OpenCityPortal: Register Nickname, Poverty, Hardship in Life,

オープンシティーポータルOpenCity Portal

	*オープンシティーポータル:*			Nickname: Password: 未だ登録していない方
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2024, Survey:CCS

「創造人生」調査は、これまで調査対象から取り残されてきた人々にリーチすることが必要

創造人生Registration: First, please fill in the following information and push the "SEND" button.

Present Address:

County:, City:

How many years have you been in this City?:

years old

YourCity:

Your: (Nationality)

years old,

YourAge:

Your eldest child'sAge and Month: (Nationality)Age and months of your child who will participate in this survey (eligibility: age 0-5)

years old, months,

Please check all members who you are living with:
Infancy(age0-5)	Father	Mother	Brother(s)/Sister(s)	Grand-Father	Grand-Mother
Elementary	Father	Mother	Brother(s)/Sister(s)	Grand-Father	Grand-Mother
Present	Spouse	Child(ren)	Father	Mother	Brother(s)/Sister(s)
Present	Grand-Father	Grand-Mother	Grand_Child(ren)	Other	Only Yourself

Nickname:	Other　Service See all paragraphs
Password:	RevisionDate See all paragraphs
Map:
Organization Number: (See all paragraphs)	If there is a organization number printed in your questionnair, please write it here