'
y
AELAT~ÖNBHIP
TO
NAME
*
I
ALL'PERSONS
....,
Whitit
*
*
I
mirital
I t IIUS?
*
'
.I
STATUS
What ir
rrlatiqnrhip
to thi h i t d Ot thi: h o u l i .
hold?
Hoqd
w iii
Son
Drughlar
Fithor
In.lrrt
Uncli
Aun!
Courinr
Lodgir
Sirvant
Held:
Wife of Herd:
Never Married Children of Hmad 8nd 1 s t
wife (by age)
Other wives of heed r n d their childrin
(by age)
Ever married children and their family
Other relatives
Non relativer
'
hiAkf7bC *.
HEAO
W h i t ir the n i m i of tht h u d of thi: hourthdd?
N i m i III perron: who uruilly l i v t hprt, 80 :uro lo
Include brbier i n d iidirly pirron:. Mqmbtr of houroe
hold i w r y on vieition? O n b u : i n i ~ t ? In thi harpltrl?
Any pirrons who hiva no uruil riridinco durrhoro?
Lirt in thi: ordir:
*
'
.
is , ,*I:
Mothtr
livilIR?
t I
PLACE UF BlflT1i
lcÍ~~~N
In w h i t County gr
Terrilory w8s
, born?
I! born nuttido liberia
Enter n i m i of Country
Is
Citizen o
Liberia?
, , . , , I
.
ETHNIC
I
How many
What Ethriic Group
..
years has
ir , , , I memberî
* , ., lived I Enter name o! Elhii4c
continuou.
Group, I f no Ethnic
d y in this
Group Eriter "Nonr"
.
Counlyor
Territury7
I f andec
1 year
enter
"OD"
i
J
I! always
enter
"99"
i
4
O
I
q-
r
p
t
P-2
Y-5
'
P-l
I
P - 8
c
-
I
,
02
.
I
2
1
2
1
1
.
,
.
I.-
-
I
I
9
If Lirting ir sonlinuid, mark " X " h thil box
I
J
I
L
u
-r
!
.>.I_
I
I
.
P- 10
2
v
-
I
I
.,..-
O3
I
I---
1
8,-
P-9
?
----
--*
E. Typo ol Hauvhold
P
U
L
I
...-
:Mrrk
c
",<''J
-..-
._*.
O..,"
- . . . -a
.
.,--
-...
--
--
e
e.--.
COWOOtlTUL: Thhirqoiv jr tyuirod by In,Tho informrlion i r rrroratd confidential treitment
.
I
C
I
_
1
_
_
_
1
-
E C O N O M X ACTIVITY OF PERSONS ! O VEAES ANO 0 1 I ) C ii
1
-.--
PRINCI PAL A C T IV ITY
1
O u m g the parr 1 2 months ahn!
was , dohr) merl 01th8
I'
.. ..
timr?
'
If working. had
job, or now unom.
plorcd what w i t
, , main
t---.
p..---
.. .
nronths
lo
I
I
occuprtion?
:. , . 1
Example:
I
I
I
Rice Farmir
Refait Trader
a
zY
œ
O
%
c
O
z
m
O
7
D
1
3 . 1
2
3
4
3
1
2
3
1
3
1
2
3
4
3
1
2
3
4
3
4
3
4
3
4
i
1 s
i 3 ; 1
2
l: i
'
I
13
1
-
1
1
3
3
i
.
1 - 1
]I 2
2
1
2
2
3
4
3
4
I
P-16
O . Household Serial Number
I
3
a
U
O
c3
z
Y
O
.-I
.
a
P-15
Y
D:
O
O
O
P - 17
171
I Vtll?.,
___7_.
1--
Name:
l
'7.
Name of City, Tnwn or Other Place
REPUBLIC OF LIBERIA
YlllSTIIY OF P L A Ml l G AND ECONOMIC AFFAIRS
1111
?H-4
1884 POPULATION AND HOUSINO CEN$llS
RELATIONSHIP TO
HEAD
NAME
-
What ir the name of t h r head of thir houreholdl
Name rll persona who ururlly live herr. Ba aure tr
include brbier and elderly prrronr. M t m b r r of houre
hold away on vacation? On buainrrs? In the horpitall
A n y prrronr who hava no urual rraidrncr t l r t w h r r r l
Lirt in thir order:
Head:
W i f r of Head:
Never Married Children of Heed and 1 s t
wife (by ane1
O t h c r m i v e i u l head and thrir childrin
SEX
.....
What ir
relationrhip
to the head of thir h o u r r hold?
Hrad
w if.
last
MARITAL
STATUS
ALIVE
Is .....'s
.....
Mother
living?
Hourrhold Serial Number
W
P- 1
P-2
O
O
U
p-4
---i-
-
~
PLACE OF BIRTH
In what County or
Territory was
born?
If born outride Liberir
Enter name of Country
.....
ETHNIC
AFFILIATION
.....
r
I HOW mrny
:¡tizen o years h a t
.. lived
Aterir?
continuourly in this
County or
Territory?
If under
1 year
enter
.. .
RELIGION
!
P-5
Can
Real
W ri
Und
Nhatir
What Ethnic Group
ir . a member?
Enter name of Ethnic
Group. If no Ethnic
Group Enter "Nome"
. ...
I..
.. 's
ìeligious
\ffiliaion?
stan
enter
"99"
I
P-9
1
2
1
2
3
4
1
2
1
2
1
2
3
4
1
2
I
P - IO
P-9
1
2
1
2
3
4
1
2
1
2
1
2
3
4
I
2
2
3
1
2
1
2
3
4
1
2
2
3
1
2
1
2
3
4
1
2
2
3
1
2
1
2
3
4
I
t
2
3
I
1
2
2
3
4
1
2
2
3
Og
I
1
2
2
3
4
1
2
2
3
lo
I
1
2
2
3
4
1
2
2
3
I
I
--t
I
Ob
O7
I
I
L
-
"00"
If always
I
FI
1
m
llTlZEN
SHIP
1
r
I
1
u
~
BirthDate.
If under 1
year
enter
"00"
In-laws
(byagn)
O.
What is
marital
at at u r ?
Age
Son
Uncle
Aunt
Cousins
Lodger
Servant
etc.
AG E
ar of
Daughter
Father
Evrr married childrrn rnd their frmily
Other relativer
Nan relatives
C. Structurr Number ,
B. Street A d d r e r t if OVdJble
~
m
1
1
5
1
HOUSING
H-3
H-1
i
i
T Y P E O F HOUSING UNIT
1-1
N U M B E R OF
H-4
I.
UTILITY AVAILABLE IN HOUSING UNIT
1
2
3
0
0
0
Source of Drinking Water
Single un
T o i l e t Facilities
Availability of
Radio and T.V.
Fuel for Cooking
(used m ost1
Lighting Facilities
Single
3.
0
S.
0
un
2-4 Unit
CnnvcntinnPI S m i Ferniancnt
Ternuorary
2.
IS t1OUSIXG UNIT OWNEO O R RENTELi7
3.
i
1
0
2.
Conwentionat Pcrrnannnt
t i -2
1
NUMBER OF R O O M S IN HOUSING UNIT
Owncdc*bctnphought
J.
5.
c]
Pipe or Pump outside
0
0
Closed Well or Spring
Open Well or Spring
River, Lake or Other
3.
4
5.
Flush toilet
exclusively
1.
Flush t o i l e t shared
with other housing
unit
2.
Covered pit outside
building
3.
0
0
0
Open pit, ditch
Other
4.
0
0
0
0
Electricity
I.
Gas
2.
Kerosene
Other
0
Electricity
Gat
1.
z.
0
0
Radio only
1 0 Units
T$vision
CO NSTRU CT IO I
3.
4.
\
5.
6.
0
0
0wooz
0
Kerosene
Charcoal
Other
Radio and
3 . 0 T elevision
0
'0
0
0
0
0
Stone,~c
I.
Woodar
3.
Galvani2
4.
MudBlo
5.
Mud (St
6.
Rced,Ba
7.
u
Gther
n
1-11
I CONFIOENTIAL:
Type of Household (Mark "X")
E.
I.
[7 Private
2.
0 Group Quarters (Type& Name)
Type:
II
~
PERSONS 5 YEARS & OLDER
and cannot be used for taxation, investigation or regulation.
L
Name:
-~
This inpuirv
by law. The information is accorded confidential treatment
. . is required
.
ECONOMIC ACTIVITY OF PERSONS 10 YEARS AND OLDER
:EMALES 10 YRS & DLDERl
~
.....
Can
Read and
Write with
Understan ding?
Whatis
..... 's
Religious
Affiliation?
HIGHEST
GRADE
LITERACY
RELIGION
.....
Has
A ttended
school
during
19831
NUMBER OF
:HILDREN BORI
.
3
$
P- 15
P - 14
3
1
1
2
3
1
1
2
3
1
I.
5.
a
z
-
æ
-
1
P-18
P-20
2
"'
3
2
3
2
3
2
3
2
3
2
3
i
k
li2
3
2
3
1
2
3
1
2
3
1
2
3
1
2
3
1
2
3
I
2
3
2
3
1
2
3
1
2
3
2
3
1
2
3
1
2
3
2
3
1
2
3
1
2
3
1
0
0
0
0
0
Single Unit Detached
I.
Single Unit Attached
2.
2 - 4 Units
3.
5 - 9 Units
4.
1 0 Unitsor More
~
~
H-7
M A I N CONSTRUCTION MATERIALS OF HOUSE
ROOF
5.
0
0
0
0
0
H-9
NUMBER OF HOUSEHOLD MEMBERS WHO DIED
DURING T H E PAST 12 MONTHS?
Concreta
Abestos
MALE
Zinc
H - 10
W H A T IS THE MONTHLY INCOME OF THE HEAD
OF THIS HOUSING UNIT?
Other
1.
H-6
CONSTRUCTION MATERIALS O F OUTER W A L L
0
'0
0
0
0
0
i.
Stone, Concrete, Cement, Block
Wood or Board
3.
Galvanized Iron or Zinc
4.
M u d Block
5.
Mud Istick)
6.
Reed, Bamboo, M a t
u
Other
~
~~
H-e
M A I N CONSTRUCTION MATERIAL OF FLOOR
IN HOUSING UNIT
2.
0
0
3.
(7 Wood
1.
4.
5.
FEMALE
Bamboo, Leaves, Thatch
~~
7.
1
3
NUMBER OF HOUSING UNITS I N BUILDING
3.
m
2
-~
2.
c
I
H -5
1.
O
-1
w
P - 17
P - 16
2
1
E
I
æ
O
P - 13
Y
7
O
a
employee,
employer, self
employed or
unpaid family
worker?
...
O
m
W
z
Y
~~~
.....paid
Was,
a
3
Lz)
In what business
or industry was
. . 's main job?
Example:
Rice Farming
Retail Trade
.
-
O
2
If working, had
job, or now unemployed what was
.. , . main
occupation?
Example:
Rice Farmer
R e t a i l Trader
. .
Y
a
O
c
P - 11
~
7
J
WORK
STAT U S
INDUSTRY
OCCUPATION
Uumber of During the past 12 months what
w a s .., doing most of the
:hildren
lorn in
time?
I
last 12
nonths
to .....?
.
-
PRINCIPAL ACTIVITY
I
low many childre
What is the
highest grade lave been born
live t o .. . . 7
. . has
completed?
None "00"
Primary
(Ol, 02 . .O61
Junior High
(07,08,09)
Senior High
(10,11,121
Vocational
Training (99)
æ
College
a
(13, 14 ... 16) O
m
Post Grad.
a
w
(17)
w
W
GNA (18)
.. .
BORN
IN PAST
YEAR
Cernent
Tile, Marble'
0
0
2.
3.
4.
5.
Mud
6.
Other material
7.
0
0
0
0
0
r]
0
Under $50 Per Month
$50 t o $100 Per Month
$101 t o $200 Per Month
$201 to $300 Per Month
h l to $400 Per Month
$401 to $500 Per Month
Over $500 Per Month
REMARKS