| City | Buenos Aires |
|---|---|
| Year | 1921 |
| Arrival Year | |
| Name | ΘΕΟΔΟΣΙΟΣ |
| Surname | ΠΑΛΑΣΙΟΣ |
| Father's Name | ΣΤΑΜΑΤΙΟΣ |
| Sex | |
| Age Registration | 48 |
| Age Arrival | |
| Religion | ΟΡΘ. |
| Marital Status | ΕΓΓΑΜΟΣ |
| Occupation | ΜΑΓΕΙΡΑΣ |
| Source | ΚΩΝΣΤΑΝΤΙΝΟΥΠΟΛΗ |
| Preficture Island | |
| Territory | ΚΩΝΣΤΑΝΤΙΝΟΥΠΟΛΗ |
| Refugee | |
| Origin Refugee | |
| Nationality Document | ΔΕΛΤΙΟ ΑΠΟΓΡΑΦΗΣ |
| Address | CHACABUCO 527 |
| District | AVELLANEDA |
| Province | BUENOS AIRES |