1
..............................
2*3
Ward No .....................................
46
Enum. Area No. ..............................
7-9
Village N u n e G NO. ..........................
10-12
Household No. .............................
Council Area No
W
SOLOMON ISLANDS
CENSUS 1976
u
Card Type
CONFIDENTIAL
Coconuts
Sewing machine
Cocoa
17
18
Spices/ Chillies
>
H
21
I
Bicycle
22
Males
25-27
\
Outboard
Females
etc)
-. Perso-n. 2
-
>erson 1
Questions
Food growing for sale
Sheet No
of Total Sheets
19
....................
Date of First Visit ..............................
Type 0fM.I (Riv/Hotel
STRICTLY
I
Household activity
Date of Second Visit
.....................
Person 4
Person 3
Enumerators Signature
............................................
Person 6
Person 5
Person 7
c. c
113
Person 8
1. NAMES
14
2. RELATIONSHIP to Head (Write H , W, S etc)
15
3. SEX
(Write M or F)
Month
4. DATE OF BIRTH (Write Year, give Month i f known)
S. How Many BOYS/GIRLS EVERBORN alive to woman are
(a) enumerated i n this HI-I(Write Number, or O if none)
(Write Number, or O i f none)
(b) alive elswhere
(e) n o w d e a d
(Write Number, or O i f none)
--
Boys
,, , ,, ,
Year
Month
I
Girls
Year
16
I
Math
F O R
Boys
Year
W O M E N
Yonth
B O R N
Year
IN
Month
1 9 6 2
A N D
Year
Month
BEFORE
Year
Month
Year
Month
Year
I 7-2a
O N L Y
Girls
no
100I I
2 1-24
1
C I
25-28
29-32
33
6. (a) LAST LIVE BORN CHILD (Write ALIVE or DEAD)
Month
Year
Month
Year
Month
Year
3437
(b) Date of birth of this child
(iY9rii.ì
F O R
ME"
A N D
W O M E N
B O R N
I N
7 . For those who WORKED most of LAST WEEK to earn money
(a) Did this money earner work far SELF, WAGE/SAL,
Inc\;
organisation, etc)
B E F O R E
O N L Y
&$r 9 1
(b) What work did this person do (Describe in 2 words)
( c ) Who did person work
A N D
38
OTHER
oe c
1 9 6 2
39-4I
for (Write n a E e of business,
b &>pl,
3
,*
I
42-43
(d) What does this business, organisation, etc., do
8. ETHNIC ORIGIN (Write, POL, CH, E etc)
1
44
9. NATURAL FATHER alive (Write ALIVE or DEAD)
45
10- NATURAL MOTHER alive (Write ALIVE or DEAD)
46
11. ISLAND or TOWN OF BIRTH (Country for forc.ign born)
47-48
12. Was Perso,) BORN in HOSP, CLINIC or EISE where
49
13. MARITAL STATUS (Write S , M,* W, SP or DV)
50
14. What is RELIGION (Write CM, RC, etc)
5 1-52
1s. What is FIRST LANGUAGE
53-54
55-56
16s EDUCATION: What was highest CLASS or FORM Completed
17- Did Person ATTEND school last year (Write YES or NO)
18. How Long is person i n this WARD (Write Months or Year)
f
57
I
58-55