CENSUS OF POPULATION -FIJI
1-1
m
T
_
1 ,-I
13 SEPTEMBER, 1976
I
C
Number of Penvns in Household
Male
3. Tlklna
8. Street a d House NO.
4. Enumeratofs Area No.
7. Schedule No.
r
WESTIONS
Person 1
1 NAME
Wrlte full name ~n block cap~tals
F111anssurnamelfam~lyname flrst
Ind~ans.personal name flrst plus fathers name
Others. surnamelfam~lyname f~rst
2 REUTlONSHlP
to Head of Household for example, w~fe,son vlsltor
etc
3 SEX
Wrlte M for males or F for females
p-2
I
4
DATE OF BIRTH
5 FJHNIC
6
0~161~
CONFIDENTIAL
r
Person 9
I
DaY
Wr~teday/month/year If date unknown esttmate year
of blrth and wrlte year only
Month
Year
Day
Month
Year
Is thls person Chlnese or Part-Chlnese European F111an
lnd~an Part-European Rotuman Tongan etc 7
PUCE OF BIRTH
If born outs~deFIII wrlte country If born In FI~Iwr~te
name of provlnce and town village or settlement If
born In hosp~talstate local~tywhere mother lived at tlme
of birth
7 PREVIOUS
Where was
~n October
FI~I wrlte
settlement
RESIDENCE
person llvlrig when FIII became ~ndependent
1970 7 If outs~de FIII wrlte country If ln
name of provlnce and town village or
If not born wrlte NB
I
this Derson s
IS
or Dead
8 RfAL FATHER
REIL MOTHER
real father st111 allve
')
Wrtte Alive
(a1 IS this persons real mother st111 allve 7 Wr~teAl~ve
or Dead
(b) IS she present? If present In household wrlte
person number If allve but not present wrtte N P
10 EDUCITION
State hlghest level of educat~onatta~ned
Wr~te class form or full tlme post-secondary courses
completed
State I attending school thls year Wrlte Yes or NO
11 RELIGION
Wrlte exact denom~nat~on
or sect
I
1
I
7
FOR ALL PERSONS BORN IN 1962 AND BEFORE
--
State whether person was
work~nglast week
,
normally worklng but slck hol~day etc
unemployed looklng for work IexpI~nexpE
other speclfy housewife student dlsabkd etc
TYPE OF ACTlvlTl
UST WEEK
13 OCCUPATloN
WEEK
State klnd of
employment
14 IMDUSTRY
UST WEEN
State k ~ n dof buslness industry or servlce
w
work
done
glvlng
lob tltle
11 In
Wr~tename of company flrm or organlsat~on11 person IS
employed If large wmpany or government department
state branch or sectlon
Wr~teself 11own buslness or farm
15 EMPLOYMENT
State whether employer self employed government
wage or salary pr~vatewage or salary ufvxid family
w k e r or other
SllTUS
UST WEEK
16 ~ 1 ~ STATUS
1 1
la1 Has thls person ever been marrled 7 Wnte Yes or
NO
lbl If yes 1s helsne now marrled IM) wldowed M I ) or
dlvorced or separated ID) 7
Icl Has helshe been marred more rnan once 7 Wr~te
Yes or No
Id) Is h ~ /her
s
tlrst husbandlw~feshll alive? Wrlte Yes
or No
FOR ALL WOMEN BORN IN 1962 AND BEFORE
r
I 1 HOW MANY CHllDREl HAS MIS W
BORNE ALIVE'
I8
ww MANY Of WE CHlLMlU Snt
M I L ARE WL UPIF
I9 HOW OLD WAS SHE W U SfZ
snr n n nna CHW
278
FIJI
W
W ~ t enumber o f boys and glrls
If none. wnte 0
Wnte number of boys and girls
11none, m e o
Wnte age In years
UNIVERSAL QUESTIONNAIRE
Boys
arts
Boys
rota1
'y
FOR ALL PERSONS
6
FmIe
Girls
Person 10