Partial Transcript

NAME IN FULL AGE OF ADULTS Married, Single or Widowed Have you ever been in Canada before IF SO Do you intend to permanently reside in Canada Are you able to read Are you able to write COUNTRY OF BIRTH RACE OF PEOPLE DESTINATION WHAT WAS YOUR OCCUPATION IN COUNTRY FROM WHICH YOU CAME WHAT IS YOUR INTENDED OCCUPATION IN CANADA RELIGIOUS DENOMIATION
Male Female When Where How Long POST OFFICE PROVINCE
Woods, Roland 23 S Yes 1914 Montreal 3 Mos Yes Yes Yes England English Montreal Student Store Manager C. of England
To Join Parents 321 Hibernia Road