APPENDIX
FORMCI
I
CONFIDENTIAL
1
IDENTIFYING NUMBER
3
-
HOUSEHOLD NUMBER
9
COMMONWEALTH CARIBBEAN
POPULATlON CENSUS
~ 0 0 0 0 0
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MAY l2,I980
-BERMUDA
FORMCI
CONFIDENTIAL
INDIVIDUAL
I
I
4
INDIVIDUAL NUMBER WITHIN HOUSEHOLD
RELATIONSHIP TO HEAD OF HOUSEHOLD
B
SEX
AGE
B
I
I
I
I
I
MARITAL STATUS (14 YEARS AND OVER)
(a) LOCAL OR FOREIGN
9
(bl
USUAL
RESIDENCE
PARISH IN BERMUDA
FOR El GN COUNTRY
7
PARISH IN BERMUDA
PLACE
FOREIGN COUNTRY
I
'I
12
t
rg
NEVER
MARRIED MARRIED
O
0
S
+5
3%
o
%
0
nm
ITU US
DCV
PEM
CITY
PAGET
WAR
SOUTH
USA
0
CANADA
0
0
0
0
0
0
0
0
0
-
10
(b)
I
0
ST GEO
lb)
I
L?J/POR
UK
g
FRANCE
GERM
OTHER
CARIM
OTHER
COUNT
0
0
0
0
WiTnS
DEV
CITY
CAGET
WAR
0
0
*UPOR
US-A
0
0
UNAOA
0
BD06
0
0
0
0
FRAHCE
0
JAM
GUYANA
161
0
0
0
0
ST KIN
0
NOT
STATED
O
NOT STATED
O
0
SOUTH
0
o
NOT STATED
O
0
PEM
NOTSTATEO
SANO
O
0
HW
TO*N
b
O
o
0
B
(Cl
%
4 3
STATED
MT
ABROAO
TOWU
0
6
O
ELmmmmcowrav o
ST CEO
(b)
7 3
LEGALLY
3Ec
DIVORCED
O
7
6%
B
b b
33
Wl-D
Twsnowmn
I
10
BIRTH
2%
20
B
8
I
I
FEMALE O
MALE O
I
(IN COMPLETED YEARS)
SAU0
O
0
GERM
CURA
ITALY
0
0
0
D COYCAR
O CARIE
O
0
OTHER
NOT
€UR
STATED
0
0
0
OCWNT
0
O W I
31
RACE
NEGRO1
O
BLPICK
WHITE
O
STATED
NOT
OTHER RACES
O
O
.
I
I
RELIGION
I
I
I
l3
I I
NUMBER OF YEARS LIVED IN THIS PARISH
PARISH LAST LIVED IN
NUMBER OF PARISHES EVER LIVED IN
'I
WHEN DID YOU COME TO BERMUDA TO STAY
TYPE OF SCHOOL OR UNIVERSITY
NOW BEING ATTENDED
18
I
1")
ATTENDANCE AT SCHOOL OR UNIVERSITY
19
HIGHEST LEVEL OF
TYPE OF SCHOOUUNIVERSITY
PEM
I
~
I16 1
s
.
I
I
l7
I
''
I
1
0
1-1-
o
PAGET
0
0
2
0
1
-
WAR
0
3
0
o
4
0
WUTH
O
0
6
7
6
0
0
1-
1-
1967
lrll
1WO
o
o
o
o
o
isn
1973
1974
197s
1976
0
0
ten
1976
ism
NOWE
M Y J
INFANT
PRI
MARY
S€cOm,
ORCW
WLTl
nian
OTHER
SECOND
UNIV
OTHER
0
0
0
0
0
0
0
0
0
0
0
0
?ART TIME
STUDENT
FULL TIME
STUMNT
O
0
0
I
0
E
ONE
UNIT
I
0
1970
.,-
0
0
UNITS
THREE
UNITS
0
0
M
FOUR
TOSIX
SEVEN
ORMORE
0
0
GROUP
GUEST
DWELLIUG n o w
0
0
1971
OHO
$æ
ig
PIWD
STATED
NOT
MARED
-
O
O
RES
CLUE
HOTEL
0
0
NOT
STATED
0
OTHER
NOT
STATED
O
NOT
N"LIU.LE
O
E
PIPED
NOT
SUARED
-
MAINS
SURLY
TANU
F
MAI%
PIT
E
LINUEO
TOSEfER
w c NOT
LINKED
TOMIER OZER
I
19
Ib)
..
'*
O
1-2
0
0
(c) "E
0
xK&~
LEAVIM
CXCW11-3
0
O
11
CITY
0
15
34
6-4
0
0
c,",'lpj
m
0
CXCIGI 1-3
WEI01
1 4
0
7
0
GcEk1
0
6
9
0
0
GCElAI
2r
0
10
li*
0
0
ST?E
:Ol
0
DIP
DEG
OTHER
NOT
STATED
0
0
0
0
42
S%
0
o,
-a
'8?ST
t
BY
BIRTH
O
O
1*oooL woo06
WAST CEM E L
)voo0
0
0
0
2,
&
0
&
Wo006
METAL
0
&
BY
BY
MARRIAGE
RESIDENCE
O
O
BOAST
CEM 0L
0
&
STATED
NOT
OTHER
0
O
=OVER
WTnlTfO
O
NONE
O
STATED
O
NOT
I\.1101D
I
METHOD BY WHICH VOCATIONAL TRAINING
ACQUI RED
22 PERIOD OF TRAINING
(FOR PERSONS WHOSE TRAINING HAS BEEN COMPLETED)
I
I
2; UNOER
I
o
x-i
i-ix
in-2
2-2x
2%-3
1-rn
o
YEARS
o
o
o
'ns
o
o
*ns
o
'z
o
"'1 1
o
B L & 3 % G c & 6 % 7 6 %
o
,
t
~
b
&
~
~
~
521
a
,
a
u1
ru
ru
1- E W W D A
MAY 12,1980
COMMONWEALTH CARIBBEAN POPULATION CENSUS
CONFIDENTIAL
FORM CI
MAY 12,19810
--------____________-------------------Surname
First Name
Middle Name
SEC. t
23
A
GOVT.
O
4E
;E
25
rtt
-
$&YD
0
1
O
2-3
O
WITH
PAID HELP
O
0
6-7
O
4-5
O
8-9
O
B & Z g b % 6 & # % 8 & %
e,
ECONOMIC SITUATION DURING PAST WEEK
WORKED
0
TOTAL NUMBER OF HOURS WORKED
(INCLUDING OVERTIME) DURING PAST WEEK
30
FEMALES
32
15Y E A R S
AND OVER
NOT
33
ATTEND ING
SCHOOL 4 3 434
F U L L TIME
35
SEC. 8
36
38
THE
HEAD
OF
THE
HOUSEHOLD
ON L Y
39
40
41
NUMBEROFLIVEBORNCHILDRENEVERHAD
o, t
L
LIVEBORN CHILD
AGE OF MOTHER AT BIRTH O F LAST
LIVEBORN CHILD
3 2 Q 3
=(a)
NUMBER OF L I V E BIRTHS/STILLBIRTHS
DURING PAST 1 2 MONTHS
STUDENT
0
&
4",
MARRIED
O
23
L t
3% 4",
L t
20,
3%
COMMON
LAW
0
VISITING
0
o,
36
TYPE O F DWELLING
ONE
UNIT
o
".
t
23
THREE
UNITS
LEASED
FUR
LEAS
UNFUR
RENT
FUR
0
0
0
o
o
b
63
5
s
L 63
"ED
b
NOT
STATED
O
OTHER
0
4%
%
g
pa
8",
7=
&
I
7=
Ib
N O T APPLICABLE
O
7 a
NOT APPLICABLE
O
9%
rb
m m STATED
O
L
NOTSTATED
O
b rb
N O T STATED
O
STILLBIRTHS
NOT
NEVER
HUSE HAD
OR
mol
NO LONGER
LNO
I VLONGER
I~~~WITH
LlvlNG
HUSBAND
O
C L PARTNER
C L PARTNER STATED
O
O
0
NOT APTLICABLE
NOTSTATED
L 43
TWO
UNITS
DISABLED
0
(b)
23
T
W
,
RETIRED
0
4 0 , %
= B L20, 3%
DURATION O F UNION (COMPLETED Y E A R S )
B b b
LIVEBI RTHS
t
UNION STATUS-AT PRESENT OR AT AGE 45
HOME
DUTIES
0
L G
2%
I%
FOUR
TOSIX
o
SEVEN
ORMORE
o
GROUP
DWELLING
o
O
L
7=
GUEST
HOUSE
RES
CLUB
5 3
o
c
I
O
8=>
L
HOTEL
NDT
STATED
o
o
77
TYPE OF TENURE
OWNED
0
38
WATER SUPPLY
I NltiHl
SEC. 10
I
TPI
&WELL
0
0
0
1980
1979
1978
0
0
0
0
0
BDA
STONE
CEHENT
BLOCK
WOOD
WCJOD&
BDA ST.
WODOL
CEM BL
0
0
0
0
0
41
rg
42
--
0
PIT
O
0
I"
'
t
23
BY
BIRTH
O
THIS HOUSEHOLD
O
ST GEO
TOWN
U(r)
STATED
O
OTHER
NDNE
NOT
STATED
0
w c NOT
0
0
TOSEWER
0
0
0
PEM
0
1970-77
&
1980 OR
moi
O
STATED
O
EARLIER
1961-89
t
TOSEWER OTHER
0
0
WoOO& BDA ST.
METAL
CEM.8L
0
0
L &
BY
BY
MARRIAGE
RESIDENCE
O
O
ELSEWHERE IN COUNTRY
O
HAM
SMITHS
DEV.
0
0
0
CITY
PAGET
WAR
SOUTH
0
0
0
0
NOT
OTHER
0
72DDVER
NONE
ABROAD
O
STATED
O
NDTSTATEO
O
NOT
STATED
O
O
NOT STATED
O
SAND
O
L
WEEK FORTNIGHT MONTH OUARTER
0
Wb)&
I
NOT
OTHER
O
TPI
&SEA
WATER
HONE
PARISH IN BERMUDA
PERIOD OF RENTAL
0
0
SHARED
W b )
: use BNCY)
0
0
TPI
MAINS
SUR BR.
40
M A T E R I A L OF OUTER WALLS
INDIVI DUAL
SPEN.!? CENSUS
0
MAINS
TANK
SUPPLY
DIPPED FRESH
RENT
FREE
SHARED
O
Y E A R WHEN DWELLING BUILT
LOCALLY OR ABROAD
TANK
PIPED
OUTDOORS
RENTED
UNFUR
wc
4
NOT
(bl
LINKED
LINKED
TOILET FACILITIES
SEC. 9
TANK
PIPED
INDOORS
0
BERMUDASTATUS
I
LOOKED
FDA WK
0
L 20,
o, t 23
O b
L &
(5
t 23
3
4 2 NUMBER OF ROOMS
I
WITHJOB
NQT W K 6
0
ca
b
4 3 . 2 0
*
= Q 3
qv
JI
I
0
C%
L
1OFB
3
1 3
AGE
MOTHER AT BIRTH OF F I R S T
ALL
PERSONS
Z&'FR
NOT
RETIRED DISABLED OTHER
STATED
0
0
0
0
IN€
FAAM
WlOUT
DID
NOT
PAID HELP
NO WORK STATED
0
O
0
10-11
12
O
O
NOTSTATED O
STUDENT
0
0
HASOWN
0
24
VOR Of flC€ USE ONLY)
'M 28
43
0
A
,
1
0
WANTED
WORK ANO HOWE
AVAILABLE
DUTIES
- .__
Y
E
R
SEC. 7
OTHERS
F,lQySEEKING
WORK
SEEKING
WORKED
0
MONTHS WORKED DURING PAST 1 2 MONTHS
S
T
23
MAIN ACTIVITY DURING PAST 1 2 MONTHS
24 WORKER OR OCCUPATIONAL STATUS
IN WEEK PRECEDING ENUMERATION
P
ALL
PERSONS
1 6Y E A R S
AND
OVER
L
0
0
0
E
YEAR
0
e
e
NOT STATED
O
E
ea e
INSTRUCT IONS
1. Please use the #Z black-lead pencil supplied when marking your answers to the questions on t h i s form.
DO NOT 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 position ( 0 ) for each question
where the question applies to the individual. Each answer space you mark should be filled in
completely with a black mark, the same as shown in the SAMPLE QUESTION.
SAMPLE QUESTION
EXAMPLE
OF HOW
TO ANSWER
THE QUESTIONS
LESS THAN
AMONTHAGO 0
MORE THAN
AWNTHAW 0
MAKE NO EXTRANEOUS MARKS OF ANY KIND ON THE FORM
2.Do not mark or write in the shaded areas. The areas will be marked in the central off ice.
3. When you have finished
questions 23 through 46.
~ U ~ S ~ ~7 Othrough
R S
4. Try to make your marks as shown here:
8
Do not make them too light
too short
too long
or too thin
=
t-.
22,carefully fold a t perforation and continue with
An ideal mark
A readable mark
Too light or poorly erased
Mark too short
Mark too long
Too thin to read
523
F O R M C.2.
ul
THE CENSUS ACT 1950
Iu
P
CENSUS OF MEMBERS OF HOUSEHOLDS LIVING OUTSIDE BERMUDA
(Regulation 5, Census Regulations 1980)
1. Identifying Code
,
II
III
1
1.
Y a No
2. Idare any member(s)of your family living abroad?
(If more than one, prepare a separate sheet for each)
*
m
3. Was he/she ordinarily resident in this household while residing in Bermuda?
(If "NO", end questionnaire here. If "Y ES", go on to 4.)
3.*
4. Name
M
5. Sex
F
a
6. What is hidher age in completed years?
6.
FOR OFFICIAL USE O N L Y
7 . In which country is he/she residing? (Write)......................................................................
*
m
8. Has he/she taken out citizenship or like status in such country?
(If "Y ES", end questionnaire here; if "NO", go on to 9.)
m
9. Could you tell me the year this person is expected to return to
Bermuda to stay?
*
10. For what purpose is this person residing abroad?
(1Work;
)
(2) Study; (3)Marriage; (4) Other
(If response is NOT "Study" - STOP. If it IS "Study" - CONTINUE)
11. If a student, what course is this person undertaking?
FOR OFFICIAL USE ONLY
(Write) ..............................................................................................................................
12. Could you tell me the year this person expects to complete this
course of study?
*
Asterisks indicate possible points at which questionnaire might end.
STS C2/GSO
m
m
8**
l2*