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Immigration and Citizenship

Immigration Records Column Headings

Front of Form 30 - Type C

Table of Contents

1. Name
2. Last permanent address
	Street and No.
3. Age
	Male		Married	Widowed
	Female		Single		Divorced		
	Occupation
4. Birthplace
5. Citizenship		Race or people
6. Nat. cert. No.		Date
Court		State
	Attestor
7. Able to read?		Write?		Language?
8. Religious denomination
9. Ever lived in Canada?	
	Yes 		Address	
	No
Entered previously at		Date
Left Canada at			Date
10. Why left Canada
11. Ever been refused admission into Canada
	Yes		Where?	
	No
12. Money in possession belonging to immigrant $
13. If settler, value of effects $
14. Object in coming to Canada
15. Destined
	Relative
	Friend, or
	Employer
	Name
	Address
16. Apparent condition of health
17. R.R. Tkt. issue		No. 	Form
	From		To
	Train No. or S.S. name
18. Landing:
	Port		Date
	Steamship
1st, 2nd or 3rd Class
19. Time and port of last arrival in the United States
20. Mentally defective Sec. 3 (a) 
	Yes	
	No
21. Ever had tuberculosis Sec. 3 (b)
	Yes 
	No
22. Physically defective Sec. 3 (c)
	Yes
	No
23. Anarchist, etc. sec 3 (n) (o) 
	Yes
	No
24. Objection to immigrant, if any

Immigration