| Line | 5 | 6 | 8 | 9 | |
| Family Name, Given Name |
Herring, Robert
no district number |
Herring, Hilda Leah
no district number |
Haines, Sophia | Haines, Florence | |
| Relationship | Wife | Dghtr | |||
| Age | 67 | 29 | 44 | 19 | |
| Single, Married, Widowed or Divorced | W | S | M | S | |
| Country and Place of Birth | England, Brandon | England, Norwich | England, Norwich | England, Norwich | |
| Nationality | Britain | Britain | |||
| Race or People | English | English | English | English | |
| If in Canada Before | Between What Periods | No | No | 1911 - Jan 1930 | 1911 - Jan 1930 |
| At What Address | 277 Harbison Av. Winnipeg | Do. | |||
| Ever Refused Entry to or Deported from Canada? | No | No | No | No | |
| Do You Intended to Reside Permanently in Canada? | Yes | Yes | Yes | Yes | |
| Can You Read? | Yes | Yes | Yes | Yes | |
| What Language | English | English | English | English | |
| By Whom Was Passage Paid | Self | Father | Self | Self | |
| Religion | C/E | C/E | C/E | C/E | |
| What Trade or Occupation Did You Follow in Your Own Country? | Retired | Nurse | Housewife | None | |
| What Trade or Occupation Did You Intend to Follow in Canada? | Retired | Domestic | Housewife | Housekeeper | |
| If Destined to Relative,Friend or Employer State Which and Give Name and Full Address |
Dgter. Mrs. S. Haines,
277, Harbison Ave., Winnipeg. Man. |
Sister
Do. |
Husband Mr. Haines,
277, Harbison Ave., Winnipeg. Man. |
Father
Do. |
|
| Give Name, Relationship and Address of Your Nearest Relative in the Country from Which you Came |
Dgter. Mrs. Sargeant [sic],
10, Shipstone Rd., Norwich |
Sister
Do. |
|||
| Have You or Any of Your Family Even Been | Mentally Defective | No | No | No | No |
| Physically Defective | No | No | No | No | |
| Tubercular | No | No | No | No | |
| Passport | Cert. 302206 Norwich | Cert. 302207 Norwich | 89897 Ottawa 14.1.30 | 89896 Ottawa 14.1.30 | |
| Money in Possession Belonging to Passenger | £10 | £10 | $500 | ||
| Travelling Inland On | C.N.R. | C.N.R. | C.N.R. | C.N.R. | |
| Action Taken and Civil Examiner | Landed Immigrant 100 HF | Landed Immigrant 100 HF | Admitted Returned Canadian 300 HF | Admitted Returned Canadian 300 HF | |
NB - Robert and Hilda are on Sheet No 2 Third Class. Sophia and Florence are on Sheet No 1 Third Class
Source: Library and Archives Canada; Series: RG 76-C; Roll: T-14824
Source: Ancestry.com. Canadian Passenger Lists, 1865-1935