CAF FORM 5 Republic of the Philippines
AUTHORITY: NATIONAL STATISTICS OFFICE
5A
Section 2(c) of Commonwealth Act (CA) No. 591
authorizes the National Statistics Office to prepare 2012 CENSUS OF AGRICULTURE AND FISHERIES
5
for and undertake all censuses of population,
agriculture, industry and commerce.
CONFIDENTIALITY: CORE QUESTIONNAIRE
Section 4 of CA No. 591 provides that all NSCB Approval No. NSO – 1218-05
information furnished on this form are held
STRICTLY CONFIDENTIAL.
FOR FISHERIES Expires on October 9, 2013
CERTIFICATION
I hereby certify that the data set forth herein were personally obtained/reviewed by me in accordance with the instructions given by the National Statistics Office.
ENUMERATOR TEAM SUPERVISOR DSO/SCO CO/RO/PO SUPERVISOR
SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME SIGNATURE OVER PRINTED NAME
DATE ACCOMPLISHED DATE REVIEWED DATE REVIEWED DATE REVIEWED
SECTION A – FISHING OPERATION IDENTIFICATION SECTION B – INTERVIEW RECORD
SHEET OF SHEETS VISIT 1 VISIT 2 VISIT 3
DATE OF VISIT
PROVINCE MONTH : DAY
INTERVIEW TIME BEGAN
CITY/ MUNICIPALITY HOUR:MINUTE
INTERVIEW TIME ENDED
BARANGAY HOUR:MINUTE
ENUMERATION
RESULT OF VISIT*
AREA NO.
* Result of Visit 1 Interview completed 3 Refused 5 Household not around/
SEGMENT NO. No respondent
Codes
BUILDING SERIAL 2 Interview partly 4 Postponed 6 Others, Specify
NO. completed ___________________________
HOUSING UNIT
SUMMARY OF VISIT
SERIAL NO.
HOUSEHOLD TOTAL NUMBER RESULT OF ENUMERATOR’S
SERIAL NO. OF VISITS FINAL VISIT* CODE
LINE NO. OF NAME OF
OPERATOR ITEM C1 (COLUMN 1) OF CAF FORM 2 RESPONDENT
TYPE OF LINE NO. OF
OPERATOR ITEM C16 (COLUMN 16) OF CAF FORM 2 RESPONDENT
SECTION C – NAME OF OPERATOR/HIRED MANAGER
COPY CORRECTLY THE NAME OF THE OPERATOR/
HIRED MANAGER FROM ITEM C2 (COL. 2) OF CAF F2 C2 AND C3 ARE TO BE ASKED ONLY IF THE TYPE OF OPERATOR IN SECTION A IS CODE 2 OR 3
C1 NAME OF THE OPERATOR/HIRED C2 What is the name of the employer/ C3 In what province and city/municipality is the address of the employer/
MANAGER establishment? fishing establishment?
CODE CODE
PROVINCE CITY/MUNICIPALITY
DO NOT FILL DO NOT FILL
LAST NAME
Establishment Control Number (ECN) (DO NOT FILL, FOR NSO USE ONLY)
FIRST NAME NAME OF EMPLOYER/ESTABLISHMENT
SECTION D – LEGAL FORM OF ORGANIZATION
D1 From January to December 2012, did ______ operate the 1 Individual proprietor 4 Cooperative 7 Others, Specify
fishing activity as an individual proprietor, on partnership,
as a corporation, as a cooperative, as a private institution, 2 Partnership 5 Other private institution
as a government corporation/institution or through other
form of legal organization? WRITE X IN THE BOX 3 Corporation 6 Government corporation/institution
WRITE X IN THE BOX
5B SECTION E – FISHERIES
E1 From January to December 2012, where did _____ perform E2 From January to December 2012, how many fishing boat(s)/vessel(s)
the fishing operation, in marine waters or inland waters? did _____ use in the operation (including raft)?
WRITE X IN THE BOX
1 Marine waters WRITE IN THE BOX THE NUMBER OF BOATS/VESSELS USED. WRITE “00” IF NO BOAT/VESSEL
WAS USED. IF “00”, GO TO ITEM E6.
2 Inland waters
ASK ITEMS E3 TO E5 FOR EACH FISHING BOAT/VESSEL USED. INCLUDE ALL FISHING BOATS/VESSELS USED REGARDLESS OF OWNERSHIP AND FREQUENCY OF USE.
BOAT/ E3 What type of boat/vessel did _____ use? E4 What was the gross tonnage of the E5 Does _____ own this boat/vessel?
VESSEL boat/vessel used in the fishing operation?
NO.
WRITE X IN THE BOX WRITE X IN THE BOX WRITE X IN THE BOX
1 Boat with engine and
outrigger 4 Boat without engine 1 More than three (3) gross tons 1 Owned
and outrigger
01 2 Boat with engine but
without outrigger
5 Raft, GO TO ITEM E5 2 Three (3) gross tons or less 2 Not owned
3 Boat without engine
but with outrigger
1 Boat with engine and
outrigger 4 Boat without engine 1 More than three (3) gross tons 1 Owned
and outrigger
02 2 Boat with engine but
without outrigger
5 Raft, GO TO ITEM E5 2 Three (3) gross tons or less 2 Not owned
3 Boat without engine
but with outrigger
1 Boat with engine and
outrigger 4 Boat without engine 1 More than three (3) gross tons 1 Owned
and outrigger
03 2 Boat with engine but
without outrigger
5 Raft, GO TO ITEM E5 2 Three (3) gross tons or less 2 Not owned
3 Boat without engine
but with outrigger
1 Boat with engine and
outrigger 4 Boat without engine 1 More than three (3) gross tons 1 Owned
and outrigger
04 2 Boat with engine but
without outrigger
5 Raft, GO TO ITEM E5 2 Three (3) gross tons or less 2 Not owned
3 Boat without engine
but with outrigger
1 Boat with engine and
outrigger 4 Boat without engine 1 More than three (3) gross tons 1 Owned
and outrigger
05 2 Boat with engine but
without outrigger
5 Raft, GO TO ITEM E5 2 Three (3) gross tons or less 2 Not owned
3 Boat without engine
but with outrigger
ARE THERE MORE THAN FIVE (5) BOATS/VESSELS 1 Yes, USE ADDITIONAL CAF FORM 5 2 No
USED IN THE FISHING OPERATION? REMARKS/COMPUTATION
E6 From January to December 2012, did _____ 1 - Yes, FILL OUT THE MATRIX BELOW 2 No, END INTERVIEW FOR THIS
use fishing gears/ accessories/devices in OPERATOR AND GO TO THE
the fishing operation? NEXT OPERATOR/HOUSEHOLD
E7 What kind of gears/accessories/ E8 How many? E7 Continuation - What kind of gears/ E8 Continuation -
devices did _____ use? accessories/devices did _____ use? How many?
CODE NUMBER AS OF CODE NUMBER AS OF
KIND OF GEAR/ACCESSORY/DEVICE KIND OF GEAR/ACCESSORY/DEVICE
DO NOT FILL DECEMBER 31, 2012 DO NOT FILL DECEMBER 31, 2012
1 6
2 7
3 8
4 9
5 10
ARE THERE MORE THAN TEN (10) GEARS/ 2 No, END INTERVIEW FOR THIS
1 Yes, USE ADDITIONAL CAF FORM 5
ACCESSORIES/DEVICES USED IN THE FISHING OPERATOR AND GO TO THE
OPERATION? NEXT OPERATOR/HOUSEHOLD
