Young Lives School Survey Individual Class Roster Form Page 2

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SCHOOL ID_____________________________
CLASSID__________________________
Individual Class Roster: There is a separate class roster for each grade 4 and 5 class listed in the School Roster. Allocate EVERY child
enrolled in this class a child ID. Not all children will be present on the first day of the survey as indicated in column 6. Only those children
present on day of the first pupil instrument administration will be included in the data collection.
Class ID: ____________________________
1.
2. Child name
3. Is this
4. If yes, write
5. Number of days
6. Is this child
Child
child a YL
YL Younger
absent since 21
present on day of
ID
Younger
Cohort child ID
Maskarram 2005
first pupil
Cohort
E.C. (01 October
instrument? Yes=01
child?
2012G.C) (from
No=00
Yes=01
school records) if 0
(if NO, this child is
No=00
write 00
NOT included in the
rest of the survey)
CH01
[____]
ET__________
[___ ___]
[____]
CH02
[____]
ET__________
[___ ___]
[____]
CH03
[____]
ET__________
[___ ___]
[____]
CH04
[____]
ET__________
[___ ___]
[____]
CH05
[____]
ET__________
[___ ___]
[____]
CH06
[____]
ET__________
[___ ___]
[____]
CH07
[____]
ET__________
[___ ___]
[____]
CH08
[____]
ET__________
[___ ___]
[____]
CH09
[____]
ET__________
[___ ___]
[____]
CH10
[____]
ET__________
[___ ___]
[____]
CH11
[____]
ET__________
[___ ___]
[____]
CH12
[____]
ET__________
[___ ___]
[____]
CH13
[____]
ET__________
[___ ___]
[____]
CH14
[____]
ET__________
[___ ___]
[____]
CH15
[____]
ET__________
[___ ___]
[____]
CH16
[____]
ET__________
[___ ___]
[____]
CH17
[____]
ET__________
[___ ___]
[____]
CH18
[____]
ET__________
[___ ___]
[____]
CH19
[____]
ET__________
[___ ___]
[____]
CH20
[____]
ET__________
[___ ___]
[____]
CH21
[____]
ET__________
[___ ___]
[____]
CH22
[____]
ET__________
[___ ___]
[____]
2

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