Registration Form ENG 2014.xls
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ABCDEFGHIJKLMNOPQRSTUVWXYZAAABACADAEAFAGAHAIAJAKALAMANAOAPAQARASATAUAVAWAXAYAZBABBBCBDBEBFBGBHBIBJBKBLBMBNBOBPBQBRBSBTBUBVBWBXBYBZCACBCCCDCECFCGCHCICJCKCLCMCNCOCPCQ
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Household ID No.B001Current location in CoATown / Camp / SettlementSector / VillageBlockCommunityShelter / Street address
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Palabek1
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Ration card No.A4820999Country of origin locationCountryAdmin 1Admin 2Admin 3Town / Village
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HR1
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Family size3HR2
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Serial No. Intended place of return
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Return to CoO?Intended dateProperty in CoOHouse:
Yes / No
available damaged occupied unknown
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Yes___ No_NO__ Undecided ___Land:
Yes / No
available damaged occupied unknown
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Other:
Yes / No
available damaged occupied unknown
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Household representatives
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***Given nameFamily namesSexDate of Birth
dd-mmm-yyyy
Marital statusRel to HR1 EducationOccupation/ SkillsSpecific needsIndividual remarks
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Main nameOther names(documents, presence, other remarks)
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HR1
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Accompanying household members
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Date of arrivalReligionEthnicityLanguageNationalityIdentity numberLinked cases/householdsRelationOther remarks / Observations
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HR1
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HR2
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*
Tick box when individual photo is taken
Registered byDateSiteData entered byDate
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**
Tick box if individual does NOT give consent to share information
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