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République du Mali / Un Peuple -- Un But -- Une Foi
Ministère du Plan / Bureau Central du Recensement
Ministère de l'Administration Territoriale et du Développement à la Base


General Census of the Population, 1-14 April 1987
Mali 1987 Enumeration Form

Section A: Geographic characteristics

1. Region [région]

_

2. Province [cercle]

_ _

3. District or township [Arrondissement or Commune] / rural or urban

_ _ _ _

4. Village or fraction

_ _ _

5. Hamlet or gathering point [Point de Regroupement / for rural or nomadic areas]

____

6. Neighborhood [for urban areas / commune]

_ _

Census district ____

7. Census tract

_ _ _

8. Compound number (Dwelling unit number)

_ _ _

9. Household number

_ _

Household form
Number

_ _


RP: Resident, Present

1. RP: Males

_ _

2. RP: Females

_ _
RA: Resident, Absent

3. RAI: Males

_ _

4. RAI: Females

_ _

5. RAE: Males

_ _

6. RAE: Females

_ _
V: Visitor

7. VI: Males

_ _

8. VI: Females

_ _

9. VE: Males

_ _

10. VE: Females

_ _

All Residents
11. RP + RA: Males

_ _

12. RP + RA: Females

_ _

All present
13. RP + V: Males

_ _

14. RP + V: Females

_ _

Total population
15. RP + RA + V: Males

_ _

16. RP + RA + V: Females

_ _

Type of household

[] Sedentary household
[] Nomadic household

Section B: Individual Characteristics

For each person/household member.
[Questions 1-13]

1. Sequential number

_ _

2. Last name and first name ____

3. Relationship to head of household

____

4. Sex (M/F)

____

5. Residence status

____

6. Date of birth (month/year)

_ _/_ _ _ _

7. Age

_ _ _

8. Place of birth (district [cercle] or country)

____

9. Duration of residence

_ _

10. Nationality

____

11. Disability / Handicap

____

12. Father alive

____

13. Mother alive

____

For individuals 6 years of age and older.
[Questions 14-22]

Cultural characteristics

14. Knows how to read and write

____

15. Last school grade attended

____

16. Mother's tongue (maternal language)

____

17. Language spoken

____

Economic activity

18. Type of economic activity

____

19. Profession

____

20. Main economic activity practiced

____

21. Principal branch of employment

____

22. Work status in main activity

____

For individuals 12 years of age and older.

23. Marital status

_

For women 12 years of age and older.
[Questions 24-25]

24. Total number of children ever born

_ _

25. Total number of children surviving

_ _

26. Observations

________

[See continuation on page No___]

Section "C": Events in past 12 months

Births in past 12 months

Sequential number
_ _

First name and last name ____

Sex
____

Mother's code number
_ _ _

Age of mother at time of birth
_ _

Deaths in past 12 months

Sequential number
_ _

First name and last name ____

Sex
____

Age at death
_ _ _

SECTION "D": HOUSING

Type of housing

[] Fixed (sedentary)
[] Mobile (nomadic)

1. Type of building

[] Compound [concession]
[] Isolated building (house)
[] Apartment building
[] Other type

2. Number of rooms occupied

_ _

3. Type of occupancy

[] Landlord
[] Rental
[] Other type

4. Wall materials

[] Hard material
[] Semi-hard
[] Adobe
[] Wood or straw
[] Other material

5. Roof material

[] Corrugated iron or tiles
[] Concrete
[] Adobe
[] Straw
[] Other type

6. Floor material

[] Cement, tiles
[] Earth
[] Other type

7. Source of water

[] Tap
[] Deep well / shallow well
[] River, stream, spring
[] Public tap / public well
[] Other type

8. Type of toilet facility

[] Flush toilet
[] Pit latrine
[] Other type

9. Type of lighting

[] Electricity
[] Gas
[] Petrol lamp
[] Other type

10. Type of fuel

[] Gas
[] Fire wood
[] Coal
[] Other type

11. Improved stove

[] Yes
[] No