State whether
able to
Personal
Occupation.
78
Industry, Trade or Service with which connected.
MARRIAGE.
AGE AND
SEX.
BIRTHPLACE AND NATIONALITY.
RACE.
Length of residence in
Hong Kong.
DEGREE OF EDUCATION,
PROFESSION OR OCCUPATION.
Form shewing particulars to be stated in the return.
THE HONG KONG GOVERNMENT GAZETTE, FEBRUARY 13, 1931.
of
State here the pre- cise branch Profession, Trade, Manufacture, Ser- vice, &c.
Or
Where the occupa- tion is connected with Trade Manufacture, the reply should be sufficient to show the particular kind of Work
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 generally be ans- wered by stating the business car- ried on by the employer. (No en- try to be made here for domestic servants in private employment).
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
arrives and is re- ceived into the household or es- tablishment 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.
Age
(last Birthday).
(1) If born in the United
Kingdom write the name of 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
(1) 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, Parsee, Tamil,
Jew, etc.
If of mixed race state dominant race, or write Eurasian, etc.
If not born
in Colony
state period
of years resident.
If less than
one year write a cross
(X).
State
whether able
to read and write Mother
Tongue;
if not,
what other
language.
Read
and
write
English.
Speak
English.
NAME
AND SURNAME.
Relationship to Head of
Household.
I declare that this Form is correctly filled up to the best of my knowledge and belief. Signature..
(Head of Household).
Address
(In respect of which the above particulars are given).
(1)
(2)
(3)
Males.
Females.
(5)
(6)
(7)
(9)
(10)
(11)
(12)
(13)
1
(4)