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Généalogie et histoire familiale

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Immigration et citoyenneté

En-têtes de colonnes pour les documents d'immigration

Formulaire utilisé entre 1909 et 1921
(Disponible en anglais seulement)

Table des matières

1. No. of Passengers.
2. No. of S.S. Contract Ticket
3. Amount of Cash in $
4. Name in full
Age of adults.
	5. Male.
	6. Female.
Children under 14 years.
	7. Male
	8. Female.
9. Married, Single, or Widowed.
10. Have you ever been in Canada before?
If so
	11. When.
	12. Where.
	13. How Long.
14. Do you intend to permanently reside in Canada?
15. Are you able to read?
16. Are you able to write?
17. Country of Birth
18. No. of Passengers.
19. Race of People.
	20. Post Office.
	21. Province.
22. What was your occupation in country from which you came?
23. What is your intended occupation in Canada?
24. Have you ever worked as farmer, farm labourer, gardener, stableman,
carter, Ry, surfaceman, navvy or miner? If so 25. Which 26. How long 27. When 28. Religious Denomination. 29. Travelled inland on 30. Initials of civil examiner. 31. No. of Passengers