Industry, Trade or Service with which connected.
Relationship to Head of
Household.
MARRIAGE.
AGE AND
SEX.
BIRTHPLACE AND NATIONALITY.
Length of
RACE.
residence int DEGREE OF EDUCATION. Hong Kong,
PROFESSION OR OCCUPATION.
31
of
State here the pre- cise branch Profession, Trade, Manufacture, Ser-
vice, &c.
-ednost i ovom
ΙΟ
tion is connected with Trade Manufacture, the reply should be sufficient to show
the
kind
particular
Work
of
done, the Material worked in, and the Article made or dealt in, if any.
State the industry, trade or service in
which engaged. This question can
-Su_eq K[[PIGIOG
wered by stating the business car- ried on by the employer. (No en- try to be made here for domestic servants in private employment).
Read
and
write
Speak
English.
English.
Of every person who is alive at midnight on the night of Saturday, 7th March, 1931, and who, whether as member of the family or as visitor, boarder or servant in the household or establish- ment :--
(1) passes that night in the dwelling
of the household
or establishment,
or
(2) arrives and is re- ceived into the household or es- tablishment
on
the morning of Sunday, 8th March not hav- ing already been enumerated else-
where.
State whether Head or Wife, Mother, Son, Daughter,
Step-son, or other Relative,
Visitor,
Boarder, or
Servant.
State whether
Single, Married,
Widowed, or Divorced.
ǝy
(last Birthday).
(1) If born in
the United
Kingdom write
jo de I
the County.
(2) If born elsewhere in the British Empire, write the name of the Country, Province, or
State.
(3) If born in a Foreign Country write the name of the Country.
(4) If born at
Sea write
at Sea
19
(D) State
whether of
British
parentage.
(2) Naturalised British subject,
or
(3) If of foreign nationality, state whether U. S. Citizen,
Dutch, Japanese, &c.
State whether of English,
Chinese,
Portuguese, Sikh, Filipino, Parɛce, Tamil, Jew, etc. f of mixed race state dominant race, or write Eurasian, etc.
If not boru
in Colony
state period
Jo
years
resident.
If less than
ava ano
write a cross
(X).
State
whether able to read and write Mother
Tongue:
if not,
what other
language.
(D)
1
(4)
(2)
(3)
Males. Females.
(5)
(6)
(7)
(OD
(6)
(9)
(12)
(13)
I declare that this Form is correctly filled up to the best of my knowledge and belief. Signature.
Address
(Head of Household).
(In respect of which the above particulars are given).