List of the Members of the Household or Family, Visitors, Servants, and others, who slept or abode in this Dwelling on the night of Sunday, the 3rd day of April, 1881.
Name and Surname. Relation to Head of Family. Condition. Sex. Age last Birthday. Rank, Profession, or Occupation. Health. Where Born. Religion. Education. Description of Dwelling.
No person absent on the night of Sunday, the 3rd April, to be entered. Write after the names of the Head of the Family the names of his Wife, Children, and other relatives. Then Visitors, Lodgers, Servants, &c. State whether Wife, Son, Daughter, or other relative. Visitor, Lodger, or Servant. Write "Married" "Widower" "Widow," or "Unmarried," against the name of all persons, except young Children. Write "M" against Males, and "F" against Females. The ages of infants under one Year to be stated in Months. [Before filling in this column you are requested to read the instructions on the other side.] If unable to follow usual occupation by reason of illness or accident write "Sick," or "Accident," or if afflicted by an incurable infirmity, write "Deaf and Dumb," "Blind," "Lunatic," "Idiot," as the case may be. State the Country, not the Town or Parish ; if born in Foreign Parts, or at Sea, add whether a British Subject by Parentage or Naturalization ; if in Australia state which Colony. ["C" for Chinese. "Ab." for Aboriginal, to be inserted after the words "China, " or "New South Wales, " if the person referred to is a memeber of either race. State the name of the Religion or Sect. Do not use general terms that represent more than one Religious Body. as "Protestant" or "Catholic." If of no denomination, or if the Religion cannot be ascertained from the occupier or person in charge, state so. Write against the names of Children, however young, the Religion in which it is intended they are to be brought up. [Any person objecting to fill up this column will insert therein the word "object."] Insert degree of Education, that is, "Cannot Read," "Read only," or "Read and Write," as the case may be ; and state if an Memeber of any University. [Chinese to be set down as "unable to read and write" unless they can read and write English] State whether built of Stone, Brick, Wood, Linen, &c. Number of Rooms.
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