Form number 2B
Census of the 1999 Population
2. Address ______
 2 Female
 2 Married
 3 Widow(ed)
 4 Divorced
A person cohabitating will check the box corresponding to his/her present legal status. If, for example, the status is single, this person will check the first box. A person in the middle of a divorce or separated from his/her legitimate spouse will check the second box.
Day _ _
Month _ _
Year _ _ _ _
In (the city of) ____
County _ _
(Country if foreigner, territory for the TOM) ____
If you were born in an overseas department or abroad, in which year did you arrive in mainland France?
 2 You became French through naturalization, registration, upon becoming an adult or by your own incentive, etc.
Indicate your nationality at birth: ____
 2 No
If yes, the school is located:
 1 In the city where you live (or the district for Paris, Lyon, Marseilles)
 2 In another city (or another city sector)
County _ _
If, on January 1, 1990, you were in the military or a boarding school student, indicate the personal residence at this date and not that of the institution (barracks, boarding school)
 1 In the same residence as now
 2 In another residence in the same city (in the same city sector if in Paris, Lyon or Marseilles)
 3 In another city (or another city sector)
County _ _
(Country for the foreigner, territory for TOM) ____
For people passing through (see page 3 of printout no. 1) address of the usual residence:
Street number _____
Street (place name) ____
Zip code _ _ _ _ _
[Questions 9-24 were asked only of persons 14 years or older.]
 2 Middle school, CAP, BEP
 3 Partial or complete high school diploma
 4 Higher education (universities, IUT, etc.)
 1 Certificate of elementary studies
 2 BEPC, elementary certificate, middle school certificate
 3 CAP
 4 BEP
 5 General high school diploma (Philosophy, Sciences, etc., basic math, A, B, C, D, E, L, S, ES, etc.)
 6 Technical diploma (F, G, H, STI, etc.) or professional, professional certificate or technician's certificate, other certificate (BEA, BEC, BEI, etc.) basic legal qualification
 7 Bachelor's or Associate's degree, BTS, DUT, diploma of social or health professions
 8 Graduate or post-baccalaureate university diploma (including medicine, pharmacy, dentistry), engineering degree, from a teacher-training school.
 1 Check the box and continue to the back of the page (questions 15 to 24) including if you are on sick leave or maternity leave, if you help a member of your family in his/her work or if you are apprenticed under contract, or a salaried intern. [skip to question 15]
You don't work (or no longer work)
 2 Check the box and answer questions 12 to 14
 2 Student (middle school, high school)
 3 Unpaid intern
 4 Unemployed (registered or not with the ANPE)
 5 Early retirement
 6 Former employee
 7 Former independent worker (farmer, artisan, businessman, etc.)
 8 Other (woman or man working from home, person receiving only a surviving spouse's benefit, disability retirement, etc.)
You have been looking for a job for:
 2 Less than a year
 3 More than a year
If you are an agent of public services for the state or cities (including HLMs, public hospitals), specify your rank (organization, category) ____
Part-time is determined in relation to the average work time in your company.
 2 More than part-time
 3 Part-time or less
 1 Yes
 2 No
If you work at home, write "at home"
If you work at an individual's home, write "individual"
If the workplace is variable, write "variable"
Is work in the city where you live? (or in the city neighborhood in the case of Paris, Lyon or Marseille)
 1 Yes
 2 No
If not, write in the city where you do work: (specify the city neighborhood)
County _ _
b) ____ Name (or corporate name) of the establishment which employs you or which you manage
c) ____ Address of this establishment if it is different than that specified in question 18a.
d) ____ Activity of this establishment
Be very specific: (ex. wholesale business of fruits and vegetables, production of mechanical equipment, etc.)
 2 Walking only
One single mode of transportation
 3 Two wheels
 4 Personal vehicle
 5 Public transportation
 6 Several modes of transportation
 2 Salaried head of company PDG, minority manager of SARL, co-manager
 3 Salaried employee, including salaried family assistance
 1 None
 2 1 or 2
 3 3 to 9
 4 10 or more
Do not include interns or housekeepers. In agriculture, count only the permanent workers.
[Questions 22 to 24 were asked only of persons who work per question 11 and who are employees and salaried interns per question 20.]
 2 Placed by a temporary employment agency
 3 CES (Social and Economic Council) or other assisted employment (CIE, qualification, youth employment, etc.)
 4 Salaried intern (SIFE, etc.)
 5 Short-term contract (including short contract, seasonal contract, etc.)
 6 Permanent staff member of public services (state, locale, hospitals)
 7 Long-term contract (or job) of indeterminable duration
 2 Qualified worker or very qualified (P1 to P3, TA, OQ, OHQ, etc.)
 3 Service worker, assistant nurse, housekeeper
 4 Business employee, office worker, administrator of category C or D of public services
 5 Supervisor in charge of workers, administrative commercial or computer manager
 6 Manager in charge of technicians or other supervisors
 7 Technician, designer, VRP
 8 Teacher, nurse, social worker, medical technician, administrative personnel of category B of Public Services
 9 Engineer, business executive (technicians and supervisors should not be classified here, even if they pay dues in a pension fund)
 0 Personnel of category A of Public Services and other management officials
 2 Installation, regulating, repair, maintenance
 3 Gardening, cleaning, domestic cleaning
 4 Handling equipment, storage, transportation, logistics
 5 Secretariat, ticket booths, data entry, switchboard operating, reception
 6 Managing, accounting, administrative function, organization
 7 General director or adjunct director, staff
 8 Commerce, sales, technical-commercial
 9 Research, study, methods, computers
 0 Teaching, training, health, social work, news, advertizing, arts, shows, sports
Section to be filled out by the census agent
Number of the census district _ _ _ _ _
Location of the building in the district _ _ _
Location of the dwelling in the building _ _
Fill out the four pages legibly
b. ____ Floor
c. ____ Location on the stairway landing
If the entry door of the dwelling has a number, indicate this number: ____
[if option 1 marked] Fill out an individual form for each person recorded in list A, page 2.
 2 Occasional dwelling (dwelling or independent room used as a residence for professional reasons by a person having his/her main residence somewhere else).
 3 Secondary residence or dwelling rented (or to be rented) for pleasure or vacation.
No individual form except if the people are living in the dwelling at the time of the census. In that case, make corresponding individual forms while taking care to fill out the box "people passing through".
[if options 2 or 3 marked] Do not fill out pages 2 or 3 of the dwelling form.
 4 Vacant dwelling (without an occupant, available or not for sale or for rent).
[if option 4 is marked] No individual form. Do not fill out pages 2 and 3 of the dwelling form.
 5 Trailer, mobile residence.
[if option 5 is marked] Fill out an individual form for each person recorded in list A. Do not fill out page 4, to be classified separately.
(5) Number of number 2 forms gathered (list A only) _ _
To be filled out by the mayor
(6) Number of number 2 forms deleted (used twice with forms number 5 reintroduced or with domiciliations completed) _ _
(7) Number of forms number 2 added (forms received for people traveling) _ _
(8) Number of forms number 5 returned _ _
(9) Population after returns (9) = (5) - (6) + (7) + (8)
Number of number 2 bis forms established _ _
[Illegible note at bottom of the page]
People living in the dwelling
Each person normally living in a dwelling, even if he/she is absent at the time of the census must be recorded either in list A or list B (see example at the bottom of the page). Don't forget young infants.
Permanent occupants of the dwelling
Special cases. Also record:
First name ______
write, for example: wife (or husband, partner, son, daughter, father, mother, grandson, daughter-in-law, nephew, friend, subletter, etc.)
- If you are hosting a student during the school year, note below (on the line corresponding to him/her) the address of his/her family residence.
- If you yourself are a student living here for your studies, write below (on the line corresponding to you) the address of your family residence.
- Children living in a boarding school;
- Children in the care of another parent (following a divorce for example);
- Students living somewhere else during the school year (in a home, in a university dormitory, in an independent dwelling or a room in the city;
- Conscript servicemen and women;
- Servicemen serving outside of France;
- Workers living in another home;
- Elderly people living in a retirement or nursing home;
- People being hospitalized long-term;
- People living in another community but spending a part of the year in your dwelling
- The Maurin household lives in Saint-Malo. M. Maurin and his wife have four children of which only one, Christophe, is at home all week.
- The Maurin household rents a room of his dwelling to a student, Yves Couedec, whose family lives in Roscoff.
- One of the Maurin sons, Laurent, is carrying out his military service in the middle of France.
- One of the Maurin's daughters, Sophie, lives in a student home in Paris.
- The other daughter, Nathalie, is a student in the university of Rennes, city where she rents a room.
2 Allard, wife of Maurin / Françoise / Spouse
3 Maurin / Christophe / Son
4 Couedec / Yves / Subletter / 18, rue du Port. 29680 ROSCOFF
Four individual forms.
2 Maurin / Sophie / Daughter / Born on 4.7.1978 / [x]Yes  No / Foyer les Bruyeres 9, rue ds Colleges 75005 Paris
3 Maurin / Nathalie / Daughter / Born on 12.11.1980 / [x]Yes  No / At the home of Melle Bouvier 3, rue d'Arras 35000 Rennes
No individual forms.
People passing through
The people who are at your home at the time of the census but who usually live somewhere else (with parents, friends, etc.) should not be recorded on either of the two lists.
Special case: If a person is absent from his home during the entire length of the census and if someone else cannot answer census questions in his/her place at his/her home
2. Send this form separately to the census agent.
General Characteristics of the Building
 2 Hotel room
 3 Temporary construction, make-shift home
 4 Independent room (having its own entrance)
 5 Private home, farm
 6 Dwelling in a apartment building
 7 Dwelling in a building used as more than a dwelling (factory, studio, office building, store, school, middle school, hospital, city hall, post office, stadium, etc)
 2 From 1915 to 1948
 3 From 1949 to 1967
 4 From 1968 to 1974
 5 From 1975 to 1981
 6 From 1982 to 1989
 7 1990 or after
If various parts are not from the same time period, indicate the year of completion of the part where people live or the most important part inhabited.
Do not count the kitchen except if the surface space is more than 12 meters squared.
Do not count such rooms as the hallway, shower, W.C., laundry room, etc.
Do not count rooms used only for professional reasons (examples: medical office, artisan's studio, etc.)
Do not include balconies, terraces, verandas, cellars, parking lots or attics.
 1 Less than 40 meters squared
 2 From 40 to less than 70 meters squared
 3 From 70 to less than 100 meters squared
 4 From 100 to less than 150 meters squared
 5 150 meters squared or more
 2 Renter or subletter of an unfurnished rented dwelling
 3 Renter or subletter of a rented furnished dwelling or a hotel room
 4 Living for free, for example through the parents, friends or your employers (including the case of people occupying a dwelling which they have sold for a life annuity or for which they have life interest.)
If all the current occupants of the dwelling did not arrive at the same time, indicate the moving date of the first person's arrival. If this person has always lived in the dwelling, give his/her date of birth.
(office, OPAC in the company)
 2 No
 1 Bathtub or shower in a room not normally used as a bathroom
 2 One shower room (room reserved as a bathroom containing at least a shower or a bathtub)
 3 Two shower rooms or more
 1 Yes
 2 No
 2 Septic tank (for W.C. and household water)
 3 Other cases
 2 Individual central heating with a stove in the dwelling
 3 All electric heating with wall radiators
 4 Other means of heating (pan, chimney, stove, movable radiators, water heaters, etc.)
 2 City gas or network gas
 3 Oil
 4 Electricity
 5 Bottled gas or cistern gas
 6 Coal
 7 Wood
 1 Yes
 2 No
 1 1
 2 2 or more
 2 No
acres (100 square meters) _ _
Farming with a main production
 2 Market gardening or horticulture
 3 Vines or fruit-bearing trees
 4 Raising of herbivores (bovine, ovine)
 5 Raising of granivorous animals (pork, poultry)
 7 Raising of herbivores and granivorous animals
 8 Other