Form (1) Census of Immigrant families

Name

Fathers Name

Mothers Name

Date of Birth

Gender

Relationship

Race/ Religion

ID card No.

Previous Address

Note

Form (3) Grandfather Name : DOB: POB: Race/Religion: ID No. : Date of death: (If dead) Grandmother Name : DOB: POB: Race/Religion: ID No.: Date of death: (If dead) Grandfather Name : DOB: POB: Race/Religion: ID No. : Date of death: (If dead) Grandmother Name: DOB: POB: Race/Religion: ID No.: Date of death: (If dead)

Father Name : DOB: POB: Race/Religion: ID No. : Date of death: (If dead)

Mother Name: DOB: POB: Race/Religion: ID No.: Date of death: (If dead)

Son/Daughter Name: DOB: POB: Race/Religion: ID No.: Date of death: (If dead)

Inspectees Signature Name: .

Inspectors Signature Name: Position: Township: District: . Town/Division: