On the application he says he is 32 years old, a painter, 5 foot, 5 inches tall and weighs 148 pounds. He states he was born in Chortitz, Russia on December 26, 1888 and now resides at 2181 Bardell Street, Fresno, California. He emigrated to the United States from Le Harve, France on the vessel La Touraine. However, prior to his emigration, he lived in Chortitz, Russia. He states he is single and that it is his intention to renounce all allegiances "to Russia or any independent state within the boundary of the former Russian Empire."
He arrived at the port of New York on or about the 18th of October, 1913 and he states it is his intention to become a citizen of the United States of America.