| City | Buenos Aires |
|---|---|
| Name | TEODOSIOS |
| Possible Name | ΘΕΟΔΟΣΙΟΣ |
| Surname | COSTA |
| Possible Surname | |
| Father's Name | |
| Age | 50 |
| Birth Place | |
| Birth Place El | |
| Sex | M |
| Marital Status | C |
| Occupation | BRACCIANTE |
| Occupation El | ΑΝΕΙΔΙΚΕΥΤΟΣ ΕΡΓΑΤΗΣ |
| Religion | CATOLICA |
| Grammar Knowledge | S |
| Language One | |
| Language Two | |
| Language Three | |
| Ship Name | RAVENNA |
| Ship Position | 3 |
| Boarding Port | GENOVA |
| Date Arrival | 1912-09-25 |
| Health Status | |
| Purpose | |
| Refugee Hotel | |
| Comments |