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Statistics

Establishments Census Questionnaire

Registry No. in zone:

Municipality:

Zone No.:

1- Block No.:

2- Questionnaire No.:

2- Est. Census No.:

4- Building Census No.:

Entrance

5- Electricity No.:

6- Street No.:

Street Name:

7- Municipality No.:

Owner's Name:

8- Location (freeq / gathering / market)

9- Location of Est. in Building:

10- Status of Est.:

Operating

1

Temporarily Stopped

2

Permanently Closed

3

Under Preparation

4

Vacant

5

11- Est.'s Name (Arabic)

12- Est.'s Name (English)

13- sector of Est.

Gov. Dept.

1

Gov. Est./Co.

2

Private

3

Mixed

4

Dip./Int.

5

14- Main Economic Activity of Est.:

15- Commercial Register No.:

16- Est. owner name:

17- Nationality of Est.

18- Name of officer in charge:

19- Nationality:

20- Characteristic of Est.:

Individual

1

Main Branch

2

Admin. Off./aux. units

3

Local Est. branch

4

Foreign Est. branch

5

Holding Co.

6

21- Legal Entity:

Individual

1

Joint-Liability

2

Limited Partnership

3

Limited Joint-Stock

4

Limited Liability

5

Joint-Stock

6

Special Joint-Stock

7

Other

8

22- No. of employees:

	Qatari	Non-Qatari	Total
Males
Females
Total

23- Tel. No.:

24- Fax No.:

25- PO Box No.:

26- Commercial Register No.:

27- Contractor Register No.:

28- Municipality permit No.:

29- Does the Est. keeps regular books:

Yes

1

No

2

Name of respondent:

Occupation:

Tel. No.:

Signature

Date:

Mobile No.

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