Other Public Use Forms

eKalkarN_EnnaMsþIGMBICMnYyxagEpñkPasaénkar
Exµr / KHMER
,,

eKalkarN_ENnaMenHpþl;CUnnUvkarbkERbsMNYr esckþIENnaM énCMerOn RBmTaMgpþl;CUnnUvEbbepSg²éncemøIy EdlmanenAkñúgtaragsMNYrCMerOnRbcaMqñaM 2010 ecjCapøÚvkarsMrab;elakGñk .
sUmrkemIlcemøIyrbs;elakGñkenAkñúgesckþIENnaMenH b:uEnþbnÞab;mksUmKUseRCIserIsykcemøIyrbs;elakGñkenAkñúgsMNYrdEdlenHEdlman enAelItaragsMNYrénCMerOnRbcaMqñaM 2010 ecjCapøÚvkarsMrab;elakGñk .
sUmep£IRtLb;mkvijnUvtaragsMNYrénCMerOnRbcaMqñaM 2010 ecjCapøÚvkarsMrab;elakGñkEdlRtUv)anbMeBjcb;sBVRKb; .; sUmkMu ep£I£RtLb; mkvijnUveKalkarN_ENnaMsþIBICMnYyEpñkPasaenH .
5. sUmpþl;B½t’manGMBImnusSmñak;²EdlkMBugrs;enATIenH .

sUmeRbIb‘ícBN’exov b¤ exµA .
CMCMerOn
erOn RtURtUvEtrab;mnusSRKb;KñaEdlrs;
vEtrab;mnusSRKb;KñaEdlrs; enATIenATIenH
enH enAéf¶TenAéf¶TI1
I 1 Ex emsa
qñaM 2010 .
Ex emsa qñaM 2010 .
muneBlelakGñkeqøIysMNYrTI 1 sUmrab;cMnYnmnusSEdlkMBugrs;enAkñúgpÞH kñúgGwpatmin
(apartment) b¤ pÞHcl½t (mobile home) edayeRbI eKalkarN_ENnaMrbs;eyIIgTaMgenH .
v rab;cMnYnmnusSTaMgGs; rYmTaMgekµgEdleTIbnwgekIt Edlrs;enA nigedkenATIenH

Cajwkjab; .

kariyal½yEpñkeFVICMerOnk¾eFIVkarrab;enAtamsßab½n nigkEnøgdéTeTotpgEdr ehtuenHehIy ³
v sUmkMurab;mnusSNaEdlkMBugrs;enAq¶ay dUcCaenAtammhaviTüal½y

b¤enAkñúgCYrkgkmøaMgRbdab;GavuF .

v sUmkMurab;mnusSNaEdlenAtammNÐlEfTaMmnusScas; (nursing home)

Bn§naKar b¤mNÐlXMuXaMg . l. enAéf¶TI 1 Ex emsa qñaM 2010 enH.
v sUmkMubBa©ÚlmnusSTaMgenHeTAkñúgEbbbTrbs;elakGñk eTaH bICaBYkeKnwgtLb;mkRrs;enATIenHvijbnÞab;BIBYkeKecjBImhaviTüal½y mNÐlEfTaMmnusScas; mnÞIeyaFa
mnÞIXuMXaMg . l. k¾eday . ebIBuMdUecñaHeT BYkeKGacnwgRtUv)anrab;BIrdg .

CMerOnk¾RtUvEtrab;bBa©ÚlcMnYnmnusSNaEdlminmankEnøgsñak;enACaGcié®nþy_pgEdr
ehtuenHehIy ³
v enAéf¶T ---1 Ex emsa qñaM 2010 RbsinebImnusSNamYyEdlminmankEnøgsñak;

enACaGcié®nþy ehIykMBugEtsñak;enATIenH sUmrab;mnusSenaHpg . ebIBMudUecñaHeT BYkeK
GacnwgminRtUv)anrab;bBa©ÚlenAkñúgkarRsg;cMnYnRbCaCnenH .

1.

2.

3.

4.

enAéf¶TI 1 Ex emsa qñaM 2010 etImnusSb:unµannak;)ankMBugsñak;enAkñúgpÞH
Gwpatmin b¤pÞHcl½tenH ?

cMnYnmnusS =
enAéf¶T 1 Ex emsa qña 2010 etImanmnusSNaepSgeTotEdlkMBugsñak;enATIenH
EdlelakGñkmin)anrab;bBa©ÚlenAkñúgsMNYrTI 1 Edrb¤eT ?
sUmKUssBaØa elIcemøIyNaEdlTak;Tg .
ekµg dUcCaTarkEdleTIbEtekIt b¤ kUnciBaw©mCaedIm
sac;jati dUcCaekµgeBjv½y bgb¥ÚnCIdUnmYy b¤ sac;éføCaedIm
mnusSEdlminEmnCasac;jati dUcCamitþPkþirYmfñak; b¤ GñkemIlEfekµgEdlrs;enAkñúgpÞHCaedIm
mnusSEdlkMBugsñak;enATIenHCabeNþaHGasnñ
KµanmnusSepSgeToteT
etIpÞH Gwpatmin b¤pÞHcl½tenHRtUv)an —
sUmKUssBaØa I mYyelIRbGb;mYy.
elakGñkeFVICam©as;edaypÞal; b¤ mnusSNamñak;enAkñúgpÞHenH)anx©IR)ak;edayykvtþúGVImYyeTAdak;bBa©aM b¤kMBugCab;CMBak;R)ak;km©IEdrb¤eT ? sUmbBa©ÚlR)ak;km©IsRmab;TijpÞH .
elakGñkeFVICam©as;edaypal; b mnusSNamñak;Edlrs;enAkñúgpÞHenHBMu)anx©IR)ak;edayykv-;
tþúGVImYyeTAdak;bBa©aM ¬BuM)anCMBak;edaysarykrbs;eTAbBa©aM b¤ CMBak;R)ak;km©I¦Edrb¤eT ?
CYlEmnb¤eT ?
RtUv)ankan;kab; edayminmankarbg;R)ak;elIkarCYlEdrb¤eT ?
etITUrs½BÞrbs;elakGñkmanelxb:unµan ?
eyIgRbEhlCaTUrs½BÞeTAelakGñkRbsinebIeyIgminyl;cemøIyNamYy .
elxkUdtMbn + elxTUrs½BÞ
–

Form

–

D-60(Khmer) (07-24-2008)

USCENSUSBUREAU

sUmcab;epþImBImnusSNamñak;EdlkMBugrs;enATIenHEdlCam©as;kmµsiTi§ b¤CYlpÞH Gwpatmin b¤pÞHcl½tenH
. RbsinebIm©as; b¤GñkCYl rs;enAkEnøgNaepSgeRkABIenH sUmcab;epþImBImnusSeBjv½yNamñak;
EdlkMBugrs;enATIenH . mnusSenH nwgCamnusSTII 1 .
etImnusSTI 1 enaHeQµaHGVI ? sUmsresreQµaHenAxageRkam .
namRtkUl
GkSrdMnamxøÜn
bUgéneQµaHkNþal
6. etImnusSTI 1 manePTGVI ? sUmKUssBaØa I mYyelIRbGb;mYy.
ePTRbus
ePTRsII
7. etImnusST 1 manGayub:unµan ehIymanéf¶ Ex qñaM kMeNItb:unµan ?
cMeBaHekµgEdleTIbnwgekItEdlmanGayuticCag 1 qñaM sUmraykarN_famanGayu 0 qñaM .
sUmsresrelxcUlkñúgRbGb; .
éf¶
qñaMkMeNIt
GayuekItenAéf¶T 1 Ex emsa qñaM 2010 Ex
kMNt;smÁal; ³ sUmeqøIyTaMgsMNYrT 8 EdlsþIGMBIedImkMeNItGuIs:,anik nigTaMgsMNYrTI 9
EdlsþIGMBIiCatisasn_ . sRmab;CMerOnenH edImkMeNItGIus:,anik minEmnCaCatisasn_ eT .
8. etImnusSTII 1 manedImkMeNItGIus:,anik LaTINU b¤manedImkMeNIteGs:,ajEmnb¤eT ?
eT minEmnmanedImkMeNItGuIs:,anik GaemrikLaTIn b¤eGs:,ajeT
)aT¼cas+ CaCnCatimanedImkMeNItmuiksiuk muiksiuk-GaemrikaMg manedImkMeNItCIkaN
)aT¼ca+s CaCnCatimanedImkMeNItb½urtUrIkin
)aT¼ca+s CaCnCatimanedImkMeNItKuy)a
)aT¼cas+ CaCnCatimanedImkMeNItGIs:,anik LaTINU b¤CaCnCatimanedImkMeNIteGs:,aj —
sUmsresredImkMeNIt ]TahrN_dUcCa CnCatiGahSg;TINa CnCatikULMúb‘Í CnCatidUmInIkin
CnCatinIkarahÁ½r CnCatisal;v:adr CnCatiEs.

etImnusSenHmanCatisasn_G?VI sUmKUssBaØaI elIRbGb;mYy b¤ elIsBImYy
Catisasn_Es,ks
Catisasn_Es,kexµA CnCatiGaRhVik-GaemrikaMg b¤ CnCatiEs,kexµAeN®kU
CnCatiedIm\NÐaGaemrikaMg b¤CnCatiedImkMeNItGaLasáa — sUmsresreQµaH
énkulsm<½n§Edl)ancuHeQµaHkñúgbBa¢I b¤sMxan; .
CnCati\NÐaGas
CnCatiCb:un
CnCaticin
CnCatikUer:
CnCatihVúIlIBIn
CnCatievotNam
CnCatiGasIudéTeTot — sUmsresrCatisasn_]TahrN_dUcCa CnCatim:ug CnCatiLav
CnCatiéf CnCati):aKIsßan CnCatiExµr CaedIm .

GñkmanedImkMeNIthaéh
CnCatihÁam:aenon b¤ cam:Ur:
CnCatisam:Un
CnmanedImkMeNItelIekaH):asIuhVik —
sUmsresrCatisasn_ ]TahrN_dUcCa
CnCatihVúICI tughÁan CaedIm . l .

sasn_déTeTot — sUmsresrCatisasn_
7.

mnusSTI 7 dl;TI 12

Fold Line

2.

etImnusSenHeBlxøHrs;enA b¤ sñak;enAkEnøgNepSgEdreT ?
eT
)aT¼ca+s — sUmIKUssBaØa elIcemøIyNaEdlTak;Tg .
enAkñúgGenþvasikénmhaviTüal½y eTARKb;RkgemIlEfekµg
enAkñúgmUldæaneyaFa
enAkñúgKuk b¤ Bn§naKar
enAÉkEnøgrs;enATIBIr
enAkñúgkEnøgEfTaMmnusScas;
b¤tamrdUv
manehtuplepSgeTot
RbsinebImanmnusSeRcInnak;RtUv)anrab;enAkñúgsMNYrTI 1 enAelITMB½rxagmux sUmbnþCamYynwgmnusSTI 3 .

Page 2

sUmcgcaM ³
sUmep£IRtLb;mkvijnUvtaragsMNYrsRmab;
CMerOnRbcaMqñaM 2010CapøÚvkarN_

rbs;elakGñkEdlRtUv)anbMeBjcb;sBVRKb; .
sUmkMuep£IRtLb;mkvijnUveKalkarN_
ENnaMsþIBICMnYyEpñkPasaenH .
sUmGrKuN .

D-60(Khmer) Base prints in BLACK Ink

1.

sUmKUscemøIyrbs;elakGñkenAelItaragsMNYrsRmab;CMerOnRbcaMqñaM 2010 ecjCaCapøÚvkarN_mYysMrab;elakGñk KWminEmnenAelIeKalkarN_ENnaMsþIGMBICMnYyxagEpñkPasaenHeT .
sUmsresreQµaHrbs;mnusST; 2 dl;TI 6
RbsinebIelakGñkminmancenøaHedIm,IraymnusSral;KñaEdlrs;enAkñúgpÞH
namRtkUl
b¤Gwpatmin sUmrayB½t’manepSgeTotenAxageRkam .
namxøÜn
elakGñ
kRbEhlCaGacRtUv)anTak;Tgedaykariyal½yCMerOnedIm,IsaksYrB½t’mandEdlGMBImnusSTaMgenH .
GkSrdMbUgéneQµaHkNþal