.
FORM-CI
CON F ID ENTIAL
5
HEAD
6
8
REL.
eaxa
MARITAL STATUS (7% YEARS AND OVER)
I (a)
NEVER
MARRIED MARRIED
e%m
LOCAL OR F O R E I G N
O
9(a)
c
THIS HOUSEHOLD
.
I
_
9
ss.
ST.
U.S.A.
U.K.
c
3
STVIN
u
-
1%
RELIGION
NUMBER OF YEARS LIVED IN THiS PARISH
NUMBER OF PARISHES EVER LIVED IN
YEAR
OF IMMIGRATION
BLACK
a9
HIGHEST LEVEL O F
EDUCATIONAL
ATTAINMENT (INCLUDING PERSONS
STILL AT SCHOOL)
(ai
ANT.
0
O
GUAD.
OTI-IER
CARiE.
N C I STATED c=)
.
ST.
MAE
0
Sc.
?AF.
c3
o
ST.DAV.
o
I
1
SÏ L
EAST
INDIAN
CHINESE
0
a
o
0
JAM
T&T
AMER
INDiAPJ
0
12
PAUL
O
t
a
B'DOS
o
O
PORTUGUESE
>
OTHEF:
1,jO-r
COUNT.
STATED
I
\
1'6
NOT STATED
ST.
JOS.
ST.
PETER
o
GREN
hllOOMT.
0
0
ST.
SYRIAN1
LEB
c
LUK.
o
MAR.
o
o
ANT
MONT
ST.K/N
GUY
WSITE
MIXED
OTHER
RACES
NOT
STATED!
SI
LUK
MAR
~
3
o
0
PAT.
ST.DAV.
3
o
0
1
Q
CHURCH
NOT STAï ED
ST AND
ROSEAU
o
ST
JOHN
0
STGEO
w
sr
ST
PETER
O
SI
PAUL
JOS
a
Q
O
O
ST
o
P?ZT
o
STDE
_
I
b
1
2
3
0
CI)
c3,
--____
4
o
-i
5
6
7
8
90R
&?ORE
cz)
cz)
0
0
c=)j
1
1
I
SI
OWNED
d
#
37
NONE
0
'
NSRY./
INFANT
0
''
FULLTIME
STUDENT
19
(8) NONE
1
?RI-
MARY
Q
SECOND.
ORCOW.
0
O
WLTI
HIGH
OTHER
SECOND.
c
3
uw.
O
PARTTIME
STUDENT
O
49
6, (b)
o
O
NSRY.1
INFANT
c
1-2
=
PHIMARY
OTHER
0
,
3-4
NOT
APPLICABLE
O
SECOND.
ORCOMP.
o
5-6
o
MULTI
HIGH
c
7
NOT
STATED
O
OTHER
SECOND.
)
c
8
UNIV.
3
9
o
io
;;LIi)
PRIVATE
RENT
LEASED RENTED
FREE
O
O
O
c
.
PUB.
PIPED
PRIV.
PIPED
INTO DWEL. INT0,VD. INTO DWEL.
a - 0
i 3
I
NOT
STATED
OTHER
o
38
NOT
STATED
O
m..
o
I
YEARS OF SCHOOLING
<>
NOTSTATED
SÏ.
LUK
0
1
v
A5ROAD
o
'I5
TYPE OF SCHOOL/UNIVE!?SITY
.
~
-
l7 TYPE OF SCHOOL OR UNIVERSlTY
NOW BEING ATTENDED
ATTENDANCE AT SCHOOL OR UNIVERSITY
0
O
1% NEGRO/
~~
CANADA
ST.GEO. JOHN
O
,ps3
.JOS.
0
o
ST. AND.
10
(a) RCSEAU
RACE
ST.
PAUL
ST.
PETER
c3
c1
1
I
11
4
3
--
1
?
ELSEWHEREIV COUP?iRY ~3
0
ST. AND.
0
=
NOT
STATED
LE6.4.Li-Y
SEP.
WIDOWED DWORCEL:
0
[bf ROSEAU ST.GEO. JOHN
a
o
u
16
DCMESTIC
EMPL./REL.
BOARDEEI
REL.
OTHEX
HDlSP
1
SEX
9
"!kL"
SPOUSE1
PARTNER
Wal
SHARED
0
NOT
SHARED
1938
PRIV.
CATCHM.
MOT PIPED
KONE
PIT
o
1970-72
ii+
-
c
A,.-,
I""
(
W.C. NOT
LINKED
POSEWER OTHER
3
-
a
1960 OR
EARLIER
'1961-69
LIGHTING
(b)
EEC.
KEROSENE
QTHER
em
O
O
ola
THIS HOUSEHOLD
ELSEWHERE iN COUNTRY
O
4Nb)
ST. AND.
..
0
ST.
ST.
ST.
ST.
ROSEAU ST.GEO. JOHN
PETER
JOS.
PAUL
I
a ' -
W.C.
LINKCED
TQSEWER
MOT
STA?ED
NOT
STATED/
@(a)
f=
8
MOT
STATED
Q
O
a($
22 PERIOD OF TRAINING
(FOR PERSONS WHOSE TRAINING HAS BEEN COMPLETED)
c2
Q
0
1978
sraTm
HP
RENTED
OTHER
C
3
c
.
3
PUE.
STAND
PUB.
PIPE
TAMK
OTHER
40
1980
ROT
GOVT.
SQUATTED
?
O
COOKING
ELEC.
8
O
0
WEEK FORTNIGHT MONTH OUARTER
0
0
YEAR
KERQ.
cæ
0
QTHERI
HONE
c3
+BROAD
o .
3
WOOD,
CHAR
O
ST.
0
LUK.
0
-
NOT STATED
ST.
PAT. ST.DAV.
o
ST.
MAR.
8
,
0
,
.,
0
-
CBMIMQINWEALVHCARIBBEAN POPULATION CENSUS
APR! h 7,1981
-
APRIL7J981
__-_-_----------------_.Surname
Firs8 Mecme
JO8
WORK
o
P
a
FORM-C1
COM F ID ENTIAL
I
I
p
I
-
---....I-I--.-------
Middie Name
13
AVAlLABLE
o
c
WO?
QTHER
DISAELED
=
C
STATEL'
z
)
a
24 WORKER OR OCCUPATIONAL STATUS
DURING PAST YEAR
A
MONTHS WORKED DURING PAST 12 MONTHS
s
NOT STATED Cs
T
Y
E
A
R
'VI
4E
;E
rb
(INCLUDING OVERTIME) DURING PAST WEEK
I
NUMBER OF LIVEBORN CHILDREN EVER HAD
DURING PAST 12 MONTHS
SQUATTED
'
38
WATER SUPPLY
39
TOILET FACILITIES
1'
o
38
o
o
C
T
PU6.
PRIV.
PIPED
PIPED
INTODWEL. tNTOYD. INTODWEL.
o
a* w
>
HP
a
O
PRIV.
t%%%D
c,
a
D
1980
'
o
o
PIT
o
1979
1978
o
o
b
=
1
NUMBER OF ROOMS
I 42
o
Q
W.C. NOT
a
o
s
MOT
STATED
c3
)
44
MATERIAL OF OUTER WALLS
'
1960 OR
EARLIER
1981-59
T
MOT
STATE0
TOSEWER TOSEWER OTHER
o
1970-73
U
w
OTHER
Q
W.C.
40
YEAR WHEN DWELLiNG BUILT
>
T%k
S%!D
i
3
9
0
NOT
SHARED SHARED
NONE
o
G
PUE.
W
&y&
C O ~ F ~ EOTHER
TE
o
o
o
.
i
42
43
1
WOOD CONCRETE STONE
o
Q
g-3
t
o
&
BRICK
NOG
&
1$3
c>
o
LIGHTING
TYPE OF LIGHTING/FUEL USED FOR COOKING
ELEC.
WATTLE/
ADOBE
c 3
&i
(bl
KEROSENE
OTHER
GAS
&
7'DOVER
COOKING
ELEC.
WOOD,
CHAR
LUK.
MAR.
w
NOT
STATE0
Q
I
RDTSTATEO
U
OTHER(
NONE
KERO.
o
o
ELSEWHERE IN COUNTRY
WHERE DID
NOT STATED
ROSEAU
O
I
j
ST.GEO. JOHN
o
C
PETER
>
JQS.
a
PAUL
o
o
ST.
o
o
Si.
PAT.
Q
ST.DAV.
o
o
INSTRUCTIONS
1. dease use-the #2 black-lead pencil supplied when marking your answers to the questions on t h i s form.
DO NQT USE INK, BALLPOINT PEN, OR COLORED PENCIL. If you make a mistake, erase cleanly
and then fill in the answer space you want. Be sure to fill a response pasition ( 0 1 for each question
where the question applies t~ the individual. Each answer space you mark should be filled in
completely with a black mark, the same as shown in the SAMPLE CIUES'BION.
SAMPL€ QUESTION
EXAMPLE
QF HOW
tESSTHAN
AMONTHAGO
TO ANSWER
THE QUESTIONS
MAKE
!
e
~ ~ $ , ,o~ ~ & ,
NO EXTRANEOUSMARKS O F ANY KIND ON THE FORM
2. Da not mark OP write in the shaded areas. The areas will be marked in the central office.
3. When you haue finished questions 1 through 22, carefully fold at perforation and continue with
qWeStiOIls 23 h
trQU@I 4
4. Try to make your marks as shown here:
Do not make them too iight
-
too s h ~ t
POO long
-
or too thin =
BB)
A n ideal mark
B
A readable mark
Too light or poorly erased
Mark too short
i
Mark too long
Too thin to read