Questionnaire Text

Questionnaire form view entire document:  text  image

5. Date and place of birth

Born : (day, month, year) ____
in (city): ____ (for Paris, Lyon, Marseille, specify the district)
County: ____ (country for foreigners, territory for the T.O.M.)

Questionnaire instructions view entire document:  text  image

Question 7: Residence on January 1st, 1968.
Make sure that the answer is complete.
The people who have not changed dwellings since January 1st 1968 do not have to check anything but box 1. However, if boxes 1 and 2 have been checked, you should not make any correction to the forms.
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Keep track of the people who were living outside of France on January 1st, 1968 have correctly indicated the year of their arrival in France. This applies as well to French citizens as well as foreigners who were living outside of Metropolitan France on January 1st, 1968.
In the situation where some people would have made several visits since 1968 in France, it will be necessary to indicate the corresponding year at the beginning of the current visit. However, you should keep track of the absences from Metropolitan France which have lasted more than 3 months.
Example: A house servant who was living in Spain on January 1st, 1968 came to work in France during the whole year of 1968. Returning to Spain at the beginning of 1970, she comes back to France in September 1972. She has spent her vacation of 1973 (August) in Spain. In this situation, answer: 1972.