SE 86* PUIJE
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IZQQEQ *III’
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REPUBLIK mnouesm
SENSUS EKONOMI 1986 PUTENSI
DESA
PERI IATHIN 1. ®1juan Sensus Ekonomi 1986 adalah untuk mengumpulkan data sta tistik yanq dapat dipercaya den tepa: waknu unnua kapezluan pe— rencanaan pembanqunan: 2.
Kegiatan Sensus
Exflnflmi
1956
ifli
dilflfld&$i
Dlflh
Uhdaflg~Undanq
Nomor 6 Tahun 1960 tentang Sensus, Undang~Undang Nnmur 7 tahun 1960 tentanq Statistik, Peratucan Pemetintah bbmcn: 29 Tahun 1935 temzang Eensus El conomi, flan Insgpuksi Presiden Nome: 6
tanun 1985 tentang Banana Ekonomi 1986; 3. sensus Eknnomi ini merupakan salah Batu proyek PELITA: 4.
Dalam sensua int cidak dipunqut biaya apapun dari pihak pfiIU5fl* sahaan:
5. Rewajibafl memberikan
ketecangan din
karahasiaan data yang di~
. kumpulknfl dalam sensus ini dijamin oleh Undang Undang Homo: 6 tahun 1960 bentang Sensus dam peraturan perundangan yang berlaku
‘E'i was mat arm rnay be pmmcted by ccmurlaht Law mm 17 U; '1 Q. ma
SE-86 PODES PODES 1986 CLASSIFIED
REPUBLIC OF INDONESIA CENTRAL BUREAU OF STATISTICS
ECONOMIC CENSUS 1986
VILLAGE POTENTIALS
ATTENTION 1.
The objective of the 1986 Economy Census is to gather statistic data that is reliable and on time for the needs development planning.
2.
The 1986 Economy Census activity is in accordance to Law no.6/1960 on Census, Law no.7/1960 on Statistics, Government Law no.29/1985 on Economy Census and the Presidential Instruction no. 6/1985 on the 1986 Economy Census.
3.
This Economy Census is one of the projects of PELITA (Proyek Lima Tahun = Five Year Project)
4.
This census does not charge any expenses from the establishments
5.
The obligation to give information and the confidentiality of the data gathered in this Census shall be observed in accordance to Law no. 6/1960 on Census and the relevant laws and regulations.
2
2
PEDUHAN PEHGISIAN DAFTAR sgmug 15135 ditulig danqan menggunnkan pensil hitam, tidnk dipurkenankan lnanqquruqkan Tinta /Ball Point
dan
P5211511 BE.'!"Wa.I.'I'lfl 1 kBE‘l Ill ‘i. U111! ID! hand 3
tang an Impala Dana/Lurah. naftar SE36 PUUBS dibuat rangkap dun: 1.
Untuk Biffi Pfliat 5tflti5tikF
2.
Untuk I flantur staciatik Kabupaten/KOtnmadYfl:
Pencacahan PDDES dilakfianajtafl pads. bulan C|l|:t|:i.:|=:;r: 1985.
Ibtentuan Uuul Cara Penginian flaftar=
1.
Untuk pertanyaan yang jawanannya harus nwmdlih salah fiat“ kfidfl ji waban yang tersedlia, lingkarilah salah aatu kfldfl suni, kemudian pirxdahknn knde jnw'a.ba.n tersebut RB
java bi! T1 Yflflq SE — dfllif" 1* Otik yflnq
cersedia. 2.
Untuk pertanyaan yang jawabannyu ifiinn at nu bukflll kflflfl yai tn: .1.
Blah VII: Pnnfifliknu, pE1"'1:flfl1:¢P‘l 1:
Isikan juwnban ka dalam kutak yang cnrsadia.
Penqisian he dalam
kntgk dgnqap sistim penuh tepi kanan (right j‘I 'lEtifiEflU Cr;n1;.:hg Di suatu damn min. 9 SD mar." " £|.nq kmzak yang terscdia P kctnk.
Cara Penqisian: D.
Efiliin Blflk VII 1,
511:1: I: Iiamalutan, perincimt 1;
Is:Lka.n jawaban he dalam tnmpat yang tersedi '1. da_hka.n
tersgbut.
liq
dnlam
Cuntuh: D1 suatu clnsa tmrdnpnt 1 Pnliklinik.
Cara Pmnqisian: Puliklinik
2.
kflmudiflfl Pin
kotak yang
discdinknra.
huah
Untuk pertanyaanl tantflng luns tanah diperluhnn jawahan aatu nngkn di belakanq knma. Apabila jawabannya marupakan bi langam hulat, maka isikan "U" P Ada kntak paling ltanan
canton; —Lua5 tanah sawah taclah hujnn= 100,5. Ha *1. uns tanah lainnyu = 3.0 HE!
U I
E
BLDK I: PEHGENALAN TEHPHT Perinciln 1 a.d. 5: Isikan nama pruvinsi, kabupauen/kfltflmflfivfl.
Kfitfl fid
mini.st'_'|:atip, luncamatan, desa,/kelurahah.
Fnziuciau E: Linqkari Rode l apabila dean/kelurahah tnrsnbut daerah Rota dan kade 2 apabila daerah padasuan. Apakah desa/kelurahan ini termasuk daerah Rota atau pedesnan, dapac ditnnynkan kepada Mantri Stfltifltik KB camatan.
BLOII1 II: KETEMNGAH PEHGISIAH Pnrincian 1 a.d. 3: Tuliskan nama petuqas, tanqqal pfinqisian daftar flan
tandatanqan petugas. Pnrincinn 4 dun 5: Tuliakan nama dan tandatanqan pemeriksa Efitelflh ifiififl dmftar diperiksa. Dafti 1: Putt. nmi Dean/Helurahnn
:i.n.i.
setelnh
dipetikfilel
Dllbh
K*‘=F'fl1 B
9958/
Lurah yang berflanqkutan ditandacanqani denqnn dihubuhi stempelfcap jahatan pack tnmpat yang telah disedial can.
3
INSTRUCTIONS ON FILLING THIS LIST A.
Use a black pencil to fill in the list, do use not an ink pen/ballpoint pen or colored pencils except for the signature of the Village Head/Village Unit Chief.
B.
The SE-86 Podes List is to be made in duplicate: 1. For the Central Bureau of Statistics 2. For the District/Municipality Statistic Office The Podes numeration is conducted on October 1986
C.
The general instruction on filling in the list: 1. For questions in which the answer is a code that has been provided. Circle the appropriate answer codes and write it down in the appropriate box. 2. Questions with answers that are not codes: a. Block VII: Education, question 1: Fill in the answer in the appropriate boxes. Answers should be right justified. Example: In a village there are 9 Elementary Schools but there are 2 boxes provided so fill the boxes as follows: 0 9 b. Apart from Block VII 1. Block X: Health, question 1: Write the answer into the provided place then move the answer into the provided boxes. Example: In a village there is 1 Clinic. Write as follows: 2.
0
Clinic ….1….unit
1
The question on land areas needs an answer with one digit behind the comma. If the answer is a rounded figure then write “0” into the box on the right. Example: 5 The area of a rainwater rice field is : 100.5 ha 0 0 1 0 0 ,
The area of other lands is :
10
ha
0
0
0
1
0
0
,
BLOCK I. LOCATION IDENTIFICATION Questions 1 to 5: Write the name of the province, district/municipality, administrative city, sub-district and village/village unit. Question 6: Circle Code 1 if the village/village unit is classified as an urban area and Code 2 if it is a rural area. Ask for assistance from the Statistics Bureau sub-district staff whether the village/village unit is classified as a rural or urban area.
BLOCK II. ENUMERATION PARTICULARS Questions 1 to 3: Write the name of the officer, date of enumeration and the signature of the enumerator/supervisor. Fill in the duration of enumeration in hour units. Questions 4 and 5:Write the name and signature of the supervisor after the list has been examined. After the village/village unit potentials list is examined by the Village Head/Village Unit Chief, they sign and stamp it at the appropriate place.
4
SE86 PODES REPUBLIK BIRD
RMIASIA
mnomzsm
PUSAT STATISTIK
SENSUS E|([lNl]M|
1935
POTENBI mean / KELURAHAN
Fi'_ I. PENGEHALAN TEMPAT 111151 '*i'"
1.
P P 0 v i n 5 L "J
I.
Hahupatun/Hotamadya
3
Kata Administratip — '" '
U.
K e c a m A t a n
'5.
Deza/Kelurahan H)
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r
5[::[:] ~—
7
g 2
1g[:]
mereaauenu PENGISIAN
Mama Petugas
A
I Hll__
2.
Tanggal Pengisian
..
—
3.
Tandatangan Petugas
H.
Mama Femnriksa
—
_____
_
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..
I
H I}
F l
DI HP: i
I
_
J
‘
_
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_____|_
5.
Tandatnngan Pnmerikga
*1
Covet yang tidak sesuai.
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_ _
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. . . . . . . . . . . . ...
....... .
Hengetahui
l GEE
:
Kepala Dean/Lurah,
(P F I I I I I * l *
1\'I!l1ll l inn)
Mama dan Cap jabatan
5
IN DUPLICATE
CONFIDENTIAL
SE86-PODES
REPUBLIC OF INDONESIA CENTRAL BUREAU OF STATISTICS
1986 ECONOMIC CENSUS
VILLAGE/VILLAGE UNIT POTENTIAL
1. 2. 3. 4. 5. 6. 1. 2. 3. 4. 5.
I. LOCATION IDENTIFICATION Province District/Municipality *) Administrative city Sub-district Village/Village unit *) Area Urban -1 Rural II. ENUMERATION PARTICULARS Name of Enumerator Date of enumeration Signature of Enumerator Name of Supervisor Signature of supervisor
Filled by CBS 1 3
-2
5 7 10
*) Cross out inapplicable category
……………,…………1986 Acknowledged by: Village Head/Village Unit Chief
(…………………………) Name and Seal/Stamp
6
4
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Yang
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dimnnfantkfln. sehingqu pmduktivitas '. .i:‘:qg'i.. diinbangi dgngan pranarnna clean.‘ I=u:I.u: :|.ha.n yang cukup. ?nI;l.m:l. I J:
Ling Icgzi uulah autu Rude yang anuci.
'
Inna IIHISI1. dnnafkulurahbn yang nnmpwmygi pazhntnln denqan hut. nan; Butqn Pmui, udulnh do sq /kulurnhlli yang uidnlc uuampunyai pamnta nan denqnn luut.
Fnrinnzlnn I: l!\n:.i.m:l. In 55
Lingkari nalnh nltu kudn ymq annual. Ilikun luu willy uh gnlunzh dun:/‘I calunhan dalnm kilunrfltflr
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IIII :i.m:;|,ln 1'1
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7
BLOCK III. GENERAL CHARACTERISTICS OF THE VILLAGE/VILLAGE UNIT Question 1: Circle the appropriate code. A village is an area occupied by a number of people as a community, included in is a legal community that has the lowest governing organization under a Camat (sub-district chief). It has the right to organize its own household in the united country of the Republic of Indonesia. A village unit is an area occupied by a number of people as a community, and has the lowest governing organization under a Camat (sub-district head). It has no right to organize its own household. Question 2: Circle the appropriate code. Swadaya (self-supporting) Village/Village unit is a traditional village/village unit that has binding customs; the relationship between people is strong, social control is based on the family. The population’s primary activity is homogeneous and is just enough to fulfill its primary needs only, using simple technology, the productivity level is low with minimum infrastructure. Swakarya (self-developing) Village/Village unit is one level more advanced than a Swadaya village/village unit. The customs of the village community is going through a transition. Outside influences have started to enter the village/village unit, affecting the ways of thinking. The line of work has expanded, the population’s primary activity has started to expand from the primary sector to the secondary sector. Productivity has started to increase balanced with the increase of village/village unit infrastructures. Swasembada (self-supporting, self-sufficient) Village/Village unit is one level more advanced than a Swakarya village. The customs of the community is not binding and the relationship between people is rational in nature. The population’s primary activity is diverse and has progressed to the tertiary sector. New technologies are implemented so that productivity is high, balanced by the appropriate infrastructure of the village/village unit. Question 3: Circle the appropriate code. A coastal village/village unit is a village/village unit that has a boundary with the sea. A non-coastal village/village unit is a village/village unit that has no boundary with the sea. Question 4: Circle the appropriate code. Question 5: Fill in the surface area of the whole village/village unit in square kilometers (Km²) or rounded figures in hectares (Ha). Note: 1 Km² = 100 Ha. Question 6: Fill in the distance from the office of Village Head/Village Unit Chief to the Sub District Office, in rounded figures, in Kilometers (Km). Distance is the distance of the road that is usually used by public, either by land or water. If the village/village unit does not have an office, the distance is calculated from the house of Village Head/Village Unit Chief. Question 7: Circle the appropriate code. The village/village unit’s Administration Office (village/village unit meeting hall) is a specific building for the village/village unit’s Office/meeting hall. The residence of the village head/village unit chief that is used as a village offe/meeting hall is not included. Question 8: Circle the appropriate code for each village/village unit officials that is asked. Question 9: Circle the appropriate code. LKMD (Lembaga Ketahanan Desa/lit.:Village Defense Institute, village social activities group) is a community institution in a village/village unit that develops from, by and for the community. It is an independent institution and is assigned to assist the Village Head/Village Unit Chief in development planning, etc. Its members consist of the village/village unit local figures.
8
5
lllu
1.
_
KETERANGHN UMUM DEER/KELURHHHN
Status dgaafkalurahan :
A
11 Desa
2.
l
3. ‘
l
W
Swakarya
2
Swasembada
3
Desa/kelurahan termasuk daerah : Pantai
H.
2
Klasifikasi desa/kelurahnn : Swadaya
E
Kalurahan
— l
Bukan pqntgi
H
.5 Ii “[1 ' .5
2
Tinggi desg/kelurahan dari permukaan laut :
\ \
#
Kurang dari SOD m BOD m
1
l
...|:’ I
2
TDD M
Lebih dari 700 m
I ‘
5.
Luas wilayah desa/kelurahan
_ _ , ,, _ _ _ _ _ 1 5.1112 *
1B
A T
\ atau
\
_
5.
Jflrnk dari kantor dnna/knlurahan ke kantob kecamatnn
7.
a. Kantor pemerintnhan desa/
_,, . . . . .
. Ha
’“U:l J
\
\
h. Balai dasp/kelqrahan
;
Ilfii]
kfllflrnhnn
B.
= Ada
Tidak
;
Tidflk
Ada
\
“D F
Apakah di desa/kelurahan ini ada W
H. Sehretnris/Carik \
‘
: RG3
Tidak
—
b. Kepala Urusan Pemerintahan; Ada
Tidak
up
Tidak
ulr
RSV ‘ An
G. Kepala Uruagn Fembangunqn 1 Ada d. Kapala Urusan Kesra
1 Ada
m. Kmpala Uruann Keuangfln
;
f. KEIDELIE Urusan Umum
Z
_
Tidak
Ada
¥
Tidak
9 Ada
I
Tidak
2BF"1 \
21' * . I —
2GF"' L__i 257i‘ 1&4’
9
Apakah di desa/kalurnhan ini ada LKMD Ada
*)
Diisi dalam satuan Km?
Tidak
.715."
9
III. VILLAGE/VILLAGE UNIT GENERAL CHARACTERISTICS 1. Status of village/village unit: Village -1 Village unit -2 2. Village/village unit classification: Self-supporting -1 Self-developing -2 3. Village/village unit localization: Coastal -1
11 12
13 Self-sufficient
-3 14
Non-coastal
-2
4. The altitude of the village/village unit from sea : Less than 500 m -1 500 m – 700 m -2 More than 700 m -3
15
5. Village/village unit territory area: ………………..Km2 or : ………………..Ha
16*)
6. Distance from village/village unit office to sub-district office: ………….Km
20
7. a.
Village/village unit affairs office:
b.
Village/village unit meeting hall:
8. Does this village/village unit have: a. Secretary/Carik (Chief Clerk) b. Head of Village Governmental Affairs c. Head of Development d. Head of People’s Welfare e. Head of Finance f. Head of General Affairs
yes yes
-1 -1
no no
-2 -2
22 23
Yes Yes Yes Yes Yes Yes
-1 -1 -1 -1 -1 -1
No No No No No No
-2 -2 -2 -2 -2 -2
24 25 26 27 28 29
9. Is this village/vvillage unit have “LKMD” (village social activities group): Yes -1 No -2
30
*) Fill in Km2 units
10
6
BLUK IV:
LURE TANAH DAN PENEEUNRHNNYA
Perincian 1 3: Luas tanah sawah Yflflq diusahakan untuk Pflftflfliflfl. merupnhan jmnlah perinciem l.n(1) 5.d. 1.a(51.
Sal rah berpenqaiflan mgliputi sax rah barpengairan tennis. setengah tehni5. sladarhana. (PU) dan. Non PU. Sauah yang diusahaxan untuk pertanian neliputi
sawah yang selama setanun yang Lalu diuanhakan atau senentgra uida k =li.usn hakan Lmtuk pertanian .
Sarah pasang surut adalah sawah yang pengairannya tergancung dun air sugai yang dipangaruhi Dléh pfisflflq surutnya air lgflt.
sauah cndah hujan adalah aawah yang pengairnnnya tergantunq dflri air "“jHfl Periucian Lb: Lugs tanah sawah yang tidah: diusahakan Hfltvlfl Pfiftlfliflrl adalah luas tnnah sawah yang lebih dari setahun yang lglu dam kuranq dari dun tahun tidak diusahakan untuk Pértflflififi.
Fuzincian 1.1::
Junllah perinrrian (1.! + Lb).
Pgrinninn 2.1:
Luas tanah 1 caring yang diusaha.I~‘.a.n untuk pe_rtEu1i rm mrupakan
jumlah perincian 2.aI11 5.61. 2..n( fl). Perinuiiml 2.11:
Lugs tanah Peering yang lzidgh diusahaknn untu}: perta.nim1
misalnya tanah lapanq, sungai, hutan yang tidnk.diu5ahnKnn ftidak termnsuk hutan negaral.
Pezincian Le: "|_".1nnh untuk hangunan flan halarnn Eekitarnya adalah !.'.a.n!J1 yang digunakan u.ntu.k. bang1.'1naJ1 dan tnnnh yang ta: flapat ii saltitlut bnngunan flhglgmanj, baik yang ditanami/tidak ditannmi.
Tanah untuk halaman biasanya
mempunyni bntns yang jelas, apabila tide K jfilflfi bl 1' fl5*bE"=a5"Y5 ‘“"‘ F "31 '55!‘
sgbut dianggap snbagai bukan halaman misalnya knhum. teqnl, dab. verincim 2.6:
Laimwg aflnlnh "tanah Rating selain pad 1 perimrian 1 a 5 d
2.:, misalnya tannh ta: jal. karnnq, dsb.
Pnrincia 2.1: P21155155 3: Furincian 4.n:
Jumlah perincinn 2.a s.d. 2.d. Luflg figga/kalurahan mqrupnknn jumlah perincian (1.: + 2.n). Luna tanah untuk bengkmk/pelunqguh.
1:1: uh benglcnk/paelungg uh adalah 1:a.n sh milik desa/kelurahan yang dikuasakan kepada Pamunq mega ggpgqgi gnji Quad henna Pamong Dena sabagai pensiun. Perincian
Lb:
Luas tanah kaz. desta/I Cflllflrlhflfl.
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11
BLOCK IV. LAND SURFACE AREAS AND ITS UTILIZATION Question 1a: The surface area of rice fields used for agriculture, is the total of questions 1.a (1) to 1.a (5). Irrigated rice fields include technically irrigated rice field, semi-technical irrigation, simple (PU = Pekerjaan Umum = Public Works) and non-PU (non-Public Works). The rice field used for agriculture covers rice fields that were farmed during the last year or those temporarily not undertaken for agriculture. Pasang surut (rise and fall of the tides) rice fields are rice fields that is iirgated by river water which is influenced by the rise and fall of the sea tides. Tadah Hujan (Rainwater storage) rice field is a rice field whose irrigation depends on rainwater. Question 1.b: The surface area of rice fields that are not undertaken for agriculture i.e. rice field not undertaken for agriculture for more than one year and less than 2 years. Question 1.c: The total of questions (1a +1b). Question 2a: The surface area of dry land undertaken for agriculture is the total of questions 2.a (1) to 2.a (4). Question 2.b: The surface area of dry land that is not undertaken for agriculture such as fields, rivers, a forest not undertaken for business (not including state forests). Question 2.c: The definition of land for building and yard surrounding it is the land that is used for the building and the land surrounding the building, whether cultivated or not. The yard usually has a distinct boundary; if these boundaries are not clear then the yard is classified as a vegetable plot (kebonan) or a dry field used for vegetable or secondary crops (tegal). Question 2.d: Others are dry land aside from those described in question 2.a to 2.c, such as steep land, coral reef, etc. Question 2.e: Sum of questions 2.a to 2.d Question 3: The surface area of the village/village unit is the sum of questions (1.c + 2.e). Question 4.a: The surface are of bengkok/pelungguh land. Bengkok/Pelungguh Land is a land owned by the village/village unit but controlled/used by the village administrator in lieu of salary or by retired village administrator in lieu of pension. Question 4.b: The surface area of the “cash land” of a village/village unit The “treasury land” (tanah kas) is land owned by the village/village unit. Income deriving from this land is used as an income source for the village/village unit.
12
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IV. LAND SURFACE AREAS AND ITS UTILIZATION 1. Surface area of rice fields (0,0 Ha) a. Used for agriculture : : …………… (1) Irrigated and can be harvested twice a year : …………… (2) Irrigated and can be harvested once a year : …………… (3) Tide-influenced/polder/swampy/brackish/swamp fields that can be planted with rice and harvested twice a year : …………… (4) Tide-influenced/polder/swampy/brackish/swamp fields that can be planted with rice and harvested once a year : …………… (5) Rainwater dependent rice fields : ……………
31
38 44 50 56 62
b. Not used for agriculture
: ……………
68
c. Total (a + b)
: ……………
75 11
2. Surface area of dry, unirrigated land(0,0 Ha) a. Used for agriculture : (1) Field/huma (newly cleared land)/tegal/ vegetable plot (kebonan) (2) Fishpond/pond created by damming /pond (3) Shepherding/meadow (4) Others (including managed forest)
: ……………
12 19
: …………… : …………… : ……………
25 31 37
b. Not used for agriculture
: ……………
43
c. Land used for building and surrounding yard
: ……………
50
d. Other
56
e. Total (2a to 2d)
62 : ……………
69
a. Land surface area for bengkok/pelungguh(land given to officials in lieu of salary) (0,0 Ha)
: ……………
76
b. Village/vilage unit’s ‘treasury land’ (0,0 Ha)
: ……………
81
3. Village/Village unit surface area (1c + 2e) 4. From all of the village/village unit’s land area:
14
B BLOK V: KEPENDUDUKAN URN LINGKUNEAN HIDUP A. KEPEHDUDUEAN Fgginqign 1: Lingkari salah satu kudé yanq sesuai. Perincian 2.5 dan 2.b= Isikan banynknya kclnhiran dun kematian yangterjndi di deg;/kelurahan termebut aelama séflflhflfl yanq 1310
Pnrincian in Isikan bmaypxnya penduduk yang ada 1:1 dean/kelurnhnn ini me nurut keadqqn pada tanqqal 1 Juli 1955. Fgringipn 4: Iaikan hanyaknya panduduk berumur 7 12 tahun SEIHIUUHYB. Yang gda di dasa/kelurphan ifli menurut REBGBHH tanqqal 1 Jflli 1955 Purincian 5: Isikan banyaknya penduduk berumur 7 12 tahun
yang
Wfl5ih ber
seknlah, manuzut keadaan tnnqqil 1 Juli 1935*
Pgginqign 5; Isikan banyaknya rumahtangga yanq ada cit damn/kelurahan ini. menurut kaadaan tangqal 1 Juli 1955 Pqrincian 7: Isikan banyaknya kepala rummhtanqga yang partnnian. Bekarja
di
bakflrjn
di
Béktur
sektor pcrtaninn; tidak hanyn terbatas pada kepala ruahtahqga
yang bekcrja sehaqai petani. tfltnpi termasuk juqa HBPHIH rflflflhiiflqgi Y1“? bekerja sebagai buruh tani.
.
B. LINGEUGHN HIDUP
Parincian 1: Lingkari salah satu kada yanq sssuai. Perincian 2: Linqkazi salah satu Rude yang 5fi$uai+ Pmrincian 3: Lingkari salah satu Roda yang sesuai. Jamhqn, adalah tempat huang air bean: yang pembuatannya
memflnuhi
=yarnt—
synrnt kesehatan antara lain menqqunakan Tnngki Eeptik. Perinninn 4.u dan h: Linqknri znlflh flit“ Rflfifi Yflflq 5=5"fli Jnnban Umum Ingres, aélalah jamban umum yang biaya pentauatannya barasal dari dana Ingres.
Juuhun Dunn lain, jamban umum yanq binannya dibanqun dari swadaya masya:a kat atau flari sumber dana lainnya. Tflnlh hritia, adalah kaadnnn yang membahayahan stabilitaa din kelanqaunqan
tata air serta alam linqkungan. Cuntnh: Tanah qundul, padanq alaflg alflflq.
Pnrinnian 5: Llnqkari salah aatu Rude ynnq BBBuai Jikq iaiun berkude 1 (terdapnt tnnnh kritis}, tuliskan luasnya dalam
hektnr (Ha), satu angkn di belakanq Huma Perincian 6: Lingkari salah satu knda yanq se$uai Perincian 7: Lingkari salah satu kudu yang sesuai. Jika isian berkcde 1 (ada panghijauan}, tuliskan luasnya dalam hektar (Ha). satu nnqka di helakang huma Paflgljaflflfl, gdglah usaha penanaman tumbuh tumbuhnn pelihflflhq tlflflhi qntuh mnmpnrbniki knndisi flan mnncuqnh kerusakan tmnah. Ferinqian B: Linqkari salah Batu kudm yang sesuai.
Pahrik, adalah unit penqulahan dari suntu uaaha industri Cmntnhz Pabrik Batu Baterai. Pnbrik Pancelupan Kain. Pabrik 5wmen Pencumaran linqkunqan, ndalnh ganggunn tezhadap kendaan, linqkungnn
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manqqanqqu kehidupan tumhuh numhuhan, hewnn den manusia.
15
BLOCK V. POPULATION AND ENVIRONMENT A.
POPULATION
Question 1: Circle the appropriate code. Question 2.a and 2.b: Write the number of births and deaths that had occurred in the village/village unit during the past year Question 3: Write the population of the village/village unit based on the situation on July 1st, 1986. Question 4: Write the number of people in the village/village unit who are aged between 7 – 12 years old based on the situation on July 1st, 1986. Question 5: Write the number of people aged 7 – 12 years old who are still attending school based on the situation on July 1st, 1986. Question 6: Write the number of households in this village/village unit based on the situation on July 1st, 1986. Question 7: Write the number of household heads who work in the agriculture sector. The definition of ‘work in the agriculture sector’, is not only limited to household heads who work as farmers, but also household heads who work as farmer labourers. B.
ENVIRONMENT
Question 1: Circle the appropriate code. Question 2: Circle the appropriate code. Question 3: Circle the appropriate code. Toilet is a place where one can defecate, its construction complying to health requirements such as the use of a septic tank. Question 4.a and b: Circle the appropriate code. Presidential Instruction Public Toilet (Jamban Umum Inpres) is a public toilet that is made with Inpres funding. Other Public Toilet is a public toilet that is usually made as a result of the community’s self-initiative or from other funding sources. Critical Land is a situation that endangers the stability and the continuity of the water system and the environment. Example: unused land or land overgrown with coarse grass.. Question 5: Circle the appropriate code. If the content is coded 1 (there is critical land), write in the surface area in hectares (Ha), with one digit behind the comma. Question 6: Circle the appropriate code. Question 7: Circle the appropriate code. If the content is coded 1 (there is replanting) write the surface area in hectares (Ha) with one digit behind the comma. Replanting is the effort to undertake the replanting of plants to protect the soil, improve the condition and prevent the soil damage. Question 8: Circle the appropriate code. Factory is a processing unit of a manufacturing establishment. Example: dry cell battery factory, dyeing factory, cement factory Environmental Pollution is a disturbance relative to the environment caused by factory waste, garbage, factory fumes, etc, that can ruin the purity of the air, water, soil and disturbs the life of plants, animals and human beings.
16
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17
V. POPULATION AND ENVIRONMENT A. POPULATION 1. Is there a regular/periodic registering of the population in this village/village unit? Yes -1 No -2 2. a. Number of births during the previous year : …………… people b. Number of mortality during the previous year : …………… people 3. Total population : …………… people 4. Number of people aged 7 – 12 years old : …………… people 5. Number of people aged 7 – 12 years old and still attending school : …………… people 6. Number of households : …………… households 7. Number of households in which the head of household works in the agricultural sector : …………… households
1.
2.
3.
4.
5.
6.
7.
8.
B. LIVING ENVIRONMENT Cooking fuel used by the majority of the people in this village/village unit: Electricity/Gas -1 Charcoal -4 Kerosene -2 Other -5 Firewood -3 Hoe does the majority of the people dispose of their garbage: Garbage is thrown in a hole -1 Put in a trash bin then taken away -3 Thrown into the river -2 Other (specify) -4 What kind of toilet does the population use in general?: Private -1 Other toilets -4 Shared -2 Does not use toilets -5 Public -3 a. Are there any “Inpres public toilets? Yes -1 No -2 b. Are there any other public toilets: Yes -1 No -2 a. Are there any critical lands in this village/village unit? Yes -1 No -2 b. If “yes” , what is the surface area of this critical land (0,0 Ha): ………… Are there any quarrying activities for rocks, sand, earth or lime in this village/vllage unit? Yes -1 No -2 a. Has there been any replanting activities during the past 3 years? Yes, -1 No -2 b. If ‘Yes” , how big was the surface area? (0,0 Ha) : ………….. Are there any factories/markets/other businesses whose wastes (solid, liquid, or gas) pollute this village/village unit? Yes, -1 No -2
11
12 13 17 21 27 32 37 43
49
50
51
52
54 55 60
61 62 67
18
ID
BLUK VI: PERTANIAN
A, ¢H$fiHISl5I PI1IflT
Perinuian 1 5.6.. 4. Linqkari Hal an Hutu Rude Yflflq H=B'~1fli 1=uzh.i.mpunan Petani Pmmakai Air (1 ‘IBM, adalah kelompok petani
yang
secara bersama mengacur pembagian air untuk pengairan sawah anqqo ta anggutanya.
B. PERUSRHRHN HERBRDHN HUKUH/USHHH
Pa: incian 1 s.d. I: Lingkari salah satu kode yang sesuai. Badan Hukum/Usaha, antara lain PT/NV. CV. Firmfl. KflP@ffl5i dflfl PEr' orangan yang mempunyai Aktn Nutnris.
C.
Pflnfihfihflh PEHMSARRN DIR PEHGBHIHGHH
Purincian 1 5.d. 4: Isikan banyaknya prnfinrflflfl Pflmflfiflrflfl YB"? Eda
di desa/kelurahan ini. F351;, gdglah tempat Pertamuan
pembeli
antara bnnyuk
yang lniasanya mempunyni prasarana
pflhfiflfll
dfifl
b5nY5k
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.
Iantai penjemuran/lamgnrnn semen, adalah lantai yang kegunaan utamanva untuk penjemuran. balk untuk hasil hasll tanaman mnupun perikitfl M1.
D. TERNHK BEERR
Pflriflfiiflfl 1 5,d, 4; Isikan banyaknya ternak bean: menurut jenis ternak
yanq ada di deaa/helurahan tersehut.
19
BLOCK VI. AGRICULTURE A.
FARMER’S ORGANIZATIONS
Questions 1 to 4: Circle the appropriate code. The Association of Water Using Farmers (P3A = Perkumpulan Petani Pemakai Air) is a group of farmers who organizes the distribution of water for the irrigation of members’ rice fields. B.
LEGALLY ESTABLISHED COMPANIES/ESTABLISHMENTS
Question s1 to 4: Circle the appropriate code. Legal bodies such as a PT/NV (Perseroan Terbatas/private limited company; Naamloze Vennootschap/incorporated limited company), CV (Commanditaire Venootschap/limited partnership company), Firm, Cooperative and Individual Ownership having notarial documents. C.
MARKETING AND DRYING INFRASTRUCTURE
Questions 1 to 4: Write down the number of marketing infrastructures available in this village/village unit. A market is a meeting place between a number of sellers and buyers that usually has a permanent infrastructure and routine activities. A kiosk is a place that sells agricultural materials, at the very least fertilizers and seedlings. Drying floor/concrete floor is a place used to dry agriculture products. The drying floor is permanent and is usually made of cement. D.
BIG LIVESTOCK
Questions 1 to 4: Write down the number of big livestock accroding to the types that are bred in the village/village unit.
20
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2.
PERTANIAN
ORGHNISHSI PETBNI
Parhimpunan Patani Pemakai Air (P33)
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2
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2
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2
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21
VI. AGRICULTURE A. FARMER’S ORGANIZATION 1. Association of Water Using Farmers (‘P3A’): 2. “Insus” Farmer’s Group 3. Women’s Farming Group 4. Farmer’s Contact
Yes Yes Yes Yes
-1 -1 -1 -1
No Yes Yes Yes
-2 -2 -2 -2
68 69 70 71
B. LEGALLY ESTABLISHED COMPANIES/ESTABLISHMENTS 1. a. b. 2. a. b. 3. a b. 4. a b.
Food crops If ‘yes’, number of establishments Estates/plantations If ‘yes’, number of establishments Husbandry If ‘yes’, number of establishments Fishery If ‘yes’, number of establishments
Yes -1 No -2 …………….establishments Yes -1 No -2 ……………..establishments Yes -1 No -2 ……………..establishments Yes -1 No -2 ……………..establishments
72 73 75 76 78 79 81 82
C. MARKETING AND DRYING FACILITIES Type of facilities, quantity: 1. Animal market 2. Fish market/fish auction place 3. Kiosk selling agricultural production materials a. Owned by KUD (Village Cooperative Unit) b. Owned by non-KUD 4. Floor for drying/cement floor D. BIG LIVESTOCK Quantity:
…………….. unit …………….. unit …………….. unit …………….. unit …………….. unit …………….. unit
84 85
1. Dairy cow
…………….. unit
91
2. Cattle
…………….. unit
96
3. Buffalo
…………….. unit
101
4. Horse
…………….. unit
104
86 87 89
22
l2
BLDK VII: PENDIDIRAN
Purincian 1 halam £2} a (3): Iaikan banyaknya gadung sakolah menurut cingkat pandidikan flan jenia aaknlah.
Purinuinn 1 hula: (4)
S (5): Isikan banyaknya saknlah manurut tinqkflfi
pfiflflidikflfl darn jania selwlah. Ggdunq gakalah, adalah suatu kesatuan bangunan yang dalam parancanaan pambangunannya mamang ahan digunakan sabaqai sakalah danaudah saleaai
dihangun. bails yang talahfi: alu.': r1ig\.:.naJ :n.n u.nt1.1J¢ kegiatan HERD 1 al‘1 dflfl tanpa mamparhatikan banyaknya bangunan Iiaik.
Jika bangunan zaraabut
kamuclian digunal zan untuk Raparluan lain !I\iE&llWfl 1 1 I111‘ IF Pflbrik. BET HITIH. dianqgap bukan gadung aekolah.
Bangunan bulcan gadung aakalah yang audah dirancwasi ./liifififll 15114 in *5 '1"
dipakai untuk sakolah dianggap aabagai gedung sakulah. Pgrhluian 2. Lingkari aalah sa1:u"1 zada yang sasuai.
Perincinn 3.; s.c1. Le: Lingkari salah satu 1 code yang sasuai. Punduk pesantren, adalah lambaga pandidikan aqama Islam yang hiaaanya
para aiswanya manqinap di Kampleks Fandiciikan. Seknlah Luar Biaaa, adalah J.a mbaga pendidikan untuk
para
penderita
cacat (tuna natrn. tuna rungu. tuna wicara. tuna dnkaa. flan tuna gar dal. Benin: ti/Binrn/‘n :an1ngi_, adalah lambaga pendidikan agama Kristen Pru
taatan/Hatalih. hiasanya para aaawa diasramanan dalam nampleha ?¢n didikan. mnbnga Iiuzrawu Iintrallilan. adalah lambnqa pandidihan yanq Hiffltflyfl khusua manjurus 1 capada auatu lcatrampilan tartentu flan biasanya janqka waktu pnandidikannya penclek. Cflfltflh: KUISIJE Héflqétlk. THEE. BLUC11, HBITDUHC KIJE. MEI'Ell'1q|'Cfl.'l BUTIQEL. PBI'PU5tH.RHfln/Ta lllfln
“lull;
Hdfllflh.
lflfllbflqfl PQITPUEEEI R553 fltau tamiln
bacaan yang manunjang kagiatan belajar para aiswa maupun maayarakat mnmnnya, tidak ta rmasuk tarnan bacaan kc.m'uLk/komadi
BLUE VIII: SOSIAL BUDAYP. A,
TEHPJLT IEADRH
Perincian 1 a.d. 5: I511 nan banyalcnya témpat tempilt ibadah (Hasjid, 5\ 1l'
Ufltuk Eurflu/Laflqflar dan Pure yang diiaikan dalam parincian ini Bdfllflh yang biasanya dipakai flan disadiaknn untuk umum, tiflak
tarmaauh surau/Langgar dan Pura yanq rliqunakan secara pribadi.
23
BLOCK VII. EDUCATION Question 1 Column (2) and (3): write the number of school buildings based on the level of education and type of schools Question 1 Column (4) and (5): write the number of schools based on the level of education and type of schools A School building is unit of buildings that was planned to be used as a school. Its construction has been completed, whether it is already being used or not yet in use for school activities. The number of physical buildings is disregarded. If the building is then used as a factory or a dormitory then it is not considered as a school building. A non-school building that has been renovated/adapted and is used as a school is considered a school building. Question 2: Circle the appropriate code Question 3.a to 3.e: Circle the appropriate code Islamic Boarding School (Pondok Pesantren) is an Islamic institution where its students are usually provided with lodgings within the educational complex. Special Schools is an educational institution for the physically impaired (blind, deaf, mute and other physical disabilities) Seminary/Convent/Theological college is an educational institution based on the Christian/ Protestant/ Catholic religion. Its students are usually provided with lodgings within the educational complex. Vocational skill courses provider: is a non-formal educational institution that teaches a certain skill that is specific. The time spent for the courses time is relatively short. Example: typing course, baking course or flower arrangement course. Public library/public reading place is an institution/library unit or a reading place that supports the learning activities of the community, not including a place for reading comics/humor.
BLOCK VIII. SOCIAL CULTURE A.
PLACES OF WORSHIP
Questions 1 to 5: Write down the number of places of worship (Mosque, Surau/Langgar, Pura, Vihara) available in this village/village unit, for use by the public. Personal Surau/Langgar/ Pura are not counted here.
24
13 |wI
I
VII.
_
I"}_'.
1.
_,
PENDIDIKAN _.._
Bunynknyn gudung aékfilah dun aaknlqh manurut:
7"""""""""""""""'“““""T""""""“'""T"""""'“"""T Gadung Sekalah
Sekolah
J
Tingkat Pandidlknn Negeri
11>
I
I
11
a. :
c2:'
‘I!
TR F20
1 b.
SD flan sadarajat
I c.
SHTP dnn andarajat
k
........
I
I
* I d.
II *aa53
Swasta
(4)
I5)
..EU “U1
I
5!
I21.
Rejurunn
I
L
Ada
._I
l
Tidak
2
I
"Q
Hpakah ada Eaailitas pandidikan lainnyn;
3
I;
Ev“ ‘
a.
Pandnk Peaantran
=
nda
1
Tidafi
2
b.
Qekolah Luar Hiasa
=
Ada
1
Tidal:
2
¢.
Sfimiflari/Hlnra/Thaalagi
:
Ada
1
Tiflak
2
d.
Eursua Katrampilan
:
Ada
1
Tidak
2
a.
Perpu5takaan{Tamnn Bacaan
:
nda
1
Tgdak
2
I
Umum
VIII. ’
l§...'._
.
.'_
I.
I 1|
I!
Q
j
i
'
d
'"'"
BIT“ i FT ‘. ‘
I
5+ iv I
asr"j
I
4 w— u—
SOSIAL BUDAYA E
_i
|..|.q' _'_
I A. anavnxuvn Taaanw Iannnn II
GaHa QEI EH
Apakah ada nkademi/Universitaa yang tnrlgtak di uilaygh
desa/kelurahan ini ?
I
I I
I3:
“CD HE SQ “U1 “I
4d
1 I
Ill
SMTA dan aedarnja:
(11. Umum
2.
Hagari
,(3I
EH
EH
EB
Swaata
__" "" JIIIIIIIIIIIII
II
buah
I
__‘
___fl____i"__
"El
_
______
_
_
_____i_
12[::::1 1n*“‘“"'
I
2.
Suran/Lnngqar
3
G a I H J a
4.
P
5
V i h a I a
buah
|__.
....... .... .
buah
15 —f L.
................
buah
...............
hunh
....
. .. .
l7F_“
I
u
r
'
a
"'
...._'
_
—_lq_Jfl__
_ _
[ I gr
_____
"
25
VII. EDUCATION 1. Number of school buildings and school by:
Level of education (1) a. Kindergarten 11 b. Primary school and equivalent c. Junior High School and equivalent (1). General (2). Vocational d. Senior High School and equivalent (1). General (2). Vocational
School buildings Government Private (2) (3) 12 14 20 22
Schools Government Private (5) (4) 16 18 24 26
28 36
30 38
32 40
34 42
44 52
46 54
48 56
50 58
2. Are there any universities/academies within the village/village unit? Yes -1 No -2
60
3. Are there any other education facilities a. b. c. d. e.
Pesantren Yes Specialized school for the physically impaired Yes Seminaries/Monastery/Theological college Yes Vocational skill courses Yes Library/public reading place Yes
-1 -1 -1 -1 -1
No No No No No
-2 -2 -2 -2 -2
61 62 63 64 65
VIII. SOCIAL CULTURE A. Number of places of worship 1. Mosque
11 12
2. Prayer houses (langgar/surau)
14
3. Church
16
4. Pura (Hindus temple)
17
5. Vihara (Buddhist temple)
18
26
l4
B. DLIHMIGH
Pggiflflifln 1 5.5, B. Isikan aalah satu kcnde J. atau 2 pada kglam (21 flan (31 (lapangan dan kagiatan] untuk sariap janls ulahraga. Iflpfljqfln, adalah praaarana Itempatl malalcukan nlanraga yang ada fli dean! kelurahan sasuai dangan parayaratan untflk fllihfflqa YQHQ bEr5lnqk“t3n*
gggim, 4| 1, a.da1.aJ1 ajnzivitas kelumpuk panduduk clean./kalwmrahil D dallmmfll 1R1 1 I’ ‘ in alahraga, aanpa mamparnanikan a_pa.Ica.h alanraga rersabut; dilakukan di daaa,/‘ kalurahan ini maupun di tampat lain.
C. DHGRNISHSI SDSIHL
Parincian 1 s.d. 5: Untun aatiap organiaaai. yang dicanturnl nan pada butir J. 5.d. S, isi] can aalan aatu kcada J. atau 2 aaauni dangan jawahan. Drganisaai anaial yang acla di dasa/kalurahan didasarkan kapada domisili
arganiaaainya. Bila tardapar cabang di daaa/kelurahan lain. maka rzabang taraabut dianggap aahagai arganisaai taragndiri, bagitu pula jika di da ga/kelurahan ini lzerciapat aabang arganiaaaifkagiatan HD5131 da.1 riwilayah lflinl
H. REIREASI DAN IISENILH Pflgijjqiflfl 1 5,61, 4: L11 mu] 5 5e1;ia,P jem,'L:5 h;Lbu::a.n/rakraasi
lingkari
salah
aatu Icada J. arau 2 yang aaauai untuk maaing musing PB! 'k\IflP\Jlfl1\ kflaflflian Elan tampat partunjukan. Pflrinciian 5 dun 6: Lingnari aalah aatu had: yang aaauai. Parhumpulan kasnnian yang dimahnud di aini, adalah parkupulan yang ang
gfltél anggntanya mangadalian larinan aaaara teratur Ii an 51' RP I 1 fit‘ 9* me"?
adakah paruunjukan di. pantas hardaaarkan panggilan/paaanan. atau mflnfltap pada suatu tampat partunjukan,
mampat partunjukan. adalah auatu rampat taaap clan khuaus yang digunakan umzuk partunjukan kesanian. Jika aatu tampat pnrtunjukan \:'lig1.ma.I¢a.n untuk 2 keglatan
kaanian.
atau
lahih. _maJca untuk masing maaing 1 zaaanian dianggap aria tflmpail PE1'1=1""I'|\ 1"" H11.
Taman aiburan/Tanlpat REII'.'l'Bi.Bi. adalah tempat. rakraaai/fiantai yflflq difllwl alah panduduk aetarmat tanpa mamparhatikan apal can aatiap pangunjung ha rus membayar karuia maauk atau tidak; aaparti Taman Ria. mah, Habun Raya, Kebun Binatang, dan aebagainya.
npabila
Tampat Earha dalam
Taman
Hlnuran naraabut ada Gadung Bigakclp makn pa‘ "incia fl 5 flan 6 diiai kfldfl 1
clan tuliakart dalam Blah Catatan.
27
B.
SPORTS
Questions 1 to 8: Write down either 1 or 2 in column (2) and (3) (field and activity) for each type of sports. A field is an infrastructure (a place) to exercise sports, that is available in the village/village unit, that is suitable with the requirements of the sport practiced. Activity/ies are sport activities conducted by a group of villagers, with disregarding whether it is conducted in this village/village unit or in another location. C.
SOCIAL ACTIVITIES
Questions 1 to 5: for each organization that is mentioned in points 1 to 5, write down either code 1 or 2 according to the answer. Social activities available in the village/village unit are based on the organization’s domicile. If there is a branch in another village/village unit then it is considered as an independent organization, the same as when the organization/social activity in this village/village unit is a branch from another area. D.
RECREATIONS AND ART
Questions 1 to 4: Circle either code 1 or 2 for each type of entertainment/recreation and for each type of art group and place of performance Question 5 and 6: Circle the appropriate code An arts group is a group where the members practices on a routine basis. They are ready to perform on stage based on an order/demand, or they are permanently based in a cultural/performance hall. A place for performance is a permanent place that is specifically used for art performances. If a theater/performance place is used for 2 or more cultural/art activities then each cultural activity is considered as having a place for performance. Amusement/Recreational Park is a place for recreation/leisure that is recognized as such by the local population, whether each visitor has to pay an admission fee or not, e.g.: amusement parks, camping grounds, botanical gardens, zoos, etc. If the recreational park has a cinema/movie house within its grounds, write down “1” for questions 5 and 6, and mention this in the Notes block.
28
15
VIII. LANJUTAN I
a.
DLBHRAGR
I
Apakah di daaa/kelurahan ini ada lflpflflqan dflfl kegiatan Q1lh
I
raga ? I
Lapanganf
Janis Dlanraga
_
I
(l) 1
l
I
2. 3.
I
I
6.
Tania Lapangan
7.
Ranang
B.
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2
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2
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Tidak
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2
.
.
.
UHGHNISREI SDSIBL
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29
VIII. CONTINUED B. SPORTS Does this village/village unit have the following the sports field and activity? Type of sport Field/facility (1) (2) 1. Football Yes -1 No 2. Volley all Yes -1 No 3. Badminton Yes -1 Yes 4. Table tennis Yes -1 Yes 5. Basketball Yes -1 No 6. Tennis Yes -1 No 7. Swimming Yes -1 No 8. Other Yes -1 No C. SOCIAL ORGANIZATIONS 1. Scout Yes -1 2. Orphanages a. abandoned children Yes -1 b. orphaned children Yes -1 3. Old people’s home Yes -1 4. Home for the disabled Yes -1 5. Other Social Welfare endeavours Yes -1
Activity group (3) Yes -1 No -2 Yes -1 No -2 Yes -1 Yes -2 Yes -1 Yes -2 Yes -1 No -2 Yes -1 No -2 Yes -1 No -2 Yes -1 No -2
-2 -2 -2 -2 -2 -2 -2 -2
Column content
19 21 23 25 27 29 31 33
No
-2
35
No No No No No
-2 -2 -2 -2 -2
36 37 38 39 40
D. RECREATIONS AND ARTS Type of art Art association/group (1) (2) 1. Play/Theatre Yes -1 No -2 2. Wayang Orang/Ketoprak Yes -1 No -2 3. Dances Yes -1 No -2 4. Music and vocal arts Yes -1 No -2 (including “Karawitan”) 5. Cinema Yes 6. Amusement park/recreational parks Yes 7. Other (specify) Yes ……………………………..
Place of performance (3) Yes -1 no -2 Yes -1 no -2 Yes -1 no -2 Yes -1 no -2 -1 -1 -1
No No No
-2 -2 -2
20 22 24 26 28 30 32 34
Column content 41 43 45 47
42 44 46 48
49 50 51
30
16
BLUK IX: KESEHATAN Purtncian 1.; B.d. 1.9: Isikan banynknya Humah Sakit, R5 Barsalin/BKIA, Poliklinik, Puskesmas,Puskesmas Pembantu, Tempat Praktek Dukter flan Pas
EB yanq ada di dmaafkelurnhun ini. H5 Bersalin/BEIA, adalah tempat wanita mendapatkan fasilitas
untuk
nmi
lnhirkan, pemeriksaan kehamilan, pemariksann ibu dun anak yahg biasanyn
dihawah penqawnsan Dolcter dun Bidan.
'
Pnliklinikfklinik, adnlnh tempat pemeriksann kesehatan yang hiaaanya di bnwah pengawasnn Dokter. _
Pu Hkssman/Puakesmns Peuihant I1. adalnh tflfipat pemeriksnan kesehnt an pad 21 tingknt Kecamatan atau Dasa/Kelurahan yang biaaanya dikepalai seornnq
Dnkter/Tenaqa Media. Tflipat Fraktek flutter, adalah suatu tempat khufius dimana Duktar Sefldiri/bersama melakukan praktak prihadi kepada masygrakat. Perincian 2.1 5.6. I.::
Iaikan banyaknya Duktér, Hantri Kus&hntan/Pu
rawat/Eidan dan sejanisnya. serta Dukun mmyi yang di desa/kelurahan ini.
sacara
bertampat
tinggal
_
Hflntri Efiflehntnn dan nnjenisnya. adalah tenaqa kesehatan
yang
dapat
mamnerikan pengcbatan bail: yang bukfl plfflktak secarn resmi maupun tidal c sucarn resmi. Duhu Bayi. adalah nrnng yang pekerjaannya menulnng wanita yang mela
hirkflfl. bnik sehagai pekerjaan saxmilan mnupun sub nqai pekerjaan ura MB.
Perincian La s.r.‘l. 3.1:: Lingkari salah satu Rude yang sesuai. PM I (Pu. usahun AL: l|.1.nuu) élikelc: la csleh D npaztemen P.u. {Ditjen Cipta Km ‘Ya? Ya"? Pfldfl WI“ 1"\"YB "'91 BY! "i Pflnduduh Ibvmuta Provinsi. DAM {Dims hi: Hinim) . 5EPE!'.'ti halnya PM pada umumnya mlayani pen flucluk di flaulcuta Kahupnten/Kntam.p,c'lya_
5"" lfifllflrlfl H1! Min“). Bfiyfltti halnya PAH pada umumnyanmlayani pen
dudul/: di llbukutn Kcamatnn. PDN1 “"21"! ‘l5fl!‘llll.'ll'\ IIIBI !l]‘| Hit Hint!!!) . marupalcan pflrusahaan
Bfil ' 1=’\ IhI1Yfl fiikfllflln pemerintah dneran.
claerah
yang
_
BLDK X: PRASARAHA, BAHAMA PENGANGKUTAN DAN KUHUNIKASI
I.
FRJ\5I\RI'\NP.;
SERENA PENGANGKUTHH
Pflrinniun 1.fl $.d. 1.E: Linqkari salah sntu kode yang sesuai. Jalan Utama, adalah jalan yang menqhuhunqkan dasa/kalurahnn barsang kutan dengan kecamatan atau dengan dug;/kglurahan lginnya,
31
BLOCK IX.
HEALTH
Questions 1.a to 1.g: Write the number of hospitals, maternity hospitals/BKIA (Balai Kesehatan Ibu dan Anak, Maternal and Child Health Center), clinic, Puskesmas (Pusat Kesehatan Masyarakat , Community Health Center), Supporting Puskesmas, doctor’s practice and Family Planning station that is available in this village/village unit. Maternity Hospital/BKIA (Balai Kesehatan Ibu dan Anak , Maternal and Child Health Center) is a hospital with facilities for giving birth, pregnancy examination, maternal and child examination. It is usually under the supervision of a doctor and a midwife. Clinic is a place for health consultations; under the supervision of a doctor. Community Health Center (Puskesmas) /Supporting Puskesmas (Puskesmas Pembantu) is a place for health consultations at the sub-district level or in a village/village unit, usually headed by a doctor/paramedic. A doctor’s practice is a specific place where a doctor, whether alone or together with other doctors, conducts a private practice for community members. Questions 2.a to 2.c: write down the number of doctors, medical assistants/nurses/midwives and others as well as traditional birth attendants who live in this village/village unit. Medical assistants (mantri) are paramedics that can give medical treatment, with either an official practice or not. Traditional Birth Attendant is a person that attends to women giving birth, either as a part time job or as a primary activity. Questions 3.a and 3.b: Circle the appropriate code. Municipal Water Corporation (PAM = Perusahaan Air Minum) is organized by the Public Works Department (Cipta Karya Directorate General), usually serving the population at the provincial capital. Drinking Water Agency (DAM = Dinas Air Minum) similar to PAM, usually serves the population in the district/municipality capital. Drinking Water Distribution (SAM = Saluran Air Minum) similar to PAM usually serves the population at the capital city of a sub-regency. Municipal Waterworks (PDAM = Perusahaan Daerah Air Minum) is a local establishment that is entirely managed by the local government.
BLOCK X.
A.
TRANSPORTATION & COMMUNICATION INFRASTRUCTURE AND FACILITIES
TRANSPORTATION INFRASTRUCTURE AND FACILITIES
Questions 1.a to 1.c: Circle the appropriate codes A main road is a road that connects the village/village unit with another village/village unit.
32
17 41}
_
IX.
i
i
'
7
5|
KESEHHTAN
7______dQm—U—n__ F————————q————————u—Ju__—1k&uHnm*—————————_——__———__—_——_____——_
Banyaknya:
a.
Human Sahit
=
..... ........
buah
b.
Rumah Sakit Hezsalin/B.H.I.A.=
..............
buah
c.
Puliklinik
.. ........ ..
buah
d.
Puskesmas
..............
buah
E.
Puskesmas Pambantu
..............
buah
*
E.
Tampa: Praktek Dukte:
'
~ » .....
buah
gm
Pas Keluarga Berencana
,,.,,,,,,,,,,,
hunh
5.
Banyaknya dokter yang tlnggal di
b.
GI
A.
:
55 Pi‘. m@____‘*
ii. "I
QIIPIPIIIIIIIQ
Perawat/Bidan dan aajenisnya yang tinggal di desa in; ~
,_.,,_,_,_,___ qrunq
Banyalcnya Dukun Eayi yang tinqgal di desa ini
__,____,,,,_,, urqng
.
:
53[::[:]
‘
“[11
Air untuk keperluan minum/masak panduduk umumya dari: ' DAM,
Mata air
PDAM,
Sunqai/Danau
dflfl SAM
b.
\ i.
EAT“
Banyaknya Mantri Kesehatanf
PAH;
\
5;" " . 1 saw —
Pompa listrik
—
P u m P a Sumur/Perigi
— —
Air hujan @ MIMI“
ETI l
Lainnya (sabutkqn) ,,,,,,,,_,,,,,_,_
@'qEDlJ
Air untuk kepgrluan mandi/menmuci pgnduduk umumnya dnri:
Mata air
PAM, DAM, PDAM, dan HRH
Pumpa listrik
i
Sungai/Danau
_
—
P u m F a
I. ainnya taebutkcml
EUNUI/Pfifiqi
BHEIJ
Air hujnn HIE Ml“
@=W E Q
,L.. ,. ++LL, . . 'I_ __ _7
X.
PRASARANA. SARANA PENGANGKUTQN DN KDMUNIKASI
PENGHNGKUTHN \
1
IA
Sabaqian besar lalulintas di desa/keluruhun ini melalui: D a r a t
\
b‘
C.
A
l
.
1
“D
I
r"Z.m1gsw1g kg I L2)
Kalau melalui darat. Hebaqian besar jmlan utnma di dean/kelurahan ini adalah:
Jalan aspal
— 1
Jalan diperkeraa tkerikil, batu, dab.) Jalan tanah
2 + 3
.
hpflkflh jalan utama tersehut dapat dilalui kandaraan bErmfiEflr ruda 4 sepanjang tnhun P
D a p n t
1
T i d a R
'"1:|» H
3
33
IX. HEALTH 1. Number of: a. Hospital b. Maternity hospital/ BKIA c. Polyclinic d. Puskesmas (Commuity Health Center) e. Supporting Puskesmas f. Doctor’s private practice g. Family Planning station
…………….. units …………….. units …………….. units …………….. units …………….. units …………….. units …………….. units
52 53 54 55 56 57 59
2. a. Number of doctors who live in this village/village unit …………. Persons b. Number of medical aides/midwives and other paramedics …………. Persons who live in this village/village unit c. Number of Traditional Birth Attendants who live …………. Persons in this village/village unit
61 63
3. a. Population’s usual source of water for drinking/cooking: PAM, DAM, PDAM, and SAM -1 Spring water Electric pump -2 River/lake Manual Pump -3 Rainwater Well -4 Other (specify)
67
65
-5 -6 -7 -8
b. Population’s usual source of water for bathing/washing: PAM, DAM, PDAM, and SAM -1 Spring water -5 Electric pump -2 River/lake -6 Manual Pump -3 Rain water -7 Well -4 Other (specify) -8 X. TRANSPORTATION AND COMMUNICATIONS INFRASTRUCTURE AND FACILITIES A. TRANSPORTATION 1. a. The majority of traffic in this village/village unit goes through: Land -1 Water -2 b. If through land, the major part of the village/village unit’s main road is: asphalt road -1 hardened road (pebbles, stone, etc) -2 earth/soil road -3 c. Can a four-wheel motor vehicle pass through this main road throughout the year? Yes, it can -1 No, it cannot -2
68
69 70
71
34
18
Punncim 3.a: Lingluu. 1 snlah aatu Rude yang sesuai. Bnqkutan umwm meliputi angkutan umum dnlam deaa maupun antar desa. Gfirflbflk/Pedati pada uumnyl untufi angkutan bazpng, nalman/Dakar/Bendi pnda umumnya untuk unqkutan orang dan pada umunyn jalannya lébih ¢Bpat dari Geruak/Pedati. Perimcian Lb: Dari sarana anqlcutan yang ad; ambqtxan yang utmm mm mflflflhflfl kudenya pada kfitak yang disadiakan. Rude sarana anqkutan adalah nomor urut sarana anqkutan pada perincian 3.a. Untuk menentukan yang utama dilihat dari jumlah penumpgng yflng paling banyak diangkut ks luar desafkelurahan.
Canton: Sqrana :.nqkuta.n yang utamm diqunmcan di dasaflcaluraman aclalah mntnr tempel [n0.uru1: 9), make. pa nqisi.: mnya;
.....4!@%@r..Pfi~*;*:~:=?!........__
B.
HIHUHIKASI
Perincian 1.; Ann 1.b= Lingkari salnh satu kode yang mesuni.
Peflncian 2: Lingkari salah Batu kqda yang sesuai, BLOK XI: FMSARANA EKONOMI H.
PHRSHRHHH PEHASHRHN
Pezincinn 1 dnn'I: Isikan banyaknyn pasar dengan banguan permanenf Semi permanen dan pasar tanpa bangunnn permnnen ygng ada di degflf kelurahan. Faun: flflngah bnnqunnn permflnen/Semi Permanan, gdalah P355: dgnggn
lantai semen/teqel, tiang hesi/knyu, atap senq/qanteng/sirpp, balk bflfdiflfliflq itafl tidak,
tanpa mfllihat ramai atnu tidak.
Pusan: tanpa banqumln pennanen (tidal: tzermasuk Kalci Lima] , adalnh paflar yang mempunyai bangunan—bungunan tqgqpi tidak permnnen, misalnya banguan dari bawhu, daun, dan aajenisnya.
Perincian 3 dun 4: Isikan banyaknya kalumpuk pertoknan dun kids untuk menjual barang konsumfii yanq ada di daaa/kelurahan ini,
Eelumpflk pertakuan, adalah aekelompnk toko paling sedikit ada 10 tuku, bnik nuke tersabuc menjual haranq baranq khusus maupun campuran.
Rinfl untnl: nimjual hnranq knnmmmi, adalah tolw/wnrung yang menjual barang kebutuhan 5ehari—hari baik hahan mantah maupun baranq jadi! siap dikunsumsi, tidak turmasuk restnran/rumah makan. B.
PFU“.5I\.RJ'\.N3\ PERJLREDITAH
Perincian La 5.11. 1.¢: Isikan banyaknya Bank, HUD. clan Hoperasi lninnya.
Patinnian 1.6: Isikmn banyaknya lembaqa kuuangan lninnya.
Inmbaga Jvzeuanqan iainnya, antara lain Amuranai. Pegadaian. flan pemheri pinjaman unng lainnya.
35
Question 2.a : Circle the appropriate code Public transportation covers public transportation within the village/village unit or between villages/village units. A wagon/cart is usually used to transport goods Delman/Dokar/Bendi (horse-drawn buggy/carriage) is usually used to transport people and is usually faster than a wagon/cart. Question 2.b: Specify the primary mode of transportation from the list of transportation facilities available in the village/village unit, and write down the appropriate code on the box at right. The code is the serial number of the transportation mode detailed in question 2.a. In order to determine the primary transportation mode, it is the one that transports the most passengers out of the village/village unit.. Example: The primary transportation mode used in the village/village unit is an outboard motorboat (serial number 9). The boxes are filled as follows: ….Out board Motorboat… B.
0
5
COMMUNICATIONS
Questions 1.a and 1.b: Circle the appropriate code Question 2: Circle the appropriate code
BLOCK XI. ECONOMIC INFRASTRUCTURE A.
MARKETING INFRASTRUCTURE
Questions 1 and 2: Write down the number of markets with a permanent/semi permanent building and markets without a permanent building that is available in the village/village unit. A market with a permanent/semi permanent building is a market with a cemented/tiled floors, iron/wooden poles; the roof is made out of corrugated sheeting/terracotta roof tiles/wooden slates, it either has walls or not. Disregard whether it is crowded or not. A market without a permanent building (not including sidewalk vendors) is a market that has a nonpermanent building such as a building made of bamboo, leaves and others. Questions 3 and 4: Write down the number of groups of shops and kiosks that sell consumable goods in the village/village unit. A group of shops is a group of shops numbering at least 10 shops, selling specific goods or a combination of goods. Kiosks selling consumable goods are shops/warungs (stall) which sells day-to-day consumer goods, whether still in the form of a raw material or ready-to-use goods. Does not include restaurants/food stalls. B.
CREDIT FACILITIES
Questions 1.a to 1.c: Write down the number of banks, KUD (Koperasi Unit Desa = Cooperative Village Unit). Question 1d: Write down the number of other financial institutions Other financial institutions : Insurance, Mortgage and other money-lending institutions.
36
19 ‘
=
x.
‘( 2.
LANJUTAN
‘
Apukah ada sarana anqkutan umum yang melalui dE5flfkElu— \
rahan flan dapan diqunakan nlah penduduk desa ini ?
H ?.
in
a,(1},
(2).
‘
Sapada (Djek Sepadaj
:
Ada
Tidak
B e ¢ a k
;
Ada
Tidak
(3a_ Gerubak/Padati
=
Ada
Tidak
\
(4).
Delman/Dakar/Randi
:
Ada
Tidak
\
(5).
Sapada Hutnr Efijekl
:
Ada
Tidnk
(6). (71.
\ (B). (
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\
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1 H
y
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Kendaraan bermotur
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roda 4 dam lebih
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Tidak
Perahu tidak barmotor:
Ada
Tidak
1.1.
Tidak
_
Tidak
F
(10). Hapal motor
\
var"
Kendaraan bermntur roda 3
(91. Hncnr tempel
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=
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:
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Dari sarana anqkutan yang ada aebutkan yang uta ma II II'i' ' I I I I I I I I I I I I I IIIFl
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npnhan di flesa/kelurahan ini nda;
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Pesawat Televigi Umum
;
Adi
1
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—
b.
Pasawat Talepan Umum
=
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* l
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—
..
54
I
2
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2;
“(:1
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Rpflkflh fli flfififl/kelurahan ini ada Kantnr P09/Kantor P05 Pmmmwu?
Ada
am ;
— 1
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.__
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'
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_
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PRAEARHNA EKONOMI
H%Hw
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PHHSAHANH PEHAEHRRH r|%
Banyaknya: 1.
,
2.
Paaar denqan banqunan pnrmnnenj HPmi pflrmanen Pasar tanpa hanqunan permanen
3,
Fnlnmpnk peptnkqan
4
\_ I
B.
1.
I
a1*—fi ....... huah ii 1. I
buflh
Illiili
Duflh
H.
Milik HUD
......
b.
Hilik Koparasi lainnya
IIIIIII
c.
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buah
na5§.£§§.. B a n k Hoparnsi Unit Dena
\ * ‘
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PHASNRKHA PERHHEDITRN
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a.
‘
....... buah
“III!
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(EUD1
....... buah
c.
Koperasi lainnya
....... hush
Q.
Lfimhaqa Keuanqan lainnya
....... DUB“
1 u I4_
(Dl‘flD[;j
ED _
37
X. CONTINUED 2. What kinds of public transportation pass through this village/village unit and can be used by the village/Village unit’s population? a. (1). Bicycle (bicycle “ojek’ ) yes -1 no -2 (2). “Becak” (Pedicab) yes -1 no -2 (3). Wagon/ “Pedati” (Horse drawn cart) yes -1 no -2 (4). “Delman”/Two wheeled buggy, ”Dokar”/ yes -1 no -2 /horse drawn buggy, ”Bendi”/two wheeled carriage (5). Motorcycle (‘Ojek’) yes -1 no -2 (6). Three-wheel motor vehicle yes -1 no -2 (7). Four-wheel or more motor vehicle yes -1 no -2 (8). Non-motorized boat yes -1 no -2 (9). Out boat motorboat yes -1 no -2 (10).Motorized ship yes -1 no -2 b. From all the modes of transport available, specify the primary mode of transport …………………………………………………. B. COMMUNICATIONS 1. This village/village unit has: a. Public TV : b. Public phone :
yes yes
-1 -1
no no
-2 -2
2. This village/village unit has a Post Office/Post Office sub-branch? yes -1 no -2
72 73 74 75
76 77 78 79 80 81 82
84 85
86
XI. ECONOMIC INFRASTRUCTURE
A. MARKETING INFRASTRUCTURE Number of : 1. Markets with permanent/semi permanent buildings 2. Markets without permanent buildings 3. Group of shops 4. Kiosk selling consumables: a. Owned by KUD (Village Cooperative Unit) b. Owned by other cooperative c. Private B. CREDIT INFRASTRUCTURE 1. Number of: a. Bank : …………………unit b. KUD : …………………unit c. Other cooperatives : …………………unit d. Other financial institution : …………………unit
:…………………unit : …………………unit : …………………unit
87 88 89
: …………………unit : …………………unit : …………………unit
90 92 94
97 99 100 101
38
20
Pflrinflian 2.a :|.fl, 2.15:: Tulislcan Salah satu Rude
jawaban 1
atau
I
untuk antiap kredit. yang fliparnlah pandudul: clean/ka.l.uraha.n ini. Krcdit Investasi Kecil (KIK) dan Iiredlit Modal Knrja Permanen (1CM!CE'l
nclnlnh kradi: yang dibmrilmn kepada gnlnngan pengusann (mail prinumi untuk membiayai uaaha rahabilitaai flan parluaaan unit wait pmdwcai yang menghasilkan barang/jasa Beasarnya HIE mu! csimal Hp l5,0UO,CrDU, dngan bunqa kredit 12% 5et.p hun dan jangka wnktu kredit maksimal B tnhun, termasuk mnsatanqgang maksimal 4 tahun. Besarnya F '!*'(1"~.P maksimal Rip ].5.0UD.OO(J.— denqan
bunqa
kredit 1.2% se
(111hLll'\ dz! 1'1 jangka waktu kredit malcaimal 5 tahun. tamaauk maaa tang gang maksimal 1 tahun. ltradit Canriak lT.u.'l.a.l:
I! ‘.1321, adalah kradit hagi. pedagang kecil danqan
bunga 1! satahun dam jangka waktu kradit malcsimal 3 tahm. !"'.':e fit 11:in.nya, misalnya kre. flit umum dari Hank Ummn,
Kuperasi atau
lambngn la_'Lnny.g_
C. IIIIH rI.l.Ill Pesincian 1 flan 2: Isikan ba.n~_.raJcnya pabrik dan rwruahmakan/restoran
yang ada di deaa/k¢lura.ha.n ini. Perincian 3 flan ll: Lingkari aalah satu Roda yang SE'BI_lHi.
BLUK XII: FEIBN IGUHAH [ISA/KELURAHAN Pnrimcian 1.: mngkari sal 1h saw huge yang weauni. Perincian La: Isilah (saris basis yang ternedia dan pindahkan ini annya pad; kcntak yang disediakan, baris tidak usah diisi.
Dug kntak
parteuna
untuk setiap
Fenbnhglman fiaik yang dinakaud di aini, adalah pmbamgumm fisik yang be. rmanfaat secara lamgsung untuk kepuntingnn umurn
separti
jalan, jenbatnn. clan balai. pertemuan. Pmrhangumnn yang talah anlnmni, adnlah pambangmian
yang
talah aa
lasai pada tahun 1965. balk mulai tahun 1965 ataupun aahelurmya. R1110: (5); adalah ]_arna.nya pmrubanqnman
disalesaikafl
sejal 1
prgyek
ternnhut dimulai.
39
Questions 2a to 2e: Write down the appropriate code 1 or 2 for each type of credit facility that has been received by the village/village unit’s population. Small Investment Loans (KIK= Kredit Investasi Kecil) and Permanent Working Capital Loans(KMKP= Kredit Modal Kerja Permanen), are loans extended to native entrepreneurs/small scale establishments in order to rehabilitate the business and to expand production units which produce goods/services The maximum credit that is extended through KIK is Rp. 15,000,000 with an interest rate of 12% per year and a time limit of 8 years, including a maximum grace period of 4 years. The maximum credit that is extended through KMKP is Rp. 15,000,000 with an interest of 12 % per year and time limit of 5 years, including a maximum grace period of 1 year. KCK (Kredit Candak Kulak) is a credit that is available to small traders with an interest rate of 1% a year and the maximum credit period of 3 years.
C.
OTHERS
Questions 1 and 2: Write down the number of factories and restaurants that are in this village/village unit. Question 3 and 4: Circle the appropriate code
BLOCK XII. VILLAGE/VILLAGE UNIT DEVELOPMENT
Question 1: Circle the appropriate code Question 2a: Write in the space provided and move the contents into the appropriate boxes. The first two boxes for each row does not have to be filled in. Physical developments are physical developments that are directly beneficial to public needs such as roads, bridges and meeting halls. Completed developments are development projects that has been completed in the year 1985, whether started in 1985 or before that. Column (5): is the duration of a completed development project from its start.
40
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||
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dean/kelurahan ini: E1.
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2
Ada
b.
Krndit Invaatasi Kacil (HIE):
Ada
c. d.
Kredit Hmdal Rarja Parmanan (KMKP) '
Ada
Hredit Gandak Kulak (EEK)
AGE
In
Tidak
2
Tidak
2
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=
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1.. Dalam 1:ahu.n was, aaum perrtaangunan 151.511: desa/1 :al\.Lraha.rl“ " yang talah/belum selaaai baik yang bersuxnber Elari INPRES, BPBD 'l'k. I/Tk.II, H 511C125 atau Swadaya Mlusygrakat:
Ada 1 2.
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41
XI. CONTINUED 2. Credit facilities which have been extended to the village/village unit population: a. “Bimas” credit yes -1 no -2 b. KIK (Kredit Investasi Kecil, Small Business Loans) yes -1 no -2 c. KMKP (Kredit Modal Kerja Permanen yes -1 no -2 Permanent Working Capital Loans) d. KCK (Kredit Candak Kulak yes -1 no -2 Credit extended to small middlemen) e. Other credits yes -1 no -2 C. OTHERS Number of : 1. Factory ……………..unit 2. Restaurant ……………..unit 3. Does this village/village unit have access to electricity? a. PLN (State Electricity Enterprise) yes -1 no -2 b. non- PLN yes -1 no -2 4. Establishments renting party equipment yes -1 no -2 XII. VILLAGE/VILLAGE UNIT DEVELOPMENT 1. In 1985, were there any completed/not yet completed development projects in the village/village unit which were funded by INPRES (Presidential directive), APBD at the provincial level or at the district level, “Bandes” (rural development) or by the community’s self-development funds. yes -1 no -2 2. If ‘yes’: a. Projects completed: Serial number
Type of project
Managed by village/village unit -1 Non-village/ -2 village unit
(1)
(2)
(3)
Primary source of funds** (code)
103 104 105 106 107
108 110 112 113 114
11
12 Filled By CBS
Content col. (3) (4) (5)
13 19 25 31 37
15 21 27 33 39
Project duration (month)
(4)
(5)
**) Primary source of funds code: National Project INPRES APBD provincial level APBD district level
-1 -2 -3 -4
“Bandes” Community self-development Other (specify) ………. …………………
-5 -6 -7
42
16 22 28 34 40
17 23 29 35 41
22
Puzinginn 2.h: Iailan baria—baris yang tazaedia dun pinfinhkan isiannya
pada kotak yang disediakan.
Dun kutak pertama unnuk satiap baris
tidak usah diisi.
Pembangunan yang belum seleaai. adalah pambanqunnn yang Belama tahun 1965 masih barlangsung baik mulai tahun 1935 ataupun sebelumnya. lnlun (51: adalah lnmanyn prnyak dikerjnkan aejak pruyek dimulai aampai 31 Desmmber 1955. Kulnm (5): paraentase ditulis dnlam bilangan bulat.
BLDK XIII: KETERANGAH KEPALA UESA/LURAH Perincian 1: Isikan uur Kapala mesa/Lurah dari desa/kelurahan ter sabut pada saat pennncahan.
,
_
Perincian 2: Lingkari salah satu kuda jania kelamin Kapala Desnf Lurah yang sesuai.
Fnrincian 3: Linqkari aalah satu kndn pnfldiflikan Kflpfllfl Desi/Lflrflh yang sasuai. Isikan had: kufie tursabut he dnlnm kfltflk Yflflq tflrafldifl.
BLOK XIV: BLUE CATATIH Blot Catatan ini dipergunakan untuh menanhahhan keterangnn keterflflqflfl yang diputlukan untuk mamparjelas iaian Dflftnr 5EHE—POUB5.
43
Question 2.b: Write in the space provided and move the contents into the appropriate boxes. The first two boxes for each row does not have to be filled in. Development projects that are not yet completed are development projects that is still in progress in 1985, whether it began in 1985 or prior to that. Column (5): is the duration of the project from its start to December 31, 1985. Column (6): the percentage, rounded off.
BLOCK XIII. VILLAGE HEAD/VILLAGE UNIT CHIEF CHARACTERISTICS Question 1: Fill in the age of village head/village unit chief at the time of enumeration. Question 2: Circle the appropriate code for the gender of the village head/village unit chief. Question 3: Circle the appropriate code for the type of education completed by the village head/village unit chief. Fill in the codes into the provided boxes.
BLOCK XIV: NOTES BLOCK This block is used to add any information required to specify on the contents of the SE86-Podes List.
44
23
III. _ .
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XII. CONTINUED b. Projects not yet completed: Serial number
Type of project
Administered by
Primary source of funds (code)
-1 / -2
(1)
(2)
(3)
*) Managed by village/village unit
(4)
-1
Project duration (month)
Percentage completed (%)
(5)
Filled By CBS
Content col. (3) (4) (5)
43 51 59 67 75
45 53 61 69 77
(6)
Not managed by village/village unit
-2
**)Primary source of funds: National Project INPRES APBD provincial level APBD district level
-1 -2 -3 -4
“Bandes” (rural development) Community self-development Other (specify) ………. …………………
-5 -6 -7
XIII. CHARACTERISTICS OF VILLAGE HEAD/VILLAGE UNIT CHIEF 1. Age of The village head/vllage unit chief : ………….years 83 2. Gender: Male
-1
Female
-2
85
3. Last education received by head of village/village unit chief: No school Not completed Primary School Completed Primary School Completed Junior High School
-1 -2 -3
Completed Senior High School Completed Academy/ -4 University
86 -5 -6
XIV. NOTES
46
46 54 62 70 78
47 57 65 73 81
