CANAAN COMMUNITY INITIATIVE, NALYAMAGONJA GAYAZA

BASIC HOUSEHOLD SURVEY UNFINISHED HOUSING PROJECTS

Plot No
of HH

Name
of Plot
owner

Distric
t of
Origin
of HH
Head

Ag
e

Se
x
M/
F

Profe
ssion
of
HH
Head

Spo
use
Nam
e

Ag
e

Se
x
M/
F

Profess
ion of
HH
Spouse

Religio
n
espous
ed by
the HH

Primar
y
contact
of HH
Head/
spouse

Names/telephone
of Site foreman
(1) and porters (23)

Ag
e

Se
x

1.
2.
3.
4.
5.
6.
7.
NOTE: Copies of National
ID/and or Letter of
recommendation from LC for
the site Foreman and porters
must be provided to EXCO
before commencing to build
Additional Comments if any: _______________________________________
Whatsup Numbers (maximum 2 per household)
Car registration number(s) if any:
__________________________

1_____________________________
2_________________________