1970 Population and Housing Census of Malaysia
Form 2
8 L/Qs No. _ _ _
Form 2
2. Admin. District _ _
________
2a. ____ Census district
________
3. Circle number _ _
4. Enumeration block number _ _
5. Address
________
6. Number of households in this living quarters.
See column 6 of the house-listing book.
____
7. Number of persons in this living quarters.
See column 8 of the house-listing book.
_ _ _ Females
_ _ _ Total persons
[] Not intended for l/s but used for these purposes at time of census
10.
[] 2 A living space, e.g. court year, open verandah
[] 3 A natural shelter (Finish)
11. Are the living quarters:
[] Private
[] Non-private (Skip to 13)
[] Mobile (finish)
12. House/Bungalow:
[] 4 Detached
[] 5 Semi-detached
[] 6 Terrace, row flat or room
[] 7 In/attached to house
[] 8 In Shophouse
[] 9 In housing block
[] 10 Other
[] 11 Labor line
[] 12 Makeshift, improvised hut, etc.
(Skip to 14)
13.
[] 13 Non-private, hotel, lodging house, rest house, etc.
[] 14 Hospital
[] 15 Educational, charitable or religious institution
[] 16 Temporary labor camp
[] 17 Other
(Finish)
[Questions 14 to 43 were asked if the living quarters were private, non-mobile.]
[] No (Skip to 16)
[] Wood
[] Brick/concrete
[] Iron/steel
[] Other
[] Brick
[] Concrete
[] Brick and plank
[] Plank only
[] Attap etc.
[] Zinc, corrugated iron
[] Other
[] Attap, bamboo, etc.
[] Zinc/corrugated iron sheets
[] Concrete
[] Other
[] Deteriorating
[] Dilapidated
[] Vacant
[] Seasonal wk. qt.
[] Temporary absence
[] Holiday house
[] Sale/rent
[] Unfit for living
[] Other (including not known)
(Finish)
[Questions 21-43 were asked if the dwelling was private and occupied.]
[] 5-9
[] 10-29
[] 30+
[] Not known
[] Not Government
[] No (skip to 26)
[Questions 24-25 were asked if the dwelling had piped water.]
[] Outside living quarter
[] Within 100 yards
[] Beyond 100 yards (Skip to 27)
[] Well or pump
[] River
[] Parit, drain, canal
[] Other
27. Is water supply exclusive to this living quarter?
[] No
28. [Does the household have electricity?]
[] No Electricity (Skip to 30)
[] Public supply
[] Private Gen. Plant
30. [What is the source of lighting?]
[] Pressure / gas lamp
[] Oil lamp
[] Other
[] Bucket
[] Pit
[] Over river/sea
[] None (Skip to 35)
[Questions 33-34 were asked if dwelling had toilet facilities.]
33. Exclusive to this living quarter?
[] No (Skip to 35)
34. Units [number of toilets]:
[] 1
[] 2
[] 3
[] 4
[] 5+
35. Separate bathroom or enclosed bathing space?
[] No (Skip to 38)
[Question 36 - 37 were asked if the dwelling had a separate bathroom or enclosed bathing space.]
[] No
[] Tank
[] Shower
[] Hand basin
[] Moveable jar, container
[] Pipe only
(Skip to 39)
[] Pipe inside living quarters
[] Pipe outside living quarters
[] Well or pump
[] River
[] Parit, drain, canal
[] Other
39. Exclusive to this living quarter?
[] Yes
[] No
[] No
41. Area set aside for cooking?
[] Yes
[] No (Skip to 43)
42. Exclusive to this living quarter?
[] Yes
[] No
[] 1
[] 2
[] 3
[] 4+
[] 1
[] 2
[] 3
[] 4+
Form 4
Note: A household is a group of people who live and eat together. You may therefore find there is more than one household in this living quarters. Fill in one of these form 4's for each household in this living quarter.
1.
____ Admin. District
____ Census district
____ Circle number
____ Enumeration block number
____ Address
2. Address: ________
[] 2+ Sheet: _
[Questions 6-10 are repeated for each household member.]
6. List the names of the people who belong to this household (see below for listing order.)
Listing order: head of household, wife of head, unmarried children of head, mother and father (and/or grandmother/father) of head or heads spouse, brother, sister, other married couples and their children, married couples with no children present, other relatives of head, servants, boarders.
________
7. Relationship to H/H: ____
8. Sex: ____
9. Here on C/Night (tick): ____
10. Person No. ____
[Questions 11-13 are repeated for each friends or other visitors who slept here on Census Night.]
11. List the name of any friends or other visitors who slept here on Census Night: ____
12. Sex: ____
13. Person No.: ____
14. Total males in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _
15. Total females in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _
16. Total persons in this household on Census Night (i.e. all household members and friends or other visitors who slept here on Census Night): _ _ _
17. [Ownership status of the household]
[] Tenant (go to 18)
[] Other (skip to 23)
[Questions 18 - 22 were asked of tenants]
18. Renting from:
[] Individual outside L.Q.'s. (skip to 20)
[] Government or Public Authority (skip to 20)
[] Firm/company (skip to 20)
[] Other (skip to 20)
19. H.H. number:
20. Is the landlord your employer?
[] No
21. Rent: _ _ _ _
22. [Condition of the dwelling]
[] Unfurnished
23. Main cooking fuel:
[] Gas
[] Kerosene/oil
[] Char/wood
[] Other
24. Household equipment:
[] M/cycle
[] Bicycle
[] Air conditioner
[] Telephone
[] Refrigerator
[] Elect. Fan
[] Radio
[] Sew mach.
[] T.V.
[] Boat with motor
[] Boat without motor
[] 2
[] 3
[] 4
[] 5
[] 6
[] 7
[] 8
[] 9
[] 10
[] 11
[] 12
[] 13
[] 14
[] 15
[] 16
[] 17
Form 5
Appendix 10.6 Individual form for Sabah and Sarawak: Census of Malaysia, 1970
1970 Population and Housing Census East Malaysia
____ State
____ Admin, District
____ Census District
____ Circle
____ Enumeration Block
Living quarters No.: _ _ _
Household Number: _
Person Number: _ _
1. Name: ____
2. Sex:
[] Female
3. Relationship to Head of Household: ____
4. How old are you?
Months from last Birthday to C. Day: _ _
5. Age (from I/C Birth Certificate, etc.): _ _
Month of birth: _ _
Year of birth: _ _ _ _
6. Chinese date of birth:
Moon month: _ _
Animal Year: ____
7. To what community do you belong? _ _
8. During the last 12 months what did you do most of the time?
[] Wages
[] Family worker
[] Look after household
[] Student
[] Child not at school
[] Other
[] Padi
[] Logging timber
[] Fishing
[] Rubber
[] Other Agriculture
[] Manufacture/building
[] Commerce
[] Transport comm.
[] Services
[] Other
9. What is your religion?
[] Hindu
[] Christian
[] Buddhist
[] No religion
[] Other
10. Are you going to school? (excluding adult education and kindergarten)
[] No
11. Have you ever been to school?
[] Yes
[] No
[Questions12-13 were asked if the person had ever been to school.]
12. What was the highest level you completed?
[] Completed all years
[] 3
[] 4
[] 5
[] 6 lower
[] 6 upper
13. Did you pass any of these exams?
[] S.C.
[] H.S.C.
[] None
14. Do you have a Malaysian citizenship?
[] No (Skip to 16)
[] Under 12 (Skip to 18)
15. Color of Identify Card (I.C.)
[] Blue (Skip to 17)
[] Other
[] No I.C.
16. What citizenship do you have?
[] Singapore
[] Other foreign
[] Stateless/applied/N.S.
17. Do you have a Singapore I/C?
[] No
[] No (Skip to 20)
[] Unknown (Skip to 22)
19. State of birth?
[] Johore
[] Kedah
[] Kelantan
[] Malacca
[] N.Sembilan
[] Pahang
[] Penang
[] Perak
[] Perlis
[] Selangor
[] Trengg.
[] Sabah
[] Sarawak
[] Unknown
20. Country of birth?
[] Singapore
[] Thailand
[] India/Ceylon Pakistan
[] Indonesia
[] N. Sembilan
[] Philippines
[] China
[] Other Asian
[] n/s America Oceania
[] Europe
[] Other
21. How long in total have you lived in Malaysia? (in years)
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6-10
[] 11-20
[] Over 20
22. How long in total have you lived in this kampong, town, etc.? (in years)
[] 1
[] 2
[] 3
[] 4
[] 5
[] 6-10
[] 11-20
[] Over 20
[] Some other place in Malaysia:
[] Other
24. What was the name of the place where you lived before?
Kampong, Town: ________
Mukim: ________
District: ________
State: _______
For persons 10 years and over
[Questions 25-44 were asked of persons age 10+.]
Before asking questions 25-34 explain that the questions are for the previous 7 day period only
25. Did you have a regular job or business?
[] No
[Questions 26-29 were asked if the person did not have a regular job or business during the previous 7 days.]
26. Did you help in a family business or farm?
[] No (Skip to 28)
27. About how many hours per day did you work?
[] 3 or less
[] More than 3
28. Did you earn any money by working or by selling home made goods?
[] No
[] No
Note: If the answers to Questions 25-29 are all "No" skip to 35
[Questions 30-34 were asked if the answers to Questions 25-29 are not all "No".]
30. Employment status:
[] Self employed
[] Salary and wage
[] Family worker
[] Looking for the 1st job (skip to 35)
[Questions 31-34 were asked for those who did not choose looking for the first job in Question 30.]
31 Main occupation (use two or more words if possible): ____
32. Main industry (use two or more words if possible): ____
34. Name and address of establishment at which working: ________
35. Degrees, diplomas, certificates, papers
Name of qualification and institution from which obtained: ________
Field of study: ____
36. Everyday conversation?
[] El. Malay
[] Mandarin
[] English
[] Tamil
[] Other languages
[] Dumb
[] No
[] Blind
38. Write a letter?
[] No (Skip to 40)
39. What languages can you write?
[] Malay
[] Chinese
[] English
[] Tamil
[] Other
[] No (Finish)
[Questions 41-43 were asked if the person ever been married.]
41. How many times?
[] 2
[] 3
[] 4+
42. Present marital status:
[] Widowed
[] Div/p.s.
43. Number of years married:
Present marriages: _ _
Previous marriages: _ _
For ever-married women
[Question 44 was asked of ever-married women.]
44. How many children have you ever given birth to? (Excluding adoptions): _ _
b. Living somewhere else: _ _
c. Dead: _ _
d. Born dead: _ _
Total born alive (a plus b plus c): _ _
[Questions for "Office Use Only" and on agriculture and fisheries have been omitted.]