Genealogy and Family History

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Immigration and Citizenship

Immigration Records Column Headings

Form used between 1909 and 1921

Table of Contents

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.
Destination
	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

Immigration