War Census Regulations 1915 (Amendment) (Provisional) (Cth)

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STATUTORY RULES.

1915. No. 138.

PROVISION REGULATION UNDER THE WAR CENSUS ACT 1915.

I, THE GOVERNOR-GENERAL in and over the Commonwealth of Australia, acting with the advice of the Federal Executive Council, do hereby certify that, on account of urgency, the following Regulation under the War Census Act 1915 should come into immediate operation, and make the Regulation to come into operation forthwith as a Provisional Regulation.

Dated this tenth day of August, One thousand nine hundred and fifteen.

R. M. FERGUSON,

Governor-General.

By His Excellency’s Command,

W. M. HUGHES,
Attorney-General.

The forms which are required to be filled up for the purposes of the War Census shall be as follow:

Commonwealth of Australia.

WAR CENSUS.—FIRST SCHEDULE.

write clearly. Personal Card.

To be filled in by all Males aged 18 and under 60.

1. Name in Full.........................................................................................................................

(Underline Surname.)

2. Full usual Postal Address (including State)—

.....................................................................................................................................

(If away from usual residence when filling in card, the postal address to be given here is that of your usual residence.)

3. Date of Birth:—Day.......................... Month...................................... Year..........................

State Age last Birthday................................ years.

4. State whether Married (M), Widower (W). or Single (S)..........................................................

5. State Number and Relation of Dependent Relatives (if any).....................................................

.....................................................................................................................................

6. State whether your General Health is Good, Bad, or Indifferent................................................

7. If Suffering from Blindness, Deafness, or Loss of a Limb, give particulars................................

8. What is your present Occupation?..........................................................................................

8a. State Grade of Occupation............................................................................................

(If employing labour other than domestic, insert E. If working on own account but not employing labour, insert O. If assisting but not receiving salary or wages, insert A. If to receipt of salary or wages. insert W. If out of work for more than the week prior to 30th June, 1915, insert N.)

8b. If you are Employee, what is the Occupation of your Employer?.....................................

.....................................................................................................................................

9. What other Occupation (if any) could you undertake?..............................................................

10. What Military Training (if any) have you had?......................................................................

11. State number and description of firearms, and quantity of ammunition you possess

.....................................................................................................................................

12. State Country of Birth of:—

(i.) Yourself..................................................................................................................

(ii.) Your Father............................................................................................................

(iii.) Your Mother.........................................................................................................

13. If born in a Foreign Country of Foreign Parentage, are you a Naturalized British Subject?.......

14. If so, when and where was Naturalization effected?...............................................................

.....................................................................................................................................

Date.................................. Signature.....................................................

Commonwealth of Australia.

WAR CENSUS.—SECOND SCHEDULE.

write clearly. Wealth and Income Card.

(Front of Card.)

To be filled in by all persons aged 18 or upwards possessed of property, or holding property on trust, or in receipt of income, and by other persons, companies, corporations, associations corporate or unincorporate, institutions, or other bodies specified in any proclamation under the War Census Act.

1. Name in full of person, &c., to whom this return applies; state if (Mr., Mrs., Master or Miss).........................................

(Underline surname.)

2. Full usual Postal Address (Including State) of person to whom the return applies*

.................................................................................................................................................................................

*It away from usual residence when filling in card, the postaladdress to be given here is that of your usual residence.(UseN.S.W., Vic., Qu., S.A., W.A., Tas., N.T., or F.T., for name of State.)

3. If you own Motor Cars, Motor Cycles, other Motor Vehicles, or Traction-engines, state how many and the horse-power of each, and for what purpose used; also the kind and number of any other Vehicles owned by you

.................................................................................................................................................................................

4. Income.—What was the amount of Income received by you during the twelve months ended 30th June, 1915, from sources mentioned below:—

But not including any retiring gratuity, or allowance paid in one amount.

See other side of Card.

(Back ofCard.)

5. Property—What was the approximate value of real and Personal Property owned or held by you in Australia at 30th June 1915, comprising:—

Note.—withrespect to Trade Assets and Liabilities only, the particulars as per the latest balancing date since the 30th June, 1914, and prior to 23rd July, 1915, may be used for the purposes of this Schedule.

6.State number owned by you of the following:—

Horses. (2yrs. and upwards).	Draught.	Light. Harness	Saddle.	Cattle	Other Animals.
Stallions.............	...............	...............	...............	Dairy............................................	Mules........................
Geldings............	...............	...............	...............	Bulls............................................	Camels.......................
Mares.................	...............	...............	...............	Working Bullocks.......................	Sheep.........................
Foals (under 2 years).................	...............	...............	...............	Calves (under 12 months)...........	Pigs...........................
Foals (under 2 years).................	...............	...............	...............	All other cattle.............................

Note.—The above are to be apportioned in the caseof partner ownerships.

Signature and Address of the Person required to make the Return:—

Signature

DateAddress

Printed and Published for the Government of the Commonwealth of Australia by Albert J. Mullett, Government Printer for the State of Victoria.

C.11104.—Price 3d.

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War Census Regulations 1915 (Amendment) (Provisional) (Cth)

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(If this Return relates to your own income fill in column (a) but not column (B.) If it relates to a trustee-income, or income of a company, &c., fill in column (B) but not column (a.)	(A)—On Own Account.	(b)—On Account of other Persons, Companies, &c.
£	£
(i.) Stipend, Salary, or Wages.............................................................................	..........................	..........................
(ii.) Profession, Trade, Business, or Industry carried on by you.........................	..........................	..........................
(iii.) Fees and Commissions................................................................................	..........................	..........................
(iv) Superannuation, Pension (not being Commonwealth Old-age or Invalid Pension) and Annual Retiring Allowance ....................................................................	..........................	..........................
(v.) Quarters, Board, &c., allowed by Employer.................................................	..........................	..........................
(vi.) Rent..............................................................................................................	..........................	..........................
(vii.) Interest and Dividends................................................................................	..........................	..........................
(viii.) Annuities, Royalties, Tributes, Licences, &c............................................	..........................	..........................
(ix.) Income as Beneficiary from Trust Estate....................................................	..........................	..........................
(x.) All other sources...........................................................................................	..........................	..........................
(xi.) Add 5 per cent. on Capital Value of your own Land and Improvements used by yourself for purpose of residence or enjoyment.......................................................	..........................	..........................
Total........................................................ £	..........................	..........................
Less—
(i.) Amount actually paid by you for Fidelity Guarantee on yourself.................	..........................	..........................
(ii.) Interest actually paid on Borrowed Money..................................................	..........................	..........................
(iii.) Repairs and Maintenance of Property actually paid for..............................	..........................	..........................
(iv.) Life, Fire, or other Insurance Premiums paid..............................................	..........................	..........................
(v.) Contributions to Pension or Superannuation Fund......................................	..........................	..........................
(vi.) Rent of premises for purposes other than purposes of residence or enjoyment	..........................	..........................
(vii.) Rates and Taxes paid..................................................................................	..........................	..........................
Total Deductions................................... £	..........................	..........................
Net Income...............................................	..........................	..........................

(If Return is made in respect of your own property fill in column (A) but not column (B) If Return is made in respect of trustee-property or property of a company, &c., fill in column (B) but not column (A).	(A)—On Own Account.	(B)—On Account of Other Persons, Companies, &c.
Assets 30th June, 1915—	£	£
(i.) Cash in hand..................................................................................................	..........................	..........................
(ii.) Money at current account in Banks, &c.......................................................	..........................	..........................
(iii.) Fixeddeposits in Banks, Building Societies, &c........................................	..........................	..........................
(iv.) (a) Government and other Public Debentures, &c.
(b) Shares and Debentures in Companies....................................................	..........................	..........................
(v.) Debts due to you (a) Mortgage on Land.......................................................	..........................	..........................
(b) Other Debts.................................................................	..........................	..........................
(vi.) Value of Stock-in-trade................................................................................	..........................	..........................
(vii.) Value of Live Stock....................................................................................	..........................	..........................
(viii.) Plant, including Machinery, Tools, Implements, Railing Stock, used for trade purposes...................................................................................................................	..........................	..........................
(ix.) Furniture and Fittings used for trade purposes............................................	..........................	..........................
(x.) Estimated Value of Goodwill of Business...................................................	..........................	..........................
(xi.) (a) Value of your land inclusive of Improvements......................................	..........................	..........................
(b) Value, exclusive of Improvements (£ )	* ..........................	* ..........................
(c) If not Sole Owner, value of your Interest...............................................	..........................	..........................
(xii.) (a) Value of your Leases from Private Persons.........................................	..........................	..........................
(b) Value of your Leases from the Crown...................................................	..........................	..........................
(xiii.) Value of Share of Net Assets in Partnership or Syndicate undertakings..	..........................	..........................
(xiv.) Household Furniture and Effects and Personal Effects (including Vehicles and Plant used for other purposes than trade or occupation).............................................	..........................	..........................
(xv.) Value of Interests as a Beneficiary in Trust Estates...................................	..........................	..........................
(xvi.) Property not enumerated above, exclusive of Life Assurance and Friendly Society Policies.......................................................................................................	..........................	..........................
Total Assets............................................. £	..........................	..........................
Liabilities on 30th June, 1915—
(i.) Bunk Overdraft..............................................................................................	..........................	..........................
(ii.) Amounts owing by you (other than Mortgages on Land..............................	..........................	..........................
(iii.) Amounts owing by you on Mortgages on Land..........................................	..........................	..........................
* No entry to be made here. Total Liabilities........................................................	..........................	..........................
Difference between Assets and Liabilities................................................................. £	..........................	..........................