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The Chung Collection

Application for special rates to Canada, Father MacDonell party, Clan-Donald Scheme Gallagher, Mary Mar 12, 1926

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m No. C18.
DOMINION   OF   CANADA »U# ^fc ^^
DEPARTMENT OF IMMIGRATION AND COLONJZATT&M   °/%
APPLICATION FORM ^ %
FOR   SPECIAL   RATES   TO   CANADA %%y
To avoid delay please complete this form in your own handwriting and answer all questions fully. ,
TO THE CANADIAN EMIGRATION OFFICE AT ;;	
,
We are interested in the plan for the settlement of British Families on the land in Canada. We
desire to have our qualifications investigated in order that we may, if approved, proceed to Canada arid
secure agricultural employment prior to qualifying for assistance under the above plan. We beg to
submit the following:
SECTION 1.     Head of family
a   Name in full , _ .	
Write name clearly in printed letters like this: SMITH.
b   Present address in full.
c   Age_
. Religion,
Giving nearest station and county.
  Present occupation	
d   Employer's name and address_
e    Nationality^ Birthplace	
English, Scotch, Irish, or Welsh.
/    Married or Widower Years married.
g   Did you serve in military or naval forces during the Great War ; if so, where, and unit ?_
h   Have you any physical disability
i    Are you in receipt of a pension ?_
State nature and extent.
.Amount per annum '£_
State whether service or disability.
j    Have you ever resided in Canada, if so between what dates ?	
SECTION 2.    Experience.
a    Were you born or brought up on a farm ?_
Give details.
b    Give full details of your employment since leaving school:
From
Year
.,  To
Year
Employer's name, occupation,
and address
Nature of work you
performed
;
0
c    If you have had any agricultural experience in Britain or elsewhere, which is not detailed above,
please give full details, showing the nature of work you performed_	
d   Can you groom, harness, and drive horses ?_
CANADIAN
Pt.pAr.iFir;
[over CANAGIANcaSk PACIFIC
e Can you plough ? Can you milk ■? •_
/ Do you understand the handling and care of dairy cattle ?.
g Sheep ?  Swine ?  -  ' ■
h A farm garden ?   Small fruits ?
Can you do rough carpentry ?_
_Poultry ?_
.Orchards ?.
SECTION 3.    References. "j:: •  ■
a Give the names, addresses, and occupations of three responsible parties (not relatives) to whom we
can refer for, recommendations as to character, ability, industry, and. thrift. Employers
preferred.
Name   - Address -. ...   -Occupation
SECTION 4.   Assets.
a   How much actual CASH have you now ?    £ "•-:';-' "" '■-'■      ■ ■  -  ■■
b    How much money will you have before you sail, after disposing of all your effects and paying all
your debts ?." * ^ '  "  .
c    Do you propose to .take with you, sufficient bedding and blankets, linen, crockery, cutlery/and
small cooking utensils to suffice for your early heeds?*.
SECTION 5.    (THIS SECTION TO'-BE! COMPLETED BY ,WIEE.) .A:yZ>	
a   Wife's name (in full)     cPfnfMh titLUlClCjLtrf  p ^    Age ff3
b    Nationality gfcqfe&Z     t        t        Birthplace    JJL%e$M^
c    Children   // Boys aged jkQ^UL   f$    B"and   -——   Girls aged.
d    Have you or they any physical disability ?3	
Jteu
(State nature and extent.)
e    Do they all intend to sail under this plan and remain with parents or in vicinity ?.
AilL   AA Ma/m, .	
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f    Have   you   any other dependents, related or otherwise ?_
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If so, give particulars and state if they will accompany you.
g    Do you desire any female relative or friend riot already mentioned to accompany your family ?
If so, give name, age, and address JlA ^_   T__^	
n
Can you milk
Care for poultry ?.
^
.Tend farm garden
ft
i    Were you born or brought up on a farm, or have you had any training which would specially fit you
for farm work ?       p/T JjtiilU e/OfkaUfi/rl/Cje,
SECTION 6.
a   Is it.your desire to settle in any particular district or province ?.
MLA
b   State date on which you will be ready to sail      3SL
(Where).
Si^fciijM
It is preferable that sailings should take place between February 15 and April 1 if proceeding
to British Columbia and between March 15 and April 15 to other provinces.
I declare that the answers given to the above questions are, to the best of my knowledge, true and
correct.
I Signature of Applicant.
I believe that my husband is sincere in his intentions to make farming his life work, j I am aware
of the individual responsibility -resting on those who would engage successfully in farming.    I am in
favour of his engaging in farming and am willing to live on a farm, co-operate and assist him in his
undertaking in every .possible way.        •.-..:--.->;■; ■:...;.-.... •:,-.•;.::. t
TJati^J^iwvi
Place.
r>ate      n-Ti-^L
*   (J Signature of 1
)/ Wife.
Name and Address of Booking Agent	
CANAOIAN^^^ PACIFIC
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