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Republic of Togo
General Population Census
Date: ____
Census agent: _
Circle of subdivision: _ _
Circumscription: _
Block: _ _
Compound: _ _ _ _
Dwelling: _ _
Address:
Number ____
Neighborhood or place name ____
Persons to register on this sheet
All members of the family or household should be registered if:
- Present and temporarily absent: all members of the family normally residing in the dwelling including those who are temporarily absent during the census (period of absence specified lower than 6 months): hospital patients, fishers at sea, business travel and so on)...
Also, all members of the family or household should be registered if are: domestic employees, apprentices, wage earners, boarders or sub-leasers lodging with the family.
If the sub-leasers occupy one or several independent rooms they will be considered as being apart and will be the subject of a separate sheet.
- Occasional visitors: persons not normally residing in a permanent fashion in the dwelling but present at the time of the census and having spent at least one night in the dwelling surveyed.
The following persons should not be registered on this sheet
- Those absent for a long period (more than 6 months)
Soldiers carrying out their military service
Students living in boarding schools
Fellows abroad
Children placed in an apprenticeship and enumerated with their lodger
Detainees in prisons or detention centers
Insane persons residing in an asylum
Those persons should not be registered, whatever the place where they are located.
Important
Individual information appearing on the census questionnaires is strictly confidential. The census agents should not communicate it to anybody apart from the members of the census committee.
It will only be used for the drawing up of anonymous statistical tables and electoral lists: in particular, it can in no case be used for tax purposes.
The census determines the number of inhabitants of the municipality, the division of the populate by age, profession and so on, the division of families according to the number of children, the composition and equipment of properties and dwellings and so on, information which is indispensable for the study of any social, economic or demographic problem.
Also, we appeal to the good will of all to facilitate our work, by giving accurate, detailed and complete information.
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2. Surname and first names
Order of registration to follow:
[] Unmarried children of the head whose mother does not live with him/her
[] His/her spouse
[] Unmarried children of the spouse beginning with the youngest
[] Possibly other spouses and their children
[] Married children followed by their spouse and their children
[] Parents and grandparents, brothers, sisters, uncles, aunts and so on by decreasing link of parentage
[] Other persons (friends, boarders and so on)
3. Relationship to head of the household
[] Spouse (followed by number indicating their rank)
[] Son or daughter (followed by an order number of the father and the mother)
[] Others (to be indicated clearly)
The name of the father and mother
The names of deceased persons should be preceded by a cross (+)
If the father or the mother appears on this sheet, record their order number
____ Father
____ Mother
[] Female
[] Married followed by the number of wives or rank of spouse
[] Widower
[] Divorced
[] Free union
Months _ _
[] F (for French people according to the name of department) ____
[] For others indicate the country or territory ____
9. Nationality or ethnic group ____
For foreign people, record their nationality: English, Lebanese, Ghanaian and so on
Alive children
_ Female
_ Female
[] Certificate of education
For those who know how to read and write a language record this language, for example:
[] French
[] English
[] None
12. Trade or main occupation ____
b) For private and semi-public workers specify as much as possible. E.g.: cashier, accountant, mechanic, transport entrepreneur, wine wholesaler, mason
For employees precede with an "S"
c) For children attending school record E followed by the institution they attend. E.g. (E - middle school)
d) For those without profession record "SP"
[] Temporary
[] Seasonal
[] Unemployed
[] Without profession
14. Residence in the municipality
[] Absent
[] Seasonal
[] Other
[] Months _ _
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Information on the dwelling
(Circle the box corresponding to the correct response)
1. Nature of the construction of which the dwelling forms part
[] 2 Individual house or villa
[] 3 African hut in stone/brick or adobe
[] 4 Other African hut (thatched, wood, sheet iron and so on)
[] 5 Other (specify) ____
[] 2 By piping, in compound
[] 3 By piping, outside compound
[] 4 By well, in compound
[] 5 By well, outside compound
[] 2 No
[] 2 Buckets
[] 3 Other
3. Number of habitable rooms _ _
4. Number of persons in the dwelling to be counted in the census:
_ _ b. Number of persons present occasionally (travelling, visiting, present for a short period)