Registration Form ENG 2014.xls

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	A	B	D	F	M	N	R	S	X	AC	AD	AE	AI	AJ	AM	AQ	AS	AU	AW	AX	AZ	BD	BE	BF	BG	BH	BM	BN	BQ	BR	BW	CB	CG
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2					Household ID No.					Current location in CoA				Town / Camp / Settlement				Sector / Village						Block					Community			Shelter / Street address
3					Household ID No.					Current location in CoA
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5					Ration card No.					Country of origin location				Country				Admin 1						Admin 2					Admin 3			Town / Village
6					Ration card No.									HR1	India
7														HR1	India
8					Household size									HR2
9					Household size									HR2
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11					Serial No.					Intended place of return					India
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13										Return to CoO?						Intended date					Property in CoO		House:			Yes / No		available damaged occupied unknown
14										Yes___ No_NO__ Undecided ___													Land:			Yes / No		available damaged occupied unknown
15										Yes___ No_NO__ Undecided ___													Other:			Yes / No		available damaged occupied unknown
16	Household representatives
17		*	**	Given name			Family names									Sex	Date of Birth dd-mmm-yyyy				Marital status	Rel to HR1				Education	Occupation/ Skills			Specific needs	Individual remarks
18		*	**	Given name			Main name					Other names				Sex	Date of Birth dd-mmm-yyyy				Marital status	Rel to HR1				Education	Occupation/ Skills			Specific needs	(documents, presence, other remarks)
19	1																					HR1
20	2
21	Accompanying household members
22	3
23	4
24	5
25	6
26	7
27	8
28	9
29	10
30	11
31	12
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33				Date of arrival		Religion		Ethnicity	Language		Nationality		Identity number						Linked cases/households							Relation	Other remarks / Observations
34	HR1
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37	HR2
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41	*		Tick box when individual photo is taken										Registered by							Date					Site				Data entered by				Date
42	**		Tick box if individual does NOT give consent to share information
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