No.
on
List. |
HEAD-TAX
STATUS.
(This column
for use of
Government
officials only.)
|
NAME.
|
Age. |
S
e
x |
M
a
r
r
i
e
d
o
r
S
i
n
g
l
e |
Calling
or
occupation
|
Read. |
Read
what
language.
|
Write.
|
Nationality.
(Country of
which citizen
or subject.)
|
Race
or
people.
|
|
The name and
complete
address of nearest
relative
or friend in country
whence alien came.
|
Final
destination. |