Column Headings – Form 30 (1919-1924)

From January 1919 to December 1924, an individual form (Form 30) was used for border entries. 

There were several variations of the fronts and backs of the Form 30 records, used in different combinations.

Form 30 – Type A
[a]

Front

  • Name
  • Age
    • Male, Married
    • Female, Single
    • Occupation
  • Object in coming to Canada
  • Birthplace
  • Citizenship          Race
  • Nat. Cert. No.     Date
    • Court        State
    • Attestor
  • Last permanent address
  • Street and No.
  • Ever lived in Canada?
    • Yes          Address
    • No
  • Entered previously at          Date
  • Left Canada at                    Date
  • Ever been refused admission into Canada
    • Yes          Where          When
    • No
  • Money in possession belonging to immigrant $
  • If settler, value of effects $
  • Destined to
    •  Relative
    • Friend or
    • Employer
      • Name
      • Address
  • Apparent condition of health
  • R.R. tkt. issue          No.          Form
    • From             To
    • Train No. or S.S. name
  • Landing:
    • Port
    • 1st, 2nd or 3rd Class
    • Date
    • Steamship
  • Objection to immigrant, if any
  • Whether able to read or write?
  • Time and port of last arrival in the United States
  • Action taken

Back

  • Height    
  • Complexion
  • Colour of eyes   
  • Colour of hair
  • Marks of identification
  • Signature

Particulars When Family Accompanying

  • Full name
  • Age
    • M.
    • F.
  • Relationship
  • Country of birth
  • Country of citizenship
  • Remarks:

Form 30 – Type B
[b]

Front

  • Name
  • Last permanent address
  • Street and No.
  • Age
    • Male          Married          Widowed
    • Female      Single             Divorced
    • Occupation
  • Birthplace
  • Citizenship          Race or People
  • Nat. Cert. No.     Date
    • Court        State
    • Attestor
  • Able to read?          Write?          Language?
  • Religious denomination
  • Ever lived in Canada? 
    • Yes          Address 
    • No
  • Entered previously at          Date
  • Left Canada at                    Date
  • Why left Canada
  • Money in possession belonging to immigrant $
  • If settler, value of effects $
  • Object in coming to Canada
  • Destined to
    • Relative
    • Friend or
    • Employer
    • Name
    • Address
  • Ever been refused admission into Canada
    • Yes          Where?
    • No
  • Apparent condition of health
  • R.R. tkt. issue          No.          Form
    • From             To
    • Train No. or S.S. name
  • Landing:
    • Port         Date
    • Steamship
    • 1st, 2nd or 3rd Class
  • Time and port of last arrival in the United States
  • Object to immigrant, if any

Back

  • 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

Form 30 – Type C
[c]

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

Form 30 – Type D
[d]

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
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