Lumo Census

City of Lumo - Census Document
Please note this document is intended to be filled out by a single person

Section 1-A: Identity

Forename:
Surname:
Aliases (if any):

Race:
Gender:
Age:

Section 1-B: Residency, & Locality

Place Of Birth:
Current Place Of Residence In Lumo:
Cultural Ethnicity (if applicable):
Languages Spoken:

Section 2-A: Employment, & Skills

Current/Most Recent Profession (if any):

Previous Profession 1 (if applicable):
Previous Profession 2 (if applicable):

Applicable Profession-Related Skills (if any):



Section 2-B: Organisational Memberships

Guild Memberships (if any):

Membership Of Religious Sect (if any):

Additional Memberships (Universities, Unions, Etc.):




Section 3-A: Proficiencies
(Please list either Y for Yes, or N for No for the following)

Supernatural Proficiencies:
	Arcane Spellcasting:
	Divine Spellcasting:
	Psionic Abilities:
	Ki Manipulation:

Martial Proficiencies:
	Melee Combat - Armed or Unarmed:
	Ranged Combat - Archery (or equivalent):
	Armor Proficiency:
	Tactical Proficiency:

Crafting Proficiencies:
	Alchemy:
	Armor:
	Building:
	Civil:
	Farming:
	Magical Items:
	Magitech:
	Potions:
	Scrolls:
	Weaponry:

Section 3-B: Additional Proficiencies, & Information

Please list any additional proficiencies which you believe are applicable, but not listed in section 3-A of this Census Document:






Please list any additional information which you believe is applicable, but not listed in any above section of this Census Document:





To submit this document, to request additional documents for your household, or for any help filling out the sections of the document, please contact the office of Mr. Blake Kentahara Jr. in Lumo town square.