1
Attachment 4
SUSENAS
VSEN91.S2
REPUBLIC OF INDONESIA
CENTRAL BUREAU OF STATISTICS
1991 NATIONAL SOCIO-ECONOMIC SURVEY
LISTING OF EVENT, VICTIM AND LOSS OF CRIMINAL ACT
Confidential
I. IDENTIFICATION
1. Province
2. Regency/Municipality *)
3. District
4. Village/kelurahan *)
5. Area
6. Enumeration area number
7. Segment group number
8. Susenas sample code number
9. Sample household serial number
Urban
1
Rural
2
12
15
I. HOUSEHOLD CHARACTERISTICS
1. Name and age of household head
2. Number of household members
3. Number of criminal act
4. Number of victim
1. Name/NIP enumerator
2. Date of enumerating
3. Signature of enumerator
1
2
4
6
9
11
17
21
23
25
27
III. ENUMERATING CHARACTERISTICS
4. name/NIP of supervisor
5. Date of supervising
6. Signature of supervisor
*) Cross out in applicable category
2
3
Serial
num
ber of
criminal act
Date of
event
In the
house 1
Outside
the
house 2
Month,
year of
event
(1)
(2)
(30
Time of
the event
Day 1
Night 2
(4)
Code of column (8):
Doesn't know has to be report
Assumed can solve by self
Wasting time
Not worth to be reported
Afraid/worried bothering
Useless to report
Other
Type of
main
crime
of
criminal act
(5)
IV. LISTING OF CRIMINAL ACT AND THE VICTIM DURING PREVIOUS YEAR
The event already
The crime:
The
If not
Target of
Name of
Age
reported (column
Happened
event
reported
crime act
victim (if
(year)
(7) coded 1)
1
reported
(col. (7)
House
col. (10)
Attempted
Yes 1
coded
hold 1
coded 1,
Reported What is Indivi
2
No 2
2),
write down
to
the
reason:
dual 2
the name of
(code)
follow
(code)
Both,
household)
up?
house
(code)
hold and
indivi
dual 3
Other 4
(6)
(7)
(8)
Code of column (9):
1
2
3
4
5
6
7
Police 1
Government agent
Non government community leader
ARMY squad
Environment safety squad
Other 6
(9)
(10)
(11)
Code of column (10):
2
3
4
5
Not taken care of
Taken care but not completed
Taken care, but not yet final
Taken care until final
Final until court
(12)
(13)
Sex:
Male 1
Female
2
Type of
crimina
l act
(code)
Die
1
Damage 2
Injure 3
Other 4
(14)
(15)
Code of column (50 and column (15)
1
2
3
4
5
Homicide
Severe mistreatment
Light mistreatment
Kidnapping/confinement
Robbery
Burglary
Larceny
Arson
Other
Loss of material or
goods
Life or
body
victim
01
02
03
04
05
06
07
08
17
Destruction
Embezzlement
Fraud
Rape
Adultery
Insult
Narcotics
Gambling
(16)
Type of
goods/
material
(code)
Value of
cash
(in
thousand
rupiah)
(17)
(18)
Code of column (17)
09
10
11
2
13
14
15
16
Agriculture produced
Livestock
Poultry
Motor vehicle
Electronic
Jewelry
Money/bonds
Other
4
1
2
3
4
5
6
7
8