Line

11

Family Name

Mistelbacher

Given Name

Anton

Relationship

none

Age

M

25

F

-

Single, married, widdowed or divorced

S

Country and Place of Birth

Austria, Zelkienk

Nationality (country of which a citizen or subject)

Austria

race or People

Austria

if in Canada before

between what periods

Never

at what adress

Never

ever refused entry or deported from canada?

no

to you intend to reside permanently in canada?

yes

can you read?

yes

what language

german

by whom was pasage paid

self 11604

Occupation

what trade or occupation did you follow in your own country?

Farmlabourer

what trade or occupation did you intend to follow in canada?

Farmlabourer

Destination

if destind to relative, friend or employer state which and give name and full address. If not joining any person in Canada give the adress in canada to which you are going

V.D.C.K. to Winnipeg Man.

give name, relatinship and adress your nearest relative in the country from which you came. If a wife or children are to follow you later to canada, give names an age

Father: Mr. Karl Mistelbacher Viehdorf

Have you or any of your family ever been

mentally defective

no

physically defective

no

tubercular

no

passport

Number, place and date of issue

428660, Aussteller 23/7/28

money in posession belonging to passenger

$ 25

travelling inland on

CPR

Action taken and civil examiner

LANDED immigrant