Questionnaire Text

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13. Place stayed 5 years ago (before November 1st, 1995)

[] 1 Inside the province
[] 2 Outside the province (please provide the name) ____
Questionnaire instructions view entire document:  text  image
Part One. Personal Records

All persons should report R1 - R12.

R13. Place of residence five years ago (that is, Nov 1st 1995)
R13 applies to persons who are 5 years or older.