HOUSE & BUILDING RETURN 1911
C
o
l.
1		 whether built or building.

Col.2

State whether
Private Dwelling,


Public Building,


School,

Manufactory,
Hotel,

Public house,

Lodging House,

or Shop,&o.

Col.3

Number of Out-Offices and
Farm-steadings as returned on Form B.2.

Col.4

Is House Inhabited?

- Yes or No as the case may be.

Col.5

H
o
u
s
e

D
e
t
a
i
l

W

a

l

l

s

Col.6

R

o

o

f

Col.7

R

o

o

m

s

Col.8

W

i

n

d

o

w

s

i

n

Front

Col.9

Tot the Figures
you have entered in columns
6,7,8 & 9 and enter the Total
for each House in this column.

Col.10

Class of House;


When Total in Column is
1 or 2,enter 4th;3,4 or 5 enter 3rd;6,7,8,9,10,
or 11 enter 2nd;12 or over ,
enter 1st

Col.11

No.of distinct Families in each House.

Col.12

Name of the Head of each Family residing in the House.

Col.13

No. of Rooms occupied by each Family.

Col.14

Total Number of Persons in each Family.

Col.15

Date on which Form A was collected.

Col. 16

Number of Persons
in each Family who were
sick on 2nd April 1911.

Col.17

 L
a
n
d
h
o
l
d
e
r.

C
o
l.
18