.
Destination: Mich, Detroit; has ticket;
Passage paid by: brother in law
In possession of:$25 (20 written over);
Has never been in US.
Friend/Relative: brother in law, Kovach, Frank, 109
(Box written in),Sibley, Mich.
Not returning to alien country.
Intends to remain in US,Intends to become a citizen.
Never in prison,
Not a Polygamist or Anarchist;
Not planning overthrow government.
Not coming to US with offer of work.
Never been deported.
Health: good, no deformities or crippling
(Sp.X written in); Height: 5' 5"
Complexion: fair; Hair brown Eye brown:
no marks of identification
Place of Birth; Jugoslavia, Hrujevac
Reviewer's note: 11-89521 is written in the occupation coloumn.
This pertains to naturalization, click here for more information.
821* Kuesevic, Niko, (has $ written by name); 24;
male; single; farmer23-37743;
can read/write; Croatian 1/28/35 3/3593;
Citizen of: Jugoslavia; Race: Croatian;
Last Residence, Jugoslavia, Budua
Destination, Cal, Garden Grove;
Has ticket; Passage paid by: self.
In possession of:$2? (25 or 250 written);
Has been in US,1916-1917, Los Angelos,
(this may be Los Angeles)
Friend/Relative:
brother, Knezevic, Krsto, Red.1, 180 (Box written in),
Garden Grove, Cal.
Not returning to alien country; Intends to remain in US;
Alien intends to become a citizen.
Never in prison, Not a Polygamist or Anarchist;
Not planning overthrow government;
Not coming to US with offer of work;
Has not been previously deported;
Health: good, no deformities or crippling
(Sp.X written in); Height: 6' - "
Complexion: fair; Hair brown Eye brown:
no marks of identification
Place of Birth; Jugoslavia, Budua
Reviewer's note: 23-37743 1/28/35 s written in the occupation coloumn.
This pertains to naturalization, click here for more information
822* Pavelock, Janko 1-79/65; 31; male; married;
laborer; can read/write;
Croatian (English written in).
Citizen of:Jugoslavia; Race: Croatian
(written in, claims born in US);
Last Residence: Jugoslavia, Berkasovo
Nearest Relative:
wife, Marie, Pavelock, Jugoslavia, Berkasovo.
Destination: NY,Niagara Falls. has ticket;
Passage paid by: self.
In possession of:$80 (86 written over);
Has been in US,1905-1914,Akron, Oh.
Friend/Relative: *br. in law, Josef Hornjak,
327 Erie Ave, Niagara Falls, NY.
Not returning to alien country; Intends to remain in US;
Intends to become a citizen. Never in prison;
Not a Polygamist or Anarchist;
Not planning overthrow government;
Not coming to US with offer of work;
Alien has not been previously deported;
Health: good, no deformities or crippling
(Sp,X written in); Height: 5' 5"
Complexion: fair; Hair brown Eye brown:
no marks of identification
Place of Birth; Pa, Freeland, 25/v/1890
823* Trpin (an a may be written between Tr), Matteo(husb written in);
24; male; married; farmer; can read/write; Slovenian 3/?366
Citizen of: Italy; Race: Slovenian;
Last Residence: Italy, Potoki
Nearest Relative: mother, Teresia Trpin, Italy, Potoki.
Destination: Ill, Nokomis;
Does not have ticket to place of last destination;
Passage paid by: self. In possession of: $150;
Has not been in the US.
Friend/Relative: uncle, Groser, Lukas;
R.2, Box 110, Nokomis, Ill.
Not returning to alien country;
Intends to remain in US; Intends to become a citizen.
Never in prison,
Not a Polygamist or Anarchist;
Not coming to US with offer of work;
Has not been deported;
Health: good, no deformities or crippling
(Sp.X); Height: 5' 7"
Complexion: fair; Hair brown Eyeb brown:
no marks of identification
Place of Birth; Italy, Potoki
824* Trpin (an a may be written between Tr), Maria (wife);
23; female; married; privat; can read/write; Slovenian 3/?366
Citizen of: Italy; Race: Slovenian;
Last Residence: Italy, Potoki accomp. by husband;
Destination: Ill, Nokomis;
Does not have ticket to place of last destination;
Passage paid by: husband;
In possession of:$0; Has not been in the US.
Accomp. by husband;
Not returning to alien country; Intends to remain in US;
Intends to become a citizen.
Never in prison,
Not a Polygamist or Anarchist;
Not coming to US with offer of work;
Not been previously deported;
Health: good, no deformities or crippling; Height: 5' 4"
Complexion: fair; Hair brown Eyes brown:
no marks of identification
Place of Birth; Italy, Dresnica
825* Trpin (an a may be written between Tr), Verta *(child);
9 months; female; single; child; cannot read/write;
Citizen of: Italy; Race: Slovenian;
Last Residence: Italy, Potoki accomp. by father;
Destination: Ill, Nokomis;
Does not have ticket to place of last destination;
Passage paid by: father;
In possession of:$0; Has not been in the US. accomp. by father;
Not returning to alien country;
Intends to remain in US; Intends to become a citizen.
Never in prison,
Not a Polygamist or Anarchist;
Not coming to US with offer of work;
Alien has not been previously deported;
Health: good, no deformities or crippling;
Height not given
Complexion: fair; Hair fair Eyes fair:
no marks of identification
Place of Birth; Italy, Potoki
826* Debegnak, Giuseppe; 36y; male; Widow; cookman 3-212487;
can read/write Italian 1-17-41 7(may be 4)/3650;
Citizen of: Italy; Race: Italian;
Last Residence: Italy, Trieste
Nearest relative, brother Giusto Debenjak
(last name clearly typed);
Italy, S.M.M. Sup. 290
Destination: Pa, Philadelphia;
Does have ticket to place of last destination;
Passage paid by: self;
In possession of:$50 (55 is written in);
Friend or relative; cousin, Debenjak, Angelo;
Address, 2623 (2632 written in) Richmond, Philadelphia, Pa;
Has not been in the US; Not returning to alien country;
Intends to remain in US; Intends to become a citizen.
Never in prison,
Not a Polygamist or Anarchist;
Not coming to US with offer of work;
Alien has not been deported;
Health: good, no deformities or crippling
(Sp.X written in); Height 5'3";
Complexion: fair; Hair fair Eyes fair;
no marks of identification
Place of Birth; Italy, Trieste
3-212487 - 1/17/41 is written in the occupation coloumn. This pertains to
naturalization, click here for more information.
Below read/write across to residence is written;
Except 5 - July 8-21 Tufirols Insp.
Transcriber's Notes:
* Column 2 is used for Government officials only)
[this is blank except for passengers under 16 yrs. and for
those there's a stamp "under 16"]
* 811: Line through all information. Urunmiah may be Urmia. Persia now Iran.
* 812: Line through all information. Last Perm. Residence listed as Mossul, other
spelled as Mossel. Persia now Iran.
* 814: On manifest in first column for position on list, Admitted is stamped;
"S.I." is written.
* 815: Note difference between town of last residence and father's address.
* 816: Line through all information. Persia now Iran.
* 817: Line through all information. Persia now Iran.
* 821; Note difference between last name of passenger and brother.
* 822: On manifest in second column, stamped Cl. USC.
Reviewer's note: Cl. USC could stand for Claims US Citizen. The numbers
1-79/65 behind it could pertain to citizenship or a birth certificate. Further
down the line is written "claims US born".
* 823: Last name may be spelled Tarpin
* 824: Last name may be spelled Tarpin
* 825: Last name may be spelled Tarpin. On manifest in second column stamped under
16 years.
* 826: Note difference between last names of passenger and brother.
Reviewer's Notes:
The passengers that are not US citizens have numbers, such as 3/1666 or 1/3650,
written in the language coloumn. This means that they were tested for their reading ability.
The first number represents a number for a certain language, the other numbers are a
number for a certain sentence.
National Archives and Records Administration: Film T715, Reel 2991, Volume 6822
Transcribed by Dolores Leifheit a member of the
Immigrant Ships Transcribers Guild
26 May 2000
Reviewed by Ines Mannhardt a member of the
Immigrant Ships Transcribers Guild
July 2004
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