NATIONAL POPULATION
CENSUS 2001
Form 2
District :………=======================================V.D.C./Municipality :============================================ Ward No. +============Village/Settlement/Tole : ======================================================================== House No. of Form 1 :+========================== Household No. : ========================= Total Persons : ================ Male: ================ Female: =================
Household Information
Individual
 
           
        Only for Only for Only for persons aged 6 yrs. and above Only for persons Only for Only for Married Women             Only for children
        Code 2 & 3 in persons  5 yrs     aged 10 yrs. married (15 - 49 yrs. of  age) Questions are asked to persons 10 years of age and above below 16 yrs.
        question 4 and above   (only code 2 in column 8) and above persons                 of age
S. Full Name of all members Age Where is ......... What is What is Where were Can What is Is What is What was How many Have What work How many What work did Where did What was What was the Which of the
N. the Household   Place of Birth ? ......... ......... ……… ……… ……… ……… ......... ......... children were ever …………. ……… months did ……… ……… ……… ……… following living
  members (copy the (Code must be Duration of main reason living 5 yrs. read and level of currently Marital age at first born to ………? had any live usually doing ……… usually do ? do the work ? employment reason for arrangment does
  (copy all names of from encircled, if the stay here ? for staying Before ? write ? education attending status ? marriage? (State all births during during the last work during the (Occupation) (Industry) status ? usually not ………..
  the members of HH  form 1) place of birth (Completed in this (If Read Only passed ? school ? (Codes must (Completed children live born the last 12 months ? last 12 months ? (Describe the (Name the   working during adopt ?
  from form 1 and circle   is other dist. or years must District ?   1,if Read/   (For those aged be encircled age at the time by sex) 12 months ?   (Specify approx. actual work establishment   the last 12 (Encircle one of
  the sex code 1 for male    other country be given;     Write 2 & if   less than25 yrs according to the of the first       the no. of months done) or the organi-   months ? the appropriate
  and 2 for female)   the name must 00 for     illileterate   and who have not marital status marriage must       spent in each   zation where     codes for children
      be specified) <1 yr)     3)   passed clash10) of the person  be given)       category)    worked)     less then 16 yrs ?
1 2 3 4 5 6 7 8 9 10 11 12   13     14   15 16 17 18 19 20 21
01    
 1. Same Dist.  7
  1. Business/Trade  1. Same Dist.    1. Level  
 1. Never Married   15
     1. Yes     2. No  1. Agriculture  1. Work done for      1. Employer  1. Student  1. Mother/Father
       2. Other Dist.   2. Agriculture    1. Read  passed :  1. Yes  2. Once married  
 
Son Dat.    2. Salary/Wage     ......... (months)    .................  2. Employee  2. House work  2. Mother
      ..............   3. Service  2. Other Dist.     Only ……………         /single spouse    1. Living    3. Own Eco.  2. Extended Eco.      3. Own  3. Aged  3. Father
    ......      (i) V.D.C. ............... 4. Study ..............      3. Married/multiple ...........   together       Enterprises     ......... (months)  .................  ................. account worker  4. Pension  4. Father & Step
           (ii) Municipality   5. Marriage (1) VDC 2.  Read &  2. Field of  2. No       /spouse    2. Living    4. Extended Eco.  3. Work seeking      4. Unpaid  5. Physically &      Mother
       3. Other   6. Others (2) Municipality     Write  study for    4. Re-married    separately    5. Job seeker     ......... (months)    .................   family worker Men.Handicapped  5. Mother & Step
           countries       ……………  3. Other  above SLC:    5. Widow/widower    3. Dead      6. Household  4. No work        7. Sickness or      Father
      ..............          countries 3. Illeterate …………..    6. Divorced    4. Total        work     ......... (months)            chronic illness  6. Other relative
 
1. Male   2. Female
 
        …………..        7. Separated     (1.Male  2.Female)  7. Student          6. Others  .......  7. House servant
                                     8. No work Total 12 months         8.  Others ……….
02    
 1. Same Dist.  7
  1. Business/Trade  1. Same Dist.    1. Level  
 1. Never Married   15
     1. Yes     2. No  1. Agriculture  1. Work done for      1. Employer  1. Student  1. Mother/Father
       2. Other Dist.   2. Agriculture    1. Read  passed :  1. Yes  2. Once married  
 
Son Dat.    2. Salary/Wage     ......... (months)    .................  2. Employee  2. House work  2. Mother
      ..............   3. Service  2. Other Dist.     Only ……………         /single spouse    1. Living    3. Own Eco.  2. Extended Eco.      3. Own  3. Aged  3. Father
    ......      (i) V.D.C. ............... 4. Study ..............      3. Married/multiple ...........   together       Enterprises     ......... (months)  .................  ................. account worker  4. Pension  4. Father & Step
           (ii) Municipality   5. Marriage (1) VDC 2.  Read &  2. Field of  2. No       /spouse    2. Living    4. Extended Eco.  3. Work seeking      4. Unpaid  5. Physically &      Mother
       3. Other   6. Others (2) Municipality     Write  study for    4. Re-married    separately    5. Job seeker     ......... (months)    .................   family worker Men.Handicapped  5. Mother & Step
           countries       ……………  3. Other  above SLC:    5. Widow/widower    3. Dead      6. Household  4. No work        7. Sickness or      Father
      ..............          countries 3. Illeterate …………..    6. Divorced    4. Total        work     ......... (months)            chronic illness  6. Other relative
 
1. Male   2. Female
 
        …………..        7. Separated     (1.Male  2.Female)  7. Student          6. Others  .......  7. House servant
                                     8. No work Total 12 months         8.  Others ……….
03    
 1. Same Dist.  7
  1. Business/Trade  1. Same Dist.    1. Level  
 1. Never Married   15
     1. Yes     2. No  1. Agriculture  1. Work done for      1. Employer  1. Student  1. Mother/Father
       2. Other Dist.   2. Agriculture    1. Read  passed :  1. Yes  2. Once married  
 
Son Dat.    2. Salary/Wage     ......... (months)    .................  2. Employee  2. House work  2. Mother
      ..............   3. Service  2. Other Dist.     Only ……………         /single spouse    1. Living    3. Own Eco.  2. Extended Eco.      3. Own  3. Aged  3. Father
    ......      (i) V.D.C. ............... 4. Study ..............      3. Married/multiple ...........   together       Enterprises     ......... (months)  .................  ................. account worker  4. Pension  4. Father & Step
           (ii) Municipality   5. Marriage (1) VDC 2.  Read &  2. Field of  2. No       /spouse    2. Living    4. Extended Eco.  3. Work seeking      4. Unpaid  5. Physically &      Mother
       3. Other   6. Others (2) Municipality     Write  study for    4. Re-married    separately    5. Job seeker     ......... (months)    .................   family worker Men.Handicapped  5. Mother & Step
           countries       ……………  3. Other  above SLC:    5. Widow/widower    3. Dead      6. Household  4. No work        7. Sickness or      Father
      ..............          countries 3. Illeterate …………..    6. Divorced    4. Total        work     ......... (months)            chronic illness  6. Other relative
 
1. Male   2. Female
 
        …………..        7. Separated     (1.Male  2.Female)  7. Student          6. Others  .......  7. House servant
                                     8. No work Total 12 months         8.  Others ……….
…    
 1. Same Dist.  7
  1. Business/Trade  1. Same Dist.    1. Level  
 1. Never Married   15
     1. Yes     2. No  1. Agriculture  1. Work done for      1. Employer  1. Student  1. Mother/Father
…      2. Other Dist.   2. Agriculture    1. Read  passed :  1. Yes  2. Once married  
 
Son Dat.    2. Salary/Wage     ......... (months)    .................  2. Employee  2. House work  2. Mother
      ..............   3. Service  2. Other Dist.     Only ……………         /single spouse    1. Living    3. Own Eco.  2. Extended Eco.      3. Own  3. Aged  3. Father
    ......      (i) V.D.C. ............... 4. Study ..............      3. Married/multiple ...........   together       Enterprises     ......... (months)  .................  ................. account worker  4. Pension  4. Father & Step
           (ii) Municipality   5. Marriage (1) VDC 2.  Read &  2. Field of  2. No       /spouse    2. Living    4. Extended Eco.  3. Work seeking      4. Unpaid  5. Physically &      Mother
       3. Other   6. Others (2) Municipality     Write  study for    4. Re-married    separately    5. Job seeker     ......... (months)    .................   family worker Men.Handicapped  5. Mother & Step
           countries       ……………  3. Other  above SLC:    5. Widow/widower    3. Dead      6. Household  4. No work        7. Sickness or      Father
      ..............          countries 3. Illeterate …………..    6. Divorced    4. Total        work     ......... (months)            chronic illness  6. Other relative
 
1. Male   2. Female
 
        …………..        7. Separated     (1.Male  2.Female)  7. Student          6. Others  .......  7. House servant
                                     8. No work Total 12 months         8.  Others ……….
07    
 1. Same Dist.  7
  1. Business/Trade  1. Same Dist.    1. Level  
 1. Never Married   15
     1. Yes     2. No  1. Agriculture  1. Work done for      1. Employer  1. Student  1. Mother/Father
       2. Other Dist.   2. Agriculture    1. Read  passed :  1. Yes  2. Once married  
 
Son Dat.    2. Salary/Wage     ......... (months)    .................  2. Employee  2. House work  2. Mother
      ..............   3. Service  2. Other Dist.     Only ……………         /single spouse    1. Living    3. Own Eco.  2. Extended Eco.      3. Own  3. Aged  3. Father
    ......      (i) V.D.C. ............... 4. Study ..............      3. Married/multiple ...........   together       Enterprises     ......... (months)  .................  ................. account worker  4. Pension  4. Father & Step
           (ii) Municipality   5. Marriage (1) VDC 2.  Read &  2. Field of  2. No       /spouse    2. Living    4. Extended Eco.  3. Work seeking      4. Unpaid  5. Physically &      Mother
       3. Other   6. Others (2) Municipality     Write  study for    4. Re-married    separately    5. Job seeker     ......... (months)    .................   family worker Men.Handicapped  5. Mother & Step
           countries       ……………  3. Other  above SLC:    5. Widow/widower    3. Dead      6. Household  4. No work        7. Sickness or      Father
      ..............          countries 3. Illeterate …………..    6. Divorced    4. Total        work     ......... (months)            chronic illness  6. Other relative
 
1. Male   2. Female
 
        …………..        7. Separated     (1.Male  2.Female)  7. Student          6. Others  .......  7. House servant
                                     8. No work Total 12 months         8.  Others ……….