THE NATIONAL LABOR FORCE SURVEY 2009
LIST OF BUILDING AND HOUSEHOLD
[AUGUST 2009]
CONFIDENTIAL
I. LOCATION IDENTIFICATION
1. PROVINCE
2. REGENCY/MUNICIPALITY *)
3. SUB-REGENCY
4. VILLAGE/POLITICAL DISTRICT ADMINISTERED BY LURAH *)
5. VILLAGE CATEGORY URBAN - 1 RURAL - 2
6.
A. CENCUS BLOCK CODE
B. SUB-CENCUS BLOCK CODE
7. SERIAL NUMBER OF SAMPLED SAKERNAS
II. SUMMARY
1.
NUMBER OF HOUSEHOLD
{LAST SERIAL NUMBER COLUMN (5) BLOCK IV LAST PAGE}
...
2. NUMBER OF HOUSEHOLD MEMBERS {C COLUMN (7) BLOCK IV LAST PAGE}
3. NUMBER OF HOUSEHOLD MEMBERS AGED 10 YEARS AND OVER {C COLUMN (8) BLOCK IV LAST PAGE}
4.
NUMBER OF HOUSEHOLD MEMBERS AGED 5-17 YEARS WHO
EMPLOYED {C COLUMN (9) BLOCK IV LAST PAGE}
...
III. INFORMATION OF FIELD WORKER
1. CODE OF LISTING WORKER:
2.
NAME OF LISTING WORKER:
...
DATE OF LISTING:
...
SIGNATURE:
...
3.
NAME OF TEAM COORDINATOR:
...
DATE OF SUPERVISION:
...
SIGNATURE:
...
*)
Please, crossed it out the inapplicable one
SAK09- L
One set for BPS
R
Page ... from ... page (s)
IV. LIST OF BUILDING AND HOUSEHOLD
Segment
Number
Address and Set Area of
Environment
(Name of Street/Gangway, RT, RW,
Orchard)
Number
of Physical
Building
Number
of Cencus
Building
Number
of Sampled
Household
Name of Household Head
Number of
Household
Members
Number of
Household
Members Aged 10
Years and Over
Number of
Household
Members Aged
5-17 Years who
Employed
(1) (2) (3) (4) (5) (6) (7) (8) (9)
A. NUMBER OF CURRENT PAGE
B. CUMMULATIVE OF PREVIOUS PAGE
