1 - ESDS

Qumstaan No
SERVING ON A
COHMI TTEE
(LAST 4 WEEKS)
ORGANIZING/HELPING
AT A CLUB OR GROUP
(LAST 12 MONTHS)
ORGANIZING/HELPING
AT A CLUB OR GROUP
(LAST 4 WEEKS)
AOMIN/CLERICAL/
SECRETARIAL
(LAsT 12 MONTHS)
AOHIN/CLERICAL/
SECRJSTARIAL
(LAST 4 WEEKS)
oRGANISING/TAKING
PART IN
ENTERTAINNENT
(LAST 12 MONTHS)
Coddig Shaat
Raf 9zonc*
COMN (B)
CLUB (A)
CLUB (B)
AOIIIN (A)
ADMIN (B)
ENTER (A)
No of
BOxas/
characters
2
2
2
2
2
2
P-.%
Codang Instructmnn/Ramarks
Serving on a comrmttee In
4 wemks ending yestarday?
Yes ........ .. ........01
No ..... ..... . . . .....02
values -3-01
organLsmg/halp~ng at a club
or group Ln last 12 months?
Yes .......... ..... .... 01
No . . ...... . .... .....00
Values -3-O?
Organlsmg/halpmg at a club
or group Ln 4 weeks ending
yomtmrday?
Y-* ............. .. ......01
No ............. ........ 02
Values -3-o\
A&Ln/clerical/90crmtarLal
in last 12 months?
YOs ........ ... ...........01
No ........... ...........00
-es
--
2
A&ln/clczical/99 cr9tar1al
Ln 4 wmeks ●riding yasterday>
Y*S ................. ..01
No ......... .. .. ..02
Values --
1
Organ~s~ng/taking part m
entarta~nment in last 12
months,
Yes . - .... -- ...01
No .. .. ...... .. .00
119
—