CENSUS, NORTHERN IRELAND, 1966
HOUSEHOLD
RETURN
A
Forrn issued by the Registrar General pursuant to the Census Ad:, 1965
NOTICE
I. The Head, or person acting ~:-~l-lead, of a priv'..:~te household is required by
law to make a rer.t.lrFi in this form in re:;pec~: of all persons (mernber.'~ of the
household, including visitors, employees and boarders) who are present at.
midnight on the night of Sunday, 9th Ocr.ober, 1966, in the dwelling, and all
persons who arrive a~: the dwelling and join r.he household on
October, 1966, before the collection of the return and who have not been
enumerated elsewhere.
Ho/lday, lOth
2. If a house or part of a house, fiat, al:)artment , etc., islet ,.:;r sublet to separate
households then each occupier must. make a sel:)ar'a~:e P,eturr, applicable: to
his pari: of the accommodation. Boarders are no!: to be considered as separate
occupiers bui: ,.'.,.spart of ~:he household with whi,:t:~ they board.
3. In the case of H o t e l s , g o a r d i n g H o u s e s , L o d g i n g H o t l s e s and similar
establishments, the M a n a g e r o r o t h e r p e r s o n in charge muse make a
Return in respecc of all persons who spend Census night on the premises or
who arrive there on Honday, 10th October, 1966, and who have not been
enumerated elsewhere.
4. Every person is required by law to give to the person making the Return
such inForrnation as may b-:.',necessary to enable the Return to be completed.
But should a person objeci: to giving the information in this way he may
obtain from the enumerator or the nearest Police Star.ion a form on which
to make a separate Return, in which case the person responsible for making
the main Ret:urn should complete columns A and I:~ only in respect of that
person.
S. This Return must be ready on HONDAY, 10~.h October. If the answers
appear to the enurneracor to be ino.:)rnplete or inaccurate he must ask any
questions necessary t,,) enable him to correct the Return.
6. The person responsible For making the Return may, if unable to deliver it
t o the enumerator personally, arrange for'some o t h e r person to do so on
his behalf.. If d~-sired, ~::!~e Retur(, may be given under cover to such o t h e r
person for handing to the enumerator.
7. If any person whose duty it Js to make a Return or to give information
refuses to do s o , or wilfully gives false inR)rn~atior~ or u s e s otherwise than
for the purpose of making the Return any information given him for t h a t
purpose, he will be liable on conviction to a fine nor., exceeding T e n P o u n d s ,
8o The con~:ents of the Return are strictly confidential.
W . G. NICHOLL,
Registrar General.
TO BE FILLED UP BY THE ENUMERATOR
Census District and Enumeration District No~,
/
@.
Count>, or County Borough
Oistric¢ Elect.oral OivMr~n of Ward
County Oiscric¢ (Urban or Rural)
N.I. Parliament~r X Division in County Boroughs
TowMand
Town or Vill.~e
Street, etc., with
No. of" Name of House
Name of
Head of Household
•~'1r~24 "WSM TSS 1 4 ~ 3
NOTES
FOR GUIDANCE
IN
THE
COMPLETION
OF THE
RETURN
9, E m p l o y e r an,] e m p t o y e r ' s busines.~ ( C o l u m n
J(ii))
These detail~ are required ,;nl X to help ill classifying
t h e industry or service. Describe the business fully
arid ,~void using initials or abbreviations. Such
These notes will help ),o,.I to answer the questions. Please read them and stud), the
examples before you fill in the answ..':;rs.
Your co-operation is sought in providing a c c u r a t e and complete answers to the
questions so tha~ reliable s~at.istics ma 7 be prepared. It is the dut 7 of the Enumera+:or
to examine each Return ~o see whe~lier i~ ha~ been properl)` complel:ed, and i~ will
assis~ him ia his task if ),bu will exercise care in filrnishing replies ~o the various
I I. T r a n s p o r t to %A¢ork ( C o l u m n L)
(a) For a person u~ing m o r e t h a n o n e m e t h o d
of transport to w o r k give only the method b 7
which the longest dist;mce is travellad; for
example~ if the normal j o u r n e y ~o w o r k is on~
mile by bus and five miles b~ train, wrir.a
"Trairi".
terms
as "Planufarr.urer", "Merchant", "Agent'~
"Broker'~ " "ra.=tJr
+ r. . . ,. . . .D,--aler
..
~ "En,zine~ring",
..
"i'te-.
~ailer", " S h o p k e e p e r " are not enotlg|i by Lh,'.*.fnf;~IYe~
and f u r d l e r d~.ail:; :d-~o,ild be given ~bout~ the.
(b) For a person whose main rnethod o( tr:mspor~
t o work. is by bus write " P u b l i c service b u s " o r
articles r[]anijI'3.C~tlr0dor de,.It in.
questions.
For civil ~erwnts, local gov~Fnni~.ilC of'i~cc'i'~and
other public offi(;ial.~giw~ the n a m e of ~.he Govern-.
"Private bus" (including employer's l o r r y o r
van) w h i c h e v e r is approprb~e.
ilieil~ Departm.-~nt o r Local Aud~orie 7 and the
branch in which tl~e 7 ~r0 mnpIo)'ed.
NOTES
8. Place of Work (Columil J(i))
I, ]Relationshlp~ ( C o l u r n n s A a n d B)
Wkel'e a husband and his wife are both included,
wrii:e t h e i r names on corrsecui:iw: line.<; in column A.
A rela~.ive visitin~ the farnil7 (e.g,, a son on a visit
t o his fatl ler's house) should be described ~.s
vi~i~:ol'. A person residing at a hotel, e~c., should
be described as " R e s i d e n t " o r "Boarder".
h~divMual employers during ti~,-:,w~ek; i~ i~ enough
~o wri~u- "Private" in answer to this question,
~p,-2ct;ors, c ~ i ' ~ i r i
bulildhi;g w o r k e r s and oi:hers
w h o do no~ w o r k d a i l / at. or from a. fixed
address or depoe, w r i t e " N o fixed place".
(a) If the e m p I o y m e n =
w o r k e r s and building w o r k e r s employed on a
~ite, give t h e address of the depot, :;ire ol +
o d m r fi×ed address.
(a) If the date of birdl is not known exactly give
i~ as accura'cely as possible.
(c) For s e a m e n give the name of the ~hip and, if i~
is In th~ tJni~ed Kingdom, the por~ in which i~
is lying, otherwi:;e give the name of the home
port.
(b) If ~:lle dat~ of b i ~ h i~ unknown give d~e approxima+:e 7ear of birtli.
(d) For a person whose main method of transport
to w o r k is by motor cycle combination write
10, F,dl-ti m e / P a r t . d rne (Col u m n K)
(b) For p~ople w o r M n g d.~ily a t o r f r o m ~+,d x e d
a d d r e s s o r depot~ +tl<+.h ~.S certain t r a n s p o r t
2. D a t e of Birth ( C o l u m n O)
(c) For a p e r s o n w h o travels to w o r x by private czr
w r i t e "Private cgr, d r i v e r " o r "Priw-~e c~r,
passenger" w h i c h e v e r is appropriate.
For people employ,~d sotel 7 in pri,:a.~:e d o r n e , i t i ¢
~er'¢ice there is no need to give ~he nafi3!~ Of
((l) For" people w i t h i~o r e g u l a r p l a c e o f w o r k
:such a.<: s:tles repres+m~:atives, gi-anSl:~orl; in+
is normally
"Motor cycle combination" a n d not "Flo~or
full-time bu~:
',+/aS interrupted during ~l~e week (for example
by sickness, injury, holM.'.ys, s h o r t - t i m e w o r k in~s, .~:A:.rikeg or uiifavou~able weadmr) or wa~
; t a l t e d or s~.opped p~rt way thr,.:;ugh the week
w r i ~-,.'.""Fu![-dme".
(b) For persons w h o regularly w o r k less allan the:
normal hour~ in employmen~ w r i t e "Part-tim~£'.
cycle".
(e) For a per~on vAio w o r k s at home write "None,'.
(i") For a person with no fixed p l a c e of w o r k
give the medlod of transpor~ most often used
f o r going ~o w o r k .
(c) For par~+drcia w o r k e r s n,:.~t ;~t w o r k d u r i n g the
"w~ek ending 8~lr October, 1566~ w r i t e " O u t of
w o r k " In column J,
3. M a r i t a l C o n d i t l o n ( C o h l m n if)
(g) For a person w h o walks all or most of the way
t o :,york w r i t e " O n f o o t " .
(a) if separa~.ed and not divorced write " H a r r i e d " .
(b) If divorced but remarried wrii:e
Narrie:t .
•
4o U s u a l A d d r e s s ( r o b , inn P)
R~l-..~!onship
O) School rhild,'en, students, etc., w h o live a,,vay
from home during t e r m should give their
home address, not theh' ~errn-Lim~ address.
2-3
Se~. I
. . . . . . . . . . . .
m~e of
U:ual
14:Mt~.l
Condid,.~n Addres;
Birr.h
-;.:__.... ~
ll~ad
per~on~
i
196~i ,I
Addr,:~
on 241h ,~,pril, 19,;I
i'larri~:d
l-larva
Yec
...........
Hat/~alrd
I
I
y~,,;
- . . . . .
(ii) Farming
I IS Au~. 1"~03
M.u-ri,-_~d
Here
Yes
Ye~
(ii)
Tkorn:~. I~alrd
Son
H
I 6 H.~,'. 1932
l'larrieA
Here
Yes
Yes
...............................................
F.Hl--,=ime
(ii)Farmln~.
f~l~nor Baird
D~u~.hter~
in-law
F
I 18 Hay 1934
t.1:{rrD.d
ll~re
Ye~
John T, Baird
G r ~rid,;ofl
l"l I I0 Dec. 1962
i'dargar-c~eE. ~.~ir,.l
Grand-
F
4 Apr. 19~6
i'4
7 Aug. 191I.)
............................
Neons of
Transport.
............
bton~
(i) [-]ome duties
F
(i) ]olin FI. Baird-,-A ~. home
l,'l
(e) For boaedei'~ w h o have a settled r'esidence w i t h
.~his i~ousehold wrib~ " H e r e " .
Full-tirna
Wif:.'
1-.I
v~i!;h no settled ~ddre-:~s w t " i ~
1 Full-,alma
Place of VV~rk .,,ndEmployer's Buslne<.:s I
or
j Part-dine
................................ ..................
;?LT--
t+l I 22. Eeb..190Z
home address.
(d) Foe
Addr~s.~
on ~4~h April,
...................
......I L l
J,;hn i"I,~alr;:l
(b) Nenlbers of H.M. Forces should give tll~:.~
addre~z of *Jl.':-:ir married quarters o r od~er
(C) Re~idcmt staff should i'egai"d the ,orivate house,
bo:~.rding houso o r o l;her premise'~ w h e r e t;he7
IDa a~ theh" u~ual a,:tdre~s grid w r i t e " i 1ere".
._r: ~ ~.:D R E T I , . , I R N S
C.)M(
.................................
Hme
'Y'e~
(i) Horn~ d,jrJes
8 $crabo Scr.-.;e~,
C o m b e r , Co. D o w n
(ii)
i ..................................... (ii ........
:"
i lqoC applicable .............................................................
I
. . . . .
............................. I ..............................
!%_
d ~,llglltel'
l-!er,~
No~ applicabl~
|l~re
6 B~lf,~sc R.oad,
Temph:q~+crick,
Co, Ancrirn
Non~
.......... -_- .................................
L .........
:
(i) ............... - -'iiii
Nor. applh:able
....
...........
~mph~ymen~: (¢~ll~linn~" J, :7 s a d L )
~. In E m p l o y m e n t means that the person had ~ job
during ,the week ending Saturda 7, 8~h October,
1966, even if he was away from w o r k beca,.ise of
holidays, sickness, strikes, e~.c. For example, a sick
person is in e m p l o y m e n t
when lle gets well.
if his lob is waiting for h i m
Enq~loyrnent includes any service in the A r m e d
Forces, and jobs at w h i c h a person w o r k e d f a r onl 7
a few hours, e,g,+for a housewife w h o helped in h e r
husband's shop or did some office cleaning.
i 6. M o r e t h a n o n e E m p l o y m e n t . If the person
~
changed his employment during the week, give
iili
details of the employment in. ti~e la.~er p~rt of t h e
i!
week. If ~lae person n o r m a l l y follows more tllan
ii
one employment during the week, give details of
the main employment only.
~,
iii! 7. U n e m p l o y e d . If zt person is unemployed or does
~:i not follow an occupation for payrnen~ or profi~
i!
write " O u ~ of w o r k ' , " R e t i r e d ' ; " A t school';
i]]
"Student"~ " H o m e duties"~ etc., in column J as
!i
applicable.
i
Georg~ R. Gill
,t.le:id
Plarried
(i) Gill & Fhher, 7 Ann Stre~, Bel;a~r., I
.....................................
(ii) Con;ulting Civil Engineers
6 ~eli:ist Road,
"rempleo~rick,
Co. Antrim
Full-dine
PublicService
bus
.....................
(i) Down County Edu¢,~tionCommittee,
6 Belfast Ro~.d,
6 Belfast. Road,
Saincfield, Co. Down
Full-dine
Templepa~(ick,
]-enlpl,~pa~rick, ....................................................
Co. An~,-im
Co. Antrim
(ii) Scho~,l
~&
Jeanne. da I.. Gill
~'tVif e
F
2;J J~n, 1910
[4:lrried
Flare
I-I~re
N
27 July 1918
Narried
Rouen,
Rou~
Yes
He.r~
6 Ha,-nilc,,n Terrace,
.~.rm~h
Co. A~r,,agh
Mill Road,
t'1oy,
Co. Tyrone=
(ii) Private
Y~
Y Lee Strme,:,
(i) C: J. Raece,78 Church t.ane,
Belf~,;t, 1
.......................................................
Par'-.dm~
~,i
t4arcel Aubln
fi.gi~es
P'! cCaw
Vizi,:,sr
Emplolee
8 F.~b. 1909
F
~/idowe'd
France
Fr~
(i) Villa Rou~e l-lo~al, Rouen, Franc~.
Full-time
""-....................................................
Yes
(ii) Hot.el and Restaura.~
(i)
j
Ell~n Wilso~t
ACtlllgHead
F
........................................
I 17 Aug:. 192.1 1
Harriad
I
l-l~ra I
1
Al~erc Jo Wilson
..Son
H "
i IS I"lar.1942 1
Single
Anna W i l ~ n
DaughLer
F
l 12 June 1950
Single
Joseph Wil~on
Father+in--law
M
I 5 Jan. 1899
I W;dowc:d
John Adair
Boarder
M I! 10 Nov. 1926 L Divorced
H,;r~
I
I
J
Ye~
Belfast, 6
Hero. I
1 Nevv[ownards,
H~r<:
Newi:ownards,
co. , .....
l
'
I
I
i
G a~;go.~', Scodand
0) Self-employed, no fixed place
i !.re,b;, England
[
I
!
(ii) Solicitor
i
I.......................
|-Ier~ I
Yes
]
..................
1 7 Lee S ~ r ~ e t ,
Full-tlme
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(ii) Jobbing gardener
"
[ ~elf.st,
6
w <o.oo+.
4 Princess S~.reet,
Londonderry
Full-time
0i A:
(ii)
<,:hool
Private c:~r,
~5senger
Private:at,
~3ssen~r
None
PublicService
bJts
On foo~.
...........................
............................................................
I ..........................................................
|
i<,,)
!
--
I (i) B~.-Ifas~('Corporation l"ran'~port,
I
I
Short Sl:rand, Belfast, 5
I
! ................................................I Full-dine
i ( i i ) Public ser,,i. . . . . . . . port
I
Pedal cycle
CERSU$ OF POPLiLATIOR (HORTHERHIRELAHD)
INC!..LJOF: ALL PERSONS, ALIVE AT HIDNI(.~I-tF O1"-| SUNI)AY, 9ch OCTOP, ER, 1966, W H O
SPEND THE lqlG H I-IH THIS HOUSEHOLD OR ES1AP,LISHHEN l'. IF A PERSOI'-,I VVHO HA.S 1"401"
BEEN ENU1`i.r_RATED ELSE'~/HE,~t: ARRIVES THE N E X I DAY, INCLUDE HIP1 OFk, HEP, Ai.SO.
Plr_-a~e read column headings, the notes and examples overleaf.
"ihen carefully fill up the re.turn in iuk.
STRICTLY C O N F I D E N T I A L
Fill in n a m e s and s u r n a m e s
in the f o l l o w i n g o r d e r :
H,~ad of household or
other person acting as
head, wife of head,
unmarried child ten,
rnarried children and
their families, or.i~er
rela~.ives, visitors,
boarders, emplo/ees.
M/rice "Baby" and surname
for any baby not yet
given a name.
See N o t e
i
Relationship
to the head
of t h e
household
e g . Head,
YVife, Son,
Visitor,
Visitor's
Wife,
Boarder,
Housekeeper
Sex
if mah'.
write
"H" :
f femat.
write
Marital
condiLion
For person~
aged
16 yea,'~ or
over, wri r.~
"Singh'"
,'Harried '~
"Widowed"
D~te
of
birth
or
"Divorced"
whichever
applies.
or
EmploTee.
See N o t e
See N o t e 3
See N o t e 2
I
Day
I declar,-, that this return is correctly filled up
to the best of my knowledge and belief.
Signature .............................................................................................................................................
(Head of household or other person responsible for making the return).
Month
Year
If tile usual address indicated in
was also
If this dwelling
is ¢he person's
usual address
write " H e r e " :
if it is not,
writ0 the
usual addreas
in full.
See Note 4
the usual address
on 24th April, 1965,
write "Yes";
if it: was nor,
write the usual
address on
24th April, 1965,
in full.
For children born after
24th April, 1965, w r i t e
" N o t applicable".
#S OF POPULATIOH(HORTHERN IRELAH#), 1966
~
ii
£1,~:,,:e read column he:~,:ting~, the notes and ex.:~mpl~;s overleaf.
Then Carefully fill up the return in ink.
A
HOUSEHOLD RETURN
STRICTLY C O N F I D E N T I A L
If the usual address indica~.ed in column F
[:or persons aged 15 o r over ;~nd who were in employmen~ (including self-employment and regular
p~rt-time employment) during the week ended 8d~ October', 1966, fill in columns J, K and L. For ether
persons aged 15 and over write " O u t of work", "Retired"~ " H o m e duties", " A t school", "Student",
etc,, in column J.
Was also
If this dwelling
is the person's
usual address
write "Here":
if it is ~ot,
" write the
usual address
in fullo
the usual address
on 24th A p r i l , 1965,
w r i t e "Yes";
if it was not,
write the usual
address on
24th April, 1965,
in full.
For children Born after
24tt~ April, 1965, write
" N o r applicable",
the usual address
on 24th A p r i l , 1961,
write "Yes";
if it was not,
write the usual
addres~ on
24d~ April, I % I ,
in full.
For children born after
24th April, 1961, wri~.e
" N o t applicable".
State at (i) the name of tile person's employer and the full postal
address of the person's place o f w o r k ; at (if) s~.atethe employer's
business.
If self..employed write a~ (i) "Self-employed" and the full po~-tal
address of the place of w o r k ; if the latter is at home w r i t e " A t home"
and state at (ii) the nature of tim business.
State
whether t h e
employment
Wa~
"Full.time"
or
"Part-time".
See N o t e 4
See Notes S-9
See N o t e !0
(i)
(ii)
O)
(if)
(i)
(if)
(if)
(i)
(if)
(ii)
(i)
(ii)
(i)
0i)
(i)
O0
(i)
(if)
To be filled up by the enumerator and not b), the person making the return.
Females
Per-~ons 1
_!
No. of households
in dwelling
No. of rooms
No~ o [
return
if transport
is used for
the journey
to w o r k
indicated in
column J
state t h e
maln means of
such t r a n s p o r t ,
See N o t e I i
CENSUS, N O R T H E R N
N.H.A.
IRELAND,
1966
(HOHE FORCES)(N.~.)
D
T o be filled tip, as a p p l i c a b l e , by t h e E n u m e r a t o r .
Census District and Enumeration District Nos ................ / ...............
Count/or
County Borough
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
District Electoral Division or Ward ................................................
County District (Urban or Rural) ...................................................
N.I, Parliamentary Division (In Co. Boroughs only) ...........................
Townland or Street ...................................................................
Town or Village .........................................................................
CENSUS, NORTHERN IRELAND,
1966
H. M. FORCES RETURN
Form issued by the Registrar General pursuant to the Census Act, 1965
THIS FORM IS FOR USE ONLY IN RESPECT OF SHIPS IN NORTHERN
IRELAND OR ADJACENT WATERS, AND OF PREMISES SITUATED
IN NORTHERN IRELAND.
The Return is to be made in accordance w i t h the a p p r o p r i a t e
A d m i r a l t y Fleet O r d e r , A r m y Council Instruction, or A i r Ministry O r d e r .
NOTICE
i. This Return is required by law to be made by the Officer- or other
person appointed for the purpose in pursuance of arrang?~'rnents made
by the Admiralty, Army Council, or Air Council, with respect ~o persons belonging to the Naval, Hilicary or Air Forces of the Crown (in-.
cluding the Women's and Nursing~ Services) present at midnight on
the night of Sunday, 9th October, 1966, in any Vessel, Barracks, Station
or other premises under Naval, Hilitary or Air Force discipline.
2. Every person concerning whom particulars are required to be
included in the Return must give to the person responsible for making
the Return such information as may be necessary to enable the Return
to be made. N o use may, h o w e v e r , be made of such i n f o r m a t i o n
by the person to w h o m it is g i v e n except for the purpose of
making the Return.
3.
The Return must be ready on MONDAY, 10th OCTOBER, 1966.
4. If any person whose duty it is to give information refuses to do so,
or wilfully gives false information, or uses otherwise than for the purpose of making the Return any information given him for that purpose,
he will be liable on conviction to a fine not exceeding ten pounds.
5.
The contents of the Return are strictly confidential.
INSTRUCTIONS
I.
This Return should not be used in the case of premises which are
outside Northern Ireland or of ships which are outside Northern
Ireland or the adjacent waters.
2.
All entries on the Return should be written in ink and as clearly
as possible.
3.
The Return should be completed in the following way:--(i) complete the section at the foot of this page;
(ii) enter in the appropriate columns of the Return the particulars required of all serving Officers and Other Ranks or
Ratings, etc., who fall to be included;
(iii) check the entries carefully and then enter the totals of
persons enumerated in the space provided at the foot of
the Return; if more than one sheet is used in making tile
Return, the totals should be entered only on the first sheet
and should include the persons enumerated on the continuation sheet(s); and
(iv) sign and dace the declaration at the foot of the Return.
4.
When all the required particulars have been entered the Return
should be dealt with as f o l l o w s : ~
(a)
It" the Return was received from an Enumerator it should
be handed to him when he calls on 1Oth October.
(b) If the Return relates to a Ship and it is not practicable to
hand it to the Enumerator it should be posted to the Registar
General, Census Office, 42 Great Patrick Street, BelFast, I,
Northern Ireland, as soon as possible after Census Day, i.e.,
9th October.
To be filled up by the Commanding Officer or other person responsible
for making the Return.
Service (state whether Navy, Marines, Army or Air Force) .....................
Name of Ship, Depot, Barracks, Quarters, Hospital,
premises
Station o r other
Position of Ship* at midnight 9th/I 0th October, 1966, or full postal address
of land premises ..........................................................
*For ships in harbour state port or anchorage; for ships at sea state bearing
and port for which bound.
S:]"R|CTLY
CO#|++ZlD~L:!i"4TIAL
RETURN
(INCt.UDli",I(:;
of ever 7 officer and od~er ra.nk
or rating who is alivo ~c
midnigh+~ on Sum:i;++y, %h Oc~:ober, i966,
~nd w h o spends i:ha nigh¢ on
bo;~+'d +:his ship or in i:he:+~
p r e m i s e s . If anyone who hag
ttO~ b~G~fl @Jll.ljlli3i+Ei,7~+(] e l s e w h e r e
arrives d+e n e w d~y
in,:tuda him or her Mso.
:fi@?(
!
,j +
J
"H:" i
: female!
" F."
Ow~e ,.~f g i r t h
I.............................................................................................
q............j
OFI::ICE,~,~
"'+ S Ai'q. D O T H ~ :""r ,+.+ f { / X N K S
Ai'qD
Plon~:h
NUP, SING
SERVICES)IN
.+),x
(+
+-' R A T I N G S
I r-~.::
+++'-+i
. .S H. I P. O &"
and
" Single "
" Iqa,'riad "
" Widowed " or
" Divorced "
whiclmver
appliers.
OF
1t ':.~'~c~, k
I N '1"HE ac
Fil] ii~ Ha+n+s a.+~d Su+~r.+~
of ew+ry office," and o d m r i
o r re+ring w h o is alive a
midnight+ on Sund:,.y, % h Oct+oh
and w h o spends d,e night+
board this ship o r in +:he
prmnises. If anyofle w h o
r,ot been enurnerat'~d else+,
++~rrives the next: day
includ~ hhn or her .~lso
:~.ervic~
w i + i G ~.
I
Da 7
ZI: ....... ...............................................................................
A"L L
coadi;:ion
For persons ,,g,~:t.+~
,+
16 yem's or over
ir ln:ik: i
w ¢ l Ce
OF
....
1 H' E. .W O. H.E N. ' b
P+rmn+h
or
A r m of
Ser+tice
Year
............................................................................................................;;;i ............................................. El
................................................................................................................
. ...............................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
13.
13
...........................................
m. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
z...........................
. ...........................................................................................
4.
14
.......
i
15
16
1
8
9
TO f A L
T o be filled u+~ on d+,~ firsi: o r onl 7 f o r m b 7
the Commanding Officer or othe~ persor~
i+e++%+i-lsible+ for makiilg the Return+
PERSONS Eb.lU P1ERATED
I de+:la,+re i:haP+ c+
" ' " Is Re+u+mrn
.
(including
P4;;d~:~
Females
the
other
*attached
Forms
r e l a i : i n g "co d i i s s h i p
belief,
• S i g n a.+ .u r.~ .++. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Per+sons
best
of
m7
knowledge
+hiserr+ here due+
+ numtJer of a~tache4 forms;
and
i t none, delete ~he words in brackets.
966
iii
..iAL.L v.,rr~..L:RS
"" ~'"~'C ~"
AND
OTHER
I-I.H. FORCI:o
i~
RETLJRN
O
R A N K S O,x
~""~ R A T I N G S O F HER H A J E S T Y ' S F O °':c,...<,~
C
~ e , ~ ' C c~:'¢:~'.
C',"~"" IN TIdE SHIP O~-~
,:~ IN THE S-i'ATION, BARRACI<.S, ETC.
OMEN'S" A N D NU,,.a~,-~...~
.:~:r~,Yl.~.ca)
• ii
Fill in ~".l~n'm~ ::.,a~d :~;u~'¢tame~
of e v e r y officer and ocher rank
or ratin~ w h o is aliv,'.~ a.i:
midnigM: on Sund~.y, 9rh O c t o b e r , 1966,
and w h o :',pend,~ the night ,,:m
board ,;hi;; sifip or in che~e
premise:< if anyone wi~o has
not been anumera.t~.~d elsewhere
arrive~ the rmx~ day
include i~irn or her also.
.!ion
!i~r over
: !!~
~e~vlce
arid
i~d "
iiid " or
[iiie,:J "
!!ver
Oil"
Arm of
Service
Harital
condition
For persons aged
16 years or ovei"
write
" ~iafle "
'! Harricd ~'
" ~Nidowed " o r
" Oivorced "
whichever
applies.
if i hale.
Wring
O a t e o f ~irl,'h
" PI:"
!f [erria1.~:
writ.,-: i
" F."
!
Day
Month
relai:illg t o d~is :;hip o r establi'shmenT.) is c o r r e c d ) ,
filled up t o ~.lle
Year
7_1
IB
19
20
ihat this R e t u r n
iibes~ o f
my
(includirtg
knowledge
ithe tmmber of a~mched forms;
tl~e ar.ner
and
belief.
*a~:taclled f o r m s
Signa~:ure ..............................................................
if none, delete the words in brackets.
Rank ...........................
1"O BE FILL~D UP BY ENUH~RAI"OR
No. of Return
...
Service
and
~r, a n c h
or
Arm of
Service