Literal question
<span class="em">[The rural and urban census forms are identical for questions 1-17. Questions 1-17 are provided here in detail under the rural census form, and omitted in the urban census form.]</span></p>
<p><span class="h1">Rural Census form </span></p>
<p>Province _ _
<br />District _ _
<br />Census Division _ _
<br />Census Unit _ _ _
<br />Household Number _ _ _
<br />Enumerated _
<br />Vacant house _ _
<br />Total Persons _ _