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. Persons staying temporarily with the household are included.

To the Head or Joint Heads or members of the Household

Please complete this census form and have it ready to be collected by the census enumerator for your area. He or she will call for the form on Monday 6 April 1981 or soon after. If you are not sure how to complete any of the entries on the form, the enumerator will be glad to help you when he calls. He will also need to check that you have filled in all the entries.

This census is being held in accordance with a decision made by Parliament. The leaflet headed 'Census 1981' describes why it is necessary and how the information will be used. Completion of this from is compulsory under the Census Act 1920. If you refuse to complete it, or if you give false information, you may have to pay a fine of up to £50.

Your replies will be treated in STRICT CONFIDENCE. They will be used to produce statistics but your name and address will NOT be fed into the census computer. After the census, the forms will be locked away for 100 years before they are passed to the Public Record Office.

If any member of the household who is age 16 or over does not wish you or other members of the household to see his or her personal information, then please ask the enumerator for an extra form and an envelope. The enumerator will then explain how to proceed.

When you have completed the form, please sign the declaration in Panel C on the last page.

A R THATCHER Registrar General

Office of Population Censuses and Surveys
PO Box 200 Portsmouth PO2 8HH
Telephone 0329-42511

Please answer questions H1-H5 about your household's accommodation, check the answer in Panel A, answer questions 1-16 overleaf and Panel B on the back page. Where boxes are provided please answer by putting a tick against the answer which applies. For example, if the answer to the marital status question is 'Single', tick box 1 thus: 1  Single  Please use ink or ballpoint pen.

To be completed by the Enumerator
Census District	Enumeration District	Form Number
Name........................................................................................................................................ Address.................................................................................................................................... .............................................................................................................................................. ...................................................................... Postcode _______________________

Panel A To be completed by the Enumerator and amended, if necessary, by the person(s) signing this form.

This household's accommodation is: in a caravan  20 In any other mobile or temporary structure 30 In a purpose-built block of flats or maisonettes  12 In any other permanent building in which the entrance from outside the building is:   NOT SHARED with another household  10   SHARED with another household  11

H1 Rooms Please count the rooms in your household's accommodation. Do not count: small kitchens, that is those under 2 metres (6ft 6ins) wide, bathrooms, WCs. Number of rooms......................................... Note Rooms divided by curtains or portable screens count as one; those divided by a fixed or sliding partition count as two. Rooms used solely for business, professional or trade purposes should be excluded

H2 Tenure How do you and your household occupy your accommodation? Please tick the appropriate box. As an owner occupier (including purchase by mortgage): 1  of freehold property 2  of leasehold property by renting, rent free or by lease: 3  from a local authority (council or New Town) 4  with a job, shop, farm or other business 5  from a housing association or charitable trust 6  furnished from private landlord, company or other organisation 7  unfurnished from private landlord, company or other organisation In some other way:    Please give details ............................................................................................................................... Note a f the accommodation is occupied by lease originally granted for, or since extended to, more than 21 years, tick box 2. b If a share in the property is being brought under an arrangement with a local authority, New Town corporation or housing association, for example, shared with ownership (equity sharing), a co-ownership scheme, tick box 1 or 2 as appropriate.

H3 Amenities Has your household the use of the following amenities on these premises? Please tick the appropriate boxes. A fixed bath or shower permanently connected to a water supply and a waste pipe 1  YES- for use only by this household 2  YES- for use also by another household 3  NO fixed bath or shower A flush toilet (WC) with entrance inside the building 4  YES- for use only by this household 5  YES- for use also by another household 6  NO inside flush toilet (WC) A flush toilet (WC) with entrance outside the building 7  YES- for use only by this household 8  YES- for use also by another household 9  NO outside flush toilet (WC)

H4 Please answer this question if box 11 in Panel A is ticked. Are your rooms (not counting a bathroom or WC) enclosed behind your own front door inside the building?   1  YES 2  NO

H5 Cars and Vans Please tick the appropriate box to indicate the number of cars and vans normally available for use by you or members of your household (other than visitors). 0  None 1  One 2  Two 3  Three or more Include any car or van provided by employers if normally available for use by you or members of your household but exclude vans used solely for the carriage of goods.

Where boxes are provided please tick the appropriate box (Please use ink or ballpoint pen)

1-3 Include on your census form: all the persons who spend Census night 5-6 April 1981 in this household (including anyone visiting overnight and anyone who arrives here on the Monday and who has not been included as present on another census form). any persons who usually live with your household but who are absent on census night.   For example, on holiday, in hospital, at school or college. Include them even if you know hey are being put on another census form elsewhere. Write the names in the top row, starting with the head or a joint head of household (BLOCK CAPITALS please) Include any newly born baby even if still in hospital. If not yet given a name write 'BABY' and the surname.	1st person Name and surname Sex 1 Male 2  Female Date of birth Day Month Year ......... ......... .........	2nd person Name and surname Sex 1 Male 2  Female Date of birth Day Month Year ......... ......... .........
4 Marital Status Please tick the box showing the present marital status. If separated but not divorced please tick 'Married (1st marriage)' or 'Re-married' as appropriate.	Marital Status 1  Single 2  Married(1st marriage) 3  Re-married 4  Divorced 5  Widowed	Marital Status 1  Single 2  Married(1st marriage) 3  Re-married 4  Divorced 5  Widowed
5 Relationship in household Please tick the box which indicates the relationship of each person to the person entered in the first column. Please write in relationship of 'Other relative'-for example, father, daughter-in-law, niece, uncle, cousin, grandchild. Please write in position in household of 'Unrelated person'-for example, boarder, housekeeper, friend, flatmate, foster child.		Relationship to 1st person 01  Husband or wife 02  Son or daughter    Other relative, please specify ............................    Unrelated, please specify .............................
6 Whereabouts on night of 5-6 April 1981 Please tick the appropriate boxes to indicate where the person was on the night of 5-6 April 1981.	1  At this address, out on night work or travelling to this address 2  Elsewhere in England, Wales or Scotland 3  Outside Great Britain	1  At this address, out on night work or travelling to this address 2  Elsewhere in England, Wales or Scotland 3  Outside Great Britain
7 Usual address If the person usually lives here please tick 'This address', if not tick 'Elsewhere' and write in the person's usual address. The home address should be taken as the usual address for a head of household who lives away from home for part of the week. For students and children away from home during term-time, the home address should be taken as the usual address. Boarders should be asked what they consider to be their usual address.	 This address   Elsewhere - write the person's usual address and postcode Address (BLOCK CAPITALS please) ............................... .............................. .............................. including postcode ............................	 This address   Elsewhere - write the person's usual address and postcode Address (BLOCK CAPITALS please) ............................... .............................. .............................. including postcode ............................
8 Usual address one year ago If the person's usual address one year ago, on 5 April 1980, was the same as that given in answer to question 7 please tick 'Same'. If not, please tick 'Different' and write in the usual address. If everyone on the form has moved from the same address, please write the address in full for the first person and indicate with an arrow that this applies to the other people on the form. For a child born since 5 April 1980 write 'UNDER ONE'.	 Same as Question 7   Different-write the person's address and postcode on 5 April 1980 Address (BLOCK CAPITALS please) ............................... .............................. .............................. including postcode ............................	 Same as Question 7   Different-write the person's address and postcode on 5 April 1980 Address (BLOCK CAPITALS please) ............................... .............................. .............................. including postcode ............................
9 Country of birth Please tick the appropriate box.   If box 6 is ticked please write in the present name of the country in which the birthplace is now situated.	Country of Birth 1  England 2  Wales 3  Scotland 4  Northern Ireland 5  Irish Republic 6  Elsewhere. Please write the present name of the country. ..............................	Country of Birth 1  England 2  Wales 3  Scotland 4  Northern Ireland 5  Irish Republic 6  Elsewhere. Please write the present name of the country. ..............................

10 Whether working, retired, housewife, etc. last week Please tick all boxes appropriate to the person's activity last week. A job (box 1 and box 2) means any type of work for pay or profit but not unpaid work. It includes:   casual or temporary work   work on a person's own account   work in a family business   part-time work even if only for a few hours A part-time job (box 2) is a job in which the hours worked, excluding any overtime, are usually 30 hours or less per week. Tick box 1 or box 2, as appropriate, if the person had a job but was not at work for all or part of the week because he or she was:   on holiday   temporarily laid off   on strike   sick For a full-time student tick box 9 as well as any other appropriate boxes. Do not count as a full-time student a person in a paid occupation in which training is also given, such as a student nurse, an apprentice or a management trainee.	1  In a full-time job at any time last week 2  In a part-time job at any time last week 3  Waiting to take up a job already accepted 4  Seeking work 5  Prevented by temporary sickness from seeking work 6  Permanently sick or disabled 7  Housewife 8  Wholly retired from employment 9  At school or a full-time student at an educational establishment not provided by an employer 0  Other, please specify. .........................	1  In a full-time job at any time last week 2  In a part-time job at any time last week 3  Waiting to take up a job already accepted 4  Seeking work 5  Prevented by temporary sickness from seeking work 6  Permanently sick or disabled 7  Housewife 8  Wholly retired from employment 9  At school or a full-time student at an educational establishment not provided by an employer 0  Other, please specify. .........................
Questions about present or previous employment For persons in a job last week For persons wholly retired For persons out of work last week For persons prevented from working  because of permanent sickness or disablement For other persons including those with no previous job	-please answer questions 11-15 in respect of the main job during the week -please answer questions 11-13 in respect of the most recent full-time job   -please write 'Not applicable' at question 11 and leave questions 12-15 blank
11 Name and business of employer (if self-employed the name and nature of the persons business) a Please give the name of the person's employer. Give the trading name if one is used and avoid abbreviations or initials. For members of the Armed Forces, civil servants and local government officers see notes on back page before answering questions 11-15. b Please describe clearly what the employer for the person if self-employed)makes or does. For a person employed in private domestic service write 'Domestic Service'.	a Name of employer           b Nature of business	a Name of employer           b Nature of business
12 Occupation a Please give full and precise details of the person's occupation. If a person's job is known in the trade or industry by a special name, use that name. Precise terms should be sued, for example, 'radio-mechanic', 'jig and tool fitter', 'tool room foreman' rather than general terms such as 'mechanic', 'fitter', 'foreman'. b Please describe the actual work done.	a Name of employer     b Nature of business	a Name of employer     b Nature of business
13 Employment status Please tick the appropriate box. Box 3 should be ticked for a person having management or supervisory responsibility for other employees. For a person employed as a quality control inspector and concerned with the technical quality of a product tick box 2.	1  Apprentice or articled trainee 2  Employee not supervising other employees 3  Employee supervising other employees 4  Self-employed not employing others 5  Self-employed employing others	1  Apprentice or articled trainee 2  Employee not supervising other employees 3  Employee supervising other employees 4  Self-employed not employing others 5  Self-employed employing others
14 Address of place of work Please give the full address of the person's place of work. For a person not working regularly at one place who reports daily to a depot or other fixed address, give that address.   For a person not reporting daily to a fixed address tick box 1. For a person working mainly at home tick box 2.	Full address and postcode of workplace Address (BLOCK CAPITALS please) ............................. ............................. including postcode ........................... 1  No fixed place 2  Mainly at home	Full address and postcode of workplace Address (BLOCK CAPITALS please) ............................. ............................. including postcode ........................... 1  No fixed place 2  Mainly at home
15 Daily journey to work Please tick the appropriate box to show how the longest part, by distance, of the person's daily journey to work is normally made. For a person using different means of transport on different days show the means most often used.   Car or van includes three-wheeled cars and motor caravans.	1  British rail train 2  Underground, tube, metro, etc. 3  Bus, minibus or coach (public or private) 4  Motor cycle, scooter, moped 5  Car or van-pool, sharing driving 6  Car or van- driver 7  Car or van-passenger 8  Pedal Cycle 9  On foot 0  Other (please specify) ............................. 0  Works mainly at home	1  British rail train 2  Underground, tube, metro, etc. 3  Bus, minibus or coach (public or private) 4  Motor cycle, scooter, moped 5  Car or van- pool, sharing driving 6  Car or van- driver 7  Car or van-passenger 8  Pedal Cycle 9  On foot 0  Other (please specify) ............................. 0  Works mainly at home
16 Degrees, professional and vocational qualifications Has the person obtained any qualifications after the age of 18 such as: Degrees, Diplomas, HNC, HND, Nursing qualifications, Teaching qualifications, Graduate or corporate membership Other professional, educational or vocational qualifications? Exclude qualifications normally obtained at school such as GCE, CSE and School Certificates. If box 2 is ticked write in all qualifications even if they are not relevant to the person's present job or if the person is not working. Please list the qualifications in the order in which they were obtained. Write for each qualification: the title the major subject or subjects the year obtained and the awarding institution If more than three, please enter in a spare column and link with an arrow.	1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................ 1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................ 1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................	1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................ 1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................ 1  NO- none of these 2  YES- give details Title...................... Subject(s)............. ............................ Year.................... Institution.............. ............................

Panel B Is there anyone else you have not included (such as a visitor) because there was no room on the form?  YES  NO Please ask the enumerator for another form Have you left anyone out because you were not sure whether they should be included? If son, please give their name(s) and reason why you were not sure about including them. Name..................................................................................................................................... Reason.................................................................................................................................. Name..................................................................................................................................... Reason.................................................................................................................................. Name..................................................................................................................................... Reason................................................................................................................................. Name..................................................................................................................................... Reason.................................................................................................................................. May the Enumerator telephone you if we have a query on your form? If so, please write your telephone number here. ..............................................................................................................................

Before you sign the form will you please check:

• that all relevant questions have been answered

• that you have included everyone who spent the night 5-6 April in your household

• that you have included anyone who usually lives here but was away from home on the night of 5-6 April

• that no visitors, boarders or children including newly born infants, have been missed.

Panel C Declaration This form is correctly completed to the best of my knowledge and belief. Signature(s)..................................................................................................................   ....................................................................................................................   Date..........................April 1981