| Name and Surname | Charles Boyd | Mary Boyd | William Terance Boyd | Marcella Mary Boyd | Charles James Boyd | George Edward Boyd |
| Relation to Head of Family | Head of Family | Wife | Son | Daughter | Son | Son |
| Religious Profession | Church of Ireland | Church of Ireland | Church of Ireland | Church of Ireland | Church of Ireland | Church of Ireland |
| Education | Read & Write | Read & Write | Cannot Read | Cannot Read | Cannot Read | Cannot Read |
| Age | 38 | 28 | 6 | 4 | 1 | 1 |
| Rank, Profession or Occupation | Domestic Servant | Scholar | ||||
| Particulars as to Marriage | Married | Married 5 years 4 [sic] child born 4 [sic] still alive | Single | Single | Single | Single |
| Where Born | Co Westmeath [sic] | Co Londonderry | Co Roscommon | Co Roscommon | Co Roscommon | Co Roscommon |
| Irish Language | ||||||
| Deaf, Dumb, etc. |
| County | Westmeath |
| Parliamentary Division | North Westmeath |
| Poor Law Union | Mullingar |
| District Electoral Division | Owel |
| Townland | Ballinagall |
| Barony | Cokaree |
| Parish | Portnashangan |
| No of House | 20 | |
| Whether Built or Building | Built | |
| Private Dwelling etc | Private Dwelling | |
| Number of Out-Offices and Farmsteadings as returned on Form B.2 | 1 | |
| Is House Inhabited? | Yes | |
| Particulars of Inhabited Houses | Walls | Son, Brick or Concrete |
| Roof | Slate, Iron or tiles | |
| Rooms | 2, 3, or 4 rooms | |
| Windows in Front | 5 | |
| Total | 9 | |
| Class of House | 2nd | |
| Families | No of distinct families | 1 |
| Name of the Head of each Family | Charles Boyd | |
| Number of Rooms occupied | 4 | |
| Number of Persons in each Family | 6 | |
| Date on which Form A was collected | Apl 6th | |
| Number of Persons who were sick on 2nd April 1911 | None; | |
| Name of the Landholder | Capt. T.J. Smyth | |
| No. of Form M.1 | 1 | |
| Number on Form B.1 | 20 |
| Stable | |
| Coach House | |
| Harness Room | |
| Cow House | |
| Calf House | |
| Dairy | |
| Piggery | |
| Fowl House | |
| Boiling House | |
| Barn | |
| Turf House | |
| Potato House | |
| Workshop | |
| Shed | 1 |
| Store | |
| Forge | |
| Laundry | |
| Other Out-Offices | [None Listed] |
| Total Number of Out-offices and Farm-Steadings | 1 |
Source: National Archives of Ireland