II.--The houses or tenements should be in as many different districts as
possible and the particulars should be representative of wage-earning
class accommodation in those districts. _Actual rents are to be given:
different rents are not to be averaged._
------+------+--------------+------------------------------------
| | Number[A] of| Amount of Rent paid per week
Name |Postal|rooms occupied| for the rooms
of |No. of|by each family|-----------+------------+-----------
Street|house.|selected. |July, 1914.|March, 1922.|June, 1922.
------+------+--------------+-----+-----+-----+------+-----+-----
| | | s. | d. | s. | d. | s. | d.
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
| | | | | | | |
------+------+--------------+-----+-----+-----+------+-----+-----
[A: The numbers required are to represent different types of
wage-earning class accommodation and, therefore, families should
be selected occupying different numbers of rooms so as to properly
represent local conditions.]
_Date_ __________ 1922. _Signature_ ______________________
=Form B 6.=--Page 1.