For Indian households only
What language do the members of this household speak amongst themselves?
2 [ ] Gurmukhi
3 [ ] Hindi
4 [ ] Malayalam
5 [ ] Tamil
6 [ ] Telegu
7 [ ] Urdu
8 [ ] Hindustani
9 [ ] All other
____ Name of island
____ Enumerator's district number
Household schedule to be completed by the enumerator, listing every man, woman and child in each household at midnight on Monday, 12th September, 1966.
[Questions 1-4 were asked of all persons]
Indians, personal names and father's name
Europeans and others, enter surnames or family name in block letters
2. Relationship to head of household such as head, wife, son, daughter, mother, adopted son, son-in-law,visitor, servant, etc.
4. Age in completed years.
5. For females aged 15 years or older
____ Total number of children still living
____ Age when first child born
[Questions 6-10 were asked of all persons.]
6. Marital status
7. Place of birth
If born outside Fiji, name of country or island group
8. Date of birth
9. Is [the respondent] Chinese or Part-Chinese, European, Fijian, Indian, Part-European, Rotuman, Samoan, Tongan, etc.?
Years at school
What work does [the respondent] do and for whom and where does [the respondent] do it?
[For all persons]
Number of persons in this household
For the purposes of reproduction in this report this form has been reduced in size.