Généalogie et histoire familiale

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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