.
FORM 5
DISTRIC T
MUKIM
......................................................................
..........................................................................
--
ENUMERATION AREA
KAMPONG
.....................................................
......................................................................
....................................
NUMBER OF HOUSE / HOUSEHOLD
NAME OF ROAD
............................................................
NAME OF HEAD OF HOUSEHOLD
NAME OF ENUMERATOR
NAME OF SUPERVISOR
DATE
1
......................................
.................................................
....................................................
............................................................................
A.
HOUSING
1
TYPE OF
STRUCTURE
~OF-PERSONS~
IN HOUSEHOLD
NO. OF
ROOMS
TYPE Of
WATER SUPPLY
1)on Stilts
'4
WHO IS THE OWNER
OF THE HOUSE
Pipe
I
Zinc
B.
Tiles
Kajang
NON-AGRICULTURAL
9w I
No. OF CARS
Own
Govt
Company
Rent
ESTABLISHMENTS
If the house or the compound contains an establishment then fill in the following
information :
(i)
(ii)
..........................................................................
Name of the owner or proprietor ..................................................................
Name of the establishment
( i i i ) Postal address
( i v ) Type of activity
..........................................................................................
.........................................................................................
4
(v )
No, of persons engaged including the owner and unpaid family workers
...............
POPULATION AND HOUSING
HOUSEHOLD
W
u
X
W
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m
+
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CENSUS BRUNEI 1971
SCHEDULE
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YALLY
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1)
AGRICULTURE
AND
ANIMAL
HUSBANDRY
Did you or any m e m b e r of your family /household cultivate any land ( e i t h e r owned,
rented or T.O. L. : m l t i v a t e d by household m e m b e r s alone or with hired labour ) i n
2)
What is t h e total a c r e s of land cultivated ?
...............................................acre.
T h e r e o f : A r e a planted with paddy and m a i z e
............................................
A r e a planted with other than paddy and maize
acre.
..............................acre.
3)
Did you or any m e m b e r of your family produce and sell any of the following during
1970 / 71 ?
4)
How many of t h e livestock and poultry does the household own on the enumeration
d a y ? Did t h e household sell any of these during 1 9 7 0 / 7 1 ?
I
Buffaloes
Number
Owned
E
Sales
n