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  • National Population Register: Household Schedule

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    1. This document appears to be a household schedule form for the National Population Register of India. 2. The form collects identifying and demographic information about household members, including name, relationship to head of household, sex, date of birth, marital status, education, occupation, and names of father, mother, and spouse. 3. It instructs the recorder to copy information from a houselisting schedule, and provides boxes to record details for up to 9 household members.

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    1. This document appears to be a household schedule form for the National Population Register of India. 2. The form collects identifying and demographic information about household members, including name, relationship to head of household, sex, date of birth, marital status, education, occupation, and names of father, mother, and spouse. 3. It instructs the recorder to copy information from a houselisting schedule, and provides boxes to record details for up to 9 household members.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views2 pages

    National Population Register: Household Schedule

    Uploaded by

    Basanti Podder
    1. This document appears to be a household schedule form for the National Population Register of India. 2. The form collects identifying and demographic information about household members, including name, relationship to head of household, sex, date of birth, marital status, education, occupation, and names of father, mother, and spouse. 3. It instructs the recorder to copy information from a houselisting schedule, and provides boxes to record details for up to 9 household members.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    1 345207 809148 1 345207 809148

    Form Number 2802 3739


    National Population Register Household Schedule SIDE- A
    Start Location State/UT District: Tahsil/Taluk/
    To be Houselisting Block
    P.S./Dev. Block
    Here Particulars Circle/Mandal: copied from Number
    Houselisting
    Town/ Ward Code No. Schedule Household Number
    Village (only for Town) (from Column 9)

    Q. 1 Q. 2 Q. 3 Q. 4 Q. 5 Q. 6 Q. 7 Q. 8 Q. 9
    Serial Name of the person in full Name of the person as should appear Relationship Sex Date of birth Marital Educational Occupation/ Name(s) of father, mother and spouse in full
    number and resident status in the National Population Register to head as per English calendar status qualification Activity
    (record the Male.... 1 If father, mother and spouse are not enumerated in this household
    (maximum of 30 boxes, abbreviate if required) Day Never or not alive write
    relationship Female. 2 Month Describe the
    1(a) Write name of 1(b) Write resident status married .. 1 Father´s name against ‘F’,
    in full) Year actual work
    the person in full code in box Currently
    ENGLISH

    Mothers name against ‘M´,


    (start with head of Write in the box married .. 2 Spouse´s name against ‘S´
    household) Usual Resident (Actual)....... 1 Actual as A Widowed.. 3 OR
    Usual Resident (Intention)... 2 or Separated..4 If they are enumerated in this household, write serial number of the
    Others.................................. 3 Declared as D Divorced... 5 father, mother and spouse in the boxes as recorded in column 1

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    D D
    F
    M M
    M
    Y Y Y Y
    S

    Use only arabic numbers as indicated here

    Form Number 2802 3739


    National Population Register Household Schedule SIDE- B
    Q. 1 Q. 10 Q. 11 Q. 12 Q. 13 Q. 14
    Serial Name of the person Place of birth Nationality Present address of usual residence Duration Permanent residential address
    number as declared of stay at
    Copy from Q. 1 (a) of side A in same order if within India, write the present name of the if the person resides or intends to stay for more than 6 months at this address if same as Q.12 write ‘Same’ otherwise
    Village/Town, District and State. Indian .. 1 present
    if outside India, write the present name of the Others (Write complete address including the (i) Building Number and Name, House Number, address (Write complete address including the (i) Building Number and Name, House Number,
    Country and put ‘-’ against Village/Town and District. write name of (ii) Street name, (iii) Locality/Post Office, (iv) Village/Town, (v) District, State) (in completed (ii) Street name, (iii) Locality/Post Office, (iv) Village/Town, (v) District, State)
    Country years)

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Village/Town (i) (ii) (i) (ii)

    District (iii) (iv) (iii) (iv)

    State/Country (v) PIN (v) PIN

    Providing any false information would attract Q. 11 NOTE Name of the Respondent Serial Number I declare that all the information provided above is
    penalities under the Citizenship Rules, 2003. Nationality recorded true to the best of my knowledge and belief.
    in Q. 11 is as declared Signature/Thumb impression
    Use only arabic numbers as indicated here (for male left thumb and for female
    by the respondent. This right thumb) of Respondent with Date Signature of the Enumerator with Date Sex of Enumerator Signature of the Supervisor with Date Write last three digits of
    Continued to
    Phone / Mobile of the Respondent Male another Sheet the form number of the
    does not confer any right continued sheet
    Write ‘C’ if
    to Indian Citizenship. continued
    Female to another
    sheet

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