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Name, mother s maiden name) Please provide the names of the members of the household starting from the household head followed by spouse, son/daughter (eldest to 7 youngest), and other members of the household. 5. Relationship to Household head What is 's relationship to the household head? - Head - Spouse - Son/Daughter - Others (please specify relation i.e. grandson, first cousin, etc) 6. Sex Is male or female? Write M for Male; F for Female 2 7. Age For 0-28 day.

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