INDIVIDUAL SLIP
CENSUS OF INDIA 1991
Location Code ....................................
CONFlDENT!AL
.:...
sllp No. .....
) St. No. of Household [
(
] Pad No.
Code No. of Development Block-...........1 ............
Name..........................................................................................................
i
.......................
Relationship to head.....................
,..........., 8 Religion ....................................
..,.....,.......,.....
. ...
.
... ... ...
. .
................................................................
...............................................
. . I .....
Male (l)/Female (2) ..............
9 Whether S.C. (1) or S.T. (2) ..............
Ag e .......................................
10 Name of Scheduled Castenribe !.. ..,....-.....-..
.. f. ' i ;
.
.
Marital status ................................................. .
................................... ...-......._...._.___
U
Mother tongue....................
................ . 1 1
...........:
... ... ... ...
................................................ i .....I .....i .....I ..,...: 12
Two other languages known ,.....
... ................,.......
... ...
...........................................I ....-*.. ...*;...... .."".:..
. . .i .i i. 1 3
..................................................... . ...._....
.-.~
....
.1
.
I
U
Literate (1 )/Illiterate (2) ..........................
Educational att ainment ..............................
.-,..-.......-\
.. ..
............................................................... .
......................................................
.
I
.
U
Attending schookollege Yes( 1)/N0(2)
(.....
Yes
. .
.. .,........
...............
-.............
. ..
No (H/ST/D/R/B/I/O)
14A Did you work any time at all last year?
(including unpaid work on farm or in family enterprise)
148 If 'Yes' in 14A, did you work for major part of last year? Yes( 1 )/No(2)............................
......,......
'Yes' in'l4B (C/AUHHI/OW)
................................................... ... .... ....
15A Main activjty last year?'
......- ......
No'in 14B (H/ST/D/R/B/I/O)
If HHI/OW in 15A
Name of establishment ...............................................................................................
Nature of industry, trade or service ............................................... :..............................
. . . .
0
.... .... ....
.........................................................................................................................................
... ... . .. .
. . ..
Description of work .................................................... :.......................
...........................
Class of worker ...............................................................................................................
..
.
15B
'Yes' in 14B-Any
other work'any time last year? Yes (C/AUHHI/OW)/No
'No' in 14B-Work
done any time last year? (C/AL/HHI/OW)
....
.
.,..
..-
.
-
.......
.- -.
..............................
.
If HHI/OW in 15B
(i) Name of establishment ..................... ;..........................................................................
,...........,.....,
(ii) Nature of industry, trade or service .................... ,.......................................
. ... ... ...
.
.
.
. . .
........................................................................................................................................
. . . .
... ... ... ...
(iii) Description of work ..........................................................................................................
. .
(iv) Class of worker .......................................................................................................
16A If 'No' in 14A, seeking/available for-work? Yes (1)/No(2)............ ...................................
16B If 'Yes' in 16A, have you ever worked before? Yes (1)/No(2).........................................
49
17A Whether you are an Ex-serviceman? YeS(l)/No(2).......................................................
170 If 'Yes' in 17A,Pensioner(1)/Non-Pensioner(2).............................................................
18
.......
Birth place
22
.. ..
(a) Place of birth..............................
(b) Rural (I)/Urban (2)...................... . . .
. . .
(G) District ............................. ,.................
.
. .
.
(d) State/Count............................................. ..
-fl
For all ever-married women only
C I
(a) Age at marnage........ ...........
(b) Number of children surviving
at present
Malen
19
Last residence
.......
. .
(a) Place of last residence...............
(b) Rural (1)lUhan (2)...................... . . .
.. .. ..
(c) District................................................
l
.
.
.
(d) State/Countty......................................
.! .i .i .i
.a
21
u
Female
Total
0
Reasons for migration from place
of Iast residence (Code)'. ..................
o
23
Duration of residence at the village or
town of enumeration....................
])@.egairraM[
Total
(c) Number of chiJ4ren w e r born alive
Male
20
Female
n
For currently married women only
Any child born alive during
.............
last one year .............................................
' Natural calamities like drought, floods, etc. (6)
'
>
A
50