1
SUSENAS
VSEN99.M
REPUBLIC OF INDONESIA
CENTRAL BUREAU OF STATISTICS
1999 NATIONAL SOCIO-ECONOMIC SURVEY
LISTING OF CONSUMPTION / HOUSEHOLD EXPENDITURES
CONFINDENTIAL
I. LOCATION IDENTIFICATION
01
Province
02
District/municipality*)
03
Sub-district
04
Village /Village Unit*)
05
Area
1. Urban
2. Rural
06
Enumeration area number
07
Segments group number
08
Segment number
09
Sample code number
10
Sample serial number of household
11
Village classification
1. Least
develope
d village
2. Developed
village
01
02
II. HOUSEHOLD CHARACTERISTICS
Name of household head
Number of household members
03
04
05
III. ENUMERATION PARTICULARS
Name and NIPof enumerator
Enumerator ‘s occupation
Provincial staff
District/municipality
staff
Sub-district staff
Partner
Date of enumeration
Enumerator’s signature
Name and NIP of supervisor
06
Supervisor’s Position
07
08
Date of supervision
Supervisor’s signature
03
Name & serial number of respondent
04
Address (street/lane name, RT/RW)
01
02
Filled in by
editor
1
2
3
4
Province KS staff
1
District/municipality
2
KS staff
Mantis
3
Serial number
2
3
Seri
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001
002
003
004
005
006
007
008
009
010
011
012
013
014
015
016
017
IV. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
A. Cereals
Rice (local, high quality, imported)
Glutinous rice
Wet corn with skin
Dry-shelled corn/corn-rice
Rice flour
Corn flour (maizena)
Wheat flour
Others ……………….
B. Tuber
Cassava
Sweet potato
Sago (not made of cassava,
Example: ‘Ambon” sago)
Taro
Potato
Dried cassava
Dried-cassava flour
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
4
5
Seri
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018
019
020
021
022
023
024
025
026
027
028
029
030
031
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Cassava flour (Tapioca)
Kg
Others ……………………
Kg
C. Fish
1] Fresh fish
Yellow tail fish
Tuna
“Tenggiri” fish
“Selar” fish
“Kembung” fish
“Teri”
“Bandeng” fish
“Gabus” fish
Tilapia fish
Gold fish
Cat fish
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
6
7
Seri
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(1)
032
033
034
III. 1. FOOD, DRINK, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Snapper fish
Kg
“Baronang”
Kg
Others ……………….
Kg
035
036
037
038
039
2] Shrimp and other fresh seafoods
Shrimp
Squid
Crab
Shell/snail
Other ……………….
040
041
042
043
044
045
3] Preserved fish
“Kembung” fish
“Tenggiri” fish
Tuna fish
“Teri”
“Selar” fish
“Sepat” fish
Kg
Kg
Kg
Kg
Kg
Ounce
Ounce
Ounce
Ounce
Ounce
Ounce
8
9
Seri
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(1)
046
047
048
049
IV. 1. FOOD, DRINK, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
“Bandeng” fish
Ounce
“Gabus” fish
Ounce
Canned fish
Ounce
Others ……………….
Ounce
050
051
052
4] Shrimp and other preserved
seafoods
Shrimp (Dried shrimp)
Squid
Other ……………….
053
054
055
056
057
058
059
D. Meat
1] Fresh meat
Beef
Buffalo
Goat
Pork
Purebred chicken
Free range chicken
Ounce
Ounce
Ounce
Kg
Kg
Kg
Kg
Kg
Kg
10
11
061
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Other poultry meats …………..
Kg
(state……………………………)
Other meats ………………..
Kg
062
063
064
065
2] Preserved meats
Dried meat
Dried shredded meat
Canned meat
Others ……………….
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060
069
070
3] Other
Liver
Innards (other than liver)
“Tetelan” (bones with a bit of
adhering meat)
Bones
Others ……………….
071
072
E. Eggs and milk
Egg of purebred chicken
066
067
068
Kg
Ounce
Kg
Kg
Kg
Kg
Kg
Kg
Kg
12
13
Seri
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073
074
075
076
077
078
079
080
081
082
083
084
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Egg of free range chicken
Pieces
Duck egg
Pieces
Quail egg
Pieces
Other eggs
Pieces
Salted egg
Pieces
Pure milk
Liter
Dairy milk
250ml *)
Sweetened condensed milk
397gr **)
Powdered milk
Kg
Baby powder milk
400gr ***)
Cheese
Ounce
Other dairy products: …………….
Ounce
085 F. Vegetables
086 Spinach
087 Water spinach
088 Cabbage
*) Boxes
**) Small can
***) Small can
Kg
Kg
Kg
14
15
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089
090
091
092
093
094
095
096
097
098
099
100
101
102
103
104
105
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Chinese cabbage/ white mustard
Kg
(“petsai”)
Green mustard
Kg
String bean
Kg
Green beans
Kg
Tomato
Ounce
Carrot
Kg
Cucumber
Kg
Leaves of cassava
Kg
Eggplant
Kg
Soya bean sprouts
Kg
Squash
Kg
Baby corn
Ounce
Vegetables soup/stir-fried
Package
vegetables
“Sayur asam” (sour soup)
Package
Jack fruit, ripening
Kg
Papaya, ripening
Kg
Mushroom
Ounce
16
17
Seri
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106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
“Petai” (beans with pungent odor)
Ounce
“Jengkol” (Phithecolobium)
Kg
Shallot
Ounce
Garlic
Ounce
Red chili
Ounce
Green chili
Ounce
Small chili
Ounce
Canned vegetables
Kg
Others ……………..
Kg
G. Pulses
Peanut without skin
Peanut with skin
Soy bean
Mungbean
Cashew nut
Other peanuts
(………………..)
Kg
Kg
Kg
Kg
Ounce
Kg
18
19
126
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Tofu
Kg
Fermented soy bean cake/tempe
Kg
Fermented soy bean sauce
Ounce
Oncom (fermented soybean
Ounce
sediment cake
Others ………………….
Ounce
127
128
129
130
131
132
133
134
135
136
137
H. Fruits
Orange
Mango
Apple
Avocado
“Rambutan”
Lanzon
Durian
Snake fruit
Pineapple
‘Ambon’ Banana
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122
123
124
125
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
Kg
20
21
140
141
142
143
144
145
146
147
148
149
150
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
King “Raja” banana
Kg
Other bananas
Kg
……………………
Papaya
Kg
Rose-apple/guava
Kg
“Sawo” (Sapodilla)
Kg
Star fruits
Kg
“Kedondong”
Kg
Watermelon
Kg
Melon
Kg
Jack fruit
Kg
Tomato
Kg
Canned fruits
Kg
Others ………………..
Kg
151
152
153
I. Oil and fat
Coconut oil
Corn oil
Seri
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(1)
138
139
Liter
Liter
22
23
Seri
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(1)
154
155
156
157
158
159
160
161
162
163
164
165
166
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Other cooking oil:
Liter
Coconut
pieces
Margarine/Butter
Ounce
Others
……………………..
J. Beverages
Granulated sugar
Ounce
Palm sugar
Ounce
Tea
Ounce
Coffee (ground, beans, instant)
Ounce
Instant cocoa
150 gram
Powdered cocoa
Ounce
Syrup
620ml*)
Others ……………….
167 K. Spices
168 Salt
169 Candle nuts
*) Large bottle
Ounce
Ounce
24
25
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Coriander/caraway seed
Ounce
Pepper
Ounce
Tamarind
Ounce
Nutmeg
Ounce
Clove
Ounce
Fish paste
Ounce
Soy sauce
140 ml *)
Monosodium glutamate
Gram
“Sambal” (chili sauce) /tomato
140 ml*)
sauce
179 Prepared spices/package
Ounce
180 Other cooking spices
…………………….
181 L. Other consumables
182 Fish/Shrimp crackers
Ounce
183 Emping chips
Ounce
184 Wet noodle
Kg
185 Instant noodle
80 gr**)
*) Small plastic bottle
**) One regular packages
Seri
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170
171
172
173
174
175
176
177
178
26
27
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Rice noodle
Ounce
Macaroni/ dried noodle
Ounce
Jelly
Pack (7 gr)
Baby food (packaged)
150 gr*)
Others
………………………..
191 M. Prepared foods & drinks
(taken from VSEN99.LPK)
192 White Bread
Small pack
193 Sweet bread/other bread
Piece
194 Dry cake/Biscuit/’semprong’
Ounce
195 Wet cake
Piece
196 Fried food
Piece
197 Mungbean porridge
Bowl
198 Gado-gado/’ketoprak/’pecel’
Plate
199 A Plate of rice and side dish (rames)
Plate
200 Fried rice
Plate
201 Rice
Plate
*) Small pack
Seri
al
nu
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(1)
186
187
188
189
190
28
29
Seri
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(1)
202
203
204
205
206
207
208
209
210
211
212
213
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Bowl
“Lontong” (rice steamed in banana
leaf)/ Ketupat sayur (kind of
Lontong with vegetables)
“Soto”/goulash/
Bowl
soup/”rawon”/mince
“Sate” /”Tongseng” (kind of lamb
Plate/ 5 stick
goulash)
Meat ball noodle soup/boiled
Bowl
noodle/fried noodle
Instant noodle
Bowl
Snack for kids/crisp/crispy chip
Ounce
Fish (fried, baked, fermented,
Piece
steam, preserved, etc)
Chicken/meat (fried, baked, etc)
Piece
Ice cream
Small bowl
Other ice ……………
Glass 200ml
Other prepared foods ……………..
Soft drink with CO2 (soda)
200 ml *)
Beverages without CO2:
214 Packaged water
215 Packaged tea drink
*) Small Glass Bottle
**) Small Plastic Bottle
***) “Tea bottle” packaging
500 ml **)
200 ml ***)
30
31
Seri
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(1)
216
217
218
219
220
221
222
IV. 1. FOOD, BEVERAGES, AND TOBACCO CONSUMPTIONS DURING PREVIOUS WEEK
Purchase
Own production,
Total of consumption
(cash/owed)
given, etc.
Details
Standard unit Total
Value
Value
Total
Value
Total
(5) + (7)
(4) + (6)
(Rp)
(0,00)
(0,00)
(Rp)
(0,00)
(Rp)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Fruit juice (packaged)
200 ml*)
Health drink/energy drinks
100 ml**)
Other drinks (coffee, coffee milk,
Glass
tea, chocolate milk)
N. Alcoholic beverages
Beer
Wine
Other alcoholic beverages ……….
………………..
223 O. Tobacco and betel
224 Filtered clove cigarette
225 Unfiltered clove cigarette
226 White tobacco Cigarette
227 Tobacco
228 Betel leaves/areca nut
229 Other …………………..
*) Package in a box
**) Small bottle
***) Large bottle
620 ml***)
620 ml***)
620 ml***)
piece
piece
piece
Ounce
32
33
Seri
al
NO.
(1)
230
231
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
(2)
(3)
(4)
A. Housing and Household facility
The house you are living is:
Own property/free of rent
Lease
Rent
1
2
3
Rent purchased/installment
Official house
Other
4
5
6
232
If the house is own property/free of rent, estimation monthly renting: Rp. ………………….
233
If the house is leased:
a. Lease agreement: ……………….years
b. Lease value: Rp. …………………..
c. Average monthly lease value:
Rp. …………
234
If the house is rented, monthly rent value:
235
If the status of housing is purchase-rent (installment), official and others, average value of monthly rent:
Rp. ……………
Maintenance costs of the house (paint, plastering, painting the wall, roof, window glass, hinge, etc, including
wages for the workers)
236
237
Rp. ………….
Electricity:
Electricity use (quantity):
a. A month ago: …….………..kwh/watt *)
b. 12 months ago: …………….kwh/watt *)
Note: If household doesn’t know KwH unit (for example: Non-PLN user), calculate as below:
Number of watt used x number of electricity hours used monthly divided 1000
238
Value:
34
35
Seri
al
NO.
(1)
239
240
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
(2)
Telephone
Water (“PAM” = Municipal Water Corporation / water vendor/ purchased)
Quantity: a. A month ago: ……………………m3
b. 12 months ago: ………………….m3
241
242
Value:
LPG (Liquid Propane Gas)
Quantity: a. A month ago: ……………………kg
b. 12 months ago: ………………….kg
243
244
Value
City Gas
Quantity:
245
246
247
248
Value:
Kerosene
Quantity:
(3)
(4)
a. A month ago: ……………………m3
b. 12 months ago: ………………….m3
a. A month ago: ……………………liter
b. 12 months ago: ………………….liter
Value
Generator
a. Type and amount of fuel used:
Gasoline
Solar
249
1
2
Kerosene
3
A month ago: ……………..liter
12 months ago: ……………liter
Value
36
37
Seri
al
NO.
(1)
250
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
(2)
Quantity:
251
252
253
(4)
a. A month ago: ……………………liter
b. 12 months ago: ………………….liter
Value:
c. Maintenance and repair
Charcoal
Quantity:
a. A month ago: ……………………kg
b. 12 months ago: ………………….kg
254
255
Value
Firewood and other fuel
256
Others (flashlight, storage battery, matches, mosquito repellent, lamp, air freshener, Liquid floor cleaner, etc)
257
B. Goods and Services
258
(3)
b. Lubricant oil:
Bathing soap, toothpaste, toothbrush, and shampoo
259
Cosmetics (perfume, pomade, deodorant, powder, nail clippers, lipstick, comb, etc), and sanitary napkin
260
Treatments: skin, face, nails, hair (cost for cut, curl, creambath), ‘lulur’ (herbal skin exfoliation, etc)
38
39
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
Seri
al
NO.
(1)
(2)
(3)
(4)
Health
261
262
263
264
265
266
267
268
269
270
271
Government hospital
Private hospital
Doctor’s practice
Puskesmas (Integrated Health Center)
Supporting Puskesmas
Clinic/”Mother and Child’s Clinic”/Health Clinic “BP”
Posyandu (Integrated Health Services Post)/Cadre
Midwife/paramedic/practice nurses
Traditional healer/Shinshe (Chinese traditional healer)
Purchased medicine with doctor’s prescription
Self-treated/purchased medicine without doctor’s prescription/purchased medicinal herbs
Other health:
272
273
274
275
276
Pregnancy examination cost
Delivery cost
Immunization cost for children under 5 years
Check-up and contraceptive costs
Health treatment (vitamin, herbs, massage, fitness, etc)
School & course expenses
277
278
279
280
281
282
Donation for school development (enrollment fee)
School tuition (SPP) and BP3/POMG contribution
Other school contribution (vocational skills classes, additional lessons, exams, etc.)
Textbooks/photo copy of textbooks
Stationeries (calculator, compass, etc)
Course fees
40
41
Seri
al
NO.
(1)
283
284
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
(2)
Newspapers, magazines, books, and stationery (excluding school and course needs) including rent of
magazines/literatures
(3)
(4)
Postage, Telegram, public phone, and post materials, including pager fees
Motor vehicle fuel used for household needs (not for business/work)
285
286
287
288
289
a. Gasoline
Quantity: (1) A month ago: ………………………….liter
(2) 12 months ago: ………………………..liter
Value:
b. Solar fuel
Quantity: (1) A month ago: ………………………….liter
(2) 12 months ago: ………………………..liter
Value:
290
291
c. Lubricant oil
Quantity: (1) A month ago: ………………………….liter
(2) 12 months ago: ………………………..liter
Value:
Maintenance and repairs of motor vehicle (brake oil, water for car battery, car battery, etc)
292
Costs of transportation (bus, train, airline, ship, ‘becak’ (pedicab), parking fee, toll fee, etc)
293
294
Hotel, motel, cinema, theatre, sport, decoder, and other recreations, (excluding transportation cost and purchase
of goods for recreation)
Servant and driver (wages or salary)
295
Other goods (tissue, camphor, banana leaves, coconut leaves, stick for ‘sate’, etc)
296
Other services (Identity card, Driver’s license, birth certificate, photo copy, photo, etc)
42
43
Seri
al
NO.
(1)
297
298
299
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
(2)
(3)
(4)
C. Clothing, Footwear, and Head gear
300
Ready made men’s wear (Blazer, long-sleeved shirt, Jacket, sarong, pants, T-shirt, underwear, etc)
Ready made women’s wear (Gown, long fabric, blouse, house dress, sweater, skirt, sarong, shawl, cloth girdle,
underwear, etc)
Ready made children’s wear (clothes, pants, sweater, shirts, under wear, baby napkin, etc)
301
Materials/fabrics for men, women, and children (wool, polyester, cotton, silk, etc)
302
Tailoring and repair costs, thread, and sewing needs
303
Footwear for men (shoes, sandal, sock, etc)
304
Footwear for women (slippers, shoes, sandal, etc)
305
Footwear for children
306
Head gear for men, women and children (hat, ‘kopiah” =rimless cap, veil, etc)
307
Laundry-soap (in bar form, powder, cream, and liquid)
308
Clothes maintenance products (Softener, whitener, starch and similar items)
309
Others (towel, belt, shoe polish, tie, laundry, small hanger, etc)
44
45
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
Seri
al
NO.
(1)
310
D. Durable goods
311
312
Furniture ( table, chair, bed, wardrobe, showcase, long-shelf, mirror, kitchen cabinet, baby bed, etc)
Household equipment (sewing machine, refrigerator, fan, washing machine, air conditioner, etc)
313
Household utensils (mattress, pillow, table cloth, bed sheet, ashtray, pillow sheet, blanket, plaited mat, curtain,
carpet, etc)
Household tools (Iron, broom, scissors, knife, machete, saw, vacuum cleaner, hanger, soldering tools, etc)
314
315
(2)
317
Kitchen/eating utensils (plate rack, stove, cooking pot, pan, pail, wok, spoon, thermos bottle, plate, glass,
mixer, blender, microwave, oven and other utensils made of glass, ceramic, melamine, and plastic)
Decorative items(wall decoration, aquarium, decoration goods made of ceramic, porcelain, onyx, marble,
wood, etc)
Repair of household equipment, utensils, tools
318
Watch, clock, camera, glasses, video camera, other optic tools and their repair
319
Umbrella, bag, luggage, and their repair
320
Expensive jewelers made of metal and gold (gold, diamond, pearl, etc) and their repair
321
Children’s toys and their repair
322
Television, video, radio, cassette, radio cassette, guitar, piano/organ, computer, and their repair
323
324
Sporting goods (chess, racket, ball, net, bet, stick, including swim trunk, shoes for playing soccer/roller shoes,
glasses for swimming, etc) and their repair
Vehicle (bicycle, motor cycle, car, etc) and large repairs
325
Pets and plants including the maintenance expenses
326
Other durable goods (cradle, baby carriage, electricity installation, telephone, pipe, pager, and their repair)
316
(3)
(4)
46
47
IV. 2. EXPENDITURE OF NON FOOD GOODS DURING A MONTH AND 12 MONTHS AGO
DETAIL
Value in Rupiah
A month ago
12 month ago
Seri
al
NO.
(1)
327
E. Taxes and insurance:
328
329
Building and Land tax (PBB)
Radio & TV tax, and its type
330
Vehicle (motor and non motor) tax
331
Other taxes/levies (community, garbage, security, cemetery, etc)
332
Accident & loss, and health insurance
333
F. Festivities and ceremonies
334
336
Wedding (rent of equipment such as wedding equipments, chairs, tents, plates, etc and services such as bride’s
make-up, person officiating wedding, and function hall rental, etc)
Circumcision, birthday (expenses for professional circumcizer, doctor/paramedics/traditional circumcizer,
balloon, boxed food, ribbon/paper for decoration, chairs, hall rental & entertainment costs).
Religious festivals (‘Qurban’, offering, etc)
337
Haj expenses
338
Other traditional ceremonies (invite “ustadz”, Priest, make offering, etc)
339
Burial expenses (cost of bathing the body, material to cover the body, for digging the soil, coffin, cost of
crematorium, cost of ‘ngaben’ (Hindu cremation), etc)
335
(2)
(3)
(4)
48
49
Seri
al
no.
(1)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
IV. 3. AVERAGE MONTHLY HOUSEHOLD EXPENSES ( IN RUPIAH)
Type of expenses
During a week
(2)
(3)
Cereals (IV.1 A)
Tuber (IV. 1 B)
Fish (IV. 1 C)
Meat (IV. 1 D)
Egg and Milk (IV. 1 E)
Vegetables (IV. 1 F)
Pulses (IV. 1 G)
Fruits (IV. 1 H)
Oil and Fat (IV. 1 I)
Beverages materials (IV. 1 J)
Spices (IV. 1 K)
Other consumption’s (IV. 1 L)
Prepared foods and beverages (IV. 1 M)
Alcoholic drinks (IV. 1 N)
Tobacco and betel (IV. 1 O)
Sub Total (1 to 15)
Sub total (16) x 30
7
18 Housing and Housing facility (IV. 2 A)
19 Goods and Services (IV. 2 B)
20 Clothes, Footwear, and Headgear (IV. 2 C)
21 Durable goods (IV. 2 D)
22 Tax and Insurance (IV. 2 E)
23 Festivities and ceremonies (IV. 2 F)
24 Average of monthly household expenses(17 to 23)
*) content of serial number 18 to 23 in Column 4 same as the content of serial number 18 to 23 in Column 5 divided 12
Average in a
month*)
During 12
months
(4)
(5)
50
51
V. INCOME, REVENUE AND EXPENSES OF NON-FOOD GOODS DURING THE PAST 12 MONTHS
(IN RUPIAH)
1. Wages/salary paid in money and in kind
2. Income from agriculture business
a. Agriculture of food and non-food crops
b. Other agricultural activities (husbandry, poultry, miscellaneous livestock, fishery, forestry)
3. Income from non agricultural business
4. Income outside of wage/salary and business
a.
Estimated house rent
b.
Other (interest, land rental, rentals and leases, pension, duty-binding scholarship, claimed life insurance, dividend,
loss and accident claims, income from non-business activities, )
5. Expenses and revenue from transfers
Expenses:
(money sent, donation, gifts, bequests, and aid)
6. Other expenses and revenue
Expenses:
a. Purchased of bond/gold/jewelry, immovable goods
including building renovation
Revenue:
(received money transfer, inheritance, donation, gift, aid)
Revenue:
a. Sold of bond/gold/jewelry/immovable goods, secondhand goods
b. Others (saving, paid of insurance, loan/paid back loan,
b. Others (took the saving, claimed other insurance,
down payment, “arisan” dues= regular social gathering
received “arisan” , made loan, pawned goods
whose member contribute to and take turns receiving the
sum of money etc)
7. Household Income/revenue
(Amount of income/revenue, details 1 to 6 – total expenses, details 5 to 6)
8. Average monthly household income/revenue (details 7 : 12)
52
53
VI. NOTES
54