CONFEQENTIAL
1 --i
.
10
P
s
A
GENSU
I. LOCATION
(u) Gwgraphical District ................................................................................................................................................................................................................................................................
(b) ML:nicipal/Village Council Area/Outside M/V.C.A. ...........................................................................................................................................................................................................
12
( c f Locdity ................................................................................................................................................................................................................................................................;
I4
(d) No. and Street / Road / Lane
(in block letters)
J
.
-m.
16
'I I
I I I
I l
-- 44
Enumeration Area ................................................................................................................................................................................................................................................................
( g ) Block N o...........................................................................................................................................................
461
....................................................................................................................................................
(h) Building Enumeration No ................................................................................................................................................................................................................................................................
50
52
( i ) No. of Housing Units in ßuilding...........................................................................................................................................................................................................................................................
II. TYPE OF BUILDING
57-58
(a) Under construction and not inhabited
SKIP TO
SECTION V
010
(b) Wholly Residential
(i) Building used wholly as one housing unit ...
(ii) Building containing more than one housing unit
(1) Block of flats, semi-detached houses, etc.
...
(2) Building intended to be used as one housing unit but
crudely subdivided into smaller housing units
...
(3) Other
*..
...
...
...
(iii) Detached room intended for use by part of a household
(iv) Building or structure used as improvised housing unit
(1) Longères
...
...
(2) Other temporary shelter (e.g. tent)
...
...
...
...
(v) Building not intended for habitation but used
as such (e.g. garage, stable, barn, mill, warehouse)
(c)
I I I
I
43
( e ) Census District
(
f
)
I
Partly Residential
(vi) Building used partly for residential and partly
for other purposes (e.g. shop dwelling, etc.)
... 0 5 0
O 6 0
k
I
SKIP TO
SECTION 1V
... 1 0 0
(e) Non-Residential
...
(ix) Public building
(x) Commercial
...
(xi) Industrial
...
(xii) Commercial and Industrial
...
...
...
...
... 1
1
01
... 1 2 0 j
...
... 1 3 0
...
... 1 4 a
...
...
...
... 1 5 0
...
...
(xiii) Warehouse
(xiv) Other : specify .........................................................
*'*
...
16'
170
180
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
Before 1960 ...
...
1960-68
...
...
1969-74
...
...
1975-79
...
...
1980-81
...
...
1982-83
...
...
Not known ...
...
Not completed but inhabited
...
...
...
...
...
...
...
...
1
2
3
4
5
6
4
8
C. PRINCPAL
(a) Motels and Institutions
(vii) Hotel, boarding house or ' pension de famille '
for at least 5 persons
...
...
(viii) Institution (e.g. convent, infirmary, hospital,
...
barracks, etc.)
...
...
59
... 1
1
B. YEAR OF COMFLETION
... 0 4 0
...
A. NO. OF STOREYS ABOVE GROUND
_
_
_
I
-
... O 3 0
*-.
55
[PI. CHARACTERISTICS OF BUILDINGS
CODED 82-06, 10 IN SECTION II
FLOOR
(if none, write O ; if s <xmore, write 9)
... 02n
...
i-IÏ-
.
SKIP TO
SECTIONV
STOP HERE
1
MATERIAL OF
CONSTRUCTION USED
(a) Roof
(i) Concrete slab
...
...
(ii) Shingles ...
(iii) Iron or tin sheets
...
...
(iv) Vegetable material (e.g. straw) ...
(v) Other : specify...........................
(b) Wrallls
SKIP TO
SECTION VI
bricks
...
(ii) Wood
...
(iii) Iron or tin sheets
...
...
...
...
...
1
2
3
4
5
...
...
...
3
-1
-I
IV. FOR ALL HOUSING UNITS
ta
(i.e. CODES 02-05, 07-IQ OF SECTION II)
/i '
63 64
A. SERIAL NO. OF HOUSING UNIT
B. OWNERSHIP
(i) Private
(ii) Public
...
...
F. TOILET FACILITIES
... j ) j
...
...
...
(i)
(ii)
(iii)
(iv)
(v)
(vi)
65
C. OCCUPANCY
(a) Occupied
(i) Principal residence
(ii) Secondary residence
66
...
For rent ...
...
For sale ...
...
Provided by employer
...
Under repairs
Other : specify....................
D. WATER SUPPLY
(i) Piped water
(1) Inside housing unit ...
(2) Outside, on premises
(3) Outside, public fountain
...
...
...
3
4
5
6
7
...
...
...
.......
...
...
...
...
...
(i) Kitchen inside housing unit
(ii) Kitchen outside housing unit
...
(iii) None
...
67
I
r
1
2-
4 5
6 El
...
...
...
...
...
I.
...
...
__
...
...
...
...
..'
. * e
...
0 . .
...
-
Shared
i j_
8 -
9 -
. a *
...
...
...
7
s . .
H. COOKWG FACILITIES
... 3 -
(ii) Tank-wagon (camion-citerne)
(iii) Well/River
...
...
(iv) Other : specify.................................
...
Bathroom inside without running water
Bathroom outside with running water
Bathroom outside without running water
...
(v) N m e
...
...
5 -
...
--
Bathroom inside with running water
(i)
(ii)
(iii)
(iv)
3 -
a . .
G. BATHING FACILITIES
...
(b) Vacant
(i)
(ii)
(iii)
(iv)
(v)
-
Flush toilet connected to sewerage system ...
Flrrsh toilet connected to absorption pit or septic tank
Pit latrine-water seal
...
...
...
...
...
Pit latrine-other
...
Pail
...
...
...
...
...
Noile ...
...
Not shared
69
1 -
o -
Not shared
70
1 3 5 7 9 -
Shared
2 4 6 8 -
Not shared
71
Shored
3 -
REFUSE DISPOSAL
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
E. ELECTRICITY
68
(i) From Central Electricity Board
... 1
(ii) Other source : specify........................
2
(iii) N o electricity ...
...
... 3
jfl
Receptacle with cover
...
...
...
Receptacle without cover
...
...
Enclosure made of bricks/stones
...
...
Ash pit ...
...
...
...
...
On the roadside
...
...
...
Dumped in backyard
...
...
...
Other : specify......................................................
e . .
1
2
3
4
5
6
7
V. HOUSEHOLDS
Name of Head
Insert in following order (in block letters)
(i) Surname, followed by a comma
(ii) Title: i.e. MR, MRS, Ww, HON, DR, etc.
(iii) Most common name
No. of persons
Principal
fuel used
for cooking
25 I
73
--
128
-I
126
78 I
311-
179
.-
*Insert appropriate numerical code:
...
Type : Single
Combined
Part of household'
...
Institutional
Not amlicable :
vacant
...
under construction
...
...
...
...
...
...
...
...
...
.
1
2
3
4
...
...
5
6
Tenure : Owner
...
...
Tenaid
...
Sub-tenant'*
...
Free
...
...
Other:
speci fy.................................
...
...
...
Principal fuel used
for cooking:
...
Wood
...
Charcoal ...
Kerosene ...
Electricity ...
Gas
...
Other:
specify.......
...
...
...
...
...
.........
1
2
3
4
5
6
_
C
u
-
VI~COMMERCIALAND INDUSTRIAL ESTABLISHMENTS
(To be filled in for every non-agriculturalprivate establishment, including those relating to small crafts)
A. Name of establishment (in block Zetters)
B. Name of working proprietor/manager
J
I
93
C. No. of persons engaged at the time of enumeration
(Include persons usually employed full time by the establishment, but who are
temporarily absent from work through sickness, accident, holiday or strike)
123
(a) 10 or more
...
1
0 S1OP HERE
...
(b) Less than 10
...
...
PROCEED TO
2 0 QUESTIONS D& E
D. List in order of importance the various activities in which the establishment
is engaged
...........................................................
(b) ............................................................
(c) ............................................................
(a).
2
63
92
i
122
E. Details of number of persons engaged
(a) Working proprietors
...
136
(b) Unpaid family workers
...
139
(c) Apprentices (paid or unpaid)
1 42
(d) Full time employees: permanent
145
temporary
148
TOTAL
...
1