U.S. Passport Application: Charles H. Seaman, born in New York, 26 April 1875. His father was a natural citizen of the United States. Charles was a student, living in New York. Left the U.S. 14 or 16 May 1904, residing 180, The Grove?, Hammersmith?, ? (looks like W.). Intends to return in one year, for the purpose of travelling.
He was 5' 8 1/2", broad forehead, blue eyes, regular nose, medium mouth, square chin, brown hair, fair complexion, oval face. Dated 21 November 1904.
(It looks like he signed the paperwork at the Embassy of the U.S., in London.)
I guess I type to slowly.

Double entry.
Double-checked Ruby's application: his date of birth is 1875.