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Republic of Kenya

Population Census
1969


Enumeration area number _ _ _ _ _ _ _ _

"B" Schedule.

a. Name: ____


b. Relationship: ____


c. Tribe or nationality: ____ _ _

For Kenya Africans state tribe.
For others, state race, country of citizenship.



d. Sex: _

(Write M for males and F for females.)



e. Age: _ _

(State age in completed years.)



f. Birth place: ____ _ _

If born in district where enumerated, write "here".
If born elsewhere in Kenya, state district.
If born outside Kenya, state country.



g. Marital status: ____ _

(State whether single, married, widowed, divorced or separated.)



h. Education: ____ _ _

(State highest standard or form completed.)



i. Is father alive? ____ _

(Answer yes or no.)


j. Is mother alive? ____ _

(Answer yes or no.)


To be asked of females aged 12 and over only
[Questions k-o were asked of females aged 12 and over.]


Of the children you have ever borne alive:


k. How many are now living with you? ____


l. How many are now living elsewhere? ____


m. How many have died? ____


Date of the last live birth:


n. Year ____


o. Month ____