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. Bank, 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 Stone house.
2 Maria Robinson Wife Married F. 53 Wife, assisting on farm Scotland Presbyterian Stone House.
3 John Robinson Son Unmarried M. 30 Son, assisting on farm United States (British subject by parentage) Wesleyan Methodists Read and write Stone House.
4 Henry Robinson Nephew Unmarried M. 13 Attending school Victoria Independent Read only Stone House.
5 Frances Laval Lodger Widow F. 34 Domestic servant Mauritius Roman Catholic Cannnot read Stone House.
6 Thomas Wood Servant Unmarried M. 21 Farm laborer At sea, British subject Presbyterian Read and write Stone House.
1 George Jameson Head of Family Widower M. 45 Stockholder, employing ten men Ireland Baptist (General) M.A., Trinity College, Dublin Wooden cottage.
2 Wilheln Herman In my employment Unmarried M. 35 Overseer Germany (British subject by naturalisation) Lutheran Read and write Wooden cottage.
3 Duncan Campbell Servant Married M. 40 Bullock-driver Scotland Presbyterian Read and write Wooden cottage.
4 Anne Campbell Servant Married F. 30 Domestic servant Wales Primitive Methodist Read only Wooden cottage.
5 Sydney Green Servant Unmarried M. 25 Storekeeper New South Wales Wesleyan Methodist Assos Read and write Wooden cottage.
6 John Butler Lodger Unmarried M. 28 Gold miner, quartz crushing, employing six men Van Diemen's Land Unitarian Read and write Wooden cottage.
7 Thomas Young Visitor Married M. 27 Merchant (sick) Cape of Good Hope Jew Read and write Wooden cottage.