1 - ESDS

—
Qumstaonnur8 R-f
QuOStLOIi No
PERsON
IDENTIFICATION
Q]
Q2
Q3
FANILY INFoSMA’ITON SECTION - SELF-COMPLETION
NASRIED/COEZ@ITING WOkE?i
ID NO
H/H NO
PER
FU
Q1
Q2
Q3 MTH
No of
sexes/
Characters
5
2
2
2
2
2
2
Cadang Instruct~ons /Remarks
values 00001 -499 99
5 digits - ramember leadLng
zeros. [Check that the
number im tho ssme as that
on the front page of the
household schedule. ]
Valu.s l-~
Entar household number
us l-u
Chack that the mtmrvmwer
has recorded tha corract
~rson number baforc
●ntarmg.
Valuea 1-7
Ent*r numbar of fsnuly unLt.
yQuae -3-04
Placa of msrrmgo?
In Church ................01
At a Raglstry Office. .....02
Both Church and RogMtry
Of fLCe .................03
LivLng togmthar as a
Coupla .................04
values -3-05
/’
Enter total number of times !
legally marriad. /
\
\ .
~uem -- 12
Entar number of month
Lnforment and pertner
start-d l~vmg togethar.
183