Registration Form ENG 2014.xls

	A	B	D	F	M	N	R	S	X	AC	AD	AE	AI	AJ	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.		H2346340989			Current location in CoA				Town / Camp / Settlement			Sector / Village						Block					Community			Shelter / Street address
3					Household ID No.		H2346340989			Current location in CoA				Palabek									1
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5					Ration card No.		A4820999			Country of origin location				Country			Admin 1						Admin 2					Admin 3			Town / Village
6					Ration card No.		A4820999							HR1
7														HR1
8					Household size		3							HR2
9					Household size		3							HR2
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11					Serial No.					Intended place of return
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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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