Questionnaire Text

Questionnaire form view entire document: text image

10. Where did you move from to the current town/township/neighborhood?

[] 1 Within current country/city/district
[] 2 Outside current country/city/district, please provide

[] Province: ____
[] Autonomous prefecture/city: ____
[] Country (city, district): ____

Questionnaire instructions view entire document: text image

Part One. Personal Records

All persons should report R1 - R12.

R10. Previous residence
This question will only be filled in by persons who moved in to current census location during and after Nov 1995 (that is, persons who circled 3-8 in R9)