Questionnaire Text

Questionnaire form view entire document: text image

6. Where were you born?

Mark the box "here" if born in the same locality or hamlet where enumerated. If born in another locality or hamlet, write the name of the place, the Judicial Precinct (corregimiento) and the District and the district to which it belongs. If born in the Panama Canal Zone, write "Canal Zone" in the space designated for "locality." If born abroad, write only the name of the country.

[] Here
Place or locality ____
Judicial Precinct (corregimiento) ____
District ____
In another country ____

Questionnaire instructions view entire document: text image

Question 6 Where were you born?

Mark the box "here" if the person was born in the same locality or hamlet where the enumeration is taking place. In this case, do not fill out the other spaces of the question. The same will be done for those who declare to be born in the Canal Zone.
If the person was born in another locality or hamlet write down in the corresponding space the name of this locality, the administrative unit and the district it belongs to.
For those born abroad, write the name of the country of birth in the space that says "Other Country".

[The instructions refer a graph in question 6 on the census form.]