XXX PROJECT IN XXX (RURAL SETTING) Development of the RAP/ LRP - socio-economic baseline survey CENSUS / SURVEY / ASSET INVENTORY FORM 1. GENERAL INFORMATION 1.1 Survey form number: 1.1.1 Connected survey form numbers (for other affected plots): 1.2 Location of the affected plot: 1.2.1 District: 1.2.2 Town / village: 1.3 Cadastral number of the affected plot: 1.4 Size of the affected plot (in Ha): 1.5 Name of surveyors: 1.5.1 Signature: 1.5.2 Signature: 1.6 Date of survey: 1.7 Name of survey supervisor: Signature: 2. INFORMATION ABOUT THE OWNER(S)/USER OF THE AFFECTED LAND PLOT Note: the person using the land plot is who should be surveyed (be it the owner or person using the land plot under some formal or informal arrangement) 2.1 Name of the owner(s) of the affected land plot: 2.2 Resident address(es) and contact phone number(s) of the owner(s): 2.3 Name of the user (if different than the owner) of the affected land plot: 2.4 Resident address and contact phone number of the user: 2.5 Status of the user: 2.5.1 Plot is owned by family or relative (with no formal usage agreement)  2.5.2 Tenant (formal user of land with agreement from the owner)  2.5.3 Informal user (user of land without knowledge or agreement from the owner)  2.5.9 Other (specify) 
XXX PROJECT IN XXX (RURAL SETTING) Development of the RAP/ LRP - socio-economic baseline survey CENSUS / SURVEY / ASSET INVENTORY FORM 1. GENERAL INFORMATION 1.1 Survey form number: 1.1.1 Connected survey form numbers (for other affected plots): 1.2 Location of the affected plot: 1.2.1 District: 1.2.2 Town / village: 1.3 Cadastral number of the affected plot: 1.4 Size of the affected plot (in Ha): 1.5 Name of surveyors: 1.5.1 Signature: 1.5.2 Signature: 1.6 Date of survey: 1.7 Name of survey supervisor: Signature: 2. INFORMATION ABOUT THE OWNER(S)/USER OF THE AFFECTED LAND PLOT Note: the person using the land plot is who should be surveyed (be it the owner or person using the land plot under some formal or informal arrangement) 2.1 Name of the owner(s) of the affected land plot: 2.2 Resident address(es) and contact phone number(s) of the owner(s): 2.3 Name of the user (if different than the owner) of the affected land plot: 2.4 Resident address and contact phone number of the user: 2.5 Status of the user:  2.5.1 Plot is owned by family or relative (with no formal usage agreement)  2.5.2 Tenant (formal user of land with agreement from the owner)  2.5.3 Informal user (user of land without knowledge or agreement from the owner)  2.5.9 Other (specify)
doc-resettlement-guidance-good-practice-example-socio-economic.docx