Questionnaire Text

Questionnaire form view entire document:  text  image
8. Place of birth
[] T (for those born in Togo according to the name of the subdivision) ____
[] F (for French people according to the name of department) ____
[] For others indicate the country or territory ____
Questionnaire instructions view entire document:  text  image
Column 8: Place of birth
There are 3 figures: the 3 encryption boxes of on the right will be used, 4 boxes having been specified.

a) For persons born in Togo (letter T column 8) or in another African country, only code number 5 is used: these places of birth are characterized by 1 or 2 or 3 in the most left-hand position (figure of hundreds).
For example:

T Lome, enter 171
Ghana enter 222
[p. 6]

b) For persons born outside of Africa, two codes are necessary:

- The first, code number 5 in this instruction, gives the figure of hundreds: 4, or 5... or 8 which characterize one of the parts of the world:
- The second, code INSEE, gives the figures (tens and units) which determine the country (or department for France):

Example:

F. Isere, enter 438 (France 4, Isere 38)
Brazil, enter 716, (America 7, country 16)

c) For persons whose place of birth is illegible, or N.D. enter xxx.