1 345207 809148 1 345207 809148

Form Number
2802 3739 Census of India 2021 Houselisting and Housing Census Schedule Confidential
when filled
Page No.
SIDE- A
Location State/UT District Tahsil/Taluk/ Town/ Ward Code No. Houselisting
Start Particulars P.S./Dev. Block
Circle/Mandal
Village (only for Town) Block No.
Here
Fill if the census house is used wholly or partly as a residence Fill columns 14 to 34 for normal households. Put dash (-) in case of institutional households and non-residential census houses
(If ‘1’ or ‘2’ in col. 7) Amenities available to the household

If ‘1’ or ‘2’ in col. 7, condition of this census house:

Assets possessed by the household

Rice-1/ Wheat-2/ Jowar-3/ Bajra-4/ Maize-5/ Any other-6

Information relating to the head of the household

Bathing facility available within the premises:

exclusively in possession of this household (Record 0,1,2,3..)

Availability of kitchen and LPG/PNG Connection:

with other household-2/ Public latrine-3/ No: Open-4

On mobile/smartphone-2/ On any other device-3 /No-4

Main fuel used for cooking: (If ‘1’ to ‘6’ in col. 24)

On mobile/smartphone-2/ On any other device-3/ No-4

DTH/Dish-2/ Cable connection-3/ Any other-4/No -5
Main source of lighting: Electricity-1/ Kerosene-2
Owned-1/ Rented but has own house elsewhere-2/
Line Building Census Predominant Ascertain use of Household Name of the

Yes: Bathroom-1/ Enclosure without roof-2/ No-3

Rented and doesn’t own any house-3/ Any other-4

Closed drainage-1/Open drainage-2/ No drainage-3

Do not fill

Telephone and Mobile phone/Smartphone

Yes: Exclusively for household use only -1/ Shared

Radio/ Transistor: Yes: Traditional radio set-1/

Television: Yes: Doordarshan free dish-1/ Other

Access to internet: Yes: On laptop/ Computer-1/

Bicycle and Scooter/ Motorcycle/ Moped

columns 12 and

Main cereal consumed in the household:

number number house Census house number head of the

Within premises-1/ Near the premises-2/ Away-3

material of 13 for institutional Mobile Number

Availability of drinking water source: $

Total number of persons normally

Solar-3/ Other oil-4/ Any other-5/ No lighting-6

(Municipal number household

If ‘1’ or ‘2’ in col. 20, then type of latrine

Number of married couple(s) living in
households
floor, wall (Write the actual use and then (Give separate

Waste water outlet connected to:

this household (Record 0,1,2,3....)
or local
and roof of choose the appropriate code serial number

Good-1 / Livable- 2 / Dilapidated-3

Ownership status of this house:

authority (For Census related

(Give code from the list below)

(Give code from the list below)

(Give code from the list below)

Main source of drinking water
the census from the list below and record to each

residing in this household

(Give code from the list below)

or census communications only)

Number of dwelling rooms #

(Give code from the list below)

the same in the box at the left household
number) house

(Give code from list below)

hand side of the column) and

Sex: Male-1/ Female-2/

SC -1/ ST - 2 / Other - 3
ENGLISH

If SC* or ST* or Other:

Transgender person-3
write ‘999’

Laptop/ Computer:
(Give code from
for every

Access to latrine:
the respective lists

Car/ Jeep/ Van:

institutional
below)
household)

Yes: 1/ No-2
Yes: 1/ No-2
Floor Wall Roof Code Actual use
No.

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

Note: Count the number of entries and give total Total 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34

* for col. 13
Scheduled Caste can be only
from Hindus, Sikhs and
Buddhists and not from any
other religion. Scheduled
Tribe can be from any religion.
# for col. 15
Do not include kitchen,
bathroom, latrine, store room,
passageway and verandah.
Include living room, bedroom,
dining room, drawing room,
study room, servant’s room
and other similar rooms.
$ for col. 18
‘Near the premises’ here
means within 100 meters in
Urban, within 500 meters in
Rural
Floor Wall Roof Main source of Availability of kitchen Main fuel
4 5 6 7 Use of census house 17 21 Type of latrine 24 25 30 Telephone and 31 Bicycle and Use only numerals as indicated here
drinking water & LPG/PNG Connection used for Mobile Phone/ Scooter/
Smartphone Motorcycle/
Mud............1 Grass/ thatch/ bamboo etc. ....1 Grass/ thatch/ bamboo/ Residence............................1 Tap water from Flush/pour flush latrine Cooking in kitchen cooking Moped
Wood/ Plastic/ polythene....................2 wood/ mud etc.............1 Residence-cum-other use...2 treated source..............1 connected to Has LPG/PNG Connection ……….........1 Firewood.............1 Yes
Bicycle.............1
bamboo....2 Mud/ unburnt brick.................3 Plastic/ polythene........2 Shop/ office.........................3 Tap water from Piped sewer system..........................1 Doesn’t have LPG/PNG Connection...2 Crop residue........2 Landline only.............1 Scooter/
Burnt brick..3 Wood.......................................4 Hand made tiles...........3 School/ college etc..............4 un-treated source..........2 Septic tank........................................2 Cowdung cake.....3 Mobile only Motorcycle/
Cooking inside house, but not in Signature of the Enumerator with Date
Stone..........4 Stone not packed with mortar......5 Machine made tiles.....4 Hotel/ lodge/ Well.................................3 Other system....................................3 Coal/lignite/ Smartphone ...........2 Moped .........2
kitchen
Cement.......5 Stone packed with mortar............6 Burnt brick...................5 guest house etc.............5 Hand Pump.....................4 Twin Pit latrine Has LPG/PNG Connection ……………...3 charcoal..........4 Other basic mobile...3 Both................3
Mosaic/ G.I./metal/ asbestos sheets....7 Stone...........................6 Hospital/ dispensary etc.....6 Tubewell/ borehole.........5 With slab/ventilated improved pit...4 Doesn’t have LPG/PNG Connection...4 Kerosene..............5 Both..........................4 None...............4
floor tiles..6 Burnt brick..............................8 Slate.............................7 Factory/ workshop/ Spring..............................6 Without slab/open pit......................5 LPG/PNG..............6 No.............................5
Any other....7 Concrete.................................9 G.I./metal/ workshed etc....................7 River/canal......................7 Single Pit latrine Cooking in open/ outside house Electricity.............7
Any other................................0 asbestos sheets......8 Place of worship..................8 Tank/pond/lake...............8 With slab/ventilated improved pit...6 Has LPG/PNG Connection ……………...5 Bio-gas.................8
Concrete......................9 Other non-residential use...9 Packaged/bottled water ...9 Without slab/open pit......................7 Doesn’t have LPG/PNG Connection…6 Solar.....................9 Signature of the Supervisor with Date
Any other.....................0 Vacant.................................0 Other sources..................0 Service latrine Any other.............0
No cooking ................................7
Night soil removed by human..........8
Night soil serviced by animals..........9
Night soil disposed into open drain...0
 Census of India 2021 Houselisting and Housing Census Schedule
Line Building Census
number number house
(Municipal number
or local
authority
or census
number)
ENGLISH
1 2
Note:
* for col. 13
Scheduled Caste can be only
from Hindus, Sikhs and
Buddhists and not from any
other religion. Scheduled
Tribe can be from any religion.
# for col. 15
Do not include kitchen,
bathroom, latrine, store room,
passageway and verandah.
Include living room, bedroom,
dining room, drawing room,
study room, servant’s room
and other similar rooms.
$ for col. 18
‘Near the premises’ here
means within 100 meters in
Urban, within 500 meters in
Rural
Confidential
when filled
Page No.
SIDE- B
Fill if the census house is used wholly or partly as a residence Fill columns 14 to 34 for normal households. Put dash (-) in case of institutional households and non-residential census houses
(If ‘1’ or ‘2’ in col. 7) Amenities available to the household
If ‘1’ or ‘2’ in col. 7, condition of this census house:
Assets possessed by the household
Rice-1/ Wheat-2/ Jowar-3/ Bajra-4/ Maize-5/ Any other-6
Information relating to the head of the household
Bathing facility available within the premises:
exclusively in possession of this household (Record 0,1,2,3..)
Availability of kitchen and LPG/PNG Connection:
with other household-2/ Public latrine-3/ No: Open-4
On mobile/smartphone-2/ On any other device-3 /No-4
Main fuel used for cooking: (If ‘1’ to ‘6’ in col. 24)
On mobile/smartphone-2/ On any other device-3/ No-4
DTH/Dish-2/ Cable connection-3/ Any other-4/No -5
Main source of lighting: Electricity-1/ Kerosene-2
Owned-1/ Rented but has own house elsewhere-2/
Predominant Ascertain use of Household Name of the
Telephone and Mobile phone/Smartphone:
Rented and doesn’t own any house-3/ Any other-4
Yes: Bathroom-1, Enclosure without roof-2/ No-3
Closed drainage-1/Open drainage-2/ No drainage-3
Do not fill
Yes: Exclusively for household use only -1/ Shared
Radio/ Transistor: Yes: Traditional radio set-1/
Television: Yes: Doordarshan free dish-1/ Other
Bicycle and Scooter/ Motorcycle/ Moped:
Access to internet: Yes: On laptop/ Computer-1/
columns 12 and
Main cereal consumed in the household:
Census house number head of the
Within premises-1/ Near the premises-2/ Away-3
material of 13 for institutional Mobile Number
Availability of drinking water source: $
If ‘1’ or ‘2’ in col. 20, then type of latrine:
Total number of persons normally
Solar-3/ Other oil-4/ Any other-5/ No lighting-6
household
Number of married couple(s) living in
households
floor, wall (Write the actual use and then (Give separate
Waste water outlet connected to:
this household (Record 0,1,2,3....)
and roof of choose the appropriate code serial number
Good-1 / Livable- 2 / Dilapidated-3
Ownership status of this house:
Main source of drinking water:
(For Census related
(Give code from the list below)
(Give code from the list below)
(Give code from the list below)
the census from the list below and record to each
residing in this household
(Give code from the list below)
communications only)
Number of dwelling rooms #
(Give code from the list below)
the same in the box at the left household
house
(Give code from list below)
hand side of the column) and
Sex: Male-1/ Female-2/
SC -1/ ST - 2 / Other - 3
If SC* or ST* or Other:
Transgender person-3
write ‘999’
Laptop/ Computer:
(Give code from
for every
Access to latrine:
the respective lists
Car/ Jeep/ Van:
institutional
below)
household)
Yes: 1/ No-2
Yes: 1/ No-2
Floor Wall Roof Code Actual use
No.
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Count the number of entries and give total Total 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Floor Wall Roof Main source of Availability of kitchen Main fuel
4 5 6 7 Use of census house 17 21 Type of latrine 24 25 30 Telephone and 31 Bicycle and Use only numerals as indicated here
drinking water & LPG/PNG Connection used for Mobile Phone/ Scooter/
Smartphone Motorcycle/
Mud............1 Grass/ thatch/ bamboo etc. ....1 Grass/ thatch/ bamboo/ Residence............................1 Tap water from Flush/pour flush latrine Cooking in kitchen cooking Moped
Wood/ Plastic/ polythene....................2 wood/ mud etc.............1 Residence-cum-other use...2 treated source..............1 connected to Has LPG/PNG Connection ……….........1 Firewood.............1 Yes
Bicycle.............1
bamboo....2 Mud/ unburnt brick.................3 Plastic/ polythene........2 Shop/ office.........................3 Tap water from Piped sewer system..........................1 Doesn’t have LPG/PNG Connection...2 Crop residue........2 Landline only.............1 Scooter/
Burnt brick..3 Wood.......................................4 Hand made tiles...........3 School/ college etc..............4 un-treated source..........2 Septic tank........................................2 Cowdung cake.....3 Mobile only Motorcycle/ Signature of the Enumerator
Cooking inside house, but not in with Date
Stone..........4 Stone not packed with mortar......5 Machine made tiles......4 Hotel/ lodge/ Well.................................3 Other system....................................3 Coal/lignite/ Smartphone ...........2 Moped .........2
kitchen
Cement.......5 Stone packed with mortar............6 Burnt brick...................5 guest house etc.............5 Hand Pump.....................4 Twin Pit latrine Has LPG/PNG Connection ……………...3 charcoal..........4 Other basic mobile...3 Both................3
Mosaic/ G.I./metal/ asbestos sheets....7 Stone...........................6 Hospital/ dispensary etc.....6 Tubewell/ borehole.........5 With slab/ventilated improved pit...4 Doesn’t have LPG/PNG Connection...4 Kerosene..............5 Both..........................4 None...............4
floor tiles..6 Burnt brick..............................8 Slate.............................7 Factory/ workshop/ Spring..............................6 Without slab/open pit......................5 LPG/PNG..............6 No.............................5 Continue to
Any other....7 Concrete.................................9 G.I./metal/ workshed etc....................7 River/canal......................7 Single Pit latrine Cooking in open/ outside house Electricity.............7 another sheet
Any other................................0 asbestos sheets......8 Place of worship..................8 Tank/pond/lake...............8 With slab/ventilated improved pit...6 Has LPG/PNG Connection ……………...5 Bio-gas.................8
Doesn’t have LPG/PNG Connection…6 Signature of the Supervisor Write ‘C’ if
Concrete......................9 Other non-residential use...9 Packaged/bottled water ...9 Without slab/open pit......................7 Solar.....................9 with Date continued to
Any other.....................0 Vacant.................................0 Other sources..................0 Service latrine Any other.............0 another sheet
No cooking ................................7
Night soil removed by human..........8 Write last three digits of the
Night soil serviced by animals..........9 form number of the
continued sheet
Night soil disposed into open drain...0