Literal question
___ No. of census division
<br />___ No. of instructor district
<br />___ No. of enumeration district
<br />___ List No.
<br />___ Form No. within portfolio
<br />___ Region
<br />___ Avenue, street, by-street
<br />___ District
<br />___ House No. or name of house owner
<br />___ Apt. No.
<br />___ Rural Council
<br />___ Settlement
<br />___ Institution