1 SAK96.L Make one set For CBS CBS 1996 NATIONAL LABOUR FORCE SURVEY HOUSEHOLD LISTING Confidential I. LOCATION IDENTIFICATION Province District/Municipality *) Sub-District Village/Village Unit*) Classification of Village/Village Unit Urban -1 Rural -2 Enumeration Area Number Segment Group Number Segment Number SAKERNAS Sample Code Number II. SUMMARY 1 Number of Households (Last Serial Number (col.3) Block IV) 2 Number of Household Members (Total at (col.5) block IV) a. Total number of people (Total at (col.6) Block IV) b. Number of persons who are employed or who are temporarily not working 3 Household Members Aged 10 Years and Older (Total at (col.7) Block IV) c. Number of persons who are unemployed (Total at (col.8) Block IV) d. Number of person who are unemployed but who are seeking work (Total at (col.9) Block IV) III. ENUMERATION PARTICULARS 1 Name and NIP/NMS of enumerator 4 Name and NIP/NMS of Supervisor 2 Date of enumeration 5 Date of supervision 3 Signature 6 Signature *) cross out inapplicable category 1 2 3 4 5 6 7 8 9 2 3 Segment serial number/P hysical Building (1) Census Building Serial number (2) House hold Serial Number IV. HOUSEHOLD LISTING Name of Number Household members aged 10 years and above House of house Total Number of Unemployed hold hold persons who Head Member Total Those are seeking employed or work who are temporarily not working (3) (4) (5) (6) (7) (8) (9) A. Total this page B. Cumulative total previous pages C. Cumulative total with this page (A+B) 4