| No. of S.S. Contract Ticket | 178840 |
| Amount of Cash in $ | 19.00 |
| Name in Full | Beauchamp George |
| Age | 23 |
| Married, Single or Widowed | S[ingle] |
| Have you ever been in Canada before? | No |
| Do You Intend to Permanently Reside in Canada? | Yes |
| Are You Able to Read? | Yes |
| Are You Able to Write? | Yes |
| Country of Birth | England |
| Race or People | English |
| Destination | Post Office Montreal Province PQ |
| What Was Your Occupation in Country From Which you Came | Builders Labourer |
| What Is Your Intended Occupation in Canada? | Same |
| Have you ever worked as farmer, etc. | [BLANK] |
| Religious Denomination | C of E |
| Travelled Inland On | C.P.R. |
Source: Library and Archives Canada;Series: RG 76-C; Roll: T-4788
Source: Ancestry.com. Canadian Passenger Lists, 1865-1935