EXAMPLE OF THE MODE OF FILLING UP THE FORM OF RETURN.

	Name and Surname.	Relation (if any) to Head of Family.	Condition.	Sex.	Age last Birthday.	Rank, Profession, or Occupation.	Where Born.	Religion.	Education.	Description of Dwelling.
1	James Robinson	Head of Family	Married	M.	57	Farmer, proprietor of 640 acres, employing six men	England	Church of England	Read and write	[Illegible]
2	Maris Robinson	Wife	Married	F.	53	Wife, assisting on farm	Scotland	Presbyterian
3	John Robinson	Son	Unmarried	M.	30	Son, assisting on farm	United States (British subject by parentage)	Wesleyan Methodists	Read and write
4	Henry Robinson	Nepher	Unmarried	M.	13	Attending school	Victoria	Independent	Read only
5	Frances Laval	Lodger	Widow	F.	34	Domestic servant	Mauritius	Roman Catholic	Cannot read
6	Thomas Wood	Servant	Unmarried	M.	[Illegible]	Farm laborer	At sea, British subject	Presbyterian	Read and write
1	George Jameson	Head of Family	Widower	M.	45	Stockholder, employing tea men	Ireland	Baptist (General)	M.A., Trinity College, Dublin	Western Cottage.
2	Wilheina Herman	In my employment	Unmarried	M.	35	Overseer	Germany (British subject by naturalization)	Lutheran	Read and write
3	Duncan Campbell	Servant	Married	M.	40	Bullock-driver	Scotland	Presbyterian	Read and write
4	Anne Campbell	Servant	Married	F.	30	Domestic servant	Wales	Primitive Methodist	Read only
5	Sydney Green	Servant	Unmarried	M.	23	Storekeeper	New South Wales	Wesleyan Methodist Assoe.	Read and write
6	John Butler	Lodger	Unmarried	M.	37	Gold miner, quartz-crushing, employing six men	Van Diemen's Land	Unitarian	Read and write
7	Thomas Young	Visitor	Married	M.	27	Merchant	Cape of Good Hope	Jew	Read and write