LIST of the Members of this Household, of Visitors, Servants, and others, who slept or abode in this House on the Night of Sunday, 29th March, 1857.
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NAME AND SURNAME. |
RELATION TO HEAD OF HOUSEHOLD. |
CONDITION. |
SEX. |
AGE (LAST BIRTHDAY). |
RANK, PROFESSION, OR OCCUPATION. |
WHERE BORN. |
RELIGION. |
EDUCATION. |
DESCRIPTION OF HOUSE. |
No persons absent on the night of 29th March to be entered. |
State whether Wife, Son, Daughter, or other Relative, Visitor, Lodger, or Servant. |
Write "Married," "Widower," "Widow," or "Unmarried," against the Names 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 theother side.) |
State the Country or Colony, not the Town or Parish. If born in Foreign Parts, or at Sea, add whether a British Subject by Parentage or Naturalization. |
State the name of the Religion or Sect. Do not use general terms that represent more than one Religious Body, as "Catholic," "Protestant," "Presbyterian," &c. 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. |
Insert degree of Education ; that is, " Cannot Read," " Read only," or "Read and Write," as the case may be ; and state if a Member of any University. |
Wood, Stone, Brick, Linen, &c. |
Write after the name of the Head of the Household the names of his Wife, Children, and other Relatives ; then Visitors, Lodgers, Servants, &c. |
If from sickness or accident unable to follow usual occupation, write "S" for sickness, and "A" for accident, after the occupation. |
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