Questionnaire Text

Questionnaire form view entire document: text image

Individual form
[Section I is the same as Section I: Household and Living Unit Information above]

II. For all ages

12. Place of birth

[] 1 Aceh
[] 2 North Sumatra
[] 3 West Sumatra
[] 4 Riau
[] 5 Jambi
[] 6 South Sumatra
[] 7 Bengkulu
[] 8 Lampung
[] 9 Jakarta (DKI Jaya)
[] 10 West Java
[] 11 Central Java
[] 12 Yogyakarta (DI Yogyakarta)
[] 13 East Java
[] 14 Bali
[] 15 West Nusa Tenggara
[] 16 East Nusa Tenggara
[] 17 West Kalimantan
[] 18 Central Kalimantan
[] 19 South Kalimantan
[] 20 East Kalimantan
[] 21 North Sulawesi
[] 22 Central Sulawesi
[] 23 South Sulawesi
[] 24 Southeast Sulawesi
[] 25 Maluku
[] 26 Irian Jaya
[] 29 Abroad

Questionnaire instructions view entire document: text image

6.13. Question 12: Place of birth
6.13.1. Concept and definition
Place of birth is defined as the province where the mother lives when a person is born. If a child is born in a different province from his/her mother, for instance, if the child is born in a hospital that is located in a different province from his/her mother's province, the child's place of birth still follows his/her mother's province.

For example, a mother who lived in Bekasi gave birth to a child in a hospital that is located in DKI Jakarta; therefore the child's place of birth is Bekasi. If a person is born in a province that is now divided into two provinces, then the place of birth should be recorded as the new province. For instance, a person is born in Bengkulu, which was still a part of South Sumatra province at that time, but his/her place of birth would still be recorded in Bengkulu not in South Sumatra province, even though Bengkulu did not exist yet.

6.13.2. Procedure
Ask this question:
"Where were you born?"

If the province of the place of birth is known, tick the appropriate province code.

Example:
Amat was born in Semarang. Now, Semarang is located in the Central Java province. The code for Central Java province is 11, therefore put a dash (-) in the number 1 for the tens box and the number 1 for the ones box.