Questionnaire Text

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[The rural and urban census forms are identical for questions 1-17. Questions 1-17 are provided here in detail under the rural census form, and omitted in the urban census form.]

4. Date of birth or age

If date of birth is unknown, write age in completed years. If a child is less than one (1) year, enter "00"

_ _ Day
_ _ Month
_ _ Year
_ _ Age in years