
	NATIONAL POPULATION		CENSUS 2001

Form 2

District :………=======================================V.D.C./Municipality :===========================================

House No. of Form 1 :+========================== Household No. : ========================= Total Persons : ================ Male: ================ Female: =================

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

Full Name of all members

Age

Where is .........

What is

Where were

Can

What is

What was

How many

Have

What work

How many

What work did

Where did

What was

What was the

Which of the

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)

passed clash10)

of the person

be given)

category)

worked)

less then 16 yrs ?

1. Same Dist. 7

1. Business/Trade

1. Same Dist.

1. Level

1. Never Married 15

1. Yes 2. N

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