State ________, Incorporated place ________. Ward of city _________; Unincorporated place [Name of unincorporated place having 100 or more inhabitants] _______________________. County _______________. Township or other division of county ________________________. Block Nos. ___________; Institution [Name of institution and lines on which entries are made] _________________________________.
Residence, April 1, 1935:
In what place did this person live on April 1, 1935? For a person who, on April 1, 1935, was living in the same house as at present, enter in Col. 17 "Same house," and for one living in a different house but in the same city or town, enter "Same place," leaving Cols. 18, 19, and 20 blank, in both instances. For a person who lived in a different place, enter city or town, county, and State, as directed in the Instructions. (Enter actual place of residence, which may differ from mail address.)
Occupation, Industry and Class of Worker:
For a person at work, assigned to public emergency work, or with a job ("Yes" in Col. 21, 22, or 24), enter present occupation, industry, and class of worker. For a person seeking work ("Yes" in Col. 23):
b) If he does not have previous work experience, enter "New worker" in Col. 28, and leave Cols. 29 and 30 blank.
Place of Birth of Father and Mother:
If born in the United States, give State, Territory, or possession. If foreign born, give country in which birthplace was situated on January 1, 1937. Distinguish Canada-French from Canada-English and Irish Free State (Eire) from Northern Ireland.
Usual Occupation, Industry, and Class of Worker:
Enter that occupation which the person regards as his usual occupation and at which he is physically able to work. If the person is unable to determine this, enter that occupation at which he has worked longest during the past 10 years and at which he is physically able to work. Enter also usual industry and usual class of worker.