Questionnaire Text

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C. Enumeration form of person

6. Place of usual residence of your mother when you were born.

[] 1 At place of enumeration
[] 2 In another location or foreign country (please state) ____
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Question 6 "Place of permanent residence of your mother when you were born"
Put X in box 1 or 2 depending of the place of residence of the mother of the individual when he/she was born.
For those who declare ''in another village or foreign country'' put X in box 2 and write in the following terms the Settlement, the Municipal / Local Community, the Municipal Unit and the Regional consolidation Community or foreign country where the individual resided permanently with his/her mother at the time of birth.