Questionnaire Text

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4. Place of birth
Province: ____
Regency/city: ____
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Question 04: Regency/municipality and province of birth
Regency/municipality and province of birth pertains to the residential address of the respondent's mother when giving birth, under the condition that the address is the permanent de jure population address and not just the address at the time of birth.

Please write down the regency/municipality and province of birth into the correct boxes provided. The area codes of the area names will be filled in by the supervisor of the enumerator.

Note: When it is found that the respondent was born abroad, please write down the country name where the respondent was born and put the code "96" into the boxes of regency/municipality and province.