“i” for individual return - minnesota population...

- 1

c. 2

Census District Enumeration No. Form No.

1979 CENSUS = CAYMAN ISLANDS

I Form for Individual Return

Serial No.

CAYMAN ISLANDS

Please complete this form and have it ready by Monday 8th. October 1979 when your Enumerator will call for its collection.

The information you give on the form will be treated as CONFIDENTIAL. No information will passed by the Statistics Office to any other Government Department or any other Authority or person.

The lega obligation to fill in this form rests with you and that it is your duty under the law not to give false statements. -,57

. . . .r: . . .

I

. .

Where Boxes are provided please answer by putting a tick in the Box against the appropriate answer.

Write Given Names and Surname

B. 2

lay Month Year

Write date of Birth

B. 3 For resident Cayman Islanders only. Please tick the appropriate Box of the district your Mother was living before you were born.

6. 7. 8. 9.

George Town Savan nah Breakers North Side East End Bodden Town West Bay Cayman Brac Little Cayman

B. 4 Please write sex of person. M for male, F for female.

B. 5 Write either Single, Married, Widowed or Divorced as appropriate. If separated and not divorced write Married.

B. 6 Write Country of Birth.

B. 7 If the person usually lives here write Here i f not write the persons usual address.

B. 8

If you are a Caymanian tick the ap pro pr iate Box.

1. Born of two caymanian u parents in the Cayman 2. Born of one Caymanian 0 parent in the Cayman Islands. 3. Born of two Caymanian

parents outside the Cayman Islands.

4. Born of one Caymanian parent outside the Cayman Islands.

Islands.

B. 9 Write Trade or Profession, giving Professional qualifications and degrees obtained, i.e. Lawyer, Accountant, Mason, Carpenter, etc.

B. 10

Are you a British Subject, Citizen of the United Kingdom and Colonies. Please tick the appropriate Box.

1 . Through possession of or eligibility for a British passport with rights of domicile in the United Kingdom.

2. Because of birth in the Cayman Islands of Caymanian parent or parents.

3. Through naturalisation. If so give date of naturalisation and certificate No.

Date.. . . . . . . . . . . . . . . .Certificate Nu.. . . . . . . . . . . . . . . . .

4. n Through registration as a British Subject, Citizen of the United Kingdom and Co lon i es.

B. 11

If you hold a Gainful Ocupation Licence: Then give following answers. NOTE: A Civil Servant recruited from overseas should answer 1 and 2 as though holding a Gainful Occupation Licence, entering his years of service in \

I the Cayman Islands in the Box of question 1.

1. Enter into the Box in figures the number of years here.

2. How many other members of your family hold a Gainful Occupation Licence.

What is your usual Country of Residence. m

3.

B. 12

Do you possess Foreign Nationality or are you a British Subject, Citizen of a Commonwealth Country. If so answer by placing a tick in Box appropriate.

Are you a Foreign National in addition to being a British Subject, Citizen of 1. The United Kingdom and Colonies. If so 1-1

also write in Bx the Nationality which 1-1 you hold.

1 Are you a British Subject, Citizen of a Commonwealth Cntry as well as being a British Subject, Citizen of 2.

-, ---

U The United Kingdom and Colonies. If so also write in Box the Commonwealth Co un try.

7 Are you a Foreign National with only permission (A) to enter and 3. Reside (B) Granted permament

residence or (C) Gainful Occupation Licence.

A. Permit to enter and reside

U B. Permanent residential permit I C. Gainful Occupation Licence

If answer is A complete below

Date of entry .........................

Date when permission ends.. . . . . . . . . .

B. 13

Means of transport to and from place of work. Please tick appropriate Box.

1. 1-1 By Car 2. [ ] By Taxi 3. 1-1 By Motorcycle 4. 1-1 By Bus 5. 1-1 By othermeans

(give details)

(5) . . . . . . . . . . . . . . . . . . . . . . . . . . .

B. 14, Did you have a job last week. Tick appropriate Box.

In a job last week

Seeking work

Because of sickness

total disability

5 No Wholly retired

8.15 How are you employed. Tick appropriate Box.

1.

2. Employee monthly paid

3 Employee weekly paid

Employing others or self employed

rl 4 Unemployed U 5 Retired

B. 16 Write name and address of present Employer (stating type of business) and number of hours normally worked each week.

. . . . . .No. of hours normally worked.

B. 17 Education please complete for all persons 4 years to 18 years of age, who are attending full time schooling. (In the case of Oand A levels give subjects).

1 Name of School

2 Grade or Form

3 C S E s and other Exams

4 G C E Olevels

5 G C E A levels

B. 18

Full Time Students 17 years and over. Give details of School/College, Address, The Subjects studying, and also if you possess a scholarship from (9) Government (o) Other sources.

B. 19 PartTime Students 14 years and over. Give details of School and Subjects studying.

~

B. 20

Have you been granted Caymanian Status. If so tick appropriate Box and give date when Caymanian Status was granted.

H: 1. 2. 3. Date.. .............................

B. 21

Do you possess Caymanian Status by right, (Le., bv vested right, by force of law).

I certify that the answers given by me are correct to the best of my knowledge and bel ief.

Signed.. ................................

Write Name in Block Capital

Date.. ..................................

Enumeration No

Form Enumerators . No. Name

c. 1 1979 CENSUS = CAYMAN ISLANDS

Hy Form for Private Households

A household comprises EITHER one person living alone or a group of persons (who may or may not be related) living at the same address with common housekeeping.

C A Y M A N ISLANDS

TOTHE HEAD (OR ACTING HEAD) OFTHE HOUSEHOLD.

Please complete this form and have it ready for collection on Tuesday 9th October 1979. If you need help, do not hesitate to as k t h e;e n u m e rat o r.

TO BE COMPLETED BY THE ENUMERATOR

District No The Enumerator may ask you any questions necessary to

help him complete or correct the form. I . I 1

Name of householder and full postal address The information you give on the form will be treated as CONFIDENTIAL. No information will be passed by the Statistics Office to any other Government Department or any other authority or person. Type of property and i f hot/cold water supply

The Legal obligation to fill in the whole form rests with you, and each person required on this form, must give his or her information.

// If sharing with another household number of rooms shared

PLEASE TAKE NOTE: IT IS YOUR DUTY UNDER THE LAW NOT TO GIVE FALSE STATEMENTS ON THIS FORM

- Yes I overleaf and if appropriate answer questions C. 1 to C. 7.

A. 6 Has your household the use of the following. COOKING STOVE (if other means specify)

*i Fl For use by this household For use also by another household

3 r] NO Specify

A. 1 How do you and your household occupy your accommodations.

A. 4 How many cars and vans are owned by you and other members of your household.

1 . I I As owner occupier (including 2. I I By renting from Government

purchase by mortgage) 1. CARS 2. VANS 3. MOTORCYCLES 4. MOPEDS Kitchen with Sink permanently connected to

a Water supply and waste pipe.

For use by this household 2 For use also by another

household. E

3. By unfurnished letting from a private Landlord or Company or Housing Association.

Include any provided by your employers for your use, but exclude VANS used solely for the carriage of goods. IF NONE WRITE NONE

4. I I As a furnished letting-if in some other way give details. 3 I I No.

Fixed bath c i shower permanently connected to a water supply and waste pipe.

For use by this household For use also by another household

F{ 3 r ) No

A. 2 Does your household share with any one else the use of any room, hall, passage or landing or staircase. A. 5 How many rooms are there in

your households accommodation (write in box)

Toi I et fac i I i ties

A. 3 Does your household have a garage.

ATACHED U N AlTAC H ED

Inside flushed Outside flushed No facilities

-: 3

Do not count Kitchens, Toilets or Bathrooms. NOTE a room divided by a sliding door or fixed screen count as two rooms.

A room divided by a curtain, of beads etc or portable screen count as one room.

Ven ti lation Fully airconditioned

Partial airconditioned

Fans only

Other means (detail):. . . . . 4 5 No

. 2. H 3. 4. F Y ES NO Y ES NO

- - -

i 3rdPerson

Complete A line in part B forevery person present on Census night who usually lives at and in this household. Include all those persons who are temporary absentj.e. Seamen at sea, attending School/College overseas, on nig htwork, on vacation, etc. The Enumerator will help you if in doubt. Use Block Capitals for all questions.

I: I B. 1 Fill in this column first for every person in the household Write Name and

Surname Begin with the head of the household (1 st Person)

For a Babywho has not yet be given a name write Baby and Surname.

B. 2 B. 3 B. 4

Write the sex of the person

M for

male F

for Female

B. 5 Write head for head of household

and relationship to the head for each of the other persons. i.e. Wife, Son, Daughter, Grandfather, Grandmother, Uncle, Aunt, Sister, Brother, Nephew, Niece, Grandson, Granddaughter, Son in-law, Daughter-in-law, Visitor, Boarder, paying Guest,etc. Note if Adopted write adopted even if the person is formally adopted or not, and give also name of person responsible for the person so adopted.

Write Date

of

Birth.

For Resident Cayman Islanders only.

Please tick the appropriate Box of the District your Mother was living before you were born.

1 st Person Mth Year GeorgeTown 7. West Bay Savannah 8. E Cayman

3. n Breakers B rac Northside 9. Little El 5. East End Cayman

6. u Bodden Town 2nd Person Year Mth

Mth

GeorgeTown 7. West Bay Savannah 8. El Cayman

3.1 I Breakers B rac Northside 9. u Little

5. East End Cayman 6. u Bodden Town

Year GeorgeTown 7. Savannah 8. Cayman

B rac 3. Breakers Northside 9. u Little

5. East End Cayman 6 . u Bodden Town

4th Person Mth Year a 4. 5.

George Town Savann ah Brea kers Northside East End

West Bay Cayman

B rac Little

Cayman

8.

9. u 6 . u Bodden Town

Mth Year 5th Person GeorgeTown 7. Cayman

B rac Savannah 8. Breakers

:: 3. ~

Northside 9. u Little 5. East End Cayman 6. u Bodden Town

Mth Year 6th Person GeorgeTown 7. West Bay Cayman

B rac Breakers Savannah 8. E ::

3. Northside 9. u Little

5. East End Cayman 6. u Bodden Town

7th Person Mth Year GeorgeTown 7. West Bay Cayman

B rac Breakers 4. Northside 9. Little 5. East End Cayman 6. Bodden Town

Savannah 8. El

B. 6

Write either Single Married Widowed Divorced

If separated and not * divorced write

i) married.

B. 7

Write Country of

Birth.

B. 8

If the person usually lives here write 'here' if not write the persons usual address.

Read notes above to give correct answers.

B. 9

If you are a Caymanian tick the appropriate Box.

This question means Cayman an at Bi rt h.

Yes, born of two l. u Caymanian parents in

the Cayman Islands. Yes. born of one Caymanian parent in the 2. I l Cayman Islands. Yes, born of two

Yes. born of one Caymanian parent outside the Cayman Islands

~~ ~

l. Yes. born of two Caymanian parents in the Cayman Istailds Yes. born of one Caymanian parent in the Cayman Islands Yes. born of two

2.


Yes, born of two l. [7 Cayrnanian parents in

the Cayman Islarids. Yes, born of one

2' I I Cayrnanian parent in the Cayman Islands. Yes. born of two

Yes, born of one Cayrnanian parent outside the Cayman Islands

Yes. born of two

Yes. born of one Caymanian parent in the Cayman Islands. Yes, born of two

2. n Yes, born of one Cayrnanian parent outside the Cayman Islands

Yes. born of two l. n Caymanian parents in

the Cayman Islands. Yes. born of one 2. Caymanian parent in the Cayman Islands. Yes, born of two


Yes, born of two

2' Yes, born of one Caymanian parent in the Cayman Islands.

3. Yes, born of two Caymanian parents outside the Cayman Islands Yes, born of one Caymanian parent outside the Cayman Islands

' * Yes, born of two Cayrnonian parents in the Cayman Islands. Yes. born of one Caymanian parent inthe Cayman Islands. Yes. born of two

2.

Yes, born of one Caymanian parent outside the Cayman Islands

Write Trade or profession, giving professional qualifications and deg rees obtain ed. .e, Lawyer, Accountant, Mason Carpenter, Pilot, Au tom echan i c, et c.

4

Complete A line in part B for every person present on Census night who usually lives at and in this household. Include all those persons who are temporary absentj.e. Seamen at sea, attending School/College overseas, on nightwork, on vacation, etc. The Enumerator will help you i f in doubt. Use Block Capitals for all questions.

B. 11 B. 1 Fill in column first every person in household Write Name

Are you a British Subject Citizen of the United Kingdom and Colonies?

Surname Please tick appropriate box below. B.egin with the b of the househo. (1 st Perzon) . I

For a Baby who not yet be give name write Bak and Surname.

With possession of or eligibility for a British passport with rights of domicil in the United Kingdom.

l. 0 Yes 1 st Person 2. u Yes Because of birth in the Cayman Islands of Caymanian Parent or Parents.

Through naturalisation. If so give date of naturalisation and certificate No. Date Certficate No.

Throughregistrationasa BritishSubject Citizenof the United Kingdom and Colonies.


Because of birth in the Cayman Islands of Caymanian Parent or Parents.


Through registration asa British Subject Citizen of the

l. u Yes 2nd Person 2* u Yes 3. o Yes

l. u Yes 2* u Yes 3. D Yes

4. u yes United Kingdom and Colonies. With possession of or eligibility for a British passport with rights of domicil in the United Kingdom.


Through naturalisation. If so give date of naturalisation and certificate No. Date Certficate NO.

Through registrationasa BritishSubject Citizenof the

3rd Person

4* o yes United Kingdom and Colonies. l.' u Yes With possession of or eligibility for a British passport

with rights of domicil in the United Kingdom.


4th Person

3. o Yes Through naturalisation. If so give date of naturalisation and certificate No. Date Certficate No.

Through registrationasa British SubjectCitizenof the


Because of birth in the Cayman Islands of Caymanian

4* o yes United Kingdom and Colonies. 5th Person l. u Yes

2. u Yes Parent or Parents. 3* o Yes Through naturalisation. If so give date of naturalisation and certificate No.

Date Certficate No.

Through registration asa British Subject Citizen of the 4* u yes United Kingdom and Colonies.

With possession of or eligibility for a British passport with rights of domicil in the United Kingdom. 6th Person Because of birth in the Cayman Islands of Caymanian Parent or Parents.

3* o Yes Through naturalisation. If so give date of naturalisation and certificate No. Date Certficate No.

Through registrationasa British Subject Citizenof the United Kingdom and Colonies.

7th Person With possession of or eligibility for a British passport with rights of domicil in the United Kingdom. Because of birth in the Cayman Islands of Caymanian Parent or Parents.


Through registrationasa BritishSubject Citizenof the United Kingdom and Colonies.

2. u Yes 3. o Yes

B. 12

If you hold a Gainful Occupation Licence, then give following answers: N0TE:A Civil Servant recruited from overseas should answer 1 and 2 as though holding a Gainful Occupation Licence entering his years of service in the Cayman Islands in the Box in question 1.

1. Enter into the box in figures the number of years here.

2. How many other members of your family hold a Gainful Occ u pat i on Li ce n ce?.

3. What is your usual Country of res iden ce?.


2. How many other members of your family hold a Gainful Occ u pat i on Li ce nce? .


~~~ ~~

1 . Enter into the box in figures the number of years here.

2. How many other members of your family hold a Gainful Occupation Licence?.

3. What is your usual Country of residence?.

~~~~~ ~


2. How many other members of your family hold a .Gainful Oc c u pat i on Li ce n c e?.


E



3. What is your usual Country of residence?.



3. What is your usual Country of resi den ce?.

l - l ; I 1

PI

1. Enrer into the box in figures the number of years here.

2. How many other members of your family hold a Gainful Occupati on Li ce n c e?.

3. What is your usual Country of res id en ce?,

B. 13 Do you possess Foreign Nationality or are you a British Subject, Citizen of a Commonwealth Country?. If so answer appropriate questions below.

I . Yes Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Colonies.

I [ If so write in Box the nationality which you hold. Are you a British Subject, Citizen of a Commonwealth Country as well as being a British subject, Citizen of the United Kingdom and Colonies.

2- u Yes - 3. AreyouaForeign Natlonalwithonlypermission (A)To

enter and reside. (B) Granted permanent resident or (C) Gainful Occupation Licence. If so also answer.

Permit to enter and reside.

Permanent Residential Permit. n yes

B. 1-1 Yes C. r-1 Yes Gainful Occupation Licence.

If answer is 'A' complete below.

I 1 If so write In Box the Commonwealth Country. Date of entry Date when permission ends i. Yes Are you a Foreign National in addition to being a

British Subject, Citizen of the United Kingdom and Colonies. r- I I f so write in Box the nationality which you hold. Are you a British Subject, Citizen of a Commonwealth Country as well as being a British subject, Citizen of the United Kingdom and Colonies.

3. Are you a Foreign National with only permission (A)To enter and reside. (8) Granted permanent resident or (C) Gainful Occupation Licence. If so also answer.


Permanent Residential Permit. A* u Yes B. 1-1 Yes C. 1-1 Yes Gainful Occupation Licence.

I f answer is 'A' complete below.

Date of entry

3.

Date when permission ends I I If so write in Box the Commonwealth Country. Are you a Foreign National with only permission (A)To enter and reside. (B) Granted permanent resident or (C1 Gainful Occuoation Licence. If so also answer.

Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Colonies.

1 [ I f so write in Box the nationality which you hold. Are you a BritishSubject, Citizen of a Commonwealth Country as well as being a British subject, Citizen of the United Kingdom ar,d Colonies.

2. cl Yes m

. . A.

B.

C.


Permanent Residential Permit. u Yes 1-1 Yes 1-1 Yes Gainful Occupation Licence.

If answer is 'A' complete below.

I If so write in Box the Commonwealth Country. Date of entry Date when permission ends

i. Yes Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Colonies.

If so write in Box the nationality which you hold.

Are you a British Subject, Citizen of a Commonwealth Country as well as being a British subject, Citizen of the United Kingdom and Colonies.

U 2* cl Yes -

3. Areyoua Foreign National withonlypermission (A)To enter and reside. (8) Granted permanent resident or (C) Gainful Occupation Licence. If so also answer.

Permit to enter and reside. A- o Yes B. 1-1 Yes . Permanent Residential Permit. C. 1-1 Yes Gainful Occupation Licence.


I 1 I f so write in Box the Commonwealth Country. Date of entry Date when permission ends 3. Are you a Foreign National with only permission (A)To

enter and reside. (B) Granted permanent resident or (C) Gainful Occupation Licence. If so also answer.

i. n Yes Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Colonies.


Permanent Residential Permit. If so write in Box the nationality which you hold.

A. u Yes B. 1-1 Yes C. 11 Yes Gainful Occupation Licence. Are you a British Subject, Citizen of a Commonwealth Country as well as being a British subject, Citizen of

the United Kingdom and Colonies.

If so write in Box the Commonwealth Country.

n I f answer is 'A' complete below.

2. u Yes 7 1 Date of entry Date when permission ends

Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Colonies.

I f so write in Box the nationality which you hold.


m 2. u yes m

3. Areyoua Foreign Nationalwith only permission (A)To enter and reside. (6) Granted permanent resident or (C) Gainful Occupation Licence. I f so also answer.


B. 1-1 Yes Permanent Residential Permit. U

C. 1-1 Yes Gainful Occupation Licence. If answer is 'A' complete below.

I I f so write in Box the Commonwealth Country. Date of entry Date when permission ends

i. Yes Are you a Foreign National in addition to being a British Subject, Citizen of the United Kingdom and Coloni es.

I f so write in Box the nationality which you hold.


If so write in Box the Commonwealth Country.

I 2- u Yes

7 1

3. Areyoua Foreign Nationalwithonlypermission (A)To enter and reside. (6) Granted permanent resident or (C) Gainful Occupation Licence. If so also answer.


Permanent Residential Permit. A. I Yes B. 1-1 Yes U

C. 1-1 Yes Gainful Occupation Licence. U


Date of entry Date when permission ends

'--. . . c . B.15 . - ' B. 16 . ._

Means of transport To and From place of work. Please tick appropriate Box.

By Car

By Taxi

3. By Motorcycle

By other (give details).

By Car

By Taxi

3. By Motorcycle

By Bus

details). 5. By other (give

By Car

By Taxi

3. By Motorcycle

4. By Bus

5. [-[By other (give details).

By Car

By Taxi

3. By Motorcycle

4. By Bus

5. [-[By other (give , de ta i Is).

By Car

2. By Taxi

3. By Motorcycle

By Bus

5. By other (give details).

By Car

By Taxi

3. By Motorcycle

4. By Bus

By other (give details).

By Car

2. By Taxi

3. 1-1 By Motorcycle 5. n B y other (give

de ta i Is).

Did the person have a job last week?. Tick the appropriate Box.

3.

4.

5. :Il Yes In a job last week No Seeking work No Becauseof No Due to total No Wholly retired. sickness. d isa b i I ity. Yes

No Seeking work

No Becauseof

4. No Due to total

5. No Wholly retired.

In a job last week

sickness.

d isa b i I i ty.

1 .

2.

3.

4.

5.

Yes

No Seeking work

No Becauseof

No Due to total

No Wholly retired.

In a job last week

sickness.

d isa bil ity.

4.

5. TI Yes No Seeking work In a job last week No Becauseof No Due to total No Wholly retired. sickness. d isa b i l i t y. i:- 4. 5.

Yes

No Seeking work

No Becauseof

No Due to total

No Wholly retired.

In a job last week

sickness.

disa bil ity.

i:! 4. 5.

Yes In a job last week

No Seeking work

No Becauseof

No Due to total

No Wholly retired.

sickness.

d isa b i I ity.

Yes

No Seeking work

No Because01

4. No Due to total

5. No Wholly retired.

In a job last week

sickness.

disability.

How are you employed?. Tick the appropriate Box.

' U

1

Employing others, and self employed. Employee monthly paid.

Employee weekly paid.

4. Unemployed. ,

5. Ret i red.

1



4. Unemployed.

5. Re ti red.


3. Employee weekly paid.

4. Unemployed.

5. Retired. U

1 .

2.

4.

5. 3.!i Employing others, and self employed. Employee monthly paid. Employee weekly paid. Unemployed. Retired. Employing others. and self employed. Employee monthly paid.


4. U nem ployed .

5. Retired.

Employing others, and self em p I o yed. Employee monthly paid.


4. U nem plo yed.

5. Retired.

::I 4. 5.

Employing others. and self employed. Employee monthly paid.

' Employee weekly paid. Unemployed.

Retired.

B. 17

Write.lNlme and Address of present Employer (stating type"'of business) and numbevof. _hours normally worked each week. NOTE: Civil servants state your Department and address of establishment.

Normal weekly hours r-

L

Normal weeklv hours -

Normal weekly hours .-,

Normal weekly hours

Normal weekly hours -

Normal weekly hours c

Normal Weekly hours -

B. 18

EDUCATION: Please complete for all persons age 4 years to 18 years of age who are at present attending full time schooling.

In the case of O and A levels give Subjects.

~ ~~~~~~ ~ ~~

1. Name of School 2. Grade or Form 3. C.S.E.S and other Exams 4. G.C.E. O levels 5. G.C.E. A levels



1. Name of School 2. Grade or Form 3. C.S.E.S and other Exams 4. G.C.E O levels 5. G.C.E. A levels



~~~ ~ ~

1. Nameof School 2. Grade or Form 3. C.S.E.S and other Exams 4. G.C.E. O levels 5. G.C.E. A levels

B. 19

Full Time Students 17 years and over Give details of School/ Co I I ege, Add ress, the Subjects studying, and also if you possess a scholarship from (9) Government(0) Other sources.

B. 20

Students Part Time age 14 years and over. Give details of school and subjects studying

B. 21

Have you been granted Caymanian Status if so please tick appropriate Box and give date when Caymanian Status was granted.

1.

2.

3. Date ...............................

Fl : 1. 2. 3. Date ...............................

B: 1. 2. 3. Date ...............................

3. Date ...............................

H: 1. 2. 3. Date ...............................

Yes

No

1.

2.

3. Date ...............................

-Fl 'N"," 1. 2. 3. Date ...............................

B. 22

Do you possess Caymanian Status by right (i.e. by vested right, by force of law).

F* 1: 1. 2. 1.

2. H Yes No

1-1 ',"," 1. 2.

1.

2. E Yes No

H: 1. 2. Yes E No 1. 2.

Complete a line for all Ca.ymanian relatives born of this household who are now permanently living overseas. i.e. m Those who have left Cayman Islands and taken up residence in another Country. I C I

c. 2 Write Sex M for

Male F

for Female

c. 3

Write date of

Birth

c. 4

Relationship to household, i.e. Son, Da ugh ter, nephew,Niece etc.

c. 5 Vrite if:

Single Married Widowed Divorced

is appropriatc

I f sepa rated and not divorced write married

Day Mth. Year

Day Mth. Year

Day Mth. Year

Day Mth. Year

Day Mth. Year

Day Mth. Year

Day Mth. Year

C. 6

Write full address of residence overseas stating, City, State, or County and Country.

c. 7 Write details of Trade, Profess i on or Vocation

TO BE COMPLETED BY THE HOUSEHOLDER

I certify that the answers given by me and members of my household are correct to the best of my knowledge and belief, and that no person or persons have been omitted.

Signed ........................... Householder

Date . . . . . . . . . . . . . . . . . . .

1 979 C E N S U S - CAYMAN ISLANDS 'V' Form for use by Visitors/Tourists

THIS FORM MUST BE COMPLETED BY EVERY VISITOR/TOURIST RESIDENT ON CENSUS NIGHT 8TH OCTOBER 1979 -

V.1 Please write Given Names and Surname for each member of your family visiting the Cayman Islands with you.

1 st Person

2nd Person

3rd Person

4th Person

5th Person

V.2 Please write Date of Birth for each person and sex. Write M for Male

F for female.

Day Month Year

Sex

Day Month Year

Sex

Day Month Year

Sex

Day Month Year

Sex

Day Month Year

Sex

V.3 Please write your permanent address giving City, County, State and Country.

V.4 Please write your Occupation, Trade or Vocation.

V.5 Please write Date of entry into Cayman Islands.

C.3

V.6 Please write Date of expected departure from Cayman Islands.

Signed . . . . . . . . . . . . . . . . . . . . . . . . . .

Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

MPC Legal Notice"I"Form For Individual ReturnCayman_Islands_1979_H_Form_Private_Households.pdfMPC Legal Notice1979 CENSUS = CAYMAN ISLANDS Hy Form for Private HouseholdsPart APart BPart C

Cayman_Islands_1979_Form_'v'.pdfMPC Legal NoticeV Form for use by Visitors/Tourists

“i” for individual return - minnesota population...

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