Literal question
<span class="em">16. Infirmity</span>.
<br />If any person included to this Schedule is:</p>
<div class="i1">[1] 'Totally Deaf', or ' Deaf and Dumb'<br />[2] ' Totally Blind'<br />[3] 'Lunatic'<br />[4] 'Imbecile' or 'Feeble-minded'</div><p>state the infirmity opposite that person's name, and the age at which she or he became afflicted.