| Name and order of children | Alive | Sex | Recognized by the resident | Relationship with the resident |
| ☐ Y ☐ N | ☐ M ☐ F | ☐ Y ☐ N | ||
| ☐ Y ☐ N | ☐ M ☐ F | ☐ Y ☐ N | ||
| ☐ Y ☐ N | ☐ M ☐ F | ☐ Y ☐ N | ||
| ☐ Y ☐ N | ☐ M ☐ F | ☐ Y ☐ N |
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