Généalogie et histoire familiale

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Immigration et citoyenneté

En-têtes de colonnes pour les documents d'immigration

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

Table des matières

1. Name
2. Last permanent address
3. Sex
	Are you married, single, widowed or divorced?
If married are you accompanied by husband or wife? If so give name of
 husband or wife.
4. Birthplace		Citizenship		Race or people
5. Nat. cert. No. 	Date			Court		
State		Attestor
6. Object in coming to Canada		Occupation
7. Able to read?
	Yes 		Language?		
	No
Religion
8. Ever lived in Canada?
	Yes		Address
	No
	Entered previously at			Date
	Left Canada at				Date
9. Why left Canada?
10. Ever refused entry to or deported from Canada?
	Yes	Where?
	No
11. Money in possession belonging to passenger $		If settler $
12. Destined to
	Relative
	Friend or
	Employer
	Name
	Address
13. R.R. ticket issue	
	No.		Form
	From		To
14. Port of last arrival in the United States
	Date		S.S.		Class
15. Are you or any of your family mentally defective?
	Tubercular?		Physically defective?
	Otherwise debarred under Canadian Immigration Law?
16. Apparent condition of health
17. Action taken
18. Cause
19. Appeal taken
	Yes
	No

Immigration