Individual Form
French Republic
Population Census 1990
Form number 2
Write very legibly.
Sign your name on the bottom of page two.
Box to be filled in by the INSEE
[] 2
[] 3
Stamp of city hall
Write your last name in capital letters
example: ALLARD, wife MAURIN, Francoise
____
[] 2 Female
A person living in free union will check the box corresponding to his or her legal status. If single, for example, check the first box.
A divorced person, or a person separated from his or her legitimate partner will check the second box.
[] 2 Married or remarried
[] 3 Widowed
[] 4 Divorced
Born ____
(day, month, year)
in (county): ____
Department: ____
(country for foreigners, territory those from the TOM (Overseas Territories))
[] 2 Naturalized citizen by naturalization, marriage, official statement upon becoming an adult
Indicate your former nationality
____
[] 3 Foreigner
Indicate your nationality
____
(for all people born before January 1st, 1982)
If, on January 1982, you were in the military or a student intern, indicate the address of your personal residence on this date and not that of the establishment (barracks, boarding school)
[] 2 In another dwelling of the same county, or the same city neighborhood [arrondissement] if in Paris, Lyon, or Marseille)
[] 3 In another county (or in another city neighborhood if in Paris, Lyon, or Marseille)
Indicate this other county
County (for Paris, Lyon, Marseille specify the city neighborhood) ____
Department (country for foreigners, territory for the TOMs) ____
[] 2 BEPC (Brevet d'études du premier cycle - certificate of first cycle studies), elementary certificate, junior high school certificate
[] 3 CAP (Certificat d'aptitutude professionnelle - certificate of professional aptitude)
[] 4 BEP (Brevet d'études professionelles - certificate of professional studies)
[] 5 High school diploma, professional certificate or technical certificate, other certificate (BEA [Brevet d'Enseignment Agricole - c. of agricultural education], BEC [Brevet d'etudes commerciales - c. of management studies], BEI [Brevet d'Enseignement Industrielles -c. of industrial education], etc.)
[] 6 University Bachelor's degree, BTS [Brevet de Technicien Supérieur - superior technician c.], DEST [Diplome d'études supérieures techniques - superior technical studies diploma], DUT [Diplome Universitaire de Technologie - technological university diploma], diploma of social professions or of health
[] 7 University graduate degree, Engineering degree, from a Grande Ecole [school of superior studies, admission to which is highly competitive], etc.
Includes:
If you help a member of your family in his or her work without pay
If you are apprenticed under contract, a paid intern (TUC, SIVP..), etc.
[] 2 Unemployed (enrolled or not with the ANPE [Agence nationale pour l'emploi - National agency for unemployment])
[] 3 Retired (formerly paid) or retired early
[] 4 Retired from business (former farmer, former artist, former merchant)
[] 5 Housewife
[] 6 Other (not active at this time) (including people not receiving anything but a reversion benefit)
____
[] 2 No
You have been looking for work since:
[] 2 - less than 3 months
[] 3 - 3 moths to less than a year
[] 4 - 1 year to less than 2 years
[] 5 - 2 years or more
Sign the form on the bottom of page 2
For people passing through (see page 3 of form number 1, address of regular residence)
You are employed
____
(farming or industrial operation, business, self-employed, etc.)
[] 2 No
14. If you are a state employee, from a local community, from a public hospital, a public service (EDF [Electricité de France - French Electric Company], SNCF [Societe Nationale des Chemins de Fer - National Railroad Organization], etc.) or military by career, specify your classification (corps, rank, etc.)
Number ____ street or lieudit [a place usually deep in the countryside, with no address but named after its function or by the landmark it is close to] name
____
County: (for Paris, Lyon, and Marseille specify city neighborhood) ____
Department (or country): _ _ ____
b) Name (or corporate name) of the establishment which employs you or which you yourself direct:
____
c) Activity of this establishment:
Be very precise. Examples: wholesale wine business, manufacturing of steel structures, highway transport of passengers, etc.
____
d) Address of this establishment, if it is different from the one declared in question 15a.
____
[] 2 Self-employed
(farmer, artisan, merchant, manufacturer, self-employed, unpaid family helper, etc)
[] 2 Full time?
How many employees do you have?
(Don't count apprentices or servants. In farming, count only people on a salary.)
[] 2 1 or 2
[] 3 3 to 9
[] 4 10 or more
[] 2 Practicing beneficial community work (TUC [Travail d'utilité collective], etc.)
[] 3 Under a Contrat d'adaptation (contract for young people ages 16 to 25 who needed additional education in order to quickly get a job; replaced November 2004 by the Contrat de professionalisation ) or Contrat de qualification (same contract, but for people 26 years of age or older)
[] 4 Intern (mainly in a business: SIVP [Stage d'Insertion à la vie professionnelle - Internship of integration into professional life], etc.)
[] 5 Intern (mainly in an educational center: FPA [Formation Professionnelle Accélérée - Accelerated Professional Education], etc.)
[] 6 Placed by an interim agency
[] 7 Under work contract for a determined duration
[] 2 Qualified worker or highly qualified (P1, P2, P3, TA, OQ [Ouvrier qualifié], etc)
[] 3 Supervisor over workers, administrative or commercial supervisor
[] 4 Supervisor over technicians or other supervisors
[] 5 Technician, designer, VRP [Vendeurs représentants placiers - Sales representative] (not an executive)
[] 6 Lecturer, assistant, social worker, nurse, and personnel of category B of civil service
[] 7 Engineer or executive (the employees, technicians, supervisors not having the status of executive should not classify themselves here even if they subscribe to an executive pension fund)
[] 8 Professor and personnel in category A of civil service
[] 9 Office employee, business employee, service agent, nurse's aid, day-care worker, personnel from category C or D of civil service
[] 0 Other situation. _____ Specify.
[] 2 Installation, maintenance, regulating, repair
[] 3 Cleaning, gardening, household work
[] 4 Handling, warehousing, transportation
[] 5 Secretarial, typist, ticket booth, switchboard
[] 6 Management, accounting, administrative functions
[] 7 Business, sales, technical sales
[] 8 Research, studies, methods, computer science
[] 9 General director or one his or her direct assistants
[] 0 Other situation ____ Specify (teaching, health, news, etc):