EXAMPLE OF THE MODE OF FILLING UP THE RETURN.

	Name and Surname.	Relation to Head of Family.	Condition.	Sex.	Age (last Birthday.)	Rank, Profession, or Occupation.	Health.	Year of arrival in the Colony.	Country where Born.	Country where Married.	Religion.	Education.	Class.	Description of Dwelling.
1	James Robinson	Head of family	Married	M.	57	J.P., Farmer employing six men.	Sick	1,835	England	England	Church of England	Read and Write B.A. Oxford	F.	Cottage—one storey, brick, six rooms, three out-buildings (barn, stable, and dairy).
2	Maria Robinson	Wife	Married	F.	53	Domestic duties		1,835	Scotland	England	Church of England	Read and Write	F.
3	John Robinson	Son	Unmarried	M.	30	Son assisting on farm	Deaf and Dumb		Western Australia		Wesleyan Methodist	Read and Write	F.
4	Henry Robinson	Nephew	Unmarried	M.	13	Attending private school			Western Australia		Independent	Read and Write	F.
5	Frangoise Laval	Lodger	Widow	F.	34	Domestic servant		1,870	Mauritius	Victoria	Object	Read only	F.
6	Thomas Wood	Servant	Unmarried	M.	41	Farm servant		1,868	At sea, British subject		Church of Rome	Read and Write	C.P.
7	Sydney Green	Caller	Unmarried	M.	44	Farm laborer (unemployed)			Ireland		No religion	Cannot read	E.
8	Quibbling Jimmy	Servant		M.		Stockman			W.A. Aboriginal
9	Jinny	Servant		F.		General Assistant			W.A. Aboriginal
1	John Philip Hadley	Head of family	Widower	M.	40	Hotelkeeper		1,870	Upper Canada	United States	No denomination	Read and Write	F.	Stone house, eight rooms.
2	Jane Emma Hadley	Daughter	Unmarried	F.	8	Scholar at home			Western Australia		Wesleyan	Read and Write	F.
3	Mary Butler	In my employment	Unmarried	F.	25	Governess		1,878	Wales		Calvinistic Methodist	Read and Write	F.
4	Wilhelm Herman	Servant	Unmarried	M.	28	Barman		1,879	Germany, British subject by naturalization		Lutheran	Read and Write	F.
5	Anue Campbell	Servant	Widow	F.	31	Cook and laundress	Accident		New South Wales	Victoria	Bible Christian	Cannot read	F.
6	Edward O' Neil	Lodger	Widower	M.	53	Laborer (unemployed)		1,865	Ireland	Western Australia	Roman Catholic	Read only	E.
7	Philip James Young	Lodger	Unmarried	M.	37	Stockman		1,868	Cape of Good Hope		Unitarian	Read and Write	T. L.