Literal question
<span class="h1">Householder's Schedule</span></p>
<p>Prepared under the direction of the Local Government Board, pursuant to the Act of 43 and 44 Vict. c. 37.</p>
<p><span class="em">To the Occupier<br /><br />You are requested to insert the particulars specified on the other side, in compliance with an Act passed during the last Session of Parliament, and which received the Royal assent on the 7th September 1880<br /><br />List of the members of this family, of visitors, of boarders, and of servants, who slept or abode in this dwelling on the night of Sunday, April 3rd, 1881</span></p>
<p><svar a="all" v="GB81A407 GB81A422">5. Age Last Birthday<br /><div class="i1">For Infants under One Year, state the Age in Months, writing "Under 1 Month," "1 Month," "2 Months," etc.<br /><br />____ Age</div><br /></svar>