View source for HPB - Application for USA passport

{{Infobox document
 | title = Application for Passport
 | subtitle = 
 | number = 8782
 | from_person = Joseph H. Brown
 | from_organization = Court of Common Pleas.
 | from_place  = New York
 | from_date   = 1878-07-09
 | language = English
 | to_person = Blavatsky H.P.
 | to_place  = 
 | to_date   = 
 | mentioned_persons = 
 | mentioned_places  = 
 | mentioned_other   = 
 | concerns = 
 | summary = USA Passport granted to H. P. Blavatsky
 | location = Location unknown; <br>archive number: USM1372_225-0331_1
 | files = HPB_-_Application_for_USA_passport_(USM1372_225-0331_1).jpg
 | categories = About HPB
 | section_russian = ЕПБ - Паспорт США
}}

{| style="width:600px; border:1px solid black; margin: 0 auto;"
|- valign=top
| <p style="font-size: 70%; text-indent: 0;">Application for Passport – Naturalized.</p>                                                              
<p style="text-indent: 0;">No. <u>&nbsp;&nbsp;''8782.''&nbsp;&nbsp;</u><p>

| <p style="font-size: 70%; text-align: right;">W. Reid Gould, Law Blank Publisher and Stationer, 168 Nassau St., N. Y.</p> 
{{Style P-Align right|Issued <u>&nbsp;&nbsp;''July 9/78''&nbsp;&nbsp;</u>}}
|- valign=top
| colspan=2 |<center>'''UNITED STATES OF AMERICA.'''</center>

{|
|-
|{{Style S-Small capitals|State of}}  <u>&nbsp;&nbsp;''New York''&nbsp;&nbsp;</u>
| rowspan=2 |[[File:Bracket right.svg|x3em]] ss.
|-
|{{Style S-Small capitals|County of}} <u>&nbsp;&nbsp;''New York''&nbsp;&nbsp;</u>
|}

{{Vertical space|1.5em}}

I,  <u>&nbsp;&nbsp;''Helen P. Blovatsky''&nbsp;&nbsp;</u> do swear that I was born in <u>&nbsp;&nbsp;''Russia''&nbsp;&nbsp;</u> on or about the <u>&nbsp;&nbsp;''31''&nbsp;&nbsp;</u> day of <u>&nbsp;&nbsp;''July 1836''&nbsp;&nbsp;</u> that I am a NATURALIZED AND LOYAL CITIZEN OF THE UNITED STATES, and about to travel abroad; and further, that I am the ''' Identical Person''' described in the '''''Certificate of Naturalization''''', afterwards presented''.

{{Vertical space|3em}}

{|
|-
| Sworn to before me, this  <u>&nbsp;&nbsp;''Eighth''&nbsp;&nbsp;</u> day
| rowspan=2 |[[File:Bracket right.svg|x3em]] &nbsp;&nbsp; <u>&nbsp;&nbsp;''Helen P. Blavatsky''&nbsp;&nbsp;</u>
|-
|of <u>&nbsp;&nbsp;''July, 1878''&nbsp;&nbsp;</u>
|-
| <u>&nbsp;&nbsp;''Joseph H. Brown''&nbsp;&nbsp;</u>
|}

<center>''Notary Public.''</center>

{{Vertical space|}}

<div style="border-bottom: 2px solid black; width: 8em; margin: 0 auto;"></div>

{{Vertical space|3em}}

{| style="width: 100%;"
|-
| 
| width=400px |
{| style="width: 400px; align: right;"
|-
| colspan=2 | Description of <u>&nbsp;&nbsp;''Helen P. Blavatsky''&nbsp;&nbsp;</u>
|-
| Age: <u>&nbsp;&nbsp;''41''&nbsp;&nbsp;</u> years.
| Mouth: <u>&nbsp;&nbsp;''Large''&nbsp;&nbsp;</u> 
|-
| Stature: <u>&nbsp;&nbsp;''5''&nbsp;&nbsp;</u> feet, <u>&nbsp;&nbsp;''5''&nbsp;&nbsp;</u> inches, Eng.
| Chin: <u>&nbsp;&nbsp;''Round''&nbsp;&nbsp;</u> 
|-
| Forehead: <u>&nbsp;&nbsp;''High''&nbsp;&nbsp;</u> 
| Hair: <u>&nbsp;&nbsp;''Brown''&nbsp;&nbsp;</u> 
|-
| Eyes: <u>&nbsp;&nbsp;''Blue''&nbsp;&nbsp;</u> 
| Complexion: <u>&nbsp;&nbsp;''Fair''&nbsp;&nbsp;</u> 
|-
| Nose: <u>&nbsp;&nbsp;''Broad''&nbsp;&nbsp;</u> 
| Face: <u>&nbsp;&nbsp;''Round''&nbsp;&nbsp;</u> 
|}
|}
<div style="border-bottom: 2px solid black; width: 8em; margin: 0 auto;"></div>

{{Vertical space|1.5em}}

I, <u>&nbsp;&nbsp;''Helen P. Blovatsky''&nbsp;&nbsp;</u> do solemnly swear that I will support, protect and defend the Constitution an Government of the United States against all enemies, whether domestic or foreign, and that I will bear true faith, allegiance, and loyalty to the same, any ordinance, resolution or law of any State, Convention or Legislature to the contrary notwithstanding; and further, that I do this with a full determination, pledge and purpose, without any mental reservation or evasion whatsoever; and further, that I will well and faithfully perform all the duties which may be required of me by law.''

So help me God.

{{Vertical space|1em}}

{|
|-
| Sworn to before me, this  <u>&nbsp;&nbsp;''Eighth''&nbsp;&nbsp;</u> day
| rowspan=2 |[[File:Bracket right.svg|x3em]] &nbsp;&nbsp; <u>&nbsp;&nbsp;''Helen P. Blavatsky''&nbsp;&nbsp;</u>
|-
|of <u>&nbsp;&nbsp;''July, 1878''&nbsp;&nbsp;</u>
|-
| <u>&nbsp;&nbsp;''Joseph H. Brown''&nbsp;&nbsp;</u>

''Notary Public N.Y.''

{{Style S-Lost|}} ''to Helen P. Blovatsky''

''{{Style S-Lost|302.10.47}}''

''New York City''
|}

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<p style="font-size: 70%; text-indent: 0;">Five dollars tax, as imposed by law, will be required, in U..S. currency, with each application.<br>
When husband, wife, ''minor'', children and servants expect to travel together, a single passport for the whole will suffice.<br>
Fore any other person in the party a separate passport will be required.<br>
Address Department of State, Passport Bureau., Washington, D. C.</p>
|}


== Editor's note ==

{{Style P-No indent|[Note handwritten at the top:]}} 

<u>pd</u>  [indicating “paid”]


[Blavatsky's last name has been misspelled as "Blovatsky" by the one who filled up the application; it has been corrected in one place, but in another the write spelling has been crossed out and the wrong one written above.]


[Written sideways across the application:]

Court of Common Pleas.

New York City

July 8/78