This is the census form for Emily Wilding Davison, who hid in a cupboard in the Crypt Chapel in the House of Commons on Census night 1911. This page shows the enumerator's schedule. You can see her name has been mis-spelt as 'Davidson'.
The form gives the postal address as 'Found hiding in crypt of Westminster Hall.' the pencilled note on the bottom left gives the date '3/4/11 Since Saturday'.
Reproduced with permission of The National Archives.
Visit Parliament to view a display about the suffragettes showcasing a suffragette medal and a scarf belonging to Emily Wilding Davison