| Arrival: | 12 May 1919 |
| Vessel: | Melita |
| Port of Arrival: | Quebec |
| Port of Departure: | Liverpool, England |
This sheet is to be used for "Steerage" passengers only
NB - The table below has been rotated, so for columns read rows.
| No. of Passengers | 1 | 14 | 15 | 16 | |
| No. of S.S. Contract Ticket | 2 | 218608 | |||
| Amount of Cash in $ | 3 | 3525? | |||
| Name in Full | 4 | Bye Elizabeth | Bye Robert | Bye Evelyn | |
| Age of Adults | Male | 5 | |||
| Female | 6 | 32 | |||
| Under Under 11 Years | Male | 7 | 10 | ||
| Female | 8 | 11 | |||
| Married, Single or Widowed | 9 | M | S | S | |
| Have you ever been in Canada before? | 10 | Yes | Yes | Yes | |
| If So | When | 11 | 1919 | ||
| Where | 12 | Wpeg | |||
| How Long | 13 | 9 yrs | |||
| Do You Intend to Permanently Reside in Canada? | 14 | Yes | Yes | Yes | |
| Are You Able to Read? | 15 | Yes | Yes | Yes | |
| Are You Able to Write? | 16 | Yes | Yes | Yes | |
| Country of Birth | 17 | England | England | England | |
| No. of Passengers | 18 | 14 | 15 | 16 | |
| Race of People | 19 | English | English | English | |
| Destination | Post Office | 21 | Winnipeg | ||
| Province | 21 | Man | |||
| What was your occupation in country from which you came? | 22 | Wife | |||
| What is your intended occupation in Canada? | 23 | Wife | |||
| Have you ever worked as farmer, farm labourer, gardener, stableman, carter, Ry. surfaceman, navvy or miner? | 24 | No | |||
| If So | Which | 25 | |||
| How Long | 26 | ||||
| When | 27 | ||||
| Religious Denomination | 28 | C/England | |||
| Travelled Inland On | 29 | ||||
| Initials of Civil Examiner | 30 | B | B | B | |
| No. of Passengers | 31 | 14 | 15 | 16 | |