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Census Rules, 1971 · s 6

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s 6

Housing conditions, non-agncnltural activities by household and agricultural holding.

261

APPENDIX II

1971

CENSUS

OF

THE

STATE

OF

BRUNEI

FORM 3 HOUSEHOLD LIST

No. of Persons in Household

Census No.

of

Other

No.

of,

House/Household

House

Road or Locality

Name of Head of Household

---᪽---.--------.,

FORM 5 HOUSEHOLD SCHEDULE

A.

HOUSING

No.

of Persons

I in the Household

Type of

Structure

No. of Rooms and

Buildings

Type of

Water Supply

- -I

!

Is Electricity

Available?

Who is the Owner

No. of Cars of the House?

Owned

------,

---

__

---_--᪽-

Name of the

Establishment

No. of Persons Engaged Including the Owner and Unpaid Family Workers

B.

NON.AGRICULTURAL ESTABLISHMENTS

Name of the Owner

I or Proprietor

Postal Address

Type of Activity c.

HOUSEHOLD MEMBERS

Relationship

Marital 1

Date of

Name

Sex

Birth

To Head

Status or Age 1----

Male

Single

Female

Married

Widowed

Divorced

Country

Race

Citizenship

Residential

Date of 1

Religion

Literacy of

Birth

Status

Arrival

Brunei

Malay

Brunei

Br. Nat.

Islam

Yes

Indig.

Permanent

Christian

No i

Chinese

Temp. Resid.i

Bahai

Others

Others

\

!

Economic

Employment

Name and

Type of

Status cf

Activity

Status

Occupation

Industry

Address of

Agricultural

Agricultural

!

Employer

Activity

Activity

᪽--- --

Working

Own Account

Full Time

Own Account

Unemployed

Employer

Part Time

I Employer

Other

Employee

Never

Employee

\

Other

Other

\

1

Language 100 you attend)

Highest

Literate 1\

School

\ Levels of in

Full Time?

I Education

___ 1 1-

Malay

Yes

English

Other

Chinese

No

For Persons Aged 15 Years and Above

D.

AGRICULTURE

AND

HUSBANDRY

1)

Did you or any member of your family/house­

hold cultivate any land (either owned, rented or T.O.L. cultivated by household members alone or with hired labour) in 1970/71?

2)

What is the total acres of land cultivated?

..... ᪽

,

_

, acre thereof:

Area planted with paddy and maize

.....+

acre

Area planted with other than paddy and maize

,

_

aere.

3)

Did you or any member of your family produce and sell any of the following during 1970/71?

Wet

Hill

Maize

Coconut

Sago

Fruit

Rubber

Other

Paddy

Paddy

Crop!

Production

-

!

Sales 4)

How many of the livestock and poultry does the household own on the enumeration day?

Did the household sell any of these during 1970/71?

Buffaloes

Cattle

Goats

Pigs

Chickens

Ducks

Other

Livestock

Number

Owned

Sales 267