India’s Population Census Form

India’s  Population Census Form

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SIDE  A

1         ……….. Name

2         ……….. Relationship with Head

3         ……….  Sex

4         ……….  Date of Birth /  Age

5         ………. Current Marital Status

6         ………  Age at marriage

7         ………  Religion

8         ………. SC  /  ST

9         ………. Disability

10     ………… Mother Tongue

11     ……….. Other languages known

12     ……….. Literacy Status

13     …………Status of Attendance ( in Education Institutions )

14     …………  Highest  Education attained

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SIDE  B

15    ………. Workers and Non-Workers

#  1…. Main Worker [ if worked for 6 months or more ]

#  2…. Marginal Worker [ worked for 3 months or more but less than 6 months ]

#  3…. Worked for less than 3 months

#  4….  Non-Worker [ if not worked at all ]

       16………….. Category of Economic Activity

             #  1….. Cultivator

             #  2….. Agricultural Labourer

             #  3….. Worker in Household Industry

             #  4…… Other worker

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ONLY FOR  16#3  AND  16#4

17     ………….. Occupation ………………….                 ( Describe the actual work  )

18    …………… Nature of Industry-Trade-Service   ( Where the person works / worked  or Self-Employed

                                                                                        

19    ……………. Class of Worker ………………………….  (  Give code from list below )

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ONLY FOR  15#2 / 15#3  / 15#4

       20  ……………. Non-Economic Activity      [ give code from list below ]

       21  ……………..Seeking or Available for Work  [  YES   /   NO  ]

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22  ……………  Fill for Marginal worker /  Non Worker [ Travel distance to place of work – one

                                                                         

                                way  and  Mode of travel    ]

      23  ……………  Birth Place

      24  ……………. Migration Characteristics

      25  …………..  Reason for Migration

      26……………   Duration of Stay

      27 ……………..Children surviving

     28  ………………Children ever born

     29  ………………No of children born alive during last one year  

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Name of Respondent  [  3 digit Serial Number ]

Signature / Thumb impression of respondent / Date

Signature of Enumerator / Date

Sex of Enumerator {  M  /  F  }

Signature of Supervisor with Date

Source : http://censusindia.gov.in/2011-Schedule/Shedules/English_Household_schedule.pdf 

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11  April  2019