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French Republic
General Population Census 1962
Housing Form

Section to be filled out by the census agent Form number 4 To be filled out by the census agent

Establish a housing form:
1. For all buildings serving as a residence, whatever its nature or construction material, including dilapidated buildings, make-shift residences including buildings being constructed which are partially inhabited.

2. For all buildings used for housing, even without occupants at the time of the census (vacant dwellings) except for rundown buildings or buildings becoming completely uninhabitable because of dilapidation.

3. For all kinds of administrative, industrial or commercial buildings, even if uninhabited. Do not fill out this form for trailers or other mobile dwellings.
For special cases, refer to the instructions for census agents.

___ Specific address: street (or place name)
___ Give all other indications pertinent to finding the building

List of habitable dwellings

Use one line for each dwelling accommodation from categories 1 to 7 outlined on the first page of the dwelling form (put the dwelling forms of the building in order inside the building form, in the order of the list). If there are no dwelling accommodations in the building, write "none" on the first line.

Do not record the places occupied by the part of the population counted separately or by public housing (corresponding forms number 3 and number 1 will not be listed in the house forms).

For the listing and numbering of the questionnaires, consult the third page of form number 6.

To be filled out by the census agent

1. Number of the dwelling
2. Location in the building (stairs, floor, situation on the stairway landing, dwelling number or bedroom, etc.)
3. Name of the occupant
4. Dwelling category (1 to 7)
5. Number of established forms (list A only)

To be filled out by the Mayor

Number of number 2 forms
6. Deleted (used twice with forms 2 bis)
7. Added (reintegration without double usage of forms of people moving)
8. Number of number 2 bis B forms reintegrated

Pursuant to the list on page 4.
Total
___ Partial (copy from page 4)
___ General

* To be filled out after gathering dwelling forms.
* To be filled out when dropping off the dwelling forms
*** Count only forms 2 that you have gathered for the people recorded on lists A. The number of forms eventually will be written down on the district form.

(L) J.H. 110527

[p.2]

1. Type of building

[] 1 Farm, agricultural buildings.
[] 2 Make-shift home (such as a train car, shantytown shack, building people reside in even if it is in ruins, etc.).
___ Specify
[] 3 Construction temporarily used for housing.
[] 4 Hotel, boarding home, furnished room (occupying most or the greater part of the building).
[] 5 Private house or public building entirely or mainly used as a residence.
[] 6 Building mainly for industrial, commercial, administrative or public use: such a building can be made up of one or more dwelling accommodations for personnel living there (this is often the case for the director, the concierge, etc.).
___ Specify the exact nature of the building:

Examples: factory, manufacturing, studio, store, warehouse, nursing home, sanatorium, dispensary, mall, shop, movie theater, bank, a building with equipped offices;
Hospital, clinic, rest home, hospice, sanatorium, dispensary, asylum.
School, boarding school, middle school.
Administrative building, city hall, barrack, train station, post office, museum, church, stadium, etc.

___ If you are hesitating due to a special case, describe it.

Characteristics of the Building

2. Main materials

Walls
[] 1 Stone, dressed stone, millstone, building stone, brick, hollow brick, cement, chipboard, cinder block coating.
[] 2 Other materials such as: wood, wood panels and cobs, adobe, etc.
___ Specify
Roof
[] 1 Canvas, slate, asbestos or equivalent material, aluminum, steel, copper, zinc, terrace.
[] 2 Other materials such as: straw, corrugated sheet metal, flat stone, asphalt, etc.
___ Specify

3. ___ Number of floors above the ground level

Including attic garrets. Do not count cellars or basements. The heightened basement is assimilated in a typical ground floor, but the mezzanine counts as a floor.

If there are several groups of buildings having less than 3 floors above the ground floor:

Is there an elevator?
[] 1 Yes
[] 2 No

4. Year the construction was completed

If the various parts are not from the same time period, indicate the year of completion of the part resided in, or the most important part of those parts resided in. In case of the reconstruction or raising the height, indicate the year of the raising.
[] 1 Before 1871.
[] 2 From 1871 to 1914.
[] 3 From 1915 to 1939
[] 4 From 1940 to 1948.
[] 5 After 1948. In this case specify the year of completion: 19_ _
[] 6 Building still being constructed but partially inhabited

5. Water source for domestic use

Public supply
[] 1 Building connected to a public distribution network (city, town, water service, factory, etc.).
[] 2 fire hydrant, fountain, spring or public well
Wells, cistern, fountain or private springs
[] 3 With a connection to a building through pipes.
[] 4 Without a connection to a building through pipes.

[p.3]

Characteristics of the Building (continued)

6. Gas

Is the building is connected to a gas distribution network (city gas, Lacq gas, etc.)
[] 1 Yes
[] 2 No

7. Electricity

Is the building connected to a electrical distribution network?
[] 1 Yes
[] 2 No

8. a. Drainage of lavatories

[] 1 Directly connoted to the sewer (without passing through a septic tank)
[] 2 Earth closet (septic or fixed, with or without periodic draining).
[] 3 Other situations.
b. Drainage of household water (sink, laundry detergent, toilet, etc.):
[] 1 Directly linked to the sewer.
[] 2 Other situations (gutter, ditch, sump pump, etc.).

9. Central heating

Public building
[] 1 Urban heating
[] 2 Public heating for a group of buildings.
[] 3 With public heating for a specific building (serving the whole building or only the shared sections or several dwellings).
[] 4 Without public heating installation (some dwellings being able to have individual installations).
Individual house
[] 5 With installation of central heat
[] 6 Without installation of central heating.

9 bis. For rubrics 3 and 5 from question 9:

Fuel used
[] 1 Coal, distilled coal.
[] 2 Oil.
[] 3 Gas.
[] 4 Wood.
___ Other fuel, specify.

10. Farms

Is this building the center of a (or many) farm(s)?
[] Yes
[] No
For the definition of a farm and buildings considered as the center of these farms, refer to the instructions for the census agents.

If yes:

First farm
a. ___ First and last name of the farmer
b. Acreage (do not count woods, quarries, pools, building sites, parks and flower gardens)
[] 1 less than one hectare
[] 2 1 to less than 5 hectares
[] 3 5 to less than 10 hectares
[] 4 10 to less than 15 hectares
[] 5 15 to less than 20 hectares
[] 6 20 to less than 50 hectares
[] 7 50 hectares or more

c.
[] 1 Specialized farm
___ Indicate the specialization.
[] 2 Not a specialized farm.

Second farm (possibly)
a. ___ First and last name of the farmer
b. Acreage (do not count woods, quarries, pools, building sites, parks and flower gardens)
c.
[] 1 Specialized farm
___ Indicate the specialization.
[] 2 Not a specialized farm.

[p.4]

List of dwelling accommodations (following page 1)
To be filled out by the census agent
1. ___ Number of dwelling*
2. ___ Location in the building (stairs, floor, location on the stairway landing, dwelling room or apartment number, etc.)**
3. ___ Name of the occupant.**
4. ___ Dwelling category (1 to 7) **
5. ___ Number of 2 forms established (list A only) ****
To be filled out by the mayor
Number of number 2 forms
6. ___ Deleted (used twice with the number 2bis forms)
7. ___ Added (reintegration without double usage of forms of people who have moved)
8. ___ Number of 2bis forms reintegrated

Carryover of totals from the page

If there are more than 25 dwellings, use one or more other forms as inserts while giving them the same building number as the first form.

Total
_ _ _ _Partial (to copy over to page 1 of the following insert to the first line of the list...
_ _ _ _ General (to fill out on the last form for the building and to copy over to page of the first form)

*To fill out after gathering dwelling forms.
** To fill out when turning in dwelling forms.
*** Count only number 2 forms which you have gathered for people recorded in lists A, The number of possible forms established for people passing through will be pointed out altogether on the district form.


French Republic
General Population Census 1962
Dwelling Form

To be filled out for all dwelling accommodations, occupied or not

Section to be filled out by census agent:
_ _ _ _ Census district number
_ _ _ Building number
_ _ Dwelling number (or mobile home, or public housing)

Form number 1

General instructions on the census and the way in which to fill out the forms

First fill out pages 2 and 3 of this form (list of people living in the dwelling), then page 4 (composition and set-up of the dwelling). Then fill out the individual form (form number 2) for each person recorded on list A of page 2.

Before answering a question, carefully read the corresponding instructions; when some checkboxes are provided for your response, clearly put an X in each which corresponds to your situation. For example, for a man, in question 2 of the individual form:

2. Sex
[X] 1 Male
[] 2 Female

Write last names in capital letters.
By conforming to these regulations and additional instructions which will be given to you by the census agent, you will simplify the examination of the questionnaires by the National Institute of Statistics and Economic Studies, which thanks you.

Important

The census aims to determine the number of inhabitants in each city and to know the demographics of the population by age, profession, kind of activity as well as migrations, composition and set-up of buildings and dwellings, etc. These are all invaluable information for the study of all demographic, economic and social problems at the national or regional level.

Ordered by the mandate of April 18th, 1961 (J.O. from May 8th and 9th, 1961), the general census of 1962, the 28th census since 1801, is obligatory for all people residing in France.

The law on privacy of statistics gathered (June 7th, 1951) guarantees that individual information appearing on all the questionnaires of the census will not be used except for the establishment of anonymous statistical charts. They will not be used in any case for fiscal ends, nor for any administrative control whatsoever.

Section to be filled out by the census agent.
___ Number of number 2 forms established (list A only)
(Box to be filled out after checking forms collected)

___ Dwelling occupied by Mr./Mrs./Ms. (First and last name)
___ Exact address
___ Street (or place name)
___ If applicable, location in the building (stairs, floor, location on stairway landing, apartment or room number, etc.

Dwelling category
Dwelling accommodations
Main residence

[] 1 Ordinary dwelling
[] 2 Independent room (example: maid's room) rented, sublet or loaned to some individuals.
[] 3 Furnished bedroom in a hotel or a furnished home.
[] 4 Temporary construction used for housing.
[] 5 Make-shift home
___ Specify.
No individual forms; fill out page 4 except for question 4.
[] 6 Vacant dwelling (without occupants, available or not for sale or rent)
[] 7 Secondary residence rented or for rent for tourist vacations
To be filed separately (see form number 6)
[] 8 Trailer or other mobile home (do not fill out page 4; do not make a housing form)
[] 9 Public housing. Indicate its type: ____. (Fill out list A except for column 3, do not fill out page 4)

____If you find a situation which you hesitate to classify in the list above, describe it:

Visa of the Ministry of the Interior and the I.N.S.E.E. number 62/008

[p.2]

List of people living in the dwelling

Each person normally living in the dwelling, even if he/she is absent at the time of the census.
Note: If you have a secondary residence (for example, a vacation or country house), it must be recorded in either list A or in list B below. Do not forget to include young infants. You should not fill out lists A and B below except for your main residence. Your individual forms should be filled out only once in the city where your main residence is located.

List A

Record below the people living in the dwelling, including people traveling for business or pleasure, sick people staying in the hospital or in a clinic, fishermen still at sea, personnel navigating planes or ships for a company.

Do not include people listed in the heading of list B opposite this column (read this heading before filling out list A).

If you are housing housekeepers, apprentices or employees in your service at your own home, record them below.

If you have boarders (or children) who are living with you, record them below.

If you are subletting (or leasing) a part of your dwelling, record below your sub-letters (or people you are hosting). Always, if these sub-letters (or hosted persons) are living in totally independent rooms (for example a maid's room entirely separate from the dwelling), these independent rooms are considered as forming a distinct dwelling for which a distinct dwelling form should be established. In this case, do not record the sub-letters in the list below and do not count the rooms which they occupy in the make-up of the dwelling (page 4).

Fill out an individual form number 2 for each person in list A
___ 1 Last name
___ 2 First name
___ 3 Relationship to the head of household
(indicate, for example: head of household, spouse, son, mother, daughter-in-law, nephew, etc. Or: friend, boarder, sub-letter, maid, employee, housed, etc.)

___1
___2
___3
___4
___5
___6
___7
___8
___9
___10
___11
___12
___13
___14
___15

If there are more than 15 people to record, use an additional dwelling form.

[p.3]

List B

Record below any people who are part of your household and are not currently in one of the following situations:

___ Sick in the hospital, sanatorium, preventive medicine clinic, sanatorium
___ Drafted servicemen
___ Career military serving outside of France.
___ Children living in a boarding school. Student living elsewhere during the school year. (record in list A).
___ Your children placed with nannies somewhere else.
___ Your children placed as housekeepers, employees or apprentices and living with their employer (or in the workplace).
___ Very old family member or psychiatric patient placed in a hospice, a retirement home, an asylum, or psychiatric hospital
___ Other people absent for a long duration (more than 6 months)

Do not fill out the individual forms for people on list B
(their forms will be established in the place where they are currently staying)

___1 Last name and first name
___2 Relationship to the head of household
___3 Date and place of birth
___ Born on:
In:
___ City
___ County

___ 4 Designation and Address of the establishment (or dwelling) where the person in question currently is staying

C. Situation of people passing through at the time of the census but having their usual residence somewhere else (parents, friends, travelers, etc.)

1. Do not record these people in any case in lists A and B above
2. Do not fill out individual forms for them.

Always if they are absent from their usually residence during the entire period of the census operations until April 8th, 1962) and if there is no one in this residence to answer
in their place:
a. Establish their individual forms (without recording them in lists A and B) while mentioning their usual residence in the section reserved for this purpose at the bottom and to the right of these forms.
b. Turn in their individual forms separately to the census agent; they will be sent to the mayor of their regular census district.

[p.4]

Composition and make-up of the dwelling

1. Do you have a kitchen?

[] Yes
What is its surface area?
[] 1 less than 7 squared meters
[] 2 from 7 to 12 squared meters
[] 3 more than 12 squared meters
[] No
However, do you have an installation in your dwelling for cooking
[] 5 Yes
[] 6 No
Do not answer "yes" except if this installation consists of a sink including a drain.

2. If there is space, indicate the number of rooms of the dwelling which are exclusively for professional use (for example: businessman's office, medical office or lawyer's office, tailor's apartment workshop, etc.)

___

3. Number of rooms in the dwelling not including the kitchen or rooms used for professional purposes.
Count as livable spaces in the dwelling rooms such as: bedroom, dining room, salon, parlor, studio, living room, etc., whatever their surface area, as well as the maid's room and lived-in attic garrets.

Do not count as livable spaces rooms such as: entryway, hall, bathroom, closet, alcove, laundry room, office, etc.

Special cases of independent rooms (for example: maid's room separated from the main dwelling)

Count these rooms amongst your dwelling accommodations if you use them yourself (either for housing a member of your household, a child, a servant, etc., or if it is used as a storage room.)
Do not count them if they are rented or sublet or leased to other people.
In this last situation, they are considered as forming a distinct dwelling, and their occupants should establish separate dwelling forms.

4. Are you?

[] 1 Owner of the house or the building where your dwelling is located? (including the different forms of access to the building, whether it is rent or sale.
[] 2 Owner of your dwelling in a condominium
[] 3 housed by your employer (for free or for a fee) for the duration of your performed function or work contract.
[] 4 housed for free, for example by parents?
[] 5 renter or subletter of an empty site?
[] 6 renter or subletter of a furnished site, a hotel room or furnished apartment?
___If you are in a situation not provided above, describe it.

5. Water source

[] 1 Running water in the dwelling (faucet or pump).
No [water point] in the dwelling, but inside the house
[] 2 on the same floor
[] 3 on another floor
[] 4 water point outside the house (example: in the yard, in a well, in the fire hydrant, etc.)

6. Gas

[] 1 dwelling connected to a public distribution network (city gas, Lacq gas, etc.)
[] 2 use of bottled gas (butane, propane, etc.)
[] 3 neither connection to a public network nor use of bottled gas

7. Sanitary installations

[] 1 bathtub or shower (installed with running water and drainage of used waters).
[] 2 with cold running water only
[] 3 with hot running water
[] 4 no bathtub, no shower, no sink with running water.

8. Bathrooms

Located inside the dwelling
[] 1 with a flush
[] 2 without flush
Located outside the dwelling but reserved for your use only
[] 3 with a flush
[] 4 without flush
Other cases

9. Central heating

[] 1 Public (for the whole building or several dwellings).
[] 2 Individual (with a heater for your dwelling only).
[] 3 No central heating.

[Top right, with a box underneath it]
City Hall Stamp


Republic of France
General Population Census 1962
Individual Form

To be filled out by all persons written down on list A of the housing form, including infant children.

[Center right, above a box]
Box to be filled out by the enumerator

Census District Number _ _ _ _
Building order number _ _ _
Dwelling number (either of mobile homes or a collective household) _ _

[Top right]

Form number 2
Do not write anything in the boxes below

Small boxes in which to respond have been included for certain questions: fill in the ones that correspond to your situation with an X.

Civil Status

1. Last name and first and middle names

____

For married women, add the maiden name (example: MAURIN, born ALLARD, Marie, Lucie)

2. Sex

[] 1 Male
[] 2 Female

3. Marital Status
Mark an X in only one of the boxes that corresponds to your present status. Thus, a widower (or divorced person) who has remarried should mark the 2nd box.

[] 1 Single
[] 2 Married
[] 3 Widowed
[] 4 Divorced

4. Date and Place of Birth

Born on ____
In: City: ____State [Département] (or country): ____

5. Nationality

[] French by birth (including by reintegration)
[] Became French through naturalization, marriage, declaration or option. Indicate your previous nationality ____
[] Foreigner. Indicate your nationality ____

6. Address:

Street or locality ____
Number ____

Place of residence on January 1, 1954
(Year of the last general census)

7a. Where were you living on January 1, 1954?

If you were in the armed forces, a boarding-school student or receiving treatment in a health-care facility, indicate your personal residence on that date, and not the address of the establishment (barracks, boarding school, sanitarium, etc.)

[] In the same city or town (or the same district within Paris [arrondissement]) as now.
[] In a different city or town (or a different district within Paris [arrondissement]).
Indicate the other city or town (or district within Paris): ____
and the state [département] (or country): ____
7b. In the case of a child born after January 1 1954, indicate the residence of the parents at the time of the child's birth:
City or town:____
State [département] (or country):____
7c. If, on January 1, 1954, you were living abroad or outside of metropolitan France, in what year did settle (or re-settle) in metropolitan France?

____

Education and professional training
(For all persons born before January 1, 1952)
[Applies to questions 8 - 10]

8. Are you currently a student?

[] Yes. Answer questions 9a, b, and c.
[] No. Go directly to question number 10.

Do not answer "yes" unless you are taking courses from a general educational establishment, either professional or technical, or from a university, for the duration of the school year.

9a. Name and address of the school or university:

____
9b. Nature of the classes you are taking:
____

Examples: primary, modern or classical secondary [secondaire moderne ou classique], technical, higher, 2nd degree agricultural [agricole du 2eme degré], etc.

9c. Designation of your class, section or specialty:

____

Examples: 3rd modern, 4th technical, M.P.C., etc.

10. Of the diplomas listed below, indicate all that you have earned:

a. General or Higher Education
[] 1 Certificate of primary studies
[] 2 General Certificate of Secondary Education [B.E.P.C.], or elementary certificate
[] 3 Baccalaureate (1st or 2nd part, including technical), or advanced level certificate [brevet supérieur]
[] 4 Advanced 2nd level baccalaureates (university, engineering school, etc.)
b. Professional or Technical Training
State Diplomas
1. [] Exam indicating completed craftsman apprenticeship
2. [] Certificate of completion of F.P.A. [Certificat de fin de stage de la F.P.A.].
3. [] Vocational Training Certificate [Certificat d'Apprentissage Professionel.]
4. [] Professional degree
5. [] Certificate of industrial, commercial, social, hotelier education (1st or 2nd part, probationary or definitive [probatoire ou définitif]).
6. Student with a certificate from the ENP: technical certificate
0 [] Other professional diplomas granted by private schools or public agencies.
Indicate the corresponding specialty or specialties: ____

[The following information is in a box which runs vertically alongside the box containing questions 8-10]

For transient persons, see § C, page 3 of form number 1.
Address of usual residence.

Professional Activity
(For all persons born before January 1, 1948)
[Applies to questions 11 - 16]

If you are currently without work and you are looking for work, go directly to question 16.
If you are no longer working, go directly to question 17.

11. Principal Profession. Indicate your current occupation or job.(even if you are still just an apprentice or if you work helping a family member in his/her occupation.) A woman taking care of only her own household should answer "without profession."

____
Be specific; examples: Cashier accountant, automobile repair mechanic, hot roller [lamineur à chaud], worker in metal carpentry, truck drivers carrying heavy loads, female machinist in production work [mécanicienne en confection], mechanical designer, grain broker, wine grower, horticulturalist, shepherd, etc.

12. Do you work without pay helping another person in his/her profession (for example, a member of your family)?

[] yes
[] no

13. Do you practice your declared profession in question 11 as:

[] A paid employee
-- answer questions 14a, b and c and question 15)

[] Someone who works out of his/her home
[] An apprentice under contract
-- [If you checked either of the two above options,] skip to question 15

[] Landowning farmer, farmer, tenant farmer
[] Professional
[] Employer or independent worker: craftsman, shop-keeper, etc. (working independently, including managers who are majority shareholders of S.A.R.L. [gérants majoritaires de S.A.R.L] and persons working strictly on commission).
-- [If you check any of the three above options,] skip to question 15 and answer:
Do you have paid employees (do not count paid household help. In agriculture, count only permanent paid employees)
[] yes. How many? ____
[] no

14a. For workers, specify the skill level [qualification] of your current employment:

[] 1 Non-specialized farm laborer
[] 2 Specialized agricultural worker
[] 3 General laborer or specialized laborer [manoeuvre ou manoeuvre spécialisé]
[] 4 Semi-skilled worker [ouvrier spécialisé] (OS1, OS2)
[] 5 Skilled or highly-skilled worker (P1, O2, P3...).

14b. For state or municipal civil servants, public service employees (electric company, railroad, etc.), career military personnel, indicate your category [grade].
Examples: clerk, administrative secretary, administrator, chief engineer, registering agent [facteur enregistrant] for the French National Railroad:

____

14c. For other paid employees, indicate your position:
Examples: foreman, overseer, sales director, farm manager, etc

____

15. Business (industrial, commercial or other), farm, etc. that you manage or that employs you:
15a. Name (or corporate name) and address:

Name: ____
Street (or locality): ____ Number:____
City:____
For Paris, Lyon and Marseille, add the city district [arrondissement]
State [département]: ____
15b. Activity of the business:
____

Be specific; Examples: wholesale wine sales, retail grocery, construction of metal girders, cotton milling, overland transportation for travelers, market gardening, private secondary-level teaching [enseignement privé du second degree], etc.

15c. If you don't work at the same address as the business noted above, indicate your normal work place:

This question is not for farmers, nor is it for household help or V.R.P. Traveling personnel of the French National Railroad [S.N.C.F.], bus drivers, minors, etc., should indicate the station, depot, mineshaft, etc. where they normally work.

Street (or locality): ____ Number: ____ City: ____

16. For persons who are currently without work and who are looking for work.

a. Have you ever worked?
[] yes
[] no
b. What is your profession?
____
c. For how long have you been seeking work?
____

17. For persons who no longer work.
Retired from public service, retired executives/managers, workers who have reached the age of retirement, persons no longer working in business, etc.

What was your principal occupation? ____

For all persons, regardless of age:

18a. If you have an impairment or permanent physical disability, please state it here:

____

Examples: blind, almost blind, deaf-mute; characterized deafness [surdité caractériseée]. For Amputation, maiming [mutilation], paralysis: please specify. For other impairment: please specify.

18b. Is it the result of:

[] 1 A war injury
[] 2 A work accident
[] 3 Other accident
[] 4 Illness or other reason
18c. If necessary, indicate the corresponding percentage of disability: ____ %