Sessional_Paper_1938 — Page 152

148

8. Possibility of repatriation

9. Remarks

CONFIDENTIAL.

་

Appendix 5.

SHANGHAI REFUGEES COMMITTEE

1. Name in full

2. Married or Single

QUESTIONNAIRE

3.

Birth place

4.

Nationality (by birth)

*$3 per day.

5.

Ability to pay maintenance rate*

Full

Proportionate

*Not required by those able to pay full rate.

6. *Statement of means:

(a) Cash in hand

(b) Salary

(c) Investments

(d) Property

(e) Other sources

7. Possibility of repatriation

8. Remarks