Literal question
<span class="h3">Householder's Schedule </span>
<br />Prepared under the direction of Her Majesty's Secretary for Scotland, pursuant to the Act 53 and 54 Vict. c. 38.</p>
<p>The following compartments to be filled up by the enumerator</p>
<p>____ Registration District
<br />____ Parish
<br />____ City, Town, Village, or Hamlet
<br />____ Sanitary District
<br />____ Street, Square, etc., or Road
<br />____ Name or No. of House
<br />____ Number of rooms with one or more windows
<br />____ Name of Occupier