SE 86-L PER CENSUS BLOCK REPUBLIC OF INDONESIA CENTRAL BUREAU OF STATISTICS 1986 ECONOMIC CENSUS ESTABLIHMENT/BUSINESS LISTING CONFIDENTIAL I. IDENTIFICATION Province District/Municipality *) Administrative city Sub-district Village/'Village Unit' Area Enumerating Area Number Census Block Number II. ENUMERATION PARTICULARS 1. Name of enumerator 2. Date of Enumerating 3. Signature of enumerator 4. Name of Supervisor 5. Date of supervising 6. Signature of supervisor *) cross out inapplicable category 1. 2. 3. 4. 5. 6. 7. 8. III. SUMMARY Number of physical Building Number of Census Building Number of household Number of dwelling which the status of ownership is leased/rented 5. Number of household members 6. Number of household who have an activity 7. Number of establishment/business on Block V a. Column (7) b. Column (19) c. (Column (22) IV. N O T E 1. 2. 3. 4. SE 86 - L Seri al num ber of phys ical buil ding (1) Seri al num ber of cen sus buil ding (2) Utiliz ation of Cen sus build ing (3) Fill in if Column (3) coded 2 only Elaborate the use of building and all types of business/ activities in that building Type of busi ness (code) (4) (5) Serial Number hold mem bers -1 -2 -3 Codes for Colum (10): Leased/contract Other (6) ness in this building this building Yes -1 No -0 Is there any other parties with business activities in this building Yes -1 No -0 If column (15) and or column (16) coded 1 If column (14) coded 0 Elabo rate type of busin ess Elabo rate type of busin ess Yes -1 No -0 Serial num ber A. Total this page B. Cumulative total previous pages C. Cumulative total with this page Note: Codes for column (3): Dwelling Non dwelling Both Establishment/ business Yes -1 No -2 Name of household' s head V. ESTABLISHMENT/BUSINESS LISTING Dwell Number of Is there a If column (12) coded 1 -ing household househol owner members d -ship (Including member State Is HH If status the head of with a the memcolumn (code) household) business name ber’s (14) Yes -1 of the coded 1, No -0 house busiis it in (7) (8) (9) (10) (11) (12) (13) (14) Type of business (code) Serial Num ber (15) (16) (17) (18) Type of business (code) Serial Num ber (19) (20) (21) (22) Codes for column (5) and column (22) Agriculture, husbandry, forestry, hunting and fishery business Mining and quarrying business Manufacturing industry business Electricity, gas and water business Construction business (as an contractor) -1 -2 -3 -4 -5 No business Large trading, retail, and restaurant/small business restaurant and hotel/Inn Transportation, Storage, and communication business Financial, Insurance, Real Estate, Property and establishment services business Social & community services, entertainment and individual business -0 -6 -7 -8