Verso du formulaire 30 - Modèle B
(Disponible en anglais seulement)
Name and address of nearest relative or friend in country of birth or citizenship
Description of Passenger
Height Complexion
Colour of eyes Colour of hair
Marks of identification
Signature of passenger (immigrant)
Particulars When Family Accompanying
Full name
Age
M.
F.
Relationship
Country of birth
Country of citizenship
Remarks