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

	Name and Surname.	Relation to Head of Household.	Condition.	Sex.	Age last Birthday.	Rank, Profession, or Occupation.	Where born.	Religion.	Education.	Description of House.
1	James Robinson	Head of Family	Married	M	57	Farmer, proprietor of 640 acres, employing 6 men	England	Church of England	Read and write	Stone house
2	Maria Robinson	Wife	Married	F	53	Wife assisting on farm	Scotland	Church of Scotland	Read and write	Stone house
3	John Robinson	Son	Unmarried	M	30	Son assisting on farm	United States (British subject by parentage)	Wesleyan Methodist	Read and write	Stone house
4	Henry Robinson	Nephew	Unmarried	M	13	Attending school	Victoria	Independent	Read only	Stone house
5	Frances Laval	Servant	Widow	F	34	Domestic servant	Mauritius	Roman Catholic	Cannot read	Stone house
6	Thomas Wood	Servant	Unmarried	M	21	Farm laborer	At sea, British subject	Free Church of Scotland	Read and Write	Stone House
1	George Jameson	Head of family	Widower	M	45	Stockholder, employing (10) ten men	Ireland	Baptist (General)	M.A., Trinity College, Dublin	Wooden house
2	Wilhelm Hersman	In my employment	Unmarried	M	35	Overseer	Germany (British subject by naturalization)	Lutheran	Read and write	Wooden house
3	Duncan Campbell	Servant	Married	M	40	Bullock driver	Scotland	United Presbyterian Church	Read and write	Wooden house
4	Ann Campbell	Servant	Married	F	30	Domestic servant	Wales	Primitive Methodist	Read only	Wooden house
5	Sydney Green	Servant	Unmarried	M	25	Storekeeper	New South Wales	Wesleyan Methodist Association	Read and write	Wooden house
6	John Butler	Visitor	Unmarried	M	28	Gold miner, quartz crushing, employing 6 men	Van Diemen's Land	Unitarian	Read and write	Wooden house
7	Thomas Young	Visitor	Married	M	27	Merchant (sick)	Cape of Good Hope	Jew	Read and write	Wooden house