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 Stone Houses
2 Maria 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 Methodist Read and write
4 Henry Robinson Nephew 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. 21 Farm laborer At sea, British subject Presbyterian Read and write
1 George Jameson Head of Family Widower M. 45 Stockholder, employing ten men Ireland Raptist (General) M.A., Trinity College, Dublin Wooden Cottage
2 Wilherma 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. 25 Storekeeper New South Wales Weslayan Methodist Assoe Read and Write
6 John Sutler Lodger Unmarried M. 23 Gold miner, quartz crushing, employing six men Van Diemen's Land Unitarian Read and write
7 Thomas Young Visitor Married M. 27 Merchant (risk) Cape of Good Hope Jew Read and write