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..: PNCE REFARCHBOARD FORM CAXSRDD Droo .N Moutroaly 1251L00.308 . 3.Piaes of Reidene dg last 1 ye Do not ipalude any pariod spent in tbe Arzed Farcee during World War II Sraeer anD Nuxnen Datee C PRovI Brandom...Monitob.. 19.28 ...to 19.36. Mors.ter...Maso.. 19... to19.58 Albany.... 19.5 to 19....... Yont...... Que.. 19...... Country and plaot of birth Plat.. Daot title of your positit From... .10 cYour Mothr.... Bnglapd. ...d Your Father...Sootland. Name of amployer: 5.s Rscia Origin.. ....oCitisenship.Argan. Fina d If Cansdian Citisen- by Birth or Naturaisatibn Addra Duties and responaibilities e Dste and Place of Naturalisation.... iNsturalisation Certifcste No. ...... g Self-naturalised or through parenta.. Kind of busingas or organization! k If not a Canadian Citisenare you a British Subject?.No Number nd cs ot employeet you epervised (l) Length of Residence in Cansda..Appro..5. year.. sDate of Birth... Doo..ber 6. n Name and title of yobr imtmedlite Bupervlsor. .{d Weight... 190 Fatr cHeight... ...... ebin d saipment you u f Colour of Hair.. Grey gColour of Eyea..Blue... Reason for leaving h Marks deformities or pbyeical defects (give detsila.. o (Ser... ..k State of health Froellant.. T. Marital Status.... Married ...8.Maiden name if married womsn M.mogy.... 19 193 From... 0.Namesrelstionships and sgea of dopendentsif any b6 Name of employer: Final shildra b7C A...D.A.N.Y. HO.S.P..I.A...... Add. responnibiit 10. FAMILY HISTORY: Kind of business or organixation: a Fsther's Name snd Present Addresa..... Duncan Cemeron (decetsed) bFather's Occupation. Clergymn..... Number and class of employees you supervised: (c Mother's Name and Addresa Mgaret.I..Comaoher Cameron.... Sootland. d Wife's Maidan or Hebend'a nnme, addresa and occupation.... Name and titie of your immediste Suporvisor: Housife. A Machines and equipment you used. Racial Origin of wife/husband... 4 Reason for leaving f Nationality of wife/husband Soottish (Anorioan cstise (g) Brothers and Sisters (details of residence and present employment).. sre truo and I make this solemn declarstion conscienticualy, believing it to be the truth. Aprl9 D.R..