The undermentioned houses are situated within the boundaries of the
____ Quoad sacra parish of
____ Parliamentary burgh of
____ Royal burgh of
____ Town of
____ Village of
____ No. of schedule
____ Road, street, etc., and number or name of house
[] Uninhabited (U) or building (B)
____ Total of houses
Name and surname of each person
____ Name
____ Surname
____ Relation to head of family
____ Condition
____ Males
____ Females
____ Males
____ Females
Rank, profession, or occupation
____ Rank, profession, or occupation
____ Where born
Whether blind, or deaf and dumb
____ Whether blind, or deaf and dumb
No. of children from 5 to 15 attending school
____ No. of children from 5 to 15 attending school
No. of rooms with one or more windows
____ No. of rooms with one or more windows
Total of school children and windowed rooms
____ School children
____ Windowed rooms