CENTRAL STATISTICAL AGENCY
FORM FOR REQUESTING ACCESS TO RAW DATA
1. Name of organization/person requesting the raw data:-
_____________________________
2. Requesting Organization/Person: -
Governmental Office
Research Institution
Higher Education Institution
Researcher
University Student
An Org. who contributed for the specific survey/census
Private /Consultant Organization
NGO
International /Foreign Organization
Other /specify/ __________________________________________
3. Year of undertaking and the name of the Census of Sample survey from which the
raw data are being requested: - ___________________________
____________________________________________________________
4. The raw data is requested at: -
Country level
Regional level
Zonal level
Wereda level
Kebele level
Other /specify/ ________________________________________
5. For what purpose do you need the raw data? /please describe in short your proposal/
_____________________________________________________________________
_____________________________________________________________________
__________
6. Comments; the name and the signature of the head of the department from which
access to raw data is requested: -
_____________________________________________________________________
_________________________________________________________
Name Signature _________________
7. Authorized person; please make access to raw data: -
• Free of charge
• With charge
Signature ___________________________
8. Head, Planning Service, if it's with charge, specify the total budget allocated for the
census/survey/ in Birr/_____________________________
Signature and date ___________________________
9. Head, Public Relations Service; if it’s with charge the total amount to be paid /in
Birr/ ______________________________________ _
Signature ______________________________
10. Date/Month/Year/ _________________________________
11. Obligations of organization/person requesting to access raw data
11.1 The organization/person requesting to access raw data shall not transfer the
raw data it obtained with or without charge to third party;
11.2 The organization/person requesting to access raw data shall not use the data
it obtained with possible identification of individual return or part thereof;
11.3 The researchers and students of higher educational institutions, who are
allowed to have access to raw data without charge are obliged to give the copy
of their report presenting the analysis of the data;
11.4 The organization/person requesting to access raw data shall not process the
raw data below the lowest reporting level;
11.5 I the under signed organization/person agreed to obey the rules and
regulations set from article 11.1-11.4. If failed to follow these obligations,
shall be liable to the penalty provided under the appropriate article of the
civil code issued in 1956 and order No. 79 of 1972 and proclamation No. 303
of 1972 to establish and define the powers of the Central Statistical
Authority.
12. Witnesses names and signatures: -
12.1 ____________________ ___________ _________
12.2 ____________________ ___________ _________
12.3 ____________________ ___________ _________
13. Name of the Requesting Organization/Person ___________________________
Signature _______________
Date _______________
CONTACT:
Central Statistical Agency
P. O. Box 1143
Addis Ababa, Ethiopia
Tel: 251-11-155-3011
Fax: 251-11-155-0334
E-Mail: csa@[Link]
Web: [Link]
