The undermentioned Houses are situate within the Boundaries
of the
- Civil Parish of
- Parish Ward of
- Ecclesiastical Parish of
- Quoad Sacra Parish of
- School Board District of
- Parliamentary Burgh of
- Parliamentary Division of
- Royal Burgh of
- Municipal Burgh of
- Police Burgh of
- Burgh Ward of
- Town of
- Village or Hamlet of
- Island of
Draw the pen through such of the words of the
headings are inappropriate. |
- No. of Schedule
- ROAD, STREET, &c., and No. or NAME of HOUSE
- HOUSES
- Inhabited #
- Uninhabited (U.), or Building (B.)
#
- NAME and Surname of each Person
- RELATION to Head of Family
- CONDITION as to Marriage
- AGE [last birthday]
- Profession, or OCCUPATION
- WHERE BORN
- Whether
- Deaf and Dumb.
- Blind.
- Lunatic
- Imbecile, feeble-minded.
- No. of Rooms with one or more Windows
#
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