Bibliothèque et Archives Canada
Symbole du gouvernement du Canada

Liens de la barre de menu commune

Liens institutionnels

Généalogie et histoire familiale

Quoi chercher : Sujets

Immigration et citoyenneté

En-têtes de colonnes pour les documents d'immigration

Recto du formulaire 30A - Modèle B
(Disponible en anglais seulement)

Table des matières

1. Name
2. Age	
	Male    Married    Widowed    Occupation
	Female  Single     Divorced   Intended occupation
3. Birthplace
4. Citizenship
5. Religion
6. Object in coming to Canada
7.     Ever lived in Canada?
               Yes    Address
               No
       Port of previous entry                         Date
       Port of departure		    Date
8. Why left Canada
9. Money in possession, belonging to immigrant   $
10. Able to read?
11. What language?
12. By whom was passage paid?
13. Intend to remain permanently in Canada?
14. Ever previously rejected or deported from Canada?
	Yes
	No
15. Destined to 
	Relative 
	Friend
	Employer
16. Canadian Railway Routing
17. Nearest relative in country from whence passenger came
18. Mentally defective Sec. 3 (a) 
	Yes
	No
19. Ever had tuberculosis Sec. 3 (b)
	Yes
	No
20. Physically defective Sec. 3 (c)
	Yes
	No
21. Anarchist, etc. Sec. 3 (n) (o)
	Yes
	No

Immigration