I. General Data of the Person Enumerated
[Questions 1-10.]
3. Date of birth
_____ Day
_____ Month
1 _ _ _ Year
Filling in part "I. General data on the enumerated persons"
1. Family and last name
In case of married, widowed, and divorced women, the maiden name should be marked.
3. Date of birth
Provided the enumerated person was born in 1879 or earlier, a cross (X) should be put on the upper right part of the Dwelling questionnaire.