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Immigration et citoyenneté

En-têtes de colonnes pour les documents d'immigration

Formulaire utilisé entre 1925 et 1935
(Disponible en anglais seulement)

Table des matières

1. Line
2. Family name, given name
3. Relationship
Age
	4. M.
	5. F.
6. Single, married, widowed or divorced
7. Country and place of birth
8. Nationality (country of which a citizen or subject)
9. Race or People
If in Canada Before
	10. Between what periods
	11. At what address
12. Ever refused entry to or deported from Canada?
13. Do you intend to reside permanently in Canada?
14. Can you read?
15. What Language
16. By whom was passage paid
17. Line
Occupation
18. What trade or occupation did you follow in your own country?
19. What trade or occupation do you intend to follow in Canada?
Destination
20. If destined to relative, friend or employer state which and give name
and full address. If not joining any person in Canada, give the address
in Canada to which you are going 21. Give name, relationship and address of your nearest relative in the
country from which you came. If a wife or children are to follow you later
to Canada, give names and ages Have you or any of your family ever been 22. Mentally defective 23. Physically defectives 24. Tubercular Passport 25. Number, place and date of issue 26. Money in possession belonging to passenger 27. Travelling inland on 28. Action taken and civil examiner

Immigration