Questionnaire Text

Questionnaire form view entire document:  text  image

8. Where were you living on January 1st, 1990?
For every person born before January 1, 1990.
If, on January 1, 1990, you were in the military or a boarding school student, indicate the personal residence at this date and not that of the institution (barracks, boarding school)
[] 1 In the same residence as now
[] 2 In another residence in the same city (in the same city sector if in Paris, Lyon or Marseilles)
[] 3 In another city (or another city sector)

Indicate this other city (specify the city sector)
City ____
County _ _
DOM _
(Country for the foreigner, territory for TOM) ____