Listing Sheet for Village/Enumeration Area (Form No. 1)
ISLAMIC REPUBLIC OF AFGHANISTAN CENTRAL STATISTICS ORGANIZATION SOCIO-DEMOGRAPHIC AND ECONOMIC SURVEY
Sheet of Sheets
Province Name______________________
District Name _______________________
City Name__________________________
Village Name______________________
Code
Controller Area Code
Enumeration Area Code Part I - Identification Particulars
Part II - Listing of Gates, Buildings, Dwelling Units, Establishments, Institutions and GPS coordinates
Dwelling Unit Institution
Line No.
(0) (3) (4) (5)
Unit Serial No.
(2)
Floor No.
(DO NOT FILL IN THE BOXES)
(6) No. of Storeys (1) (7) Building Serial No. Gate Serial No. Unit Code
1- Dwelling Unit 2- Institution 3- Establishment
(10) (11)
Number of Employees for Establishments/
Institutions
Name of Head of Household / Establishment / Institution Type
Establishment (8) (9) Household (12) Altitude (Meter) Latitude (N) Longitude (E) (13) (14)
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Are there Homeless/Nomad householdin this village/enumeration area? 1 - Yes
2 - No
If yes, how many? - Homeless
Name of Supervisor:___________________________
Signature of Supervisor:________________________
A. Write Latitude (N) and Longitude (E) for establishments with 50 employees or more for the following:
1. Restaurants
2. Factories
3. Stores
4. Workshops
B. For the following establishments/institutions write the Latitude (N) and Longitude (E) regardless of the number of employees:
1. Markets
2. Schools/Universities
3. Hospitals/Clinics
4. Mosques
5. Banks
6. Malls
7. Hotels
8. Government offices/Ministries
Name of Cartographer: __________________________
Signature of Cartographer:________________________
Establishment/Institutions to be collected via GPS Date:
Day Month Year
/ /
Date:
Day Month Year
