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3-Sex
&-)(onth and year of birth
5-Ethnic group
nate . . . . . . ' F C M l C
b . . . . . . 1.- - - I
I
h t h . Year
11 Kinh - Other than Kinh . . . . . . . . . . . . . . . specify --
89.
Abroad' - 4 .
7-Literacy
B-a/SchooL attendance or equivalent
I bhigliest grade completed I
. . . . . . . . I Yes No : .- Attending nou *
Attended in the past . . . . . . Never attended *
Grade . . . . . . . . - - . . . . . . I
I
trade
b/ Field of study
2
4 . . . . . . .
I - 3I
- 51
Technical worker vith certificate
Hiddle vocational education Technical worker no certificate - College / university degree - Post-graduate - 6
. . . . . . . . . . . . . . . . - - -.
5
1 11-Usual activity i n Last . Uorked 6 months and over * - 12 mths Vorked permanently less then 6 lnpnths - 2
Uorked temporarily less than 6 months - 3 4 Unemp toyed - 5 Student - 6 Household duties -
. ? Inva 1 id, - 8 Other , -
12-win occupation ---
- -. c
Separated . 1 '
. . . . . . . . . . . . . . . . . . . . 13- a/ N a m e of establishment a/
' I I I
. . . . . . .
. . . . . . ,7
I
. uharc perron works b/ Function,product of
c/.secior of industry . . ertablishment I s t
o b / . . . . . . . . . . . . . . . . . . c/ . . . . . . . . . . . .
* ,
I . . . . . . . ß-Hou meny of your children Live a- I .
with you . . . . . . . . . . . b - h ?ny of your .children l i v e b- s . , . * clreuhere
d-Total r W a r of children ever
. . . . . . . . c-& many of your children not c- --
. . . . . . . . . d- -- ' I living
I ' born ,alive4 ' * .
e-?, mnth i'nd yerr -dM ywr e- M t h ' -- iT~ar,.i$i &,or a girl 1: BOY - g-ï, thaj chil,! ti(ii9rw I g- yes,stilt living -
"last birth occur Year 19 - 1 2
I . 1 . Girl - 3 4
* . - Mo, did , r . * I
I I I
I I I
'. I 'I
. .
t
. . . . . . I I
. . . . . . .
1-full luw of each usual
2-Relationship to the hed
residant In thi8 h?us.hold
of houschold Child . - Father I Rother - 4 Grand child - 5 Other tniiy'relmtlve * . -'6 Mon fuily relation - 7
3-sex
I . . . . . .
L
4-Nonth and year of birth -- llonth Yrar I - . - -
- 1 . - 2
Ki& Other'than Uinti . . . . . . . . specify --
I
5-Ethic group
. ', - . . . . . . .
. . . . . .
, . CDR PERSOWS BORN ON
, 1 . 1-4-1984 (!?e Siyrars agn) Another district of the same province - 2 6-Place uhem usually lived on The s u e district -
Nut of the district . . . . . . . . . . . - - . - 3 Another province
NOW of t h province . . . . . - - . . Abyd 1 . -
741 teracy I J
Yes . . . . . . . Ho
Attended in the pr s t - 2 . . : . . . b/Highrst grde coaplete?,
-Never attended - 3
G r a d e . . . . . . . . - - . FOR PERSONS BORN ON
- I .
. . . . . . .
9- al Highest qualification or t rute
Technical wrkrr no c e f t i f w t e - 3 . nlddle 'vochtionel education ' - 4 College I wliversity-degree . - 5 Post-gradqatc - 6
Single . - - 1 - 2
* - 3 Ikrrird
' ' 4 Uldovtd' ' Divorced Stprated
Uorked 6 .ontht and over ' Uorked permanently less than 6 kths ,_ 2 Uorked temporarily lesa Jhan 6 rronthr - 3
. . . . . . . . . . ---
- - - 1 '
b/ field of study
10-hrttaL statw
. . . . . .
. . . . . . . '
. . . . . . 5 .
. . . . . . l l - U y l activity in last
12 D0ntll.s
- 6 7
Household dut ies * - Other - 8. hvalid , - . . . . . . . . . --- - .
. . . . . . . . - . a/.
bl . . . . . . . . ---- c/ . . . . . . . . . -
12-Min occupation-
I . . . . . . I . . . . . I
13- a / Haw of establishaent ... . where person works . bl Function,prpJuct of
CI Sector of industry . establishaent
0-16 thst child living now '
~~ ~
14-ALL WEN .BORN FR
a - w uny of your children Liva
b-Hov bany of ydr children live with you
* elsewhere
Girl g-'Yes,still living
4 No, died - .
C
70
HOUSING CENSUS FORM
m1 2. Living areas (Spm)
U D *u
Prwince * .......*......................... r] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m Dism.ct
Caninraie . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ED iriunbcfi . . . . . . . . . . . . . . . . . . . . . H a ~ k l i d d i,ru,;ber . . . . . . . .* . . . . . . Taalpcrsats iii harseltdd . . . . . . . . .
Naim of head’s liarselidd . . . . . , . . :. . . . . . . . . . . . . . . Tad feiriales iii liarselidd . . . . . . . . . n 1. Type of housing
a- Pet@&- (villa, many-storied house, plan roo0 b- Semi pexmanent (a brick house, a house roofed with tiles)
c- a h e r (thatch house including other types)
(Bed room, diner rodm, waiting m m ete) .
3. Housing conveniences : a H%er si yply :
- Piped inside of house - Piped outside of house - Well - Other
b. Electric fcx liglitbig
c- Tci!et facilities :
- Yes - NO
- Yes - NO
* Toilet with flushing facilities * Double tank * Other
- _ .-_-
U
U
CI U
1 2 :3
4
1 2
1 2 3 4 5
4; Type of ownership - State sector - Private sestor - Collective and Religion sector - Others
u3 04
6. Year and period of construction : 5 Before 1954 01
- From 1954-1960 o ‘2 1961-1975 c13 1976-1980 u 4 198 1- 1985 0 5 1986 DG 1987 0 7
1988 08 1989 *o 9
Sign of Enumerator
76
Date Month Year 1989 Sign of head’s household
l h l k . . . . .m 5 . dn& ngok O . .
I . . . . .
Id Lbl CAC CAU tídl SAU.
a/ . . . . . . . . . . . . . . . . . . w. . . . . . . . .
ddnvl- * . . . . . . . . . . . . . . . . . . . . . . . d Tliiri!ipl?An klrili IÖ c r . . : : . . . u CØ . . ...a G l . : . . . *o
14. TAT CÀ NHGNC PHU NÜ SiNH lÙ 1 - 4.1339 Dgt4'3t -3 - 1974 (TÙ 6 D f N 49 Tubl) TR'A LÕ1 C
LQ.. . . . . DI
bl CÁC CAU 1161 SAU- * ,
J I . . . . . . . b l . . . . . . *d...-. . . . I I '
dl.. *E3 etrnhlnO a
N l m 19 O I/ Ttd Ul
o II U 2 g r a n rdno o 3
o1 dlk u 4
tiEU Cd GHI MUC 15
. . . .
J
r I I 1 1
PHIEU DÃNG ~ NHÀ 6
2. Di+ tích ¿3 (mét vutmg) (bao &m dien tích dùng d6 an, ng& tigp khách v.v) m
Tinli, tlidtih plid:
Higcti, qiigti, tlii.uri : .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [I]
1 7 1 @a bdn sb:
HOsb: ......................... . . . . . . . . . . . . . . . . . . . . . O'
D
- NU'& máy VAO nh8 - NU& d y ci3ng @ng - NU& g ihg xay - Các l+i khác
b) Ndtig l i p i g tlidp shtig : - Có dien - m a n g cíj dien
c) Cd d i d t*ê sidi ribig kli alg ?
- có - m a n g + Nhà xí t$ h+i và bán t$ hoai + Nhà xí hai n@n + Cácloai khác .
,
1
xã, phrr&tg : .. I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Hovdtêt tc l tr i l iô: ....... .......... .. ............. Dia chi ciìa ha :
= T&gabl*~r¿ifruisr*~:. . . . . . . .-. . . . ' 0- . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . T&g sbt i 3 trw ig Ii (3 : . . . . , . . . . . . . . . 0
1. Lu$ nhà dang a a) Nhà kien ca' (bi$t thv, nhh cao hng, nhh mái bhng)
b). Nhh bán ki8n ca' (nhà t&ng xay, &, d i ngói, mái tan)
c) CQc l+i nhà khác (am nhà g6, tre, feu, lán t q i ...)
ci1 u 2 u3
i . Tien nghi nhà a a) Ngribt ,ivdc
ci1 u 2 133 u 4
01 02
a 2 u 3
4. Quien d hiíb nhà ¿3 : - Nhà clia Nhà nUdc - Nhà cüa ttl n h h - Nhà cua khu v$c @p th6 Mn gino - Nhà chtb x-6 ng&n sÛ hini
U ' c12 1 1 3 e14
5. N(lun x%y d e g nhà : ' - Tx~fdc nilm 1954 - Tii r@m 1954 dgn M m 1960 - Ta m m 1961 d6n M m 1975 - Tii M m 1976 Ugn n8m 1980 - Tanilm 1981 &'n 1985 - Nam 1986 - Nam 1987 -Nam 1988 - Nam 1989
, Dku tra vibri (ky, ghi ró ho t2n)
Ngày tháng 4 n3m 1989 ChÛ ho (e, ghi ró hr, t&n)