tamil nadu panel survey village questionnaire: part a … · 2009-07-15 · 1 village...

VILLAGE QUESTIONNAIRE- Part A 1

TAMIL NADU PANEL SURVEY VILLAGE QUESTIONNAIRE: PART A fpuhk tpdhj;jhs; gFjp Vfpuhk tpdhj;jhs; gFjp Vfpuhk tpdhj;jhs; gFjp Vfpuhk tpdhj;jhs; gFjp V

1.0 IDENTIFICATION (to be filled in office) ,dk; fhdy,dk; fhdy,dk; fhdy,dk; fhdy; (mYtyfj;jpy; epug;gg;gl ntz;oaJ); (mYtyfj;jpy; epug;gg;gl ntz;oaJ); (mYtyfj;jpy; epug;gg;gl ntz;oaJ); (mYtyfj;jpy; epug;gg;gl ntz;oaJ) 1.1 State

khepyk; Tamil Nadu

jkpH;ehL 33

1.2 District name and code

khtl;lk; bgah; kw;Wk; FwpaPL __________________________________________

1.3 CD Block name and code

Rpo gpshf; bgah; kw;Wk; FwpaPL __________________________________________

1.4 Taluk/PS name and code

jhYfh-gpv!; bgah; kw;Wk; FwpaPL __________________________________________

1.5 Sample Village/ name and Code (Sl. No) njh;e;bjLf;fg;gl;l fpuhkj;jpd; bgah;

__________________________________________

1.6 Census Village ID code

brd;r!; fpuhk milahs vz;

1.7 Village 6- Digit Pin Code

fpuhkj;jpd; 6 ,yf;f gpd; nfhL vz;

2.0 DEMOGRAPHIC PARTICULARS fzf;bfLg;g[ tptu';fs; (mYtyfj;jpy; epug;gg;gl ntz;oaJ)fzf;bfLg;g[ tptu';fs; (mYtyfj;jpy; epug;gg;gl ntz;oaJ)fzf;bfLg;g[ tptu';fs; (mYtyfj;jpy; epug;gg;gl ntz;oaJ)fzf;bfLg;g[ tptu';fs; (mYtyfj;jpy; epug;gg;gl ntz;oaJ)

Details tptu’;fs;

1991 Census 1991 ?y; kf;fs; bjhif fzf;bfLg;g[

bra;ag;gl;lnghJ

2001 census 2001 ?y; kf;fs; bjhif

fzf;bfLg;g[ bra;ag;gl;lnghJ 2.1. Population kf;fs; bjhif

2.2. No. of Households FLk;g’;fspd; vz;zpf;if


3.0 LOCATION AND COMMUNICATION - mikmikmikmiktplk;tplk;tplk;tplk; kw;Wk; jfty; bjhlh;g[kw;Wk; jfty; bjhlh;g[kw;Wk; jfty; bjhlh;g[kw;Wk; jfty; bjhlh;g[

Location (name of the place)

miktplk; (,lj;jpd; bgau;) Is there a […] Inside the village or outside the village?

fpuhkj;jpw;Fs; my;yJ fpuhkj; jpw;F btspapy; […] ,Uf;fpd;wjh>

If inside village, How many (number)

fpuhkj;jpw;Fs; vdpy; vj;jid (vz;zpf;iffs;)

GPS reading

$p gp v!; fzf;fPL

[If more than 1, choose closest to central village point]

(1f;F nky; ,Ug;gpd; fpuhkj;jpd; ikag;gFjpf;F mUfpy; cs;sij njh;t[ bra;at[k;) ��Next Row

��mLj;j tupirmLj;j tupirmLj;j tupirmLj;j tupir

If not in village, Name of nearest Place fpuhkj;jpd; btspna vdpy; . mUfpy; cs;s ,lj;jpd; bgah;

If not in village, distance in km to closest facility

fpuhkj;jpy; ,y;iy vdpy; mUfhikapy; cs;s ,lj;jpd; J}uk; (Central point isreference)

fpuhkj;jpd; ikag;gFjp (fpuhk g”;rhaj;J mYtyfk; my;yJ ntW VjhtJ) mstPlhf bfhs;st[k;)

If not in village, usual transport used to facility

fpuhkj;jpy; ,y;iy vdpy; ,e;j ,lj;ij miltjw;F tHf;fkhf gad;gLj;Jk; (nghf;Ftuj;J ) trjp

(CODE)

Travel time: one way

gaz neuk; (tHf;fkhf gad;gLj;Jk; nghf;Ftuj;jpw;F) xU tHpf;F kl;Lk;

inside village fpuhkj;jpw;Fs;

outside village fpuhkj; jpw;F btspapy; �� 4

no info / NA jfty; ,y;iy - bghUj;j kw;wJ �� 4

Hours

kzpfs; Minutes

epkpl’;fs;

��Next Row

mLj;j mLj;j mLj;j mLj;j tupirtupirtupirtupir

S. No 1. 2. 3. 4. 5. 6. 7. 8.

1. District Headquarters khtl;l jiyikaplk;

2. Tehsil/Taluk HQ jhrpy;-jhYf;fh jiyikaplk;

3. Block Headquarters gpshf; jiyikaplk;

4. National highway njrpa beL";rhiy

5. State Highway khepy beL”;rhiy

6. Town efuk;

7. Gram Panchayat headquarters fpuhk mYtyf jiyikaplk; 01 02 03

N

E

8. Bus Stop ngUe;J epWj;jk; 01 02 03

N

E 9.

Metalled road

fy; nghlg;gl;l (bkl;ly;) rhiy 01 02 03

10. All weather road midj;J rPnjh&;z epiyfisa[k; jh’;ff;Toa rhiy

01 02 03

11. Railway Station uapy; epiyak; 01 02 03

N

E







GPS reading

$p gp v!; fzf;fPL










(CODE)






Hours

kzpfs; Minutes

epkpl’;fs;

��Next Row


S. No 1. 2. 3. 4. 5. 6. 7. 8.

12. Boat Jetty glF epWj;jk; 01 02 03

N

E

13. Post Office jghy; mYtyfk; 01 02 03

N

E

14. PCO bghJ bjhiy ngrp 01 02 03

N

E

15. PDS/Fair Price store /Ration shop bghJ tpepnahf - epaha tpiy fil-nu&d; fil

01 02 03 N

E

16. Fertilizer / pesticide shop cuk; - g{r;rp kUe;J fil 01 02 03

N

E

17. Cold Storage Fspu;gjd fpl’;F 01 02 03

N

E

18. Wholesaler market bkhj;j tpw;gid khu;f;bfl;/-re;ij 01 02 03

N

E

19. Marketing Society th;j;jf r’;fk; 01 02 03

N

E

20. Police Station / Police outpost fhty; epiyak; - g[wf;fhty; epiyak;

01 02 03 N

E

21. Community Centre rKjha ikak; 01 02 03

N

E







GPS reading

$p gp v!; fzf;fPL










(CODE)






Hours

kzpfs; Minutes

epkpl’;fs;

��Next Row


S. No 1. 2. 3. 4. 5. 6. 7. 8.

22. Anganwadi center m’;fd;tho ikak; 01 02 03

23. Primary School Muk;gg; gs;sp 01 02 03

24. Primary with upper primary school eLepiy gs;spa[ld; ,ize;j bjhlf;f gs;sp

01 02 03

25.

Primary with upper primary and secondary/ higher secondary school bjhlf;f gs;spa[k; eLepiy gs;spa[k; ,ize;j cau;epiy gs;sp - nky;epiy gs;sp

01 02 03

26. Upper primary (middle school) eLepiy gs;sp 01 02 03

27.

Upper primary with secondary/ higher secondary school eLepiy gs;spa[ld; cau;epiy - nky; epiy ,ize;j gs;sp

01 02 03

28. Secondary/ Higher Secondary

school cau;epiy gs;sp - nky; epiy gs;sp

01 02 03

29. College fy;Y}hp 01 02 03

30. Industrial Training Institute bjhHpy; gapw;rp epWtdk; 01 02 03

31. Adult Literacy Class / centre Kjpnahh; fy;tp tFg;g[- ikak; 01 02 03







GPS reading

$p gp v!; fzf;fPL










(CODE)






Hours

kzpfs; Minutes

epkpl’;fs;

��Next Row


S. No 1. 2. 3. 4. 5. 6. 7. 8.

32. Other Educational facilities kw;w fy;tp trjpfs; 01 02 03

33. Old Age Home Kjpnahu; ,y;yk; 01 02 03

34. Government / Municipal Hospital murh’;f - Kdprpgy; kUj;Jtkid

01 02 03

35. Govrnment Dispensary murh’;f kUe;J tH’;Fk; ikak; 01 02 03

36. UHC / UHP / UFWC a[b\r;rp - a[b\r;gp - a[v`g;lgps;a[rp

01 02 03

37.

(CHC / Rural Hospital / PHC rK:f ey ikak; (fpuhk Rfhjhu ikak; - Cuf kUj;Jtkid -Muk;g Rfhjhu ikak;)

01 02 03

38. Sub Centre Jiz epiyak; 01 02 03

39. Public Sector health facility bghJj;Jiw kUj;Jt trjp 01 02 03

40.

NGO or Trust Hospital / Clinic muR rhuh bjhz;L epWtdk; my;yJ mwf;fl;lis kUj;Jtid - f;spdpf;

01 02 03

41. Pvt.Hospital / Nursing Home / Clinic jdpahu; kUj;Jtkid- eu;rp’; n\hk; - f;spdpf;

01 02 03







GPS reading

$p gp v!; fzf;fPL










(CODE)






Hours

kzpfs; Minutes

epkpl’;fs;

��Next Row


S. No 1. 2. 3. 4. 5. 6. 7. 8.

42. Private Medical shop / Pharmacy jdpahh; kUe;J fil - kUe;J tH’;Fkplk;

01 02 03

43. Veterinary Hospitals fhy;eil kUj;Jtkid 01 02 03

N

E

44. Veterinary Dispensary fhy;eil Jiz Rfhjhu epiyak; 01 02 03

N

E

CODE - Mode of Transportation Options Code Options Code

Train uapy; 01 Cycle irf;fps; 08 Bus [Govt. /Private] ngUe;J (muR - jdpahh;) 02 Horse cart Fjpiu tz;o 09 School/Company bus gs;sp - epWtd ngUe;J 03 Bullock cart khl;L tz;o 10 4-wheeler ehd;F rf;fu thfdk; 04 Boat / Waterways glF - ePu; tHp 11 Share auto/auto n&u; Ml;nlh - Ml;nlh 05 Foot eil 12 Two Wheeler ,U rf;fu thfdk; 06 Other Mode (Specify)

kw;w tHpfs; (Fwpg;gplt[k;) 13 Cycle rickshaw irf;fps; upf;&h 07


Q.no Questions Options Code 9. What is the price of petrol per litre in the village (or nearest place it is purchased?)

fpuhkj;jpy; xU ypl;lu; bgl;nuhy; tpiy vd;d> (my;yJ mUfhikapy; th’;fg;gLk; ,lj;jpy;)

Rs/litre xU ypl;lUf;F - U :

10. What is the price of Diesel per liter in the village (or nearest place it is purchased?) fpuhkj;jpy; xU ypl;lu; Ory;; tpiy vd;d> (my;yJ mUfhikapy; th’;fg;gLk; ,lj;jpy;)

Rs/litre xU ypl;lUf;F - U :

:

11. What is price of kerosene per liter in the village/ (at the place where most people purchase kerosene?)

fpuhkj;jpy; xU ypl;lu; kz;bzz;;iz tpiy vd;d> (bgUk;ghd;ikahd fpuhk kf;fs; kz;bzz;;iz th’;Fk; ,lj;jpy;)

Rs/litre xU ypl;lUf;F - U:

12.

Place where kerosene is mostly bought from

bgUk;ghYk; kz;bzz;izia v’;F th’;FfpwPu;fs;>

Ration Shop / PDS nu&d ; fil - bghJ tpepnahf fil

01

Open Market nu|d ; fil my ;yhj kw ;w ,l’ ;;fspy ;

02

ACCESS TO THE VILLAGE: fpuhkj;fpuhkj;fpuhkj;fpuhkj;ijijijij mDFk;mDFk;mDFk;mDFk; tHptHptHptHp Q.no Questions Options Code

13.

What is the type of main approach road to the village?

fpuhkj;jpw;F Kf;fpakhf mDFk; rhiyapd; epiy vd;d> Kutcha road

Kiwaw;w rhiy 01

Gravel road – no tar ruisf;fy;; rhiy ? jhu; ,y;yhky; 02

Stone paved fw; rhiy 03

Concrete rpbkd;l; rhiy 04

Broken tar cile;j jhu; rhiy 05

Tar jhu; rhiy 06

No Road / Foot path rhiy ,y;iy - fhy; tHpj;jlk; 07

PUBLIC SERVICES & INFRASTRUCTURE bghJ nritfs;bghJ nritfs;bghJ nritfs;bghJ nritfs;.... fl;likg;g[ kw;Wk; nritfisg; bgWk; trjpfs;; ? fpuhk mstpyfl;likg;g[ kw;Wk; nritfisg; bgWk; trjpfs;; ? fpuhk mstpyfl;likg;g[ kw;Wk; nritfisg; bgWk; trjpfs;; ? fpuhk mstpyfl;likg;g[ kw;Wk; nritfisg; bgWk; trjpfs;; ? fpuhk mstpy; Q.no Questions Options Code

14.

What Months in this Village are Summer months?

,e;j fpuhkj;jpy; ve;jbje;j khj’;fs; nfhil fhy’;fs;> January $dtup 01

February gpg;utup 02

March khu;r; 03

April Vg;uy; 04

May nk 05

June $^d; 06

July $^iy 07

August Mf!;l; 08

September brg;lk;gu; 09

October mf;nlhgu; 10

November etk;gu; 11

December ork;gu; 12


DRINKING AND COOKING WATER Fog;gjw;F kw;Wk; rikg;gjw;fhd jz;zPu;Fog;gjw;F kw;Wk; rikg;gjw;fhd jz;zPu;Fog;gjw;F kw;Wk; rikg;gjw;fhd jz;zPu;Fog;gjw;F kw;Wk; rikg;gjw;fhd jz;zPu;

Q.no

Questions nfs;tpfs;

Options gjpy;fs;

Code FwpaPL

RANK kjpg;bgz;

Write Ranks below. COPY RELEVANT CODES

fPnH kjpg;bgz; gl;oaiy vGjt[k;

bjhlu;g[ila FwpaPLfspypUe;J vLj;J

vGjt[k; Not summer

midj;J khj’;fs; Mdhy; nfhil fhy’;fs; jtpu

Summer; nfhil fhy’;fs;

15.

Rank the three most common sources of water for drinking and cooking Fog;gjw;F kw;Wk; rikg;gjw;Fk;; jz;zPu;; fpilf;Fk; K:d;W Kf;fpakhd Mjhu’;fis tupirg;gLj;jp brhy;Y’;fs;/

Piped into dwelling FoapUg;g[f;F FHha; K:yk; tpepnahfk; 01

Rank 1 kjpg;bgz; 1

Piped to yard/plot Kw;wk;-kidf;F FHha; K:yk; tpepnahfk; 02

Rank 2 kjpg;bgz; 2

Public tap/stand pipe bghJf;FHha; - epiyahd FHha; 03

Rank 3 kjpg;bgz; 3

Tubewell or borehole FHha; fpzW my;yJ MH;Jis 04

Protected well ghJfhf;fg;gl;l fpzW 05

Unprotected well ghJfhf;fg;glhj fpzW 06

Protected spring ghJfhf;fg;gl;l Cw;W 07

Unprotected spring ghJfhf;fg;glhj Cw;W 08

Rain water kiH ePu; 09

Tanker truck nl’;fu; jz;zPh; yhhp 10

Cart with small tank khl;L tz;oapy; ,izf;fg;gl;l rpwpa

lh’;f; 11

Surface water [river/dam/lake/ ponds/stream/canal/ irrigation channel]

epygug;gpy; cs;s ePu; (MW - miz - Vup - Fsk; - Xil - fhy;tha;; - ePh; ghrd

tha;f;fhy;

12

Bottled water ghl;oypy; milf;fg;gl;l ePu; 13

Other [specify] ______________ kw;wit (Fwpg;gpLf)

14


WATER TESTING: 3. PRIMARY SOURCES OF DRINKING WATER IN THE VILLAGE ePu; gupnrhjid : ? 3ePu; gupnrhjid : ? 3ePu; gupnrhjid : ? 3ePu; gupnrhjid : ? 3//// fpuhkj;jpy; FoePUf;fhd fpuhkj;jpy; FoePUf;fhd fpuhkj;jpy; FoePUf;fhd fpuhkj;jpy; FoePUf;fhd Kjd;ikKjd;ikKjd;ikKjd;ik Mjhu’;fs;Mjhu’;fs;Mjhu’;fs;Mjhu’;fs;

Rank of source from Village

Questionnaire fpuhkf; nfs;tpj; jhspypUe;J FoePh;

Mjhu’;fspd; kjpg;bgz; gl;oaiy vLf;ft[k;

Type of water source[CODE]

FoePu; Mjhu tiffs; (FwpaPL)

GPS

$p gp v!;

Collection Time, Date 00:00

dd/mm/yyyy

jz;zPu; vLf;Fk; neuk;. ehs;; 00:00

ehs;/khjk;/tUlk;

Reading 1 – Time: 00:00 Date: dd/mm/yyyy

mstpLk; neuk; 1 00:00

ehs;/khjk;/tUlk;

01=Color change to black�next row 02=Black precipitate �next row 03=No color change

Kot[fs; 01= epwk; fUg;ghf khWtJ 02= fUg;ghd tz;ly;fs; gojy; 03 = epwj;jpy; khw;wkpy;iy

If no Color Change after 1st Reading Kjy; mstPl;ow;F gpwF epwj;jpy;; khw;wkpUe;jhy; Reading 2: Time, Date

00:00 dd/mm/yyyy

mstpLk; neuk; 2 00:00

ehs;/khjk;/tUlk;

Results 01= Color change to black 02= Black precipitate 03=No color change change

Kot[fs; 01 = epwk; fUg;ghf khWtJ 02= fUg;ghd tz;ly;fs; gojy; 03 = epwj;jpy; khw;wkpy;iy

16. 17. 18. 19. 20. 21. 22.

All months butsum

mer

midj;J khj’;fs;

midj;J khj’;fs;

midj;J khj’;fs;

midj;J khj’;fs;

.Mdhy;

.Mdhy;

.Mdhy;

.Mdhy; nfhnfh

nfh

nfh il

il

il

il

fhy’;fs; jtpu

fhy’;fs; jtpu

fhy’;fs; jtpu

fhy’;fs; jtpu

1 N Time neuk; Time neuk; Time neuk;

E Date ehs; Date ehs; Date ehs;




E: Date ehs; Date ehs; Date ehs;

Sum

mer

nfhil fhyk;

nfhil fhyk;

nfhil fhyk;

nfhil fhyk;







10 VILLAGE QUESTIONNAIRE- Part A

WASHING AND BATHING WATER Jitg;gjw;F kw;Wk; Fspg;gjw;F njitg;gLk; jz;zPu;Jitg;gjw;F kw;Wk; Fspg;gjw;F njitg;gLk; jz;zPu;Jitg;gjw;F kw;Wk; Fspg;gjw;F njitg;gLk; jz;zPu;Jitg;gjw;F kw;Wk; Fspg;gjw;F njitg;gLk; jz;zPu;

Q.no Questions nfs;tpfs;

Options gjpy;fs;

CODE FwpaPL

RANK kjpg;bgz;

Write Ranks below. COPY RELEVANT CODES

fPnH kjpg;bgz; gl;oaiy vGjt[k;

bjhlu;g[ila FwpaPLfspypUe;J vLj;J

vGjt[k; Not summer

midj;J khj’;fs; Mdhy; nfhil

fhy’;fs; jtpu

Summer; nfhil fhy’;fs;

23.

Rank the (up to three) most common sources of water for washing and bathing

Jitg;gjw;F kw;Wk; Fspg;gjw;F jz;zPu;; fpilf;Fk; K:d;W Kf;fpakhd Mjhu’;fis tupirg;gLj;jp brhy;Y’;fs;/

Piped into dwelling FoapUg;g[f;F FHha; K:yk; tpepnahfk; 01

Rank 1

kjpg;bgz; 1

Piped to yard/plot Kw;wk;-kidf;F FHha; K:yk; tpepnahfk; 02

Rank 2

kjpg;bgz; 2

Public tap/standpipe bghJf;FHha; - epiyf; FHha; 03

Rank 3

kjpg;bgz; 3

Tubewell or borehole FHha; fpzW my;yJ MH;Jis 04

Protected well ghJfhf;fg;gl;l fpzW 05

Unprotected well ghJfhf;fg;glhj fpzW 06

Protected spring ghJfhf;fg;gl;l Cw;W 07

Unprotected spring ghJfhf;fg;glhj Cw;W 08

Rainwater kiH ePu; 09

Tanker truck nl’;fu; jz;zPh;; yhhp; 10

Cart with small tank khl;L tz;oapy; ,idf;fg;gl;l rpwpa

lh’;f; 11

Surface water [river/dam/lake/ ponds/ stream/ canal/ irrigation channel]

nkw;gug;g[ ePu; (MW - miz - Vup - Fsk; - Xil - fhy;tha; - ePh; ghrd

tha;f;fhy;;

12

Bottled water ghl;oypy; milf;fg;gl;l ePu; 13

Other [specify] ______________

kw;wit (Fwpg;gpLf) 14


SANITATION Rfhjhuk;Rfhjhuk;Rfhjhuk;Rfhjhuk; Q.no Questions Options Code Rank

24.

Where does the population defecate? (CODE) LIST UP TO THREE PLACES

fpuhk kf;fs; v’;nf fhiyf; fld;fis Kof;fpwhu;fs;> (FwpaPL) ( K:d;W ,l’;fis Fwpg;gplt[k;)

Individual toilets/latrine

jdpg;gl;l fHpg;giwfs;- byl;upd;fs; 01

Rank 1 kjpg;bgz; 1

Rank 2 kjpg;bgz; 2

Rank 3 kjpg;bgz; 3

Public toilets

bghJf; fHpg;gpl’;fs; 02

Open defecation (ground, railway track, river, etc) jpwe;j btspfs; (ikjhd’;fs;;;;; ,uapy;nt jz;lthsk.; Mw;w’;fiu nghd;wit)

03

25.

IF 01 OR 02 RANKED ABOVE: Rank the most common type of latrines used in the village [up to three]

nkny 01 my;yJ 02 nkny 01 my;yJ 02 nkny 01 my;yJ 02 nkny 01 my;yJ 02 Fwpg;gpl;oUe;jhy; (mjhtJ Fwpg;gpl;oUe;jhy; (mjhtJ Fwpg;gpl;oUe;jhy; (mjhtJ Fwpg;gpl;oUe;jhy; (mjhtJ jdpg;gl;l. rGf fHpg;gpl’;fs;)jdpg;gl;l. rGf fHpg;gpl’;fs;)jdpg;gl;l. rGf fHpg;gpl’;fs;)jdpg;gl;l. rGf fHpg;gpl’;fs;) fpuhkj;jpy; bghJthf cgnahfpf;fg;gLk; K:d;W tifahd fHpg;gpl’;fis Fwpf;ft[k;

Flush / pour flush toilet `g;s&; bra;a[k; my;yJ jz;zPh; Cw;wp `g;s&; bra;a[k; fHpg;giw

WRITE RANK CODES – COPY ONLY CODES FwpaPLfspy; ,Ue;J

kjpg;gplt[k; Flush to piped sewer system

FHha; K:yk; ,izf;fg;gl;Ls;s fHpt[ ePh; mikg;gpw;F `g;s&; bra;ag;gLtJ

01 Rank 1

kjpg;bgz; 1

Flush to septic tank fHpt[ ePh;j; bjhl;of;F `g;s&;

bra;ag;gLtJ 02

Rank 2 kjpg;bgz; 2

Flush to pit latrine fHpg;giw FHpf;Fs; `g;s&; bra;ag;gLtJ; 03

Rank 3 kjpg;bgz;3

Flush to somewhere else ntW v’;fhtJ tpl;LtpLjy; 04

Flush to don’t know where v’;F Cw;wg;gLfpwJ vd;gJ bjupahJ 05

Pit latrine fHptiw FHp

Ventilated improved pit (VIP)/biogas

fhw;nwhl;lkhd nkk;gLj;jg;gl;l FHp (tpIgp) - rhz vuptha[ fHptiw

06

Pit latrine with slab K:lg;gl;l fHpt[ePh; FHp 07

Pit latrine without slab/ open pit

K:lg;glhj fHpt[ePh; FHp-jpwe;j FHp 08

Twin pit/ composting toilet ,ul;il FHp - cuf; FHp 09

Dry toilet cyh;e;j fHpg;giw 10

Other (specify)_____________ kw;wit (Fwpg;gpLf)

12

ONLY OPEN DEFECATION PRACTICED IN VILLAGE

jpwe;j btspfs; (ikjhd’;fs;;;;; ,uapy;nt jz;lthsk;. Mw;w’;fiu nghd;wit) kl;Lnk fpuhkj;jpy; cgnahfpf;fg;gLfpwJ

13


Q.no Questions Options Codes Skips

26. Number of public toilets in this village ,e;j fpuhkj;jpy; cs;s bkhj;j bghJf; fHpg;giwfs;

Number

vz;zpf;if

00��31

For each public toilet: [f more than 2, useclosest to central village point]

xt;bthU bghJ fHptiwf;Fk; gjpyspf;ft[k;. ,uz;Lf;F xt;bthU bghJ fHptiwf;Fk; gjpyspf;ft[k;. ,uz;Lf;F xt;bthU bghJ fHptiwf;Fk; gjpyspf;ft[k;. ,uz;Lf;F xt;bthU bghJ fHptiwf;Fk; gjpyspf;ft[k;. ,uz;Lf;F nky; ,Ug;gpd; nky; ,Ug;gpd; nky; ,Ug;gpd; nky; ,Ug;gpd; fpuhkj;jpd; ikag;gFjpf;F mUfpy; fpuhkj;jpd; ikag;gFjpf;F mUfpy; fpuhkj;jpd; ikag;gFjpf;F mUfpy; fpuhkj;jpd; ikag;gFjpf;F mUfpy; cs;sij njh;t[ bra;at[k;)cs;sij njh;t[ bra;at[k;)cs;sij njh;t[ bra;at[k;)cs;sij njh;t[ bra;at[k;)

Facility 1

trjp 1 Facility 2

trjp 2

27.

� select all that apply:

bghUe;Jk; vy;yhtw;iwa[k; njh;e;bjLf;ft[k; /; INVESTIGATOR: ASK KNOWLEDGABLE PERSON/ USER, “DOES PUBLIC TOILET [….]”?

ngl;obaLg;gtu; ? bjupe;jtu;fsplk; - cgnahfpg;gtuplk; nfl;ft[k; “bghJ fHptiw [….];;”cs;sjh>

Have permanent water supply

epue;ju jz;zPh; rg;is ,Uf;fpwJ

01 01

Have a bath facility

Fspg;gjw;fhd trjp ,Uf;fpwJ 02 02

Connected to septic tank or sewerage

fHpt[ ePh; fhy;tha[ld; ,izf;fg;gl;oUf;fpwJ

03 03

28. Is this public toilet maintained?

,e;j bghJ fHptiw guhkupf;fg;gLfpd;wjh> Yes Mk; 01 01

Not maintained guhkhpf;fg;gLtjpy;iy 02 02

29. Is this public toilet used?

,e;j bghJ fHptiw cgnahfpf;fg;gLfpwjh? Yes Mk; 01 01 No ,y;iy 02 02

30. Who can use this toilet [MULTICODING POSSIBLE]

ahh; ,e;j fHptiwia cgnahfpf;fyhk;> (gy gjpy;fs; rhj;jpak;)

Men Mz; 01 01 Women bgz; 02 02

SC/ST Mjpjpuhtplu; - gH’;Foapdu; 03 03

SEWAGE& DRAINAGE: fHpt[ ePu; kw;Wk; jput epiy fHpt[fs; (tPl;L rhf;filj; jz;zPiu Fwpf;fpwJ)fHpt[ ePu; kw;Wk; jput epiy fHpt[fs; (tPl;L rhf;filj; jz;zPiu Fwpf;fpwJ)fHpt[ ePu; kw;Wk; jput epiy fHpt[fs; (tPl;L rhf;filj; jz;zPiu Fwpf;fpwJ)fHpt[ ePu; kw;Wk; jput epiy fHpt[fs; (tPl;L rhf;filj; jz;zPiu Fwpf;fpwJ) Q.no Questions Options Codes Skips

31. Does the village have an underground sewage system?

fpuhkj;jpy; xU ghjhs rhf;fil Kiw bray;gLfpwjh>

Yes Mk; 01

No ,y;iy 02

32.

What type of disposal system for liquid waste does village have?

fHpt[ ePiu btspnaw;Wtjw;F fpuhkj;jpy; ve;j Kiw filgpof;fg;gLfpwJ>

No Drain

fHpt[ePu; tha;f;fhy; ,y;iy 01

Covered Drain

K:oa fHpt[ePu; tha;f;fhy; 02

Mostly Covered drains

bgUk;ghYk; K:oa fHpt[ePu; tha;f;fhy;

03

Mostly Open Drain

bgUk;ghYk; jpwe;j fHpt[ePu; tha;f;fhy;

04

Open drains

jpwe;j epiy tha;f;fhy; 05

33.

Is the village waterlogged during the monsoon? [i.e., are there pools of standing/stagnant water in the streets]

kiHf; fhy’;fspy; fpuhkj;jpy; jz;zPu; nj’;Ffpwjh> (mjhtJ bjUf;fspy; M’;fh’;nf Fl;il khjpup jz;zPu; nj’;FtJ)

Yes Mk; 01

No ,y;iy 02

GARBAGE DISPOSAL: Fg;igfis mfw;WtJFg;igfis mfw;WtJFg;igfis mfw;WtJFg;igfis mfw;WtJ Q.no Questions Options Codes Rank

34.

Where do residents dispose of their garbage?

fpuhkthrpfs; mtu;fs; tPLfspy; nrUk; Fg;igfis v’;nf nghLfpwhu;fs;>

Garbage cans/barrels carried by worker Rfhjhu CHpau;fs; bfhz;LtUk; Fg;ig bjhl;ofspy;-nguy;fspy;

01 Rank1 kjpg;bgz; 1

Into the river MWfspy; 02

Rank2 kjpg;bgz; 2

Into the street bjUf;fspy; 03

Rank3 kjpg;bgz; 3

Into the yards/garden/ Kw;wj;jpy;;-njhl;l’;fspy; 04

Decompose kf;fr; bra;jy; 05

Into pits FHpfspy; 06

Others____________________________ kw;wit

07


Q.no Questions Options Codes Skips

35.

If CODE 1 ranked in Q 34 above, Who manages the garbage collection? (mostly)?

nkny nfs;tp 34 y; 01?I FwpaPl;oUe;jhy;. ahh; Fg;igfis nrfupf;fpwhh;fs;> (bgUk;ghYk;)

SINGLE CODING xU gjpy; kl;Lk;

Panchayat

g”;rhaj;J 01

Resident(s)

fpuhkthrpfs; 02

Others [specify] kw;wtu;fs; (Fwpg;gplt[k;)(Fwpg;gplt[k;)(Fwpg;gplt[k;)(Fwpg;gplt[k;) ________________

03

No arrangement

ve;j Vw;ghLk; ,y;;iy 04

36.

If code 1 ranked in Q34 above, frequency of collection [NUMBER OF TIMES PER MONTH] nkny nfs;tp 34 y; 1?I Fwpapl;lhy;. vj;jid Kiw nrfhpf;fg;gLfpwJ (khjj;jpy; vj;jid Kiw)

\

No. of times per month___________ khjj;jpy; vj;jid Kiw

ELECTRICITY kpd;rhuk;kpd;rhuk;kpd;rhuk;kpd;rhuk;

37.

Is electricity available in village? ,e;j fpuhkj;jpy; . VjhtJ gad;ghl;ow;F kpd;rhuk; - kpd;rf;jp fpilf;fpwjh >

Available fpilf;fpwJ 01

Not Available for any purpose

ve;j gad;ghl;ow;Fk; fpilg;gjpy;iy 02 �� 43

38.

For what uses is electricity/power available? (CIRCLE ALL THAT APPLY)

nkny nfs;tp 37 y; 1 vd;why; . ve;j cgnahf’;fSf;F kpd;rhuk; - kpd;rf;jp fpilf;fpwJ> (bghUe;Jk; vy;yhtw;iwa[k; tl;lkplt[k;)

Electricity for domestic use

tPl;L cgnahfj;jpw;F kpd;rhuk; 01

Electricity for Agricultural use

tptrha cgnahfj;jpw;fhf kpd;rhuk; 02

Electricity for other purposes(specify)

______________________ kw;w fhuz’;fSf;fhf kpd;rhuk; (Fwpg;gplt[k;)

03

39.

Which is the month when you get the most hours per day of electricity?

ve;j khjj;jpy; xU ehisf;F mjpfg;goahd neuk; kpd;rhuk; c’;fSf;F fpilf;fpwJ> SINGLE CODING

(xU gjpy; kl;Lk;)

January $dtup 01


March khu;r; 03

April Vg;uy; 04

May nk 05

June $^d; 06

July $^iy 07

August Mf!;l; 08



November etk;gu; 11

December ork;gu; 12

40.

How many hours per day do households in the village get electricity for domestic purposes in the best month of the year (coded in Q39 above)

(nkny nfs;tp 39 y; Fwpg;gp;l;l) khjj;jpy; tPl;L cgnahfj;jpw;fhd fhuz’;fSf;fhf fpuhkj;jpYs;s tPLfSf;F xU ehisf;F vj;jid kzp neuk; kpd;rhuk; fpilf;fpwJ>

Hrs per day

xU ehisf;F vj;jid kzp neuk; ________

41.

Which is the month when you get the least hours of electricity per day

ve;j khjj;jpy; xU ehisf;F Fiwthd kpd;rhuk; fpilf;fpwJ> SINGLE CODING

(xU gjpy; kl;Lk;)

January $dtup 01


March khu;r; 03

April Vg;uy; 04

May nk 05

June $^d; 06

July $^iy 07

August Mf!;l; 08



November etk;gu; 11

December ork;gu; 12

42.

How many hours/day do households get electricity for domestic use in the worst month ?

tUlj;jpd; (nkny nfs;tp 41414141 y; Fwpg;gp;l;l) khjj;jpy; tPl;L cgnahfj;jpw;fhd fhuz’;fSf;fhf fpuhkj;jpYs;s tPLfSf;F xU ehisf;F vj;jid kzp neuk; kpd;rhuk; fpilf;fpwJ>

Hrs per day

xU ehisf;F vj;jid kzp neuk; ________


LANGUAGE, RELIGION, CASTE, OCCUPATION IN THE VILLAG E ,f;fpuhkj;jpy; bkhHp. kjk;. ,f;fpuhkj;jpy; bkhHp. kjk;. ,f;fpuhkj;jpy; bkhHp. kjk;. ,f;fpuhkj;jpy; bkhHp. kjk;. $hjp. ntiy gfpu;t[fs; $hjp. ntiy gfpu;t[fs; $hjp. ntiy gfpu;t[fs; $hjp. ntiy gfpu;t[fs;

Q.no Questions Options Codes

% of Total Households bkhj;j rjtpfpj bkhj;j rjtpfpj bkhj;j rjtpfpj bkhj;j rjtpfpj FoapUg;g[fs;FoapUg;g[fs;FoapUg;g[fs;FoapUg;g[fs;

43.

LANGUAGE SPOKEN IN PRIVATE

tPl;oy; ngrg;gLk; bkhHp

MULTICODING POSSIBLE

gy gjpy;fs; tuyhk;

Tamil jkpH; 01 English M’;fpyk; 02 Hindi ,e;jp 03 Telugu bjY’;F 04 Kannada fd;dlk; 05 Malayalam kiyahsk; 06 Urdu cUJ 07 Others (specify)_______

kw;wit (Fwpg;gplt[k;) 08

44.

LANGUAGE SPOKEN IN PUBLIC/ OFFICIAL PURPOSE

bghJtpy; - ntiy fhuz’;fSf;fhf ngrg;gLk; bkhHp


gy gjpy;fs; tuyhk;

Tamil jkpH; 01 English M’;fpyk; 02 Hindi ,e;jp 03 Telugu bjY’;F 04 Kannada fd;dlk; 05 Malayalam kiyahsk; 06 Urdu cUJ 07 Others (specify)_______


45.

RELIGION

kjk; (Fwpg;gplt[k;)


gy gjpy;fs; tuyhk;

Hinduism ,e;J 01 Islam K!;yPk; 02 Christianity fpUj;Jtk; 03 Sikhism rPf;fpak; 04 Jainism b$apd; 05 Buddhism bgsj;jk; 06 Zoroastrianism (Parsi) ghu;!p 07 Others (specify)_______



CASTE AND SUBCASTES- INFORMATION $hjpfs; kw;Wk; cl;gpupt[fs; gw;wpa jfty;fs; $hjpfs; kw;Wk; cl;gpupt[fs; gw;wpa jfty;fs; $hjpfs; kw;Wk; cl;gpupt[fs; gw;wpa jfty;fs; $hjpfs; kw;Wk; cl;gpupt[fs; gw;wpa jfty;fs;

LIST ALL CASTES CURRENTLY VILLAGE

jw;rkak; fpuhkj;jpy; cs;s vy;yh $hjpfisa[[k; gl;oayplt[k;

CasteCODE

$hjpapd; FwpaPL vz;

CASTECATEGORY CODE

$hjp gpupt[ FwpaPL

Subcaste (specify)

$hjp cl;gphpt[fs; (Fwpg;gplt[k;)

Subcaste CODE

$hjp cl;gphpt[ FwpaPL

% of totalHHs

bkhj;j FoapUg;g[ rjtpfpjk;

Traditional Industry of Work

ghuk;gupa bjhHpy; mikg;g[ (Fwpg;gplt[k;)

NIC CODE

vd;Irp FwpaPL Traditional occupation ghuk;gupa bjhHpy; Jiw kw;Wk; ntiy[ (Fwpg;gplt[k;)

NCO CODE

vd;rpX FwpaPL

S.no 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.

1.

2.

3.

4.




CasteCODE

$hjpapd; FwpaPL vz;

CASTECATEGORY CODE

$hjp gpupt[ FwpaPL

Subcaste (specify)


Subcaste CODE


% of totalHHs




NIC CODE


NCO CODE

vd;rpX FwpaPL

S.no 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.

5.

6.

7.

8.

9.




CasteCODE

$hjpapd; FwpaPL vz;

CASTECATEGORY CODE

$hjp gpupt[ FwpaPL

Subcaste (specify)


Subcaste CODE


% of totalHHs




NIC CODE


NCO CODE

vd;rpX FwpaPL

S.no 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.

10.

11.

12.

13.




CasteCODE

$hjpapd; FwpaPL vz;

CASTECATEGORY CODE

$hjp gpupt[ FwpaPL

Subcaste (specify)


Subcaste CODE


% of totalHHs




NIC CODE


NCO CODE

vd;rpX FwpaPL

S.no 46. 47. 48. 49. 50. 51. 52. 53. 54. 55.

14.

15.

16.

17.


STREET-COLONY-HAMLET ROSTER bjU bjU bjU bjU ? fhy? fhy? fhy? fhydp ? dp ? dp ? dp ? Ff;fpuhkFf;fpuhkFf;fpuhkFf;fpuhkj;jpd; tpgu’;fs;j;jpd; tpgu’;fs;j;jpd; tpgu’;fs;j;jpd; tpgu’;fs; STREET/ COLO

NY / HAMLET ID

bjU - FoapUg;g[ - Ff;fpuhkk; milahs vz;

Street Name/ Colony/Hamlet

bjU - fhydp- Ff;fpuhkk; bgau;

No. of households

FLk;g’;fspd; vz;zpf;if

Type of Road/lane/ path

mikf;fg;gl;l ghij - rhiyapd; tif 01. Kutcha Kiwaw;w rhiy��60

02. Gravel-no tar ruisf;fy; rhiy? jhu; ,y;yhky;

03. Stonepaved fw;rhiy 04. Concrete rpbkd;l; rhiy

05. Broken tar cile;j jhu;

06. Tar jhu; rhiy 07. No road/ footpath rhiy trjp ,y;iy-fhy; tHp ghij �� 60

If CODE 02-06, when was it made?

02? 06

FwpaPl;lhy;; vg;bghGJ nghlg;gl;l

J

[YYYY]

Electrification kpd;rhu trjp

Legal electrification

rl;luPjpahd kpd;trjp

Year of electrification

kpd; trjp bra;ag;gl;l tUlk;

[YYYY]

Electricity use for

kpd;rhuk; gad;gLj;JtJ

if street lighting, No.of street light points

bjU tpsf;fpw;F vd;why; bjU tpsf;Ffspd; vz;zpf;if

Number of functional streetlight points

,a’;Fk; bjUtpsf;Ffspd; vz;zpf;if

Yes

Mk; No

,y;iy �NextRow

mLj;j tupir

HH use FLk;g gad;ghl;ow;F

Street-light bjU tpsf;F

Both ,uz;ow;Fk;

ID 56. 57. 58. 59. 60. 61. 62. 63. 64.

1 01 02

01 02 03

2 01 02

01 02 03

3 01 02

01 02 03

4 01 02

01 02 03

5 01 02

01 02 03

6 01 02

01 02 03

7 01 02

01 02 03

8 01 02

01 02 03

9 01 02

01 02 03

10 01 02

01 02 03


LAND DETAILS epy’;fspd; tptu’;fs; epy’;fspd; tptu’;fs; epy’;fspd; tptu’;fs; epy’;fspd; tptu’;fs; Land Utilization under different types, rounded up to two decimal places btt;ntW tiffspd; fPH; epy cgnahfk; . g[s;spf;F gpd; ,uz;L ,yf;fk; tiu vGjt[k; COLLECT DETAILS FOR LAST YEAR (2007-2008) or LATEST YEAR FOR WHICH THE DATA IS AVAILABLE fle;j tUlj;jpd; tpsf;fj;ij bgwt[k; ? 2007-2008my;yJ rkPgj;jpy; fpilf;fpd;w tUlj;jpw;fhd tpguj;ij bgwt[k; 65. For the Year ve;j Mz;od; jfty; _____________ 66. Unit of measurement mstPl;L Kdw ____________________

Classification of land: epyj;jpd; tifepyj;jpd; tifepyj;jpd; tifepyj;jpd; tif Total Area 000.00

67. Forest tdk;

68. Barren & Uncultivable land gadw;w. gapu; bra;a ,ayhj epyk;

69. Land put to non-agricultural Use tptrhakw;w ,ju fhupa’;fSf;F gad;gLj;jg;gLk; epyk;

70. Cultivable waste gapuplj;jf;f jupR

71. Permanent pastures and Other Grazing lands epiyahd gRk;g[y; jiufSk; kw;Wk; ,ju nka;r;ry; epy’;fSk;

72. Land under Miscellaneous Tree crops and groves (not included in Net Area Sown)

(tpijf;fg;gl;l epfu gug;gpy; nru;f;fg;glhj) kutifg; gapu;fSk; njhg;g[fSk;

73. Current fallow elg;g[jupR

74. Other fallow land juprhf cs;s ,ju epy’;fs;

75. Net area sown tpijf;fg;gl;l epfug;gug;gst[

76. Geographical area fpfpfpfpuhkj;jpd; bkhj;j gug;guhkj;jpd; bkhj;j gug;guhkj;jpd; bkhj;j gug;guhkj;jpd; bkhj;j gug;gst[st[st[st[ 77. Gross cropped area gapu; bra;ag;gl;l bkhj;j gug;ggapu; bra;ag;gl;l bkhj;j gug;ggapu; bra;ag;gl;l bkhj;j gug;ggapu; bra;ag;gl;l bkhj;j gug;gst[st[st[st[ 78. Area sown more than once XU Kiwf;F nky; tpijf;fg;gl;l gug;gXU Kiwf;F nky; tpijf;fg;gl;l gug;gXU Kiwf;F nky; tpijf;fg;gl;l gug;gXU Kiwf;F nky; tpijf;fg;gl;l gug;gst[st[st[st[

Source wise Area Irrigated Mjhu’;fs; mog;gilapy; ghrdk; bra;ag;gl;l gFjpfsMjhu’;fs; mog;gilapy; ghrdk; bra;ag;gl;l gFjpfsMjhu’;fs; mog;gilapy; ghrdk; bra;ag;gl;l gFjpfsMjhu’;fs; mog;gilapy; ghrdk; bra;ag;gl;l gFjpfs;

79. CANALS (include system tanks)

fhy;tha;fs; (ePu; njf;f jpl;lj;jhy; epug;gl;lit nru;j;J)

80. NON – SYSTEM TANKS ePu;j; njf;fj; jpl;lj;jhy; epug;gg; glhj Vupfs;

81. TUBE WELLS FHha; fpzWfs;

82. OPEN WELLS jpwe;j fpzWfs;

83. Other source (Specify)____________________________ kw;wit (Fwpg;gplt[k;)

84. Other source (Specify)____________________________ kw;wit (Fwpg;gplt[k;)

LAND PRICES epyj;jpd; tpiyfs;epyj;jpd; tpiyfs;epyj;jpd; tpiyfs;epyj;jpd; tpiyfs;

Q.no Type of Land epyj;jpd; tif

Sale Price, Rs/Acre

tpw;gid tpiy U:gha;-Vf;fUf;F

Rental Price, Rs/Acre (For 1 year)

thlif tpiy. U:-Vf;fu; (xU tUl thlif fhyk;)

Current price

jw;nghija tpiy

2006 Price

2006 y; tpiy (3 tUl’;fSf;F Ke;ija

tpiy)

Current price

jw;nghija tpiy

2006 Price

2006 y; tpiy

Market Land Price khh;f;bfl; khh;f;bfl; khh;f;bfl; khh;f;bfl; epyepyepyepytuj;jpd; goahd tpiytuj;jpd; goahd tpiytuj;jpd; goahd tpiytuj;jpd; goahd tpiy

85. Irrigated land

ghrd trjp cs;s epyk;

86.

Unirrigated (entirely rainfed)

ghrd trjp ,y;yhj epyk; (kiH ePu; kl;Lnk)

Government Land Prices murh’;fk; epu;zapj;j epyj;jpd; tpiymurh’;fk; epu;zapj;j epyj;jpd; tpiymurh’;fk; epu;zapj;j epyj;jpd; tpiymurh’;fk; epu;zapj;j epyj;jpd; tpiy

87. Irrigated ghrd trjp cs;sJ

88. Unirrigated

ghrd trjp ,y;yhjJ


LAND REFORM epyr; rPh;jpUj;jk; epyr; rPh;jpUj;jk; epyr; rPh;jpUj;jk; epyr; rPh;jpUj;jk;

Type of Reform

rPh;jpUj;j tif

Has this ever happened?

,Jtiu ele;jJz;lh

If yes, year last episode started

Mk; vdpy;. ,e;j

rPh;jpUj;jk; filrpahf vg;nghJ ele;jJ> (tUlk;) YYYY

Happening now? ,J jw;rkak; eilbgw;Wf;

bfhz;oUf;fpwjh>

Area covered/ Area used?

rPu;jpUj;jk; [ bra;ag;gl gug;gst[- gad;ghl;oy; cs;s gug;gst[

Number of households

FLk;g’;fspd; vz;zpf;if

Yes

Mk; No

,y;iy �Next Row


Yes

Mk; No

,y;iy Affected

ghjpf;fg; gl;nlhu;

Benefited

gad; mile;nj

hu;

. S.no 89. 90. 91. 92. 93.

1.

Distribution of ceiling land

cr;r tuk;g[ epyj;ij gfpu;e;jspj;jy;

01 02

01 02

2.

Tenancy reform (Tenant registration)

FoapUg;g[ rPu;jpUj;jk; (FoapUg;g[ gjpt[)

01 02

01 02

3.

Two-acre free land scheme

2 Vf;fu; ,ytr epy gfpu;t[ jpl;lk;

01 02 01 02

LAND RECORDS & REGISTRATION epy Mtzepy Mtzepy Mtzepy Mtz’;fs;’;fs;’;fs;’;fs; kw;Wk; gjpt[kw;Wk; gjpt[kw;Wk; gjpt[kw;Wk; gjpt[

Q.no Questions Options CODE

NOW

jw;rkak; 2006

Asked to revenue officials tUtha; mjpfhupaplk; nfl;ft[k;tUtha; mjpfhupaplk; nfl;ft[k;tUtha; mjpfhupaplk; nfl;ft[k;tUtha; mjpfhupaplk; nfl;ft[k;

94.

What is the main type of record for homestead Lands owned by households in this village?

,e;j fpuhkj;jpy; trpg;gtu;fs; itj;jpUf;Fk; tPl;L kidf;F mjpfkhf ve;j tifahd Mtzk; itj;jpUf;fpwhu;fs;>

Patta (Land Record) gl;lh epyk; (epy Mtzk;) 01

Kiraya Pathiram (Registerd. land)

fpuag; gj;jpuk; (gjpt[ bra;ag;gl;l epyk;)

02

Grama Natham ( Common Land) fpuhk ej;jk; (fpuhk bghJ epyk;) 03

Revenue Poromboke /Wasteland tUkhd g[wk;nghf;F epyk; 04

Others (Specify) kw;wit (Fwpg;gplt[k;)

_______________________ 05

95.

Share of HH who have type [mentioned above] of document/ land? (%)

(nkny Fwpg;gpl;l) (nkny Fwpg;gpl;l) (nkny Fwpg;gpl;l) (nkny Fwpg;gpl;l) ,e;j tifahd Mtz’;fis itj;jpUf;Fk; tPLfspd; g’;F v d;d >

%

96.

What is the share of agricultural properties mutated in a year? (%)

xt;bthU Mz;Lk; gpupf;fg;gLk; tptrha brhj;Jfspd; g’;F vt;tst[ > (rjtpfpjk;)

%

97.

Of these, how many are inheritances? (%)

,tw;wpy; . vj;jid rjtpfpjk; tk;rhtspahf bgwg;gLk; brhj;Jf;fs; > (rjtpfpjk;)

%

98.

What share of mutations in agricultural properties is registered? (%)

gpupf;fg;gLk; tptrha brhj;Jf;fspy; vj;jid rjtpfpjk; gjpt[ bra;ag;gLfpwJ> (rjtpfpjk;)

%

99.

What share of mutations in non-agricultural properties is registered? (%)

tptrhak; ? my;yhj brhj;Jf;fspy; gpupf;fg;gLk; brhj;Jf;fspy; vj;jid rjtpfpjk; gjpt[ bra;ag;gLfpwJ> (rjtpfpjk;)

%

To knowledgable landowners/ villagers: tptu’;fs; bjupe;j epy chpikahsh; tptu’;fs; bjupe;j epy chpikahsh; tptu’;fs; bjupe;j epy chpikahsh; tptu’;fs; bjupe;j epy chpikahsh; ---- fpuhkj;jpdhplk; nfl;fg;glntz;Lk;fpuhkj;jpdhplk; nfl;fg;glntz;Lk;fpuhkj;jpdhplk; nfl;fg;glntz;Lk;fpuhkj;jpdhplk; nfl;fg;glntz;Lk;

100. How long does it take to register transaction at Register office) ?

xU gj;jpuj;ij gj;jpu gjpt[ mYtyfj;jpy; gjpt[ bra;tjw;F vj;jid ehl;fs; Mfpd;wJ >

Days ehl;fs;

101. Are / were land records (Patta) computerized in this village?

,e;j fpuhkj;jpy; epyg; gjpntLfsepyg; gjpntLfsepyg; gjpntLfsepyg; gjpntLfs; (gl;lhf;fs;) (gl;lhf;fs;) (gl;lhf;fs;) (gl;lhf;fs;) fk;g;a{l;lh; kakhf;fg;gl;oUf;fpwjh >

Yes Mk; 01 01

No ,y;iy 02 02

102.

Where do/did most people go to get land Records (patta) from?

bgUk;ghyhdth;fs; epyg; gjpt[ Mtz’;fisg; bgWtjw;F v’;nf bry;fpwhh;fs;-brd;whh;fs; >

Village menial (Thalayari) fpuhk jiyahup

01 01

VAO fpuhk epu;thf mYtyu;

02 02

Revenue Inspector

tUtha; Ma;thsu;

03 03


Q.no Questions Options CODE

NOW

jw;rkak; 2006

Taluk Office jhYf;fh mYtyfk;

04 04

Others (Specify) _______________________

kw;wit (Fwpg;gplt[k;)

05 05

103.

Travel time to get certified copy of land Records(patta) [for single visit ] epyg; gjpt[ Mtzr; rhd;wpjiHg; (gl;lhit) bgWtjw;fhd bkhj;j gaz neuk; (kzp neu’;fs;) /

[MINUTES for single visit ]

xU jlitf;F brytHpj;j epkpl’;fs;

104. Number of such visits to get a certified copy of land Records(Patta)

epyj;jpd; Mtz rhd;wpjH; (gl;lhit) bgw vj;jid Kiw bry;yntz;Lk;>;

No. vz;zpf;if

105.

Total waiting time to get a certified land Records (patta) copy [days] epyg; gjpt[ Mtzr; rhd;wpjiH (gl;lhit) bgWtjw;F fhj;jpUf;f ntz;oa bkhj;j fhyk; (ehl;fs;)

Days ehl;fs;

NO. OF HOUSEHOLDS OWNING DIFFERENT TYPES OF LIVESTO CK IN THE VILLAGE

fpuhkj;jpy; gy;ntW fhy;eil gpuhzpfis brhe;jkhf itj;jpUf;Fk; FLk;g’;fspd; vz;zpf;iffpuhkj;jpy; gy;ntW fhy;eil gpuhzpfis brhe;jkhf itj;jpUf;Fk; FLk;g’;fspd; vz;zpf;iffpuhkj;jpy; gy;ntW fhy;eil gpuhzpfis brhe;jkhf itj;jpUf;Fk; FLk;g’;fspd; vz;zpf;iffpuhkj;jpy; gy;ntW fhy;eil gpuhzpfis brhe;jkhf itj;jpUf;Fk; FLk;g’;fspd; vz;zpf;if

Type of Animal tpy’;fpdk;tpy’;fpdk;tpy’;fpdk;tpy’;fpdk;

No of Households

itj;jpUf;Fk; itj;jpUf;Fk; itj;jpUf;Fk; itj;jpUf;Fk; FLk;g';fspd; vz;zpf;ifFLk;g';fspd; vz;zpf;ifFLk;g';fspd; vz;zpf;ifFLk;g';fspd; vz;zpf;if

Local price (Rs)

cs;Shpy;cs;Shpy;cs;Shpy;cs;Shpy; xd;wpd; xd;wpd; xd;wpd; xd;wpd; tpiy (Utpiy (Utpiy (Utpiy (U))))

Sl no 106. 107.

1.

Cattle – Cross bred

fhy;eil fhy;eil fhy;eil fhy;eil fyg;gpdk;fyg;gpdk;fyg;gpdk;fyg;gpdk;

Young stock up to 28 months – Male 28 khj’;fs; tiu cs;s ,sk; fhy; eilfs; ? fhis fd;W

Young stock up to 28 months – Female 28 khj’;fs; tiu cs;s ,sk; fhy; eilfs; ? gR’;fd;W

Female over 28 months 28 khj’;fSf;F nky; taJs;s gR khL

Male cattle over 28 months - For work/ breeding (Bull / Bullock) 28 khj’;fSf;F nky; taJs;s fhis ? ntiyf;fhf. ,dr;nrh;f;iff;fhf (vUJ kw;Wk; fhis)

2.

Cattle: Non-descript

fhy;eil fhy;eil fhy;eil fhy;eil ehl;odk;ehl;odk;ehl;odk;ehl;odk;

Young stock up to 3 years – Male 3 tajpw;F nky; cs;s ,sk; fhy; eilfs; ? fhis fd;W

Young stock up to 3 years – Female 3 tajpw;F nky; cs;s ,sk; fhy; eilfs; ? gR’;fd;W

Female over 3 years 3 tUl’;fSf;F nky; taJs;s gR khL

Male over 3 years - For work/ breeding (Bull / Bullock) 3 tUl’;fSf;F nky; taJs;s fhis ? ntiyf;fhf. ,dr;nrh;f;iff;fhf (vUJ kw;Wk; khl;L tz;o)

3. Buffalo

vvvvUUUUikikikik

Young stock up to 3 years – Male

3 tajpw;F nky; cs;s ,sk; fhy; eilfs; ? Mz; vUik fd;W

Young stock up to 3 years – Female

3 tajpw;F nky; cs;s ,sk; fhy; eilfs; ? bgz; vUik fd;W;

Female over 3 years

3 tUl’;fSf;F nky; taJs;s bgz; vUik

Male over 3 years - For work/ breeding

3 tUl’;fSf;F nky; taJs;s Mz; vUik ? ntiyf;fhf. ,dr;nrh;f;iff;fhf

4. Horse

Fjpiu

5. Donkey

fGij

6. Goat

bts;shL

7. Sheep

brk;kup ML

8. Pig

gd;wp

9. Poultry/ Birds

nfhHp - gwit

10. Other (specify ________________


11. Other (specify) _______________ kw;wit (Fwpg;gplt[k;)

12. Other (specify) _______________



AGRICULTURAL EQUIPMENT tptrha rhjd’;fs;tptrha rhjd’;fs;tptrha rhjd’;fs;tptrha rhjd’;fs;

Equipment/Animal

rhjd’;fs;-gpuhzpfs;

No. of Units in the Village

fpuhkj;jpy; cs;s

vz;zpf;if

Rental rate (Rs) [cash equivalent if in-kind] in the Village ASK DRIVER AND EQUIPMENT COST SEPERATELY

thlif Typ (U:) (gzkhfnth bghUshfnth) fUtpf;fhf [Xl;Ldu; Typa[k; rhjdj;jpw;fhd

Typa[k; jdpahf nfl;ft[k];

How is payment usually made?

tHf;fkhf fl;lzk; vg;go brYj;jg;gLfpwJ>

Per hour xU

kzpf;F

Per day xU

ehisf;F

Per acre xU

Vf;fUf;F

Per load/trip xU nyhL- oupg;gpw;F

Kind bghUshf

Cash buhf;fkhf

Both ,uz;Lk;

Sl.no 108. 109. 110. 1. TRACTOR ouhf;lu;ouhf;lu;ouhf;lu;ouhf;lu;

Driver Cost Xl;Ldu; bryt[ 01 02 03

with trailers oiuyUld; 01 02 03

without trailers oiuyupy;yhky; 01 02 03

with Disc harrow rl;og;gYifa[ld; 01 02 03

with Tiller / cultivator oy;yu; - bfhj;J fyg;iga[ld;

01 02 03

with Plough Disc / mould board

rl;o fyg;ig - tis gyifa[ld;;

01 02 03

with cage wheel ,Uk;g[ rf;fuj;Jld; 01 02 03

with Rotavator RHy; fyg;iga[ld; 01 02 03

with Levellor epyk; rkd;gLj;Jthd; fUtpa[ld;

01 02 03

with Seed drill / Seed planter

tpijf;Fk; ,ae;jpuk; - tpij eL ,ae;jpuj;Jld;

01 02 03

with Chaff cutter

jPtdg;gapu; btl;Lk; fUtpa[ld;

01 02 03

2. POWER TILLER gth; oy;yh;gth; oy;yh;gth; oy;yh;gth; oy;yh;


with trailers oiuyUld; 01 02 03

without trailers oiuyupy;yhky; 01 02 03

with Disc harrow rl;og;gYifa[ld; 01 02 03

with Tiller / cultivator oy;yu; - bfhj;J fyg;iga[ld;

01 02 03

with Plough Disc / mould board rl;o fyg;ig - tis gyifa[ld;;

01 02 03

with cage wheel ,Uk;g[ rf;fuj;Jld; 01 02 03

with Rotavator RHy; fyg;iga[ld; 01 02 03

with Levellor epyk; rkd;gLj;Jthd; fUtpa[ld;

01 02 03

with Seed drill / Seed planter tpijf;Fk; ,ae;jpuk; - tpij eL ,ae;jpuj;Jld;

01 02 03

with Chaff cutter jPtdg;gapu; btl;Lk; fUtpa[ld;

01 02 03

3. Combine Harvester xd;Wgl;l Tl;L mWtil ,ae;jpuk;

01 02 03


4. Thresher

fjpuof;Fk; ,ae;jpuk;

01 02 03

Driver cost Xl;Ldu; bryt[

01 02 03

5. Winnower

g[ilj;J Jhw;wp Rj;jk; bra;a[k; fUtp

01 02 03

Driver / labour cost Xl;Ldu; - bjhHpyhsp bryt[

01 02 03

6. Pair of Bullocks

xU n$ho fhiskhLfs;

01 02 03

Driver / labour cost Xl;Ldu; - bjhHpyhsp bryt[

01 02 03

7. Pair of bullocks with cart

,ul;il khl;L tz;oa[ld;

01 02 03

Driver / labour cost

Xl;Ldu; - bjhHpyhsp bryt[

01 02 03


PROCESSING UNITS gjg;gLj;jg;gLk; rhjd’;fs;gjg;gLj;jg;gLk; rhjd’;fs;gjg;gLj;jg;gLk; rhjd’;fs;gjg;gLj;jg;gLk; rhjd’;fs;

Processing Units gjg;gLj;jg;gLk; rhjd’;fs;

No. of Equipment in the Village

,f;fpuhkj;jpy; cs;s

fUtpfspd; vz;zpf;if

Rental rate (Rs) [ cash equivalent if in-kind] for equipment in the Village

fpuhkj;jpy; fUtpf;fhf thlif Typ (U:) (gzkhfnth bghUshfnth)

How is payment usually made?

tHf;fkhf fl;lzk; vg;gobrYj;jg;gLfpwJ>

Per hour

xU kzpf;F

Per day

xU ehisf;F

Per acre

xU Vf;fUf;F

Per ton /output

cw;gj;jp bra;ag;gLk; xU ld;dpw;F

Kind

bghUshf

Cash

buhf;fkhf

Both

,uz;Lk;

Sl 111. 112. 113.

1. Cane crushers fUk;g[r; rhW gpHpa[k; ,ae;jpuk;

01 02 03

2. Rice hullers bey; gpupj;bjLf;Fk; ,ae;jpuk;

01 02 03

3. Oil crushers vz;bza; gpHpa[k; ,ae;jpuk;

01 02 03


CROP PRICES (FOR ALL CROPS GROWN IN THE VILLAGE ) tpisgapu; tpiyfs;tpisgapu; tpiyfs;tpisgapu; tpiyfs;tpisgapu; tpiyfs; (fpuhkj;jpy; tpisa[k; gapu;fs; midj;Jk;)(fpuhkj;jpy; tpisa[k; gapu;fs; midj;Jk;)(fpuhkj;jpy; tpisa[k; gapu;fs; midj;Jk;)(fpuhkj;jpy; tpisa[k; gapu;fs; midj;Jk;) Record the prices at which most of the farmers sold their produce immediately after the harvest during the past 1 year fle;j xU tUlfle;j xU tUlfle;j xU tUlfle;j xU tUlj;jpy;. mnef tptrhapfs; mth;fSila cw;gj;jpia mWtil bra;j cldj;jpy;. mnef tptrhapfs; mth;fSila cw;gj;jpia mWtil bra;j cldj;jpy;. mnef tptrhapfs; mth;fSila cw;gj;jpia mWtil bra;j cldj;jpy;. mnef tptrhapfs; mth;fSila cw;gj;jpia mWtil bra;j cld;;;; mjpfkhf v’;F tpwmjpfkhf v’;F tpwmjpfkhf v’;F tpwmjpfkhf v’;F tpw;; ;;g;gid bra;fpwhh;fnsh. me;j tpiyfis Fwpf;ft[k;g;gid bra;fpwhh;fnsh. me;j tpiyfis Fwpf;ft[k;g;gid bra;fpwhh;fnsh. me;j tpiyfis Fwpf;ft[k;g;gid bra;fpwhh;fnsh. me;j tpiyfis Fwpf;ft[k;

Name of crop

gapupd ; bgau ;

CODE gapu ; FwpaPL

Is this a perennial crop ?

tUlg ; gapuh>

Peak Time of harvest [week, month]

mWtilapd ; cr;r fhyk ; (thuk ;. khjk ;)

Where did most farmers sell this produce?

mnef tptrhapfs ; v’;F mjpfkhf bghUl ;fis tpw;fpd;wdu ; Sandhai / Ulavar Sandhais – inside Village re;ij - cHtu; re;ij fpuhkj;jpw;Fs ;

01

Sandhai / Ulavar Sandhais-outside village re;ij - cHtu; re;ij fpuhkj;jpw;F btspapy ;

02

Others – Inside Village kw;wit ? fpuhkj;j;pw;Fs ; 03

Others – outside Village kw;wit?fpuhkj;j;pw;F btspapy ; 04

To whom did most farmers sell this produce ?

tptrhapfs ; ahUf;F mjpfkhf bghUl ;fis tpw;fpd;wdu ; Government murh’;fk ; 01 Commission Agent jufu ; 02 Wholesale trader bkhj;j tpahghup 03 Retailer rpy;yiu tzpfu ; 04 Consumer Efu;nthu ; 05 ProcessingUnit (lsugar/ cotton mills, etc)

gjg ;gLj;Jk ; mikg;g[(ru;f;fiu Miy. E}w;g[ Miy. ,ju)

06

Others (Specify) kw;wit (Fwpg ;gplt[k ;) 07

Unit of measure mstPLfs ; Per Quintal Ftpz;lhYf;F 01

Per ton xU ld;dpw;F 02

Per kg xU fpnyhtpw;F 03

Per bag xU igf;F 04

Per Piece cjphp xd;wpw;F 05

Per bunch xU fl;ow;F 06

Average price, time of harvest

ruhrup tpiy. mWtilapd ; nghJ (U :)

Average price, Two months before harvest

ruhrup tpiy. mW tilf;F ,uz;L khj’;fSf ;F Kd ; (U :)

Average price, two months after harvest

ruhrup tpiy. mWtilf;F ,uz;L khj’;fSf;F gpd ; (U :)

Yes

Mk;

No

,y;iy

Week thuk ; CODE

thuf; FwpaPL

Month khjk ; CODE

khjf ; FwpaPL

Sl 114. 115. 116. 117. 118. 119. 120. 121. 122. 123. 124. 1

01 02

2

01 02

3

01 02

4

01 02

5

01 02

6

01 02

7

01 02

8

01 02

9

01 02

10

01 02

11

01 02

12

01 02

Week Code : 1st Week– 01; 2nd week – 02 ; 3rd week– 03; 4th Week =– 04 Month code: January – 01, February – 02, March – 03, April – 04, May – 05 , June – 06, July – 07, August – 08, September – 09, October – 10, November – 11, December - 12


GOVT. PROCUREMENT/SUPPORT PRICES (RS./UNIT) bfhs;Kjy;bfhs;Kjy;bfhs;Kjy;bfhs;Kjy;----eph;zapf;fg;gl;l tpiyfs; (murh’;f bfhs;Kjy;eph;zapf;fg;gl;l tpiyfs; (murh’;f bfhs;Kjy;eph;zapf;fg;gl;l tpiyfs; (murh’;f bfhs;Kjy;eph;zapf;fg;gl;l tpiyfs; (murh’;f bfhs;Kjy; )(U:)(U:)(U:)(U:----vz;zpfvz;zpfvz;zpfvz;zpf;if mstpw;F);if mstpw;F);if mstpw;F);if mstpw;F)

Crop gapu;

Gvt. Procurement in village?

,e;j fpuhkj;jpy; murh’;f bfhs;Kjy;

cs;sjh>

Unit of measurement mstPl;L Kiw[ 2006

Price in RS. tpiy U:

2007

Price in RS. tpiy U:

2008

Price in RS. tpiy U: Yes

Mk;

No ,y;iy

��NEXT ROW

Per Quintal xU Ftpz;lhYf;F

Per ton xU ld;dpw;F

Per kg xU fpnyhtpw;F

Per bag xU igf;F

Per Piece cjpup xd;wpw;F

Per bunch xU fl;ow;F

Sl 125. 126. 127. 128. 129. 1 Paddy

bey; 01 02 01 02 03 04 05 06

2 Wheat nfhJik 01 02 01 02 01 02 01 02

3 Pulses gaWfs; 01 02 01 02 01 02 01 02

4 Oil seeds vz;bza; tpj;Jf;fs; 01 02 01 02 01 02 01 02

5 Cotton gUj;jp 01 02 01 02 01 02 01 02

6 Groundnut epyf;fliy 01 02 01 02 01 02 01 02


AVERAGE MARKET PRICES IN NEAREST MKT (PRIVATE TRADE RS) (RS./UNIT)—WHOLESALE MARKET PRICE ONLY mUfhikapYs;s khh;bmUfhikapYs;s khh;bmUfhikapYs;s khh;bmUfhikapYs;s khh;bffffl;oy; . ruhrhp khu;f;bfl; tpiyfs; (jdpahu; tpahghupfs;) (xU mstPl;L Kil;oy; . ruhrhp khu;f;bfl; tpiyfs; (jdpahu; tpahghupfs;) (xU mstPl;L Kil;oy; . ruhrhp khu;f;bfl; tpiyfs; (jdpahu; tpahghupfs;) (xU mstPl;L Kil;oy; . ruhrhp khu;f;bfl; tpiyfs; (jdpahu; tpahghupfs;) (xU mstPl;L Kiwf;F wf;F wf;F wf;F ---- U: ) bkhj;jtpw;gid U: ) bkhj;jtpw;gid U: ) bkhj;jtpw;gid U: ) bkhj;jtpw;gid re;ij re;ij re;ij re;ij tpiy kl;Lk;tpiy kl;Lk;tpiy kl;Lk;tpiy kl;Lk;

Crop gapu;;

Unit of measurement mstPl;L Kiw 2006

Price in RS.

tpiy U:

2007 Price in RS.

tpiy U:

2008 Price in RS.

tpiy U: Per Quintal

xU Ftpz;lhYf;F Per ton

xU ld;dpw;F Per kg

xU fpnyhtpw;F Per bag

xU igf;F Per Piece

cjpup xd;wpw;F Per bunch

xU fl;ow;F

Sl 130. 131. 132. 133.

1. Paddy

bey; 01 02 03 04 05 06

2. Wheat

nfhJik 01 02 03 04 05 06

3. Tur (Ahar)

Ju;;;;; (M\hu;) (Jtiu) 01 02 03 04 05 06

4. Gram dal

fliyg;gUg;g[ 01 02 03 04 05 06

5. Urd

cSj;jk; gaW 01 02 03 04 05 06

6. Moong

gaj;jk; gapW 01 02 03 04 05 06

7. Moth (kidney bean)

fhuhkzp (fpl;dp gPd;) 01 02 03 04 05 06

8. Massor (lentil)

ikNh; gUg;g[ 01 02 03 04 05 06

9. Chana (bengal gram)

bfhz;il fliy 01 02 03 04 05 06

10. Coconut (per piece)

nj’;fha; (xd;wpw;F) 01 02 03 04 05 06

11. Groundnut

epyf;fliy 01 02 03 04 05 06

12. Oil seeds vz;bza; tpj;Jf;fs; (specify___________) Fwpg;gpLf

01 02 03 04 05 06

13. Banana

thiH 01 02 03 04 05 06


PROCUREMENT PRICES/AVERAGE MARKET PRICES IN THE NEA RBY MARKET FOR SUGARCANE fUk;gpw;F . mUfhikapYs;s re;ijapy; bfhs;Kjy; tpifUk;gpw;F . mUfhikapYs;s re;ijapy; bfhs;Kjy; tpifUk;gpw;F . mUfhikapYs;s re;ijapy; bfhs;Kjy; tpifUk;gpw;F . mUfhikapYs;s re;ijapy; bfhs;Kjy; tpiyfs; yfs; yfs; yfs; ---- ruhrupruhrupruhrupruhrup re;ij tpiyfs;re;ij tpiyfs;re;ij tpiyfs;re;ij tpiyfs;

Procurement Agency

bfhs;Kjy; bra;a[k; V$d;rpbfhs;Kjy; bra;a[k; V$d;rpbfhs;Kjy; bra;a[k; V$d;rpbfhs;Kjy; bra;a[k; V$d;rp

Unit of measurement

mstPl;L Kiw

2006 Price in RS.

tpiy U:

2007 Price in RS.

tpiy U:

2008 Price in RS.

tpiy U: Per Quintal

xU Ftpz;lhYf;F Per ton

xU ld;dpw;F Per kg

xU fpnyhtpw;F

Sl 134. 135. 136. 137.

1. Government Procurement

murh’;f bfhs;Kjy; 01 02 03

2. Private Sugar Mills

jdpahh; fUk;g[ Miyfs; 01 02 03

3. Gur / Khandsari making units

bty;yk; jahhpf;Fk; Miyfs; 01 02 03

4. Private trader

jdpahu; tpahghupfs; 01 02 03

5. Others (Specify)________________ kw;wit (Fwpg;gpLf)

01 02 03


AGRICULTURE INFORMATION: SOURCES, FACILITIES, PROGR AMS, AND COMMONLY USED INPUTS tptrhak; rk;ge;jg;gl;l jfty;fs; ? fpilf;Fk; tHpfs; . trjpfs; . jpl;l’;fs; kw;Wk; xt;bthU gapUf;Fk; bghJthf gad;gLj;jg;gLk; g{tptrhak; rk;ge;jg;gl;l jfty;fs; ? fpilf;Fk; tHpfs; . trjpfs; . jpl;l’;fs; kw;Wk; xt;bthU gapUf;Fk; bghJthf gad;gLj;jg;gLk; g{tptrhak; rk;ge;jg;gl;l jfty;fs; ? fpilf;Fk; tHpfs; . trjpfs; . jpl;l’;fs; kw;Wk; xt;bthU gapUf;Fk; bghJthf gad;gLj;jg;gLk; g{tptrhak; rk;ge;jg;gl;l jfty;fs; ? fpilf;Fk; tHpfs; . trjpfs; . jpl;l’;fs; kw;Wk; xt;bthU gapUf;Fk; bghJthf gad;gLj;jg;gLk; g{r;rpf; bfhy;ypfs; . fhshd; bfhy;ypfs; . cu’;fs; . xt;bthU gapUf;Fkhd r;rpf; bfhy;ypfs; . fhshd; bfhy;ypfs; . cu’;fs; . xt;bthU gapUf;Fkhd r;rpf; bfhy;ypfs; . fhshd; bfhy;ypfs; . cu’;fs; . xt;bthU gapUf;Fkhd r;rpf; bfhy;ypfs; . fhshd; bfhy;ypfs; . cu’;fs; . xt;bthU gapUf;Fkhd tPhpa xl;L tpijfs;tPhpa xl;L tpijfs;tPhpa xl;L tpijfs;tPhpa xl;L tpijfs;

Where do cultivators get instructions about the following items (the three most frequent sources of instruction/information in the village) gpd;tUk; gpd;tUk; gpd;tUk; gpd;tUk; tiffSf;F tiffSf;F tiffSf;F tiffSf;F tptrhapfs; v’;fpUe;J jfty; Fwpg;g[f;fisg; bgWfpwhu;fs; (fpuhkj;jpy; kpf mof;fo gad;gLj;Jk;; K:d;W Ktptrhapfs; v’;fpUe;J jfty; Fwpg;g[f;fisg; bgWfpwhu;fs; (fpuhkj;jpy; kpf mof;fo gad;gLj;Jk;; K:d;W Ktptrhapfs; v’;fpUe;J jfty; Fwpg;g[f;fisg; bgWfpwhu;fs; (fpuhkj;jpy; kpf mof;fo gad;gLj;Jk;; K:d;W Ktptrhapfs; v’;fpUe;J jfty; Fwpg;g[f;fisg; bgWfpwhu;fs; (fpuhkj;jpy; kpf mof;fo gad;gLj;Jk;; K:d;W Kf;fpa jfty; Fwpg;g[f;fpa jfty; Fwpg;g[f;fpa jfty; Fwpg;g[f;fpa jfty; Fwpg;g[----jfty;fs; bgWk; tHpfs;)jfty;fs; bgWk; tHpfs;)jfty;fs; bgWk; tHpfs;)jfty;fs; bgWk; tHpfs;)

Q.no

WHAT ARE THE THREE MAIN SOURCES OF INFORMATION ABOUT [..] IN THIS VILLAGE?

,e;j fpuhkj,e;j fpuhkj,e;j fpuhkj,e;j fpuhkj;; ;;jpy;jpy;jpy;jpy; [..] gw;wpa jftiy gw;wpa jftiy gw;wpa jftiy gw;wpa jftiy bgWk; Kf;fpakhd K:d;bgWk; Kf;fpakhd K:d;bgWk; Kf;fpakhd K:d;bgWk; Kf;fpakhd K:d;W tW tW tW tHpfs;Hpfs;Hpfs;Hpfs;

INFORMATION SOURCE / MEDIA jfty;fs; fpilf;fg;bgw;w Mjhuk; - Clfk; Government Ag. department/ Extension services muR tptrhaj;Jiw - tpupthf;fr; nritfs;

Cooperatives Tl;Lwt[ r';f';fs;

Input Dealers/ Manufacturers tptrhag; bghUl;fspd; Oyh;fs; - jahupg;ghsh;fs;

NGO vd;$Px

Agri Clinics ntshz;ik fpspdpf;

Nurseries njhl;lf; fiy

Other Farmer kw;w tptrhap

Radio thbdhyp

TV bjhiyf; fhl;rp

News-paper/Mag bra;jpjhs; - gj;jpupf;if

Education programs: lecture,demonstration H;r;rpfs; (fz;fhl;rp. tpupt[iu. bray; tpsf;fk;. glk;. fsg;ghh;it nghd;wit)

Others kw;wit

138. Improved Seed Varieties nkk;gLj;jg;gl;l tpij ,uf’;fs; 01 02 03 04 05 06 07 08 09 10 11 12

139. Use of Fertilizers ,urhad cu cgnahfk; 01 02 03 04 05 06 07 08 09 10 11 12

140. Pesticides g{r;rpf;bfhy;ypfs; 01 02 03 04 05 06 07 08 09 10 11 12 141. Irrigation ePh;g;ghrdk; 01 02 03 04 05 06 07 08 09 10 11 12 142. Marketing, including Prices

re;ijg;gLj;Jjy;. tpiya[k; nru;j;J 01 02 03 04 05 06 07 08 09 10 11 12

143. Crop diseases gaph; neha;fs; 01 02 03 04 05 06 07 08 09 10 11 12 144. Access to Credit fld; th';f KotJ 01 02 03 04 05 06 07 08 09 10 11 12 145. Weather & Rainfall

rPnjh&;z epiy kw;Wk; kiHg;bghHpt[ 01 02 03 04 05 06 07 08 09 10 11 12

146. Soil Fertility Mgmt, Including SoilTesting

kz; tsk; fhj;jy;. kz; gupnrhjida[k; nru;j;J

01 02 03 04 05 06 07 08 09 10 11 12

147. On Farm Storage (Post Harvest)

fsj;J nkl;oy; nrkpj;J itj;jy; (mWtilf;F gpd;)

01 02 03 04 05 06 07 08 09 10 11 12

148. Other [specify] ________________ kw;wit (Fwpg;gplt[k;) 01 02 03 04 05 06 07 08 09 10 11 12

149. Other [specify]_________________ kw;wit (Fwpg;gplt[k;) 01 02 03 04 05 06 07 08 09 10 11 12


EXTENSION FACILITIES-FOR ALL OFFICES COMMONLY USED BY MEMBERS OF THE VILLAGE tpupthf;fk; bra;ag;gl;l trjpfs;;; ? fpuhk cWg;gpdu;fshy; bghJthf gad;gLj;jg;gLk; vy;yh mYtyf’;fSf;Fk;tpupthf;fk; bra;ag;gl;l trjpfs;;; ? fpuhk cWg;gpdu;fshy; bghJthf gad;gLj;jg;gLk; vy;yh mYtyf’;fSf;Fk;tpupthf;fk; bra;ag;gl;l trjpfs;;; ? fpuhk cWg;gpdu;fshy; bghJthf gad;gLj;jg;gLk; vy;yh mYtyf’;fSf;Fk;tpupthf;fk; bra;ag;gl;l trjpfs;;; ? fpuhk cWg;gpdu;fshy; bghJthf gad;gLj;jg;gLk; vy;yh mYtyf’;fSf;Fk;

Q.no Questions Options Office no./ Facility ID mYtmYtmYtmYtyf vz;yf vz;yf vz;yf vz; ---- trjpapd; milahs vz;trjpapd; milahs vz;trjpapd; milahs vz;trjpapd; milahs vz;

E1 E2 E3 E4 E5 E6

150.

Name

bgau;

151. Is this place inside or outside the village?

,e;j ,lk; fpuhkj;jpw;Fs; my;yJ btspapy; mike;Js;sjh>

inside cs;ns 01 01 01 01 01 01

Outside btspna 02 ��153 02 ��153 02 ��153 02 ��153 02 ��153 02 ��153

152. GPS (if in village)

$pgpv!; (fpuhkj;jpy; ,Ue;jhy;)

��154

N

E

153.

If not in village:

fpuhkj;jpw;Fs; ,y;iybadpy;.

Name of village/town fpuhkj;jpd; - efuj;jpd;

bgau; CODE FwpaPL Taluk jhYf;fh CODE FwpaPL

District khtl;lk; CODE FwpaPL State khepyk; CODE FwpaPL

Distance from village in Km fpuhkj;jpypUe;J

bjhiyt[ fp/kPl;lupy; 154.

Nature of office mYtyfj;jpd; jd;ik

Government murh’;fk; 01 01 01 01 01 01

NGO (specify which) vd;$pX (bgah; Fwpg;gplt[k;)

02 02 02 02 02 02

private jdpahu; 03 03 03 03 03 03

other [specify] kw;wit (Fwpg;gplt[k);

04

04

04

04

04

04


Q.no Questions Options Office no./ Facility ID mYtmYtmYtmYtyf vz;yf vz;yf vz;yf vz; ---- trjpapd; milahs vz;trjpapd; milahs vz;trjpapd; milahs vz;trjpapd; milahs vz;

E1 E2 E3 E4 E5 E6 155. Does the office charge for any of its services?

mYtyfk; mjDila nritfs; vjw;fhfthtJ fl;lzk;-gzk; tNypf;fpwjh>

Yes Mk; 01 01 01 01 01 01

No ,y;iy 02�� 157 02�� 157 02�� 157 02�� 157 02�� 157 02�� 157

156. If yes, list up to 3most commonly used services and cost

Mk; vdpy;. mjpfkhf gad;gLj;jg;gLk; 3 nritfs; kw;Wk; mjd; fl;lzj;ijf; Fwpg;gpLf

Service 1

nrit 1

(Rs) (U:) Service 2

nrit 2

(Rs) (U:) Service 3

nrit 3

(Rs) (U:) 157. Type of Worker Present:

mYtyfj;jpy; cs;s ntiy Ml;fspd; tif public murh';fk; 01 01 01 01 01 01

private jdpahu; 02 02 02 02 02 02 158.

Does he make home visits to villagers? mtu; fpuhkj;jpdu; tPl;ow;F brd;W ghh;itapLfpd;whuh >

yes, only if solicited Mk.; miHg;gpw;fpz’;f 01 01 01 01 01 01

yes, solicited and unsolicited Mk;. miHj;jhYk; . miHf;fhtpl;lhYk;

02 02 02 02 02 02

No ,y;iy 03 03 03 03 03 03

159. Live in this village? ,e;j fpuhkj;jpy; trpf;fpwhu;fsh>

Yes Mk; 01 01 01 01 01 01

No ,y;iy 02 ��163 02 ��163 02 ��163 02 ��163 02 ��163 02 ��163 160.

If yes, name Mk; vdpy; bgau; name Mk; vdpy; bgau;

161. If yes, HH ID Mk; vdpy;. FLk;g milahs vz;

HHID FLk;g milahs vz;

162. MEMBER ID cWg;gpdu; milahs vz;

��165 ��165 ��165 ��165 ��165 ��165

163. If he does not live in the village, distance from village (km)

fpuhkj;jpy; trpf;ftpy;iy vdpy;. fpuhkj;jpypUe;J vt;tst[ bjhiytpy;

Km fp/kP

164. If doesn’t live in village, how many visits per month?

fpuhkj;jpy; trpf;ftpy;iy vdpy;. xU khjj;jpy; vj;jid jlit mtu; tUfpwhu;>

No of Visits tUifapd; vz;zpf;if


EDUCATIONAL PROGRAMS fy;tpfy;tpfy;tpfy;tp jpl;l’;fs;jpl;l’;fs;jpl;l’;fs;jpl;l’;fs; Does AES Centre organize the following programs to educate villagers? fpuhkj;jpdUf;F gapw;Wtpf;f . tptrha tpup[thf;f ika’;fs; ; gpd;tUk; jpl;l’;fis Vw;fpuhkj;jpdUf;F gapw;Wtpf;f . tptrha tpup[thf;f ika’;fs; ; gpd;tUk; jpl;l’;fis Vw;fpuhkj;jpdUf;F gapw;Wtpf;f . tptrha tpup[thf;f ika’;fs; ; gpd;tUk; jpl;l’;fis Vw;fpuhkj;jpdUf;F gapw;Wtpf;f . tptrha tpup[thf;f ika’;fs; ; gpd;tUk; jpl;l’;fis Vw;ghL bra;fpwjh>ghL bra;fpwjh>ghL bra;fpwjh>ghL bra;fpwjh>

Programme

jpl;l’;fs;

Number of programmes in last 12 months

fle;j 12 khj’;fspy; jpl;l’;fspd; vz;zpf;if

For programmes not i village, how far away is village where they take place?

,e;j fpuhkj;jpy; ,y;yhj jpl;l’;fSf;F. ,e;j jpl;lk; eilbgWk fpuhkk; ;vt;tst[ J}u;j;jpy; cs;sJ (fp/k)P

in this village ,e;j fpuhkj;jpy;

in nearby village

mUfhikapy; cs;s fpuhkj;jpy;

S. no 165. 166.

1 Demonstrations

bra;Kiw tpsf;f’;fs;

2 Exhibition

fz;fhl;rp

3 Lectures

brhw; bghHpt[fs; - ngUiufs;

4 Film Shows glf; fhl;rpfs;

5 Others (Specify)

kw;wit (Fwpg;gpLf)

Other Agencies? kw;w nrit epWtd’;fs;kw;w nrit epWtd’;fs;kw;w nrit epWtd’;fs;kw;w nrit epWtd’;fs; Q.no Questions Options Code

167. Does any agency other than the AES Centre organize such programs?

tptrha tphpthf;f ikaj;ij (V,v!; brd;liu) jtpu;j;J. ntW VjhtJ epWtd’;fs; ,k;khjpupahd epfH;r;rpfis elj;JtJz;lh>

Yes Mk; 01

No ,y;iy 02

COMMONLY USED HYV SEEDS, FERTILIZERS, PESTICIDES bghJthf gad;gLj;jg;gLk; cu’;fs; . g{r;rp kUe;Jfs;;;; . fisf;;;;;;;;bfhy;ypfs; . fhshd;bfhy;ypfs;bghJthf gad;gLj;jg;gLk; cu’;fs; . g{r;rp kUe;Jfs;;;; . fisf;;;;;;;;bfhy;ypfs; . fhshd;bfhy;ypfs;bghJthf gad;gLj;jg;gLk; cu’;fs; . g{r;rp kUe;Jfs;;;; . fisf;;;;;;;;bfhy;ypfs; . fhshd;bfhy;ypfs;bghJthf gad;gLj;jg;gLk; cu’;fs; . g{r;rp kUe;Jfs;;;; . fisf;;;;;;;;bfhy;ypfs; . fhshd;bfhy;ypfs;.... tPhpa xl;LtPhpa xl;LtPhpa xl;LtPhpa xl;L tpijfs;tpijfs;tpijfs;tpijfs; HYV Seeds, Chemical Fertilizers, Pesticides tPupa xl;L tpijfs; kw;Wk; ,urhad cu’;fspd; cs;sPL

Q

INPUT

cs;sPL

CROP NAME ve;j gapUf;F

cgnahfg;gLj;jg;gLfpwJ = gapupd; bgau;

CODE

gapu; FwpaPL

What percentage of total [CROP]

area is using this INPUT? (%) bkhj;j rjtPfpj’;fs; (gapu;) ,e;j cs;sPl;ow;fhf cgnahfg;gLj;jg;gLk; epyk;

168.

For which crops in the village do farmers most commonly use Improved / High-yield seed?

fpuhkj;jpy; cs;s bgUk;ghyhd tptrhapfs; ve;j gapUf;F nkk;gLj;jg;gl;l nkk;gLj;jg;gl;l nkk;gLj;jg;gl;l nkk;gLj;jg;gl;l ---- tPutPutPutPupa tpijfis pa tpijfis pa tpijfis pa tpijfis mjpfkhf - bghJthf cgnahfpf;fpd;wdu;>

1

2

3

4

5

169.

For which crops in the village do farmers most

commonly use Chemical Fertilizers?

fpuhkj;jpy; cs;s bgUk;ghyhd tptrhapfs; ve;j gapUf;F ,urhad ,urhad ,urhad ,urhad cuj;ijcuj;ijcuj;ijcuj;ij mjpfkhf - bghJthf cgnahfpf;fpd;wdu;>

1

2

3

4

5

170.

For which crops in the village do farmers most commonly use Pesticides?

fpuhkj;jpy; cs;s bgUk;ghyhd tptrhapfs; ve;j gapUf;F g{r;rpbfhy;ypfisg{r;rpbfhy;ypfisg{r;rpbfhy;ypfisg{r;rpbfhy;ypfis mjpfkhf - bghJthf cgnahfpf;fpd;wdu;>

1

2

3

4

5

171. What are the most commonly used chemical fertilizers? (list up to 5) bghJthf mjpfk; gad;gLj;jg;gLk; ,urhad cu’;fs; vd;d> (5 tiu gl;oayplt[k;)

Sl.

Name of Fertilizers cuj;jpd; bgau; CODE

1

2

3

4

5


172. What are the most commonly used pesticides, herbicides, and fungicides? (list up to 5) bghJthf mjpfk; gad;gLj;jg;gLk;; g{r;rpf;bfhy;ypfs;;;;. fisf;;;;;;;;bfhy;ypfs;. fhshd;bfhy;ypfs; vd;d> (5 tiu gl;oayplt[k;)

Sl

Name pesticides, herbicides, fungicides

g{r;rpbfhy;yp. fiyf;bfhy;yp. fhshd; bfhy;ypapd; bgah; CODE

1

2

3

4

5

LIVESTOCK SERVICES - VETERINARY HOSPITALS, DAIRIES, COOPERATIVE SOCIETIES fpilfpilfpilfpilf;ff;Toa f;ff;Toa f;ff;Toa f;ff;Toa fhy;eil fhy;eil fhy;eil fhy;eil nritfs; =nritfs; =nritfs; =nritfs; =kUj;Jtkidfs;. ghy; gz;izfs; . Tl;Lwtr;[ r’;f’;fs;kUj;Jtkidfs;. ghy; gz;izfs; . Tl;Lwtr;[ r’;f’;fs;kUj;Jtkidfs;. ghy; gz;izfs; . Tl;Lwtr;[ r’;f’;fs;kUj;Jtkidfs;. ghy; gz;izfs; . Tl;Lwtr;[ r’;f’;fs;

VETERINARY FACILITY ID

fhy; eil nritfs; milahs vz; Source of service

fhy;eil guhkupg;g[ nritfSf;fhd tha;g;g[f;fs;

NAME of nearest place

mUfhik apy; cs;s ,lj;jpd; bgau;

In this village

,e;j fpuhkj;jpy; cs;sjh>

If no, distance to nearest

,y;iy badpy;. mUfpy; ,Ug;gjpd; J}uk; (fp/kPl;lh;

Year of establishment

ve;j tUlk; njhw;W tpf;fg;gl;lJ

List the services provided/available

tH’;fg;gLk;-fpilf;Fk; nritfis gl;oayplt[k;\

01=treatment of disease, neha;fSf;F itj;jpak; ghu;j;jy; 02=vaccination neha; jLg;g[[ kUe;J mspj;jy; 03=artificial insemination braw;if fUj;jupg;g[ 04=stud cattle (fUj;jhpg;gpw;fhd fhis ) - fUj;jhpf;f cjt[k; fhy;eil 05=milk processing ghy; gjg;gLj;Jjy; 06=do quality check juk; rupghu;j;jy;;;;; (ck; bfhGg;;;;;;;;;g[ mst[) 07 = other (specify) kw;wit Fwpg;gpLf

If Artificial insemination provided, Cost

per A.I. (Rs) braw;if fUj;jupg;g[ nrit tH’;fg;gLfpwJ vd;why;. (FwpaPL) mlf;f tpiy (U:)

Yes Mk; ��176

No ,y;iy

ID 173. 174. 175. 176. 177. 178.

V1 Govt. veterinary service

murh’;f fhy;;eil nrit

01 02

V2 Private veterinary service

jdpahu; fhy;eil nrit

01 02

V3 Private dairies jdpahu; ghy;gz;izfs;

01 02

V4 Dairy cooperative Society

Tl;Lwt[g; ghy; gz;iz r’;f’;fs;

01 02


DAIRY AND POULTRY COOPERATIVES ,e;j fpuhkj;jpy; Foap,e;j fpuhkj;jpy; Foap,e;j fpuhkj;jpy; Foap,e;j fpuhkj;jpy; FoapUg;gtu;fs; ahnuDk; Tl;Lwt[ ghy; gz;iz r’;fk; my;yJ Tl;Lwt[ nfhHpg; gz;iz r’;f’;fspy; Ug;gtu;fs; ahnuDk; Tl;Lwt[ ghy; gz;iz r’;fk; my;yJ Tl;Lwt[ nfhHpg; gz;iz r’;f’;fspy; Ug;gtu;fs; ahnuDk; Tl;Lwt[ ghy; gz;iz r’;fk; my;yJ Tl;Lwt[ nfhHpg; gz;iz r’;f’;fspy; Ug;gtu;fs; ahnuDk; Tl;Lwt[ ghy; gz;iz r’;fk; my;yJ Tl;Lwt[ nfhHpg; gz;iz r’;f’;fspy; m’;fj;jpduhf ,Uf;fpwhu;fsh> Mk; vdpym’;fj;jpduhf ,Uf;fpwhu;fsh> Mk; vdpym’;fj;jpduhf ,Uf;fpwhu;fsh> Mk; vdpym’;fj;jpduhf ,Uf;fpwhu;fsh> Mk; vdpy....; m; m; m; me;j r’;f’;fs;e;j r’;f’;fs;e;j r’;f’;fs;e;j r’;f’;fs; vd;bdd;d nrit mspf;fpwhh;fs;>vd;bdd;d nrit mspf;fpwhh;fs;>vd;bdd;d nrit mspf;fpwhh;fs;>vd;bdd;d nrit mspf;fpwhh;fs;>

Source /Institution

tha;g;g[ - epWtdk;

In village? ,e;j fpuhkj;jpy; cs;sjh>

If no, Distance

,y;iy vdpy;. vt;tst[ J}uj;jpy; cs;sJ> (fpnyh kPl;lhpy;)

Year of Est.

ve;j tUlk; njhw;Wtpf;fg; gl;lJ YYYY

Services offered (multiple coding possible)

tH’;fg;gLk; nritfs; (gy gjpy;fs; tu tha;g;g[) Output Collec-tion cw;gj;;jpia nrfupg;gJ

Market-ing khu;f;bfl;o’; (re;ijg;gLj;Jjy;)

Stor-age nrkpg;g[

Transport of output cw;gj;jpia vLj;;Jr; bry;Yk; trjp

Credit facility fld; trjp

Other kw;wit Yes

Mk;

��181

No ,y;iy

S.No 179. 180. 181. 182. 1. Govt Milk Cooperative

murh’;f Tl;Lwt[ ghy;;;;;;;;;;;;;gz;iz

01 02

01 02 03 04 05 06

2. Private Milk cooperative

jdpahu; Tl;Lwt[ ghy;;gz;iz

01 02

01 02 03 04 05 06

3. Govt Poultry cooperative

murh’;f Tl;Lwt[ nfhHpg;gz;iz

01 02

01 02 03 04 05 06

4. Private poultry cooperative

jdpahu; Tl;Lwt[ nfhHpg;gz;iz

01 02

01 02 03 04 05 06

OTHER SCHEMES (FROM GOVERNMENT/CO-OP OR OTHER SOURCE) :fhy;;eilfs; kw;Wk; nfhHpg;gz;izfSf;fhf fpuhkthrpfSf;F VjhtJ jpl;l’;fs; fpilf;fpwjh> (murh’;ffhy;;eilfs; kw;Wk; nfhHpg;gz;izfSf;fhf fpuhkthrpfSf;F VjhtJ jpl;l’;fs; fpilf;fpwjh> (murh’;ffhy;;eilfs; kw;Wk; nfhHpg;gz;izfSf;fhf fpuhkthrpfSf;F VjhtJ jpl;l’;fs; fpilf;fpwjh> (murh’;ffhy;;eilfs; kw;Wk; nfhHpg;gz;izfSf;fhf fpuhkthrpfSf;F VjhtJ jpl;l’;fs; fpilf;fpwjh> (murh’;fk; k; k; k; ----Tl;Lwt[Tl;Lwt[Tl;Lwt[Tl;Lwt[ my;yJ gpw tHpfspy; ,Ue;J)my;yJ gpw tHpfspy; ,Ue;J)my;yJ gpw tHpfspy; ,Ue;J)my;yJ gpw tHpfspy; ,Ue;J)

AGENTS WHO BUY MILK PRODUCTS AND POULTRY PRODUCTS F ROM VILLAGE fpuhkthrpfsplk; ,Ue;J V$d;Lfs; ahuhtJ ghy; kw;Wk; ghy; bghUl;fs;fpuhkthrpfsplk; ,Ue;J V$d;Lfs; ahuhtJ ghy; kw;Wk; ghy; bghUl;fs;fpuhkthrpfsplk; ,Ue;J V$d;Lfs; ahuhtJ ghy; kw;Wk; ghy; bghUl;fs;fpuhkthrpfsplk; ,Ue;J V$d;Lfs; ahuhtJ ghy; kw;Wk; ghy; bghUl;fs;.... nfhHp kw;Wk; nfhHpg;gz;izg; bghUl;fis nfhHp kw;Wk; nfhHpg;gz;izg; bghUl;fis nfhHp kw;Wk; nfhHpg;gz;izg; bghUl;fis nfhHp kw;Wk; nfhHpg;gz;izg; bghUl;fis th’;fpr; bry;fpwhu;fsh>th’;fpr; bry;fpwhu;fsh>th’;fpr; bry;fpwhu;fsh>th’;fpr; bry;fpwhu;fsh>

Products bghUl;fs;bghUl;fs;bghUl;fs;bghUl;fs;

Government Cooperative

murh’;f Tl;Lwt[murh’;f Tl;Lwt[murh’;f Tl;Lwt[murh’;f Tl;Lwt[ Private Cooperative

jdpahh; Tl;Lwt[jdpahh; Tl;Lwt[jdpahh; Tl;Lwt[jdpahh; Tl;Lwt[ Private Agency jdpahu; V$d;rpjdpahu; V$d;rpjdpahu; V$d;rpjdpahu; V$d;rp

Yes Mk; No ,y;iy Yes Mk; No ,y;iy Yes Mk; No ,y;iy

Sl. 190. 191. 192.

1. Milk

ghy; 01 02 01 02 01 02

2. Milk products

ghy; bghUl;fs; 01 02 01 02 01 02

3. Poultry

nfhHpfs; 01 02 01 02 01 02

4. Poultry products

nfhHpg;gz;izbghUl;fs; 01 02 01 02 01 02

Q. No

Schemes

jpl;l’;fs;

Livestock fhy;eil Poultry nfhHpg;gz;iz Government murh’;fk;

Cooperative Tl;Lwt[

Other kw;w tHpfs;

Government murh’;fk;

Cooperative Tl;Lwt[

Other kw;w tHpfs;

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

183. Obtaining credit

fld; bgWtJ 01 02 01 02 01 02 01 02 01 02 01 02

184. Obtaining subsidies

khdpa’;fs; bgWtJ 01 02 01 02 01 02 01 02 01 02 01 02

185. Supplies of livestock – fodder fhy;;;;;;;eil?jPtdk; rg;is bra;tJ 01 02 01 02 01 02

186. Supplies of feed

jPdp; -jPtd';fs; rg;is 01 02 01 02 01 02 01 02 01 02 01 02

187. Technical advice

bjhHpy;El;g Mnyhrid 01 02 01 02 01 02 01 02 01 02 01 02

188. Livestock / Poultry Medicines

fhy;eil - nfhHpapd kUe;Jfs; 01 02 01 02 01 02 01 02 01 02 01 02

189. Other help (specify) gpw cjtpfs; (Fwpg;gpLf)

01

02

01

02

01

02

01

02

01

02

01

02


193. Livestock diseases in this village in the last one year fle;j xU tUlj;jpy; ,e;j fpuhkj;jpy; fhy;eilfis fle;j xU tUlj;jpy; ,e;j fpuhkj;jpy; fhy;eilfis fle;j xU tUlj;jpy; ,e;j fpuhkj;jpy; fhy;eilfis fle;j xU tUlj;jpy; ,e;j fpuhkj;jpy; fhy;eilfis bghJthf bghJthf bghJthf bghJthf ghjpj;Js;s neha;fis gl;oaghjpj;Js;s neha;fis gl;oaghjpj;Js;s neha;fis gl;oaghjpj;Js;s neha;fis gl;oayplt[kyplt[kyplt[kyplt[k;; ;;

S No Animal type

gpuhzpfspd; tif Disease Name/symptoms

nehapd; bgau;-mwpFwpfs; Diseases code

nehapd; FwpaPl;L vz; 1

2

3

4

5.

(a) Bovine Diseases (Cattle) fhy; eil neha;fs; fhy; eil neha;fs; fhy; eil neha;fs; fhy; eil neha;fs; (b) Ovine Diseases (Goat/Sheep) Ml;L neha;fs;Ml;L neha;fs;Ml;L neha;fs;Ml;L neha;fs;

Options Code Options Code Rinder Pest btf;if (btg;gk;) neha 01 Worms tapw;W g{r;rp neha; 10 Foot and Mouth fhy; kw;Wk; tha; neha; 02 Sheep and Goat pox Ml;L mk;ik neha; 11 Anthrax milg;ghd; (Me;j;uhf;!;) ; neha; 03 Blue Tongue ePy ehf;F neha; 12

Hemorrhagic Septicemia

bjhz;il milg;ghd; neha; 04 Enterotoxaemia Js;S khup neha; 13

Black Quarter rg;ig neha; 05 Foot and Mouth fhy; kw;Wk; tha; neha; 14 Mastitis ko tPf;fk; neha; 06 Rinder Pest btf;if (btg;gk;) neha; 15

Pyrexia fha;r;ry; neha; 07 Anthrax milg;ghd; (Me;j;uhf;!;) neha; 16

Enteritis fHpr;ry; neha; 08 Others (Specify) kw;wit (Fwpg;gplt[k;) 17

(c ) Poultry Diseases gwit neha;fs;gwit neha;fs;gwit neha;fs;gwit neha;fs;

Options Code Ranicut or Fowl cholera bts;is fHpr;ry; neha; 18

Coccidiosis gr;ir fHpr;ry; neha; 19 Coryza EiuaPuy; ghjpg;g[neha; 20 Bird flu gwitf; fha;r;ry; neha; 22 Others (Specify) kw;wit (Fwpg;gplt[k;) 23


IRRIGATION FACILITIES: ghrd trjpfs;ghrd trjpfs;ghrd trjpfs;ghrd trjpfs; Q. No Please provide number of open wells and bore/tube wells in your village now and 10 years ago.

c’;fSila fpuhkj;jpy; cs;s jpwe;j epiy fpzWfs; kw;Wk; MH;FHha; - FHha; fpzWfspd; ,g;nghJ cs;s vz;zpf;ifiaa[k; kw;Wk; 10 tUl’;fSf;F Kd;g[ ,Ue;j vz;zpf;ifiaa[k; TW’;fs;/

194.

Open wells

jpwe;j epiy fpzWfs; Bore / Tube wells

FHha; fpzWfs;

Currently jw;rkak;

10 years ago 10 tUl’;fSf;F Kd;ghf

Tanks Fs’;fs;Fs’;fs;Fs’;fs;Fs’;fs;

Q. No Questions Options Code Skip 195. Is there an irrigation tank serving this village?

,e;;;j fpuhkj;jpw;F ePh; tH’;Ftjw;F . ghrd Fsk; ,Uf;fpwjh>

Yes Mk; 01

No ,y;iy 02 �� 217

196. How many irrigation tanks are currently in use in the village?

,e;j fpuhkj;jpy; jw;rkak; vj;jid ghrd Fs’;fs; gad;ghl;oy; cs;sJ>

Number

vz;zpf;if

If there are more than one irrigation tank in the village; answer the questions for the largest tank in the village:

fpuhkj;jpy; xd;Wf;F nkw;gl;l ghrdj;jpw;F jz;zPu; tH’;Fk; Fs’;fs; ,Ue;jhy;. gpd;tUk; nfs;tpfSf;F fpuhkj;jpYs;s xU bgupa Fsj;ijg;gw;wp nfl;ft[k; 197. IF TANK WITHIN WALKING DISTANCE:GPS READING

,f;fpuhkj;jpw;Fs; elf;Fk; J}uj;jpy; Fsk; ,Ue;jhy;. $pgpv!; fzf;b;fLg;g[

N

E

198. IF NOT WITHIN WALKING DISTANCE: DISTANCE IN KM

elf;Fk; J}uj;jpy; ,y;iybadpy;. J}uk; fp/kPl;lupy; Km fp/kP

199. When was the tank constructed? [if tank more than 100 yrs old approx.to nearest 50/100 yrs)

,e;j Fsk; vg;nghJ fl;lg;gl;lJ> . , (Fwpg;g[ = Fsk; 100 tUlj;jpw;F Kd;g[ cs;sJ vdpy;. mUfpy; cs;s 50 my;yJ 100 tUl’;fspy; vGjt[k);

Year tUlk YYYY;

200. How many sluices are there?

mjpy; vj;jid kjFfs; cs;sd> No

vz;zpf;if

201. What is the size of tank's command area? (in acres)

Fsj;jpd; ghrd gug;gst[ vt;tst[> ACRES

Vf;fhpy;

202. Who's responsible for the management of the tank?

Fsj;ijg; guhkupf;Fk; bghWg;g[ ahUilaJ> Village/ Panchayat/ Panchayat Union/

District Panchayat

fpuhk g”;rhahj;J- g”;rhaj;J a{dpad;-khtl;l g”;rhahj;J

01

State/Public works department (PWD) khepy-bghJg;gzpj; Jiw(gplgps;a{o)

02

203. How many villages other than yours are using the same tank? What are the names of these villages

c’;fs; fpuhkj;ijj; jtpu vj;jid fpuhk’;fs;; mnj Fsj;ijg; gad;gLj;Jfpwhu;fs;> me;j fpuhk’;fspd; bgau;fs; vd;d>

No of villages fpuhk’;fspd; vz;zpf;if

Village name 1 fpuhkk; bgau; 1



204. If the tank is once filled, is it sufficient for one season?

Fsk; xU Kiw epug;gg;gl;lhy;; mJ xU gUtj;jpw;F nghJkhdjhf ,Uf;fpwjh>

Yes Mk; 01 �� 206

No ,y;iy 02

205. How many times does tank need to be filled to cultivate 1 season?

xU gUtj;jpw;F rhFgo bra;a Fsk; vj;jid Kiw epug;gg;gl ntz;Lk;>

Number of times

vj;jid jlitfs;

206. How many working open wells are there in the command area of the tank currently and 10 years ago? (Number)

jw;nghJ . Fsj;jpd; ghrd gFjpapy; vj;jid jpwe;j epiy fpzWfs; cs;sd> kw;Wk; 10 tUl’;fSf;F Kd;ghf vj;jid ,Ue;jd> (vz;zpf;if

Currently jw;rkak;

10 Years ago

10 tUl’;fSf;F Kd;ghf

207. How many working bore/tube wells are there in the command area of the tank currently and 10 years ago)

jw;nghJ . Fsj;jpd; ghrd gFjpapy; vj;jid MH;Jis-FHha; fpzWfs; cs;sd> kw;Wk; 10 tUl’;fSf;F Kd;ghf vj;jid ,Ue;jd>

Currently

jw;rkak;

10 Years ago

10 tUl’;fSf;F Kd;ghf


208. Who irrigates the fields?]

taYf;F ahu; ePu; gha;r;Rfpwhu;fs;>

Only Farmer tptrhap kl;Lnk 01 ��221

Common irrigator (neerkatti/neer paichchi) bghJ ghrd egu; (ePh; fhl;o my;yJ

ePh; gha;r;rp) 02

Both ,UtUk; 03

209. If 2 or 3, is the common irrigator from this village? gjpy; 2 my;yJ 3 vdpy; . ePu;f;fhl;o ,e;j fpuhkj;ijr; nru;e;jtuh>

Yes

Mk; 01 �� 211

No

,y;iy 02

210. If no, what is her caste? (CASTE CODE) ,y;iy vd;why;. mtUila $hjp vd;d> ($hjp FwpaPL)

Caste name $hjp bgau;

CODE FwpaPL �� 213

211. If yes, What is the name of the common irrigator?

Mk; vdpy;. bghJ ghrdk; bra;gtupd; bgau; vd;d>

Name bgah;

______________________ 212. Household ID of the common irrigator

bghJ ghrdk; bra;gtupd; FLk;g milahs vz; HHID

cWg;gpdu; FLk;g milahs vz;

Member ID cWg;gpdu; milahs vz;

Member ID

cWg;gpdu; milahs vz;

213. Is the common irrigator appointed temporarily every year?

bghJ ghrdk; bra;gtu; tUlh tUlk; jw;fhypfkhf epakpf;fg;gLfpwhuh>

Yes Mk; 01

No ,y;iy 02

214. How does the common irrigator get paid? bghJ ghrdk; bra;gtUf;F vg;go rk;gsk; tH’;fg;gLfpwJ>

Cash only gzkhf kl;Lk; 01

Kind only bghUshf kl;Lk; 02 �� 216 Both Cash and Kind

gzk; kw;Wk; bghUshf 03

215. How much does common irrigator get paid per acre?

bghJg; ghrdk; bra;gtUf;F (ePu;f;fhl;o) xU Vf;fUf;F vt;tst[ rk;gsk; jug;gLfpwJ>

Rs per Acre xU Vf;fUf;F U:gha;

216. If the common irrigator (neerkatti) is paid in kind, How much does the common irrigator (neerkatti) get paid per acre? (Rs value of this transfer?

bghJg; ghrdk; bra;gtUf;F (ePh;fhl;of;F) rk;gsk; bghUshf bfhLf;fg;gl;lhy; . bghJ ghrdk; bra;gtUf;F (ePh;fhl;o) xU Vf;fUf;F vt;tst[ jug;gLfpwJ> ,jdhy; jw;rkak; fpilf;Fk; gz kjpg;g[ vd;d>

Value of kind in Rs per acre xU Vf;fUf;F mspf;fg;gLk;

bghUspd; kjpg;g[

If no (If there is no irrigation tank serving the village); ,y;iy vdpy; (ghrd Fsk; fpuhkj;jpy; ,y;iy vd;why;) 217. Has there ever been one in the last 20 years?

fle;j 20 tUl’;fspy; vg;nghjhtJ xU ghrd Fsk; ,Ue;jpUf;fpwjh>

Yes Mk; 01

No ,y;iy 02 �� 221

218. When was the tank constructed?

Fsk; vg;nghJ fl;lg;gl;lJ Year

tUlk;

219. When was the tank abandoned? Fsk; vg;nghJ iftplg;gl;lJ>

Year tUlk;

220. What was the primary reason that tank was abandoned? Fsk; iftplg;gl;ljw;fhd Kf;fpa fhuzk; vd;d>

Poor maintenance nkhrkhd guhkupg;g[ 01

Encroached by individuals jdpegh;fspd; Mf;fpukpg;g[ 02

Acquired for public utility

bghJ gad;ghl;ow;F vLj;Jf;bfhs;sg;gl;lJ

03

Other (Specify) kw;wit (Fwpg;gplt[k;) _________________

04

Details of Water User's Organization jz;zPu; gad;gLj;Jnthu;fspd; r’;fk; gw;wpa tptu’;fs;jz;zPu; gad;gLj;Jnthu;fspd; r’;fk; gw;wpa tptu’;fs;jz;zPu; gad;gLj;Jnthu;fspd; r’;fk; gw;wpa tptu’;fs;jz;zPu; gad;gLj;Jnthu;fspd; r’;fk; gw;wpa tptu’;fs; 221. In this village is there active Water User's Org(WUO?)

,e;j fpuhkj;jpy; jz;zPu; gad;gLj;JnthUf;fhd r’;fk; VjhtJ bray;gLfpwjh>

Yes Mk; 01

No ,y;iy 02 �� 229

222. If yes, When was the organization established? Mk; vdpy;. me;j r’;fk; vg;nghJ epWtg;gl;lJ>

Year [YYYY] tUlk;


223. What are the names of the elected representatives? nju;t[ bra;ag;gl;l gpujpepjpfspd; bgau;fs; vd;d> Names

bgau;fs;

HHIDs FLk;gj;jpdupd; milahs vz;

MEMBER ID cWg;gpdu; milahs vz;

President jiytu; Vice President cg jiytu;

Secretary brayhsu; Treasurer bghUshsu;

Others kw;wtu;fs; Others kw;wtu;fs; Others kw;wtu;fs;

224. Are only landholders members of this organization?; epyk; itj;jpUg;gtu; kl;Lk; jhd; r’;fj;jpd; cWg;gpdu;fsh>

Yes Mk; 01 ��226

No ,y;iy 02

225. If no, who are the other members? [SPECIFY] ,y;iybadpy;. kw;w cWg;gpdu;fs; ahh; (Fwpg;gplt[k;)>

226. Is the organization involved in tank/ canal maintenance work?

me;j r’;fk; Fsk;-tha;f;fhy; guhkupg;gpy; <LgLfpwjh> Yes Mk; 01

No ,y;iy 02 ��229 227. If yes, what are the major maintenance activities undertaken?

(Choose the ones which are applicable for your case) Mk; vdpy; bgupa guhkupg;g[ ntiyfs; vd;b;dd;d nkw;bfhs;sg;gl;lJ>(c’;;fSf;F bghUe;j Toatw;iw njh;e;bjLf;ft[k;)

Supply channel maintenance

tha;f;fhy; guhkupg;gg[ 01

Field channel maintenance

tug;g[ fhy;tha; guhkupg;g[ 02

De silting of tank

Fsk; J}u; thUjy; 03

Strengthening of bund

fiufis gyg;gLj;Jjy; 04

Catchments area maintenance

ePu; gpog;g[ gug;g[fs; guhkupg;g[ 05

Removing vegetation in tank area

Fsj;jpy; brofis mfw;Wjy; 06

Sluice repairing works

kjF gGJ ghh;j;jy; 07

Removing encroachment Mf;fpukpg;ig mfw;Wjy; 08

Others (Specify)


228. Who has done the maintenance work? ghuhkupg;g[ ntiyia ahu; bra;jhu;fs;>

Wage labor Typahs; 01

Voluntary labor contribution by [ Farmers tptrhapfspd; jd;dhu;t CHpah;

ciHg;g[ 02

Both ,uz;Lk; 03

229. Has there ever been an active WUO?

vg;nghjhtJ jz;zPh; gad;gLj;JnthUf;fhd xU r';fk; bray;gl;oUf;fpwjh>

Yes Mk; 01

No ,y;iy 02 ��231

230. If yes, when did it become inactive? Mk; vdpy; mJ vg;nghJ braypHe;jJ>

Year tUlk;

Water Transfers bghJthd nfs;tpfs; ? jz;zPbghJthd nfs;tpfs; ? jz;zPbghJthd nfs;tpfs; ? jz;zPbghJthd nfs;tpfs; ? jz;zPu; khw;wk;u; khw;wk;u; khw;wk;u; khw;wk;----gfph;t[gfph;t[gfph;t[gfph;t[ 231. In the last 12 months, is there any incident that HH in this

village transferred water to the urban areas for drinking purposes?

fle;j 12 khj’;fspy; ,e;j fpuhkj;jpYs;s FLk;gj;jpdu;fs; Fojz;zPu; njitf;fhf efu;g;g[w gFjpfSf;F jz;zPu; mDg;gp ,Uf;fpwhu;fsh>

Yes Mk; 01

No ,y;iy 02 �� 233

232. If yes, how many different farmers transferred water?

Mk; vdpy;. vj;jid tptrhapfs; jz;zPiu mDg;gpdhh;fs;>

Number of farmers

tptrhapfspd; vz;zpf;if _________

233. In the last 12 months, did any HH in this village transferred water to another HH in this village for agricultural use?

fle;j 12 khj’;fspy; ,e;j fpuhkj;jpYs;s FLk;gj;jpdu; ahuhtJ ,nj fpuhkj;jpYs;s kw;bwhU FLk;gj;jpdupd; tptrha njitf;fhf jz;zPiu khw;wp tpl;oUf;fpwhh;fsh >

Yes Mk; 01

No ,y;iy 02 ��236

234. If yes, how many different farmers transferred water? Mk; vdpy;. jz;zPu; tH’;fpa tptrhapfs; vj;jid ngu;>

Number of farmers tptrhapfspd; vz;zpf;if

_________


235. What is the average price per one transfer? RECORD ALL MODES OF PAYMENT AND RS THAT APPLY]

ruhrupahf xU Kiw tH’;f vd;d tpiy ( bghUl;fspd; midj;J tifahd gz gl;Lthlh kw;Wk; U:ghapd; kjpg;g[fis gjpt[ bra;at[k;)

Rupees U:gha;

Per Acre xU Vf;fUf;F

__________

01

Rupees U:gha;

Per Hour xU kzpf;F

__________

02

Rupees U:gha;

Irrigation/Acre ghrdk;;-Vf;fu;

__________ 03

236. In last 12 months, did any household in this village transferred water to factories outside this village?

fle;j 12 khj’;fspy; fpuhkj;jpYs;s FLk;gj;jpdu;. ,e;j fpuhkj;jpw;F btspapy; cs;s bjhHpw; rhiyfSf;fhf jz;zPiu khw;wp tpl;l epfH;t[fs; VjhtJ ele;jpUf;;fpwjh >

Yes Mk; 01

No ,y;iy 02 ��242

237. If yes,how many farmers transferred water to factories?

Mk; vdpy;. vj;jid tptrhapfs; bjhHpw;rhiyfSf;F jz;zPu; tH’;fpapUf;fpwhu;fs;>;

Number of farmers tptrhapfspd; vz;zpf;if

_________

238.

What are the names of the factories? me;j jz;zPu; tH’;fg;gl;l bjhHpw;rhiyfspd; bgau;fs; vd;bdd;d>

Names of factories bjhHpw;rhiyfspd; bgah;fs;

239. On an average day water is transported, how many tanker trucks were transferred?

xU ruhrup ehspy; vj;jid lh’;fu; yhup jz;zPu; tH’;fg;gLfpwJ>

No of loads nyhLfspd; vz;zpf;if

________

240. What is the rate per tanker load of water? xU nyhL nl’;fu; yhup jz;zPupd; tpiy vd;d>

Rs per load U:gha; xU nyhLf;F ___________

241. Is there any amount paid to Panchayat by the selling farmers or purchasing factories?

jz;zPiu tpw;Fk; tptrhapfnsh my;yJ th';Fk; bjhHpw;rhiyfnsh g”;rhaj;J epu;thfj;jpw;F gzk; vjhtJ jUfpwhh;fsh>

Yes Mk; 01

No ,y;iy 02


CONFLICTS AND SOCIAL RELATIONS : mjph;r;rpmjph;r;rpmjph;r;rpmjph;r;rpfs;fs;fs;fs;? fUj;J ntWghLfs; kw;Wk; rK:f cwt[fs;? fUj;J ntWghLfs; kw;Wk; rK:f cwt[fs;? fUj;J ntWghLfs; kw;Wk; rK:f cwt[fs;? fUj;J ntWghLfs; kw;Wk; rK:f cwt[fs;

Conflict Type fUj;J ntWghLfspd; tif

2006 2007 2008

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts

[INCLUDE ONGOING] fUj;J ntWghL fspd;

vz;zpf;if (,g;bghGJ cs;s fUj;J ntW

ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT.

POSSIBLE]

ahu; jPu;j;J itj;jJ> FwpaPL (gy gjpy;fs; tu

tha;g;g[)

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts [INCLUDE ONGOING] fUj;J ntWghL fspd; vz;zpf;if (,g;bghGJ cs;s fUj;J ntW ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT.

POSSIBLE]

ahu; jPu;j;J itj;jJ> FwpaPL (gy

gjpy;fs; tu

tha;g;g[)

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts [ INCLUDE ONGOING] fUj;J ntWghL fspd;


ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT. POSS) ahu; jPu;j;J itj;jJ> FwpaPL (gy

gjpy;fs; tu

tha;g;g[)

Yes Mk ;

No ,y;iy

��

245

Yes Mk;

No ,y;i ��

248

Yes Mk;

No ,y;iy ��

Next row

242. 243. 244. 245. 246. 247. 248. 249. 250.

1. Labour ntiyahs;

01 02 01 02 01 02

2. Sharing drinking water Fojz;zPiug; gfpu;e;J bfhs;tJ

01 02

01 02

01 02

3.

Sharing irrigation water ghrd jz;zPiug; gfpu;e;Jbfhs;tJ

01 02

01 02

01 02

4. Marriage other conflicts jpUkz’;fs; kw;w fUj;J ntWghLfs;

01 02

01 02

01 02

5. Caste $hjp (fyg;g[ $hjp jpUkz’;fs; cl;gl)

01 02

01 02

01 02

6.

Religion (including interreligion marriage) kjk; (fyg;g[ kj jpUkz’;fs; cl;gl)

01 02

01 02

01 02

7.

Property issues and land disputes [land tenure, land title] brhj;J gpur;rpidfs; kw;Wk; epyj; jfuhWfs; (epy cupik fhy tuk;g[ . brhe;jk;-cupik gw;wpait)

01 02

01 02

01 02

8.

Inheritance/ Division of Assets mLj;j jiyKiwf;F khw;WtJ- brhj;Jf;fisg; gpupg;gJ

01 02

01 02

01 02

9.

Rent collection: share croppers / tenants rhFgoapy; g’;Fjhuu;fs; kw;Wk; Fj;jifjhuu;fsplk; thlif tR{ypg;gJ

01 02

01 02

01 02

10.

Other property disputes (encroachment on public land, etc)--SPECIFY kw;w brhj;J gpur;ridfs; (bghJ epyj;jpy; Mf;fpukpg;g[ nghd;wit ) Fwpg;gplt[k;

01 02

01 02

01 02

11.

Disputes over common property resources bghJthd brhj;jhf cs;s Mjhuh’;fis gfph;e;J bfhs;tjpy; jfuhWfs; ( fhy;eil nka;tjw;F . tpwF vLg;gJ nghd;witfSf;F)

01 02

01 02

01 02

12. Robbery jpUl;Lf;fs;

01 02 01 02 01 02


Conflict Type fUj;J ntWghLfspd; tif

2006 2007 2008

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts

[INCLUDE ONGOING] fUj;J ntWghL fspd;


ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT.

POSSIBLE]

ahu; jPu;j;J itj;jJ> FwpaPL (gy gjpy;fs; tu

tha;g;g[)

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts [INCLUDE ONGOING] fUj;J ntWghL fspd; vz;zpf;if (,g;bghGJ cs;s fUj;J ntW ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT.

POSSIBLE]

ahu; jPu;j;J itj;jJ> FwpaPL (gy

gjpy;fs; tu

tha;g;g[)

Yes=01 No=02 Mk;?01 ,y;iy?02

No. of Conflicts [ INCLUDE ONGOING] fUj;J ntWghL fspd;


ghLfisa[k; nru;j;J)

Who resolved?

CODE [MULT. POSS) ahu; jPu;j;J itj;jJ> FwpaPL (gy

gjpy;fs; tu

tha;g;g[)

Yes Mk ;

No ,y;iy

��

245

Yes Mk;

No ,y;i ��

248

Yes Mk;

No ,y;iy ��

Next row

242. 243. 244. 245. 246. 247. 248. 249. 250.

13.

Dowry violence, harassment, other. tujl;riz td;Kiwfs; . tujl;rid bfhLik . kw;Wk; tujl;riz rhh;e;j gpur;rpidfs;

01 02

01 02

01 02

14.

Other inter-family disputes FLk;gj;jpw;Fs; Vw;gLk; gpw gpur;rpidfs;

01 02

01 02

01 02

15. Political party violence murpay; fl;rpfspd; td;Kiwfs;

01 02

01 02

01 02

16.

“Eve-teasing”) bgz;;;fis bjhe;jput[ bra;jy; (rpwpa mstpyhd ghypay; td;Kiwfspy; ,Ue;J bgupa ghypay; bfhLikfs; tiu)

01 02

01 02

01 02

17.

Other [Specify] = kw;wtu;fs; (Fwpg;gplt[k;)

01

02

01

02

01 02

18.

Other [Specify] kw;wtu;fs; (Fwpg;gplt[k;)

01

02

01

02

01 02

19.


01

02

01

02

01 02

20.


01

02

01

02

01 02

Resolution Codes: jPu;tpw;fhd FwpaPLfs Options Codes

Traditional Village Leader / Village headman ghuk;gupa fpuhkj; jiytu; 01 Elected Local Body President / ward Memb. nju;e;bjLf;fg;gl;l fpuhk cWg;gpdu; - jiytu; 02 Katta panchayat fl;l g”;rhaj;J 03 Village government official fpuhkj;J muR mjpfhup 04 School Headmaster / Teacher gs;sp jiyik Mrpupau; - Mrpupau; 05 Narpani Mandrankal ew;gzp kd;w’;fs; 06 Caste Association $hjp r’;f’;fs; 07 Relative cwtpdu;fs 08 Political party leader / member murpay; jiytu; - cWg;gpdu; 09 Religious Leader kj jiytu; 10 Police fhtyu; 11 Thalayari jiyahup 12 VAO fpuhk epu;thf mYtyu; 13 Tehsildar jhrpy;jhu; 14 Collector khtl;l Ml;rpau; 15 Court ePjp kd;wk; 16 Other important neighborhood / Village person kw;w Kf;fpa mz;iltPl;lhu; - fpuhk egu; 17 Other (specify) kw;wtu;fs; (Fwpg;gplt[k;) 18


ADVERSE EVENTS IN LAST 3 YEARS: fle;j 3 tUl’;fspy; epfH;e;Js;s nkhrkhd epfH;rrpfs;fle;j 3 tUl’;fspy; epfH;e;Js;s nkhrkhd epfH;rrpfs;fle;j 3 tUl’;fspy; epfH;e;Js;s nkhrkhd epfH;rrpfs;fle;j 3 tUl’;fspy; epfH;e;Js;s nkhrkhd epfH;rrpfs;

Event nkhrkhd epfH;r;rpfs;

2006 2007 2008

Yes=01 No=02 No. of cases epfH;r;r;p fspd; vz;zpf;if

Yes=01 No=02 No. of cases epfH;r;r;p fspd; vz;zpf;if

Yes=01 No=02 No. of cases

epfH;r;r;pfspd;

vz;zpf;if

Yes Mk;

No ,y;iy

�� 253

Yes Mk;

No ,y;iy

��255

Yes Mk;

No ,y;iy��

Next row

Sl No 251. 252. 253. 254. 255. 256.

1. Closure of firm affecting livelihoods xU bgupa epWtdk; K:lg;gl;lJ c’;fs; fpuhkj;jpd;-Cupd; thH;f;ifiag; ghjpj;Js;sJ

01 02

01 02

01 02

2. Suicides jw;;;;;;;bfhiyfs; 01 02 01 02 01 02

3. Borewells dried up MH;Jis fpzWfs; twd;Lnghjy;

01 02 01 02 01 02

4. Tubewells dried up FHha; fpzWfs; twd;L nghjy;

01 02 01 02 01 02

5. Pucca/kuchha wells dried up gf;fh-fr;rh fpzWfs; twd;L nghjy;

01 02 01 02 01 02

6. Public taps non-usable bghJf; FHha;fs; gad;gLj;j ,ayhjJ

01 02 01 02 01 02

7. Starvation gl;odpr;rht[fs; 01 02 01 02 01 02

8. Livestock epidemic fhy;eil bjhw;Wneha; gut[jy;

01 02 01 02 01 02

9.

Water-borne disease(s) [such as cholera] jz;zPupdhy; gut[k; neha;fs; (fhyuh nghd;wit)

01 02

01 02

01 02

(specify if known:) bjupe;jhy; Fwpg;gplt[k;)

10.

Other human disease epidemic rpf;fd; Fd;ah my;yJ fhyuh nghd;w kdpjiuj; jhf;Fk; kw;w bjhw;W neha;fs;

01

02

01

02

01

02

(specify if known:) bjupe;jhy; Fwpg;gplt[k;)

11. Maoist/Naxalite Attack khnthap!;l;-ef;riyl; jhf;Fjy;fs;

01 02 01 02 01 02

12.

Other loss of property (________________specify): gpw brhj;Jf;fs; ,Hg;g[ (Fwpg;gplt[k;)

01 02

01 02

01 02


SHOCKS mjpu;mjpu;mjpu;mjpu;r;rpr;rpr;rpr;rpfs;fs;fs;fs;

Q.no Question nfs;tpnfs;tpnfs;tpnfs;tp Options Year tUlk;tUlk;tUlk;tUlk;

SKIP 2006 2007 2008

257. Was there drought in […] year?

[…]tUlj;jpy; twl;rp ,Ue;jjh> Yes Mk; 01 01 01

No ,y;iy 02 02 02 ��260

258.

What was the cause of the drought?

twl;rpf;fhd fhuzk; vd;d>

Lack of rainfall in catchment area ePu;gpog;g[ gFjpapy; Fiwthd kiH 01 01 01

lack of rainfall during sowing periods elt[ rkaj;jpy; Fiwthd kiH 02 02 02

lack of local rainfall during growing periods tsUk; gUtj;jpy; Fiwthd kiH 03 03 03

irrigation problems within the village fpuhkj;jpw;Fs; ghrd gpur;rpid 04 04 04

intervillage water disputes fpuhk’;fSf;fpilnaahd ePu; gfpu;t[ gpur;rpid

05 05 05

259.

What was the area affected by drought? WRITE THE AREA AND CIRCLE THE UNIT twl;rpahy; ghjpf;fg;gl;l gFjpfs; ahit> gFjpfs; vGjp myif tl;lkplt[k;

Hectare b\f;nlu; 01 01 01

Acre Vf;fu; 02 02 02

Cent brd;l; 03 03 03


04 04 04

260. Was there flood in […] year? […] tUlj;jpy; bts;sk; te;jjh>

Yes Mk; 01 01 01

No ,y;iy 02 02 02 �� 262

261.

What was the area affected by flood (acres) WRITE THE AREA AND CIRCLE THE UNIT bts;sj;jhy; ghjpf;fg;gl;l gFjpfs; ahit> gFjpfs; vGjp myif tl;lkplt[k;

Hectare b\f;nlu; 01 01 01 Acre Vf;fu; 02 02 02 Cent brd;l; 03 03 03


04 04 04

262. Was there any incidence of pest attack? g{r;rpfshy; VnjDk; jhf;fk; Vw;gl;ljh>

Yes Mk; 01 01 01

No ,y;iy 02 02 02 ��265

263.

Type of pest g{r;rpapd; tiffs; Multiple codes possible gy gjpy;fs; rhj;jpak;

weaver birds Jf;fdh’; FUtp 01 01 01

grasshopper/locusts btl;Lf;fpsp 02 02 02 stem borer

jz;L Jisg;ghd; 03 03 03

plant disease bro neha; 04 04 04 Others (Specify) kw;wit (Fwpg;gplt[k;)

05 05 05

264.

What was the area affected by pest attack (acres) WRITE THE AREA AND CIRCLE THE UNIT g{r;rpfshy; ghjpf;fg;gl;l gFjpfs; ahit> gFjpfs; vGjp myif tl;lkplt[k;

Hectare b\f;nlu; 01 01 01

Acre Vf;fu; 02 02 02 Cent brd;l; 03 03 03


04 04 04

265. Was there uncertainty of procurement in this

year? ,e;j tUlj;jpy; bfhs;Kjypy; epr;rakw;w jd;ik VnjDk; ,Ue;jjh>

Yes Mk; 01 01 01

No ,y;iy 02 02 02 ��267

266.

What crops were affected? ve;j gapu; ghjpf;fg;gl;lJ> Multiple codes possible gy gjpy;fs; rhj;jpak;

Paddy bey; 01 01 01 Wheat nfhJik 02 02 02

Sugarcane fUk;g[ 03 03 03 Others (Specify) kw;wit (Fwpg;gplt[k;)

04 04 04

267. Was there erratic behavior of traders? tpahghupf;s; VnjDk; xG’;fPd eltof;ifapy; <Lgl;lhu;fsh>

Yes Mk; 01 01 01

No ,y;iy 02 02 02 ��269

268.

If yes, What crops were affected? Mk; vdpy;. ve;j gapu; ghjpf;fg;gl;lJ> Multiple coding possible gy gjpy;fs; rhj;jpak;

Cereals czt[ jhdpa’;fs; 01 01 01

Oil seeds vz;bza; tpj;Jf;fs; 02 02 02

Pulses gUg;g[ tiffs; 03 03 03

Cash crops gzg;gapu; 04 04 04

Sugarcane fUk;g[ 05 05 05


RAINFALL READINGS kiHg; bghHpt[ fzf;Fg; gjpt[fs;kiHg; bghHpt[ fzf;Fg; gjpt[fs;kiHg; bghHpt[ fzf;Fg; gjpt[fs;kiHg; bghHpt[ fzf;Fg; gjpt[fs; (Collected from Taluk HQ or nearest measuring station): (mUfpy; kiHkhzp cs;s ,lk; my;yJ jhYf;fh mYtyfj;jpypUe;J bgwt[k;) 269. Name of Nearest Weather Station:

mUfpy; cs;s thdpiy Muha;r;rp epiyaj;jpd; bgah; ____________________ 270. Distance to Nearest Weather Station:

mUfpy; cs;s thdpiy Muha;r;rp epiyaj;jpd; J}uk; _____________________

Month khjk;

Actual rainfall: ep$khd kiHg; bghHpt[ mst[ YEAR tUlk;

2006 2007 2008 Sl. 271. 272. 273. 1 Jan $dtup

2 Feb gpg;utup

3 March khu;r;

4 April Vg;uy;

5 May nk

6 June $^d;

7 July $^iy

8 August Mf!;l;

9 September brg;lk;gu;

10 October mf;nlhgu;

11 November etk;gu;

12 December ork;gu;

EMPLOYMENT AND BUSINESS STRUCTURE: ntiy kw;Wk; ntiy kw;Wk; ntiy kw;Wk; ntiy kw;Wk; th;j;jf th;j;jf th;j;jf th;j;jf mikg;g[fs; mikg;g[fs; mikg;g[fs; mikg;g[fs; 274. Rank the three most important commodities manufactured in the village jahhpf;fg;gLk; kpf Kf;fpakhd bghUl;fs; /; Kf;fpaj;Jtk; bgWk; thpirapy; . ,e;j fpuhkj;jpy; jahhpf;fg;gLk; kpf Kf;fpakhd bghUl;fspy; K:d;iwg; gl;oayplt[k;/

Sl Name of Commodity bghUspd; bgau;bghUspd; bgau;bghUspd; bgau;bghUspd; bgau;

1

2

3

Employment, business structure in your village c’;fs; fpuhkj;jpy; cs;s ntiytha;g;g[ kw;Wk; tu;j;jf mikgc’;fs; fpuhkj;jpy; cs;s ntiytha;g;g[ kw;Wk; tu;j;jf mikgc’;fs; fpuhkj;jpy; cs;s ntiytha;g;g[ kw;Wk; tu;j;jf mikgc’;fs; fpuhkj;jpy; cs;s ntiytha;g;g[ kw;Wk; tu;j;jf mikgg[g[g[g[;fs; ;fs; ;fs; ;fs;

Q. No Questions Options CODE Skip 275. Are there factories or companies in the village or in the vicinity of this village which

employ local people?

cs;S:u; kf;fs; ntiy bra;fpw VnjDk; bjhHpw;r;rhiyfs; c’;fs; fpuhkj;jpy; my;yJ mUfpy; cs;s fpuhkj;jpy; cs;sdth>

Yes Mk; 01

No ,y;iy 02 ��308


FACTORIES / COMPANIES INSIDE THE VILLAGE fpuhkj;jpw;F cs;ns cs;s bjhHpw;rhifpuhkj;jpw;F cs;ns cs;s bjhHpw;rhifpuhkj;jpw;F cs;ns cs;s bjhHpw;rhifpuhkj;jpw;F cs;ns cs;s bjhHpw;rhiyyyy ---- epWtd’;fs;epWtd’;fs;epWtd’;fs;epWtd’;fs;

Factory / Company Name bjhHpw;rhiy - epWtdj;jpd; bgau;

Type of Industry – Describe bjhHpw;rhiy tif

NIC 5 DIGIT CODE 5 ,yf;f vd; I rp FwpaPL

Number of workers in the Establishments (No.) epWtdj;jpy; ntiy bra;gtu;fspd; vz;zpf;if (vz;zpf;if)

Wage Rate (Rs./day) rk;gs tpfpjk; (U:-ehbshd;Wf;F)

Total Number of workers bkhj;j CHpau;fspd; vz;zpf;if

Workers from this village ,e;j fpuhkj;jpypUe;J CHpau;fs;

No. Of Women bkhj;j bgz;fs;

Number of Salaried workers Cjpak; bgWgtu;fspd; vz;zpf;if

No. Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

No. Piece-rate workers cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if

Permanent worker epue;ju CHpau;fs;

Casual worker je;fhypf CHpau;fs;

Piece-rate: cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;; ;;; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 276. 277. 278. 279. 280. 281. 282. 283. 284. 285. 286. 287. 288. 289. 290. 291.

1

2

3

4

5

6

** Above 5years and below 14 years ** 5555 tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;


FACTORIES/ COMPANIES OUTSIDE THE VILLAGE – where local people are employed fpuhkj;jpw;F btspapy;fpuhkj;jpw;F btspapy;fpuhkj;jpw;F btspapy;fpuhkj;jpw;F btspapy; cs;s bjhHpw;rhics;s bjhHpw;rhics;s bjhHpw;rhics;s bjhHpw;rhiyyyy ---- epWtd’;fs;epWtd’;fs;epWtd’;fs;epWtd’;fs;

Factory / Company Name bjhHpw;rhiy - epWtdj;jpd; bgau; /

Type of Industry – Describe bjhHpw;rhiy tif

NIC 5 DIDGIT CODE 5 ,yf;f vd; I rp FwpaPL

Number of workers in the Establishments (No.) epWtdj;jpy; ntiy bra;gtu;fspd; vz;zpf;if (vz;zpf;if)


Total Number of workers bkhj;j CHpau;fspd; vz;zpf;if




Number of Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

Number of Piece-rate workers cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if



Piece-rate: cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;;;; ; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 292. 293. 294. 295. 296. 297. 298. 299. 300. 301. 302. 303. 304. 305. 306. 307.

1

2

3

4

5

6

** Above 5years and below 14 years ** 5 tajpw;F nky; 14 tajpw;Fs;5 tajpw;F nky; 14 tajpw;Fs;5 tajpw;F nky; 14 tajpw;Fs;5 tajpw;F nky; 14 tajpw;Fs;


EMPLOYMENT, BUSINESS STRUCTURE –INSIDE THE VILLAGE kw;w ntiy tha;g;g[fs;. fpuhkj;jpy; cs;s ,ju tpahghu mikg;g[fs;kw;w ntiy tha;g;g[fs;. fpuhkj;jpy; cs;s ,ju tpahghu mikg;g[fs;kw;w ntiy tha;g;g[fs;. fpuhkj;jpy; cs;s ,ju tpahghu mikg;g[fs;kw;w ntiy tha;g;g[fs;. fpuhkj;jpy; cs;s ,ju tpahghu mikg;g[fs;

Establishment epWtdk;

Number of est. in village fpuhkj;jpy; cs;s epWtd’; fspd; vz;zpf;if

No. of workers in the Establishments(No.). ntiy bra;gtu;fspd; vz;zpf;if Wage Rate (Rs./day) rk;gs tpfpjk; (U:-ehbshd;Wf;F)

Total No. of workers bkhj;j CHpau;fspd; vz;zpf;if



No.Salaried workers Cjpak; bgWgtu;fspd; vz;zpf;if

No.Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

No. Piece-rate worker cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if



Piece-rate: typical day cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;;;;; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 308. 309. 310. 311. 312. 313. 314. 315. 316. 317. 318. 319. 320. 321.

1 Grain furnace jhdpa ciy

2 Rice huller bey; ckp ePf;Fjy;

3 Flour mill kht[ kpy;

4 Gur / Khandsari making unit bty;yk; jahhpf;Fk; Miy

5 Bakery ngf;fup

6 Lime kiln Rz;zhk;g[ fhstha;

7 Brick kiln (for baked bricks)

br’;fy; R{is

8 Bicycle repair shop irf;fps; upg;ngu; fil

9 Tractor/vehicle / electronic repair shop

ouhf;lu;-thfd’;fs; -kpd;dq rhjd upg;ngu; fil

10 Tea Shops O filfs;

11 Eating houses czt[ tpLjpfs;

12 Tailors ijaw;fhuu;fs;

13 Blacksmith ,Uk;g[ ntiy-bfhy;yh;

14 Masons bfhj;jdhu;

15 Carpenters jr;ru;

16 Weavers berthsp

17 Cobblers brUg;g[ ijg;gtu;

18 Potters Fatu;fs;


Establishment epWtdk;

Number of est. in village fpuhkj;jpy; cs;s epWtd’; fspd; vz;zpf;if

No. of workers in the Establishments(No.). ntiy bra;gtu;fspd; vz;zpf;if Wage Rate (Rs./day) rk;gs tpfpjk; (U:-ehbshd;Wf;F)




No.Salaried workers Cjpak; bgWgtu;fspd; vz;zpf;if

No.Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

No. Piece-rate worker cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if



Piece-rate: typical day cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;;;;; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 308. 309. 310. 311. 312. 313. 314. 315. 316. 317. 318. 319. 320. 321.

19 Handicrafts iftpid”u;

20 Washerman Jzp btSg;gtu;

21 Barber Ko jpUj;Jnthu;

22 Cinema House jpiu mu’;fk;

23 Vegetable shops fha;fwp filfs;

24 Grocery shops kspif filfs;

25 Dairy farm ghy; gz;iz

26 Poultry farm nfhHpg; gz;iz

27 Piggery farm gd;wp gz;iz

28 PCO bghJ bjhiyngrp epiyak;

29 Others 1____________________ kw;wit 1

30 Others 2____________________ kw;wit 2

31 Others 3____________________

kw;wit 3

32 Others 4____________________

kw;wit 4

33 Others 5____________________

kw;wit 5

** Above 5years and below 14 years ** 5555 tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;tajpw;F nky; 14 tajpw;Fs;


DETAILS OF EMPLOYMENT BUSINESS STRUCTURE OUTSIDE TH E VILLAGE fpuhkj;jpw;F btspna cs;s ntiy tha;g;g[ kw;fpuhkj;jpw;F btspna cs;s ntiy tha;g;g[ kw;fpuhkj;jpw;F btspna cs;s ntiy tha;g;g[ kw;fpuhkj;jpw;F btspna cs;s ntiy tha;g;g[ kw;Wk; tu;j;jf mikg;igg; gw;wpWk; tu;j;jf mikg;igg; gw;wpWk; tu;j;jf mikg;igg; gw;wpWk; tu;j;jf mikg;igg; gw;wp

Establishment

epWtdk;

No. of Establish. in vicinity of village fpuhkj;jpw;F btspapy; mike;Js;stw;wpd; vz;zpf;if

Number of workers in these type of Establishments (No.) ntiy bra;gtu;fspd; vz;zpf;if






No. of Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

No.of Piece-rate cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if



Piece-rate: cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;;;;; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 322. 323. 324. 325. 326. 327. 328. 329. 330. 331. 332. 333. 334. 335. 1 Grain furnace jhdpa ciy 2 Rice huller bey; ckp ePf;Fjy;

3 Flour mill kht[ kpy; 4 Gur / Khandsari making unit

bty;yk; jahhpf;Fk; Miy

5 Bakery ngf;fup

6 Lime kiln Rz;zhk;g[ fhstha; 7 Brick kiln (for baked bricks)

br’;fy; R{is

8 Bicycle repair shop irf;fps; upg;ngu; fil

9 Tractor/vehicle / electronic repair shop ouhf;lu;-thfd’;fs; - kpd;dq rhjd upg;ngu; fil

10 Tea Shops O filfs;

11 Eating houses czt[ tpLjpfs;

12 Tailors ijaw;fhuu;fs;

13 Blacksmith ,Uk;g[ ntiy-bfhy;yh;

14 Masons bfhj;jdhu;

15 Carpenters jr;ru;

16 Weavers berthsp

17 Cobblers brUg;g[ ijg;gtu;

18 Potters Fatu;fs;


Establishment

epWtdk;

No. of Establish. in vicinity of village fpuhkj;jpw;F btspapy; mike;Js;stw;wpd; vz;zpf;if

Number of workers in these type of Establishments (No.) ntiy bra;gtu;fspd; vz;zpf;if






No. of Casual workers jw;fhypf CHpau;fspd; vz;zpf;if

No.of Piece-rate cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiy bra;gtu; fspd; vz;zpf;if



Piece-rate: cw;gj;jpg; bghUl;fspd; vz;zpf;ifapd; mog;gilapy; ntiyf;F ruhrup ehs;;;;;;;;;;;;;;;;;; xd;Wf;F (U:)

Male Mz;

Female bgz;

Child** FHe;ijfs;

Male Mz;

Female bgz;

Child** FHe;ijfs;

Sl. 322. 323. 324. 325. 326. 327. 328. 329. 330. 331. 332. 333. 334. 335. 19 Handicrafts

iftpid”u;

20 Washerman Jzp btSg;gtu;

21 Barber Ko jpUj;Jnthu;

22 Cinema House jpiu mu’;fk;

23 Vegetable shops fha;fwp filfs;

24 Grocery shops kspif filfs;

25 Dairy farm ghy; gz;iz

26 Poultry farm nfhHpg; gz;iz

27 Piggery farm gd;wp gz;iz

28 PCO bghJ bjhiyngrp epiyak;

29 Others 1_____________ kw;wit 1

30 Others 2_____________ kw;wit 2

31 Others 3____________________

kw;wit 3

32 Others 4____________________

kw;wit 4

33 Others 5____________________

kw;wit 5

** Above 5years and below 14 years ** 5 tajpw;F nky; 5 tajpw;F nky; 5 tajpw;F nky; 5 tajpw;F nky; 14 tajpw;Fs;14 tajpw;Fs;14 tajpw;Fs;14 tajpw;Fs;


336. Average daily wage rate in the village for casual agricultural laborers for different types of operations?(Rs./day) –(Convert Meals and Kind to Cash equivalent) gy;ntW tpjkhd ntiyfSf;F ,e;j fpuhkj;jpy; tptrha jpdf;Typ Ml;fSf;F rhjhuzkhf jpdf; Typ vt;tst[> ntiy (U: - ehs;) ? czt[ kw;Wk; bghUis gzj;jpw;F khw;wt[k;

Operation

bray;ghL

This village ,e;j fpuhkk;,e;j fpuhkk;,e;j fpuhkk;,e;j fpuhkk;

Male Mz; Female bgz; Child (less than 14yrs)

FHe;ijfs; (14 tajpw;Fl;gl;ltu;fs;)

Cash

buhf;fk; Meals

czt[ Kind

bghUs; Cash

buhf;fk; Meals

czt[ Kind

bghUs; Cash

buhf;fk; Meals

czt[ Kind

bghUs; A Ploughing

cGtJ

B Sowing tpijg;gJ

C Transplanting ehw;WeLtJ

D Irrigation ePu;gha;r;RtJ

E Weeding fis vLg;gJ

F Hoeing kz; bfhj;jptpLjy;

G Threshing fjph; moj;jy;

H Winnowing jhdpa';fs; Jhw;Wjy;

I Grazing/tending cattle

fhy;eil nka;g;gJ-jPtdk; itg;gJ

337. Average daily wage rate in the village for casual agricultural laborers for harvesting operations, for different crops? (Rs./day) - (Convert Meals and Kind to Cash equivalent) mWtilapd; nghJ ntiyfSf;fhf ,e;j fpuhkj;jpy; tptrha Typ Ml;fSf;F rhjhuzkhf jpdf; Typ vt;tst[ jug;gLfpwJ[> ntiy (U: - ehs;) ? czt[ kw;Wk; bghUis gzj;jpw;F khw;wt[k;

Crop Name

This village ,e;j fpuhkk;



Cash

buhf;fk; Meals

czt[ Kind

bghUs; Cash

buhf;fk; Meals

czt[ Kind

bghUs; Cash

buhf;fk; Meals

czt[ Kind

bghUs; A Paddy

bey;

B Wheat nfhJik

C Sugarcane fUk;g[

D Vegetables fha;fwp

E Cotton gUj;jp

F Oil seed vz;bza; tpj;Jf;fs;

G Coconut nj’;fha;

H Other (specify) kw;wit (Fwpg;gplt[k;)

I Other (specify) kw;wit (Fwpg;gplt[k;)

J Other (specify) kw;wit (Fwpg;gplt[k;)


338. Normal wage-rate in the village for non-agricultural labour engaged in different operations? tptrhak; my;yhj kw;w gy;ntW ntiyfspy; <LgLk; ntiyahl;fSf;F ,e;j fpuhkj;jpy; rhjhuzkhf jpdf;Typ vd;d jug;gLfpwJ>

S. no

Activity bray;ghL

Normal daily wage rate(Rs.) rhjhuzkhf jpdf;Typ (U)



A Construction Masons bfhj;jdhu;

B Carpenters jr;ru;

C Blacksmith ,Uk;g[ ntiy-bfhy;yh;

D Helpers cjtp Ml;fs;

E Transport bus/Truck Drivers ouhd;!;nghu;l;- g!;- ouf; oiutu;fs;

F Coolies jpdf; Typfs;

G Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

H Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

I Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

J Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

K Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

L Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

M Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

N Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)

O Others (__________________Specify) kw;wtu;fs; (Fwpg;gplt[k;)


GOVERNMENT SUPPORTED EMPLOYMENTS SCHEME / PUBLIC WO RKS PROGRAMME IN THIS VILLAGE IN THE PAST 12 MONTHS fle;j 12 khj’;fspy; ,e;j fpuhkj;jpy; murh’;f Mjut[ld; eilbgw;w ntiy tha;g;g[ jpl;l’;fs; - bghJ jpl;l’;fs;

List all the programs

vy;yh jpl;l’;fisa[k; gl;oayplt[k;

Type of program? (CODE 1)

jpl;lj;jpd; tif (FwpaPL 1 )

Type of public works (CODE 2)

bghJg; gzpapd; tiffs; (FwpaPL 2 )

Who made choice of Public works? (CODE 3)

bghJg; gzpia nju;t[ bra;tJ ahh;> (FwpaPL 3 )

How much money was allocated?

vt;tst[ gzk; xJf;fg; gl;lJ>

How many [ ] from this village worked?

,e;j fpuhkj;jpypUe;J ( ) vj;jid egu;fs; ntiy bra;jhh;fs;>

For how many days [ ] from this Village got employment?

( ) vj;jid ehl;fs; ,e;j fpuhkj;jpy; ntiy bgw;whh;fs;>

At what wage? [Rs per day]

xU ehisf;F Typ (U:)

Was the project completed?

jpl;lk; Kof;fg; gl;ljh>

Men Mz;

Women bgz;

Men Mz;

Women bgz;

Men Mz;

Women bgz;

Yes Mk;

No ,y;iy

Sl. 339. 340. 341. 342. 343. 344. 345. 346. 347.

1 01 02

2 01 02

3 01 02

4 01 02

5 01 02

6 01 02

7 01 02

8 01 02

9 01 02

10 01 02


CODE– 1 (Type of Programme) FwpaPL ? 1 (ve;j tifahd jpl;lk;)

National Rural Employment Guarantee Scheme (NREGS) fpuhkg;g[w njrpa ntiy tha;g;g[ cWjp jpl;lk; 01

Sampoorna Grameen Rozgar Yojana (SGRY) KGikahd fpuhkg;g[w ntiy tha;g;g[j; jpl;lk; 02

National Food for Work Programme (NFFWP) njrpa ntiyf;F czt[jpl;lk; 03

Any other wage employment programme for ‘poverty alleviation’ or as ‘relief measure’ tWik xHpg;g[ my;yJ kPl;g[ eltof;iff;fhf ntW VnjDk; ntiyf;F Typ jpl;lk; cs;sjh> 04

CODE – 2 (Type of Public works) FwpaPL ? 2 (bghJg;gzpapd; tif)

Irrigation canal / water conservation / water harvesting / drought proofing / flood control / embankment,

etc. ghrd fhy;tha; - ePu; ghJfhg;g[ - ePu; nrfupg;g[ - twl;rp nghf;F - bts;sf;fl;Lg;ghL - miz fl;Ljy; ,ju

01

Land leveling, development of orchard, etc. epy rPuikg;g[. gHj;njhl;lk; nkk;gLj;Jjy; ,ju 02

Road construction, laying pipes and cables rhiy fl;Lkhdk;. FHha;fs; kw;Wk; nfgps; gjpj;jy; 03

Building construction / repair fl;Lkhdk; - gGJ ghh;j;jy; 04

Sanitation, running crèche, etc Rfhjhuk;. FHe;ijfs; fhg;gfk; ,ju 05

Any other work ntW VnjDk; ntiyfs; 06

CODE – 3 (Who made the choice of Public works) FwpaPL ? 3FwpaPL ? 3FwpaPL ? 3FwpaPL ? 3 (bghJg; gzpia nju;t[ bra;tJ ahh;)

Gram Panchayat fpuhk g”;rhaj;J 01

District Panchayat khtl;l g”;rhaj;J 02

State Government khepy murh’;fk; 03


OTHER GOVERNMENT, NGO, OR PRIVATELY- SPONSORED DEVE LOPMENT PROGRAMS IN THIS VILLAGE IN THE LAST 12 MON THS? fle;j 12 khjj;jpy; fle;j 12 khjj;jpy; fle;j 12 khjj;jpy; fle;j 12 khjj;jpy; ,e;j fpuhkj;jpy; ntW murh’;f. vd;$pX my;yJ jdpahu; Vw;ghL bra;Js;s nkk;ghl;Lj; jpl;l’;fs; ,e;j fpuhkj;jpy; ntW murh’;f. vd;$pX my;yJ jdpahu; Vw;ghL bra;Js;s nkk;ghl;Lj; jpl;l’;fs; ,e;j fpuhkj;jpy; ntW murh’;f. vd;$pX my;yJ jdpahu; Vw;ghL bra;Js;s nkk;ghl;Lj; jpl;l’;fs; ,e;j fpuhkj;jpy; ntW murh’;f. vd;$pX my;yJ jdpahu; Vw;ghL bra;Js;s nkk;ghl;Lj; jpl;l’;fs; VjhtJ VjhtJ VjhtJ VjhtJ eilbgeilbgeilbgeilbgw;w;w;w;Ws;sWs;sWs;sWs;sjh>jh>jh>jh>

List all the programs/projects

vy;yh jpl;l’;fs;- g[uh$f;Lfisa[k; gl;oayplt[k;

Type of program? [USE CODES]

jpl;lj;jpd; tif

(FwpaPl;il gad;gLj;Jf)

Sponsored by:

Vw;ghL bra;jJ? Central / state Government kj;jpa-khepy murh’;fk;… 01 Govt.Foreign btspehl;L murh’;fk; ................ 02

NGO bjhz;L epWtdk; ..................... 03

Privately jdpahu; ......................................... 04

Pol. Party murpay; fl;rp .............................. 05

Other kw;wit ....................................... 06

Who is it for? ,J ahUf;fhf> CODES BPL… tWikf; nfhl;Lf;F fPnH cs;s ViHfs; 01 Landless.. epyk; ,y;yhjtu; 02 Women… bgz;fs; 03 SC/ST… v!;rp-v!;o04 Everyone.. vy;nyhUk; 05 Other… kw;wtu; 06 MULTICODING POSIBLE gy gjpy;fs; rhj;jpak;

Name of Organization

epWtdj;jpd; bgau; Code

FwpaPL

Sl.no 348. 349. 350. 351. 352.

1

2

3

4

5

6

7

8

Codes FwpaPLfs;FwpaPLfs;FwpaPLfs;FwpaPLfs; Type of Program jpl;lj;jpd; tifjpl;lj;jpd; tifjpl;lj;jpd; tifjpl;lj;jpd; tif CODES

Education fy;tp 01

health/Nutrition/family planning Mnuhf;fpak;-rj;Jzt[-FLk;g fl;Lg;ghL 02

Drinking water FoePu; 03

Agriculture tptrhak; 04

Irrigation ghrdk; 05

Forestry fhLtsu;g;g[ 06

Transport/communication nghf;Ftuj;J-jfty;;;;;;;;;;;;;;; bjhlu;g[ 07

Power gtu;-rf;jp 08

Other kw;wit 09


MIGRATION Fobgau;jy;Fobgau;jy;Fobgau;jy;Fobgau;jy; Out Migration btspna Fobgau;jy;btspna Fobgau;jy;btspna Fobgau;jy;btspna Fobgau;jy; List the types of work for which

people in this village leave temporarily during certain times of the year to look for work elsewhere. SPECIFY

,e;j fpuhkj;jpy; cs;s kf;fs; tUlj;jpd; Fwpg;gpl;l fhy’;fspy; ntiy njo jw;fhypfkhf fpuhkj;ij tpl;L ntW v’;fhtJ btspnaWk;nghJ vd;d tifahd ntiyfSf;F nghfpwhu;fs;> Fwpg;gplt[k;

Approx. how many individuals leave?

njhuhakhf vj;jid ngu; fpuhkj;ij tpl;Lg; nghfpwhu;fs;>

Where do they go to find this type of work? Inside same taluk, urban=01, Inside same taluk, rural=02, to different taluk, Urban=03, to different taluk, rural=04, to different state=05

,e;j tifahd ntiyfSf;F mtu;fs; v’;nf nghfpwhu;fs;> mnj jhYf;fhtpy; efu;g;g[wk;=01 mnj jhYf;fhtpy; fpuhkg;g[wk;=02 ntW jhYf;fhf;fs; efu;g;g[wk;=03 ntW jhYf;fhf;fs; fpuhkg;g[wk;=04 ntW khepy’;fs;=05

Which months of the year do people leave this village to go work elsewhere? That is, do people in ……[MONTH]?

tUlj;jpd; ve;j khj’;fspy; kf;fs; ntW v’;fhtJ ntiy bra;tjw;F ,e;j fpuhkj;ij tpl;Lr; bry;fpwhu;fs;> mjhtJ kf;fs; //// (khjk;) bry;fpwhu;fsh> MULTIPLE CODING POSSIBLE (Xd;Wf;F nkw;gl;l gjpy;fs; rhj;jpak;)

What ages are most people who leave? CODE

btspna bry;Yk; kf;fspy; bgUk;ghyh ndhh; ve;j taJ tuk;gpw;F cl;gl;l th;fs;> (FwpaPL) Location

nghFkplk; Jan $dtup

Feb gpg;utup

Mar khh;r;

Apr Vg;uy;

May nk

Jun $^d;

Jul $^iy

Aug Mf!;l;

Sep brg;lk;gh;

Oct mf;nlhgh;

Nov etk;gh;

Dec ork;gh;

Sl. 353. 354. 355. 356. 357. 1

01 02 03 04 05 06 07 08 09 10 11 12

2

01 02 03 04 05 06 07 08 09 10 11 12

3

01 02 03 04 05 06 07 08 09 10 11 12

4

01 02 03 04 05 06 07 08 09 10 11 12

CODES: Migrants – typical age ,lk; bgau;jy; ? taJ ,lk; bgau;jy; ? taJ ,lk; bgau;jy; ? taJ ,lk; bgau;jy; ? taJ gpuptgpuptgpuptgpupt [[[[

Options CODES 5-13 01 14-25 02 26-50 03

50+ 04


In Migration ,lk; bgah,lk; bgah,lk; bgah,lk; bgah;; ;;jy; ( CUf;Fs; FotUjy;)jy; ( CUf;Fs; FotUjy;)jy; ( CUf;Fs; FotUjy;)jy; ( CUf;Fs; FotUjy;) List the types of work for which

people come to this village temporarily during certain times of the year for work from other places. SPECIFY

ntW ,l’;fspypUe;J ,e;j fpuhkj;jpw;F tUlj;jpd; Fwpg;gpl;l neu’;fspy; jhw;fhypfkhf tUgth;fs;. ve;j tif ntiyfSf;fhf tUfpwhh;fs; Fwpg;gplt[k;

Approx. how many individuals come?

njhuhakhf vj;jid ngu; fpuhkj;jpw;F tUfpwhu;fs;;>

Where do they mostly come from? From same taluk, urban=1, From same taluk, rural=2, From different taluk, Urban=3, From different taluk, rural=4, From different state=5

mtu;fs; bgUk;ghYk; v’;fpUe;J tUfpwhu;fs;> mnj jhYf;fhtpy; cs;s efu;g;g[w’;fsypUe;J =1 mnj jhYf;fhtpy; cs;s fpuhkg;g[w’;fspypUe;J =2 ntW jhYf;fhtpy; cs;s efu;g;g[w’;fspypUe;J =3 ntW jhYf;fhtpy; cs;s fpuhkg;g[w’;fspypUe;J =4 ntW khepy’;fspypUe;J =5

Which months of the year do people come to this village for work? That is, do people in ……[MONTH]?

tUlj;jpd; ve;j khj’;fspy; kf;fs; ,e;j fpuhkj;jpw;F ntiy bra;tjw;F tUfpwhu;fs;> mjhtJ kf;fs; //// (khjk;) tUfpwhu;fsh>

What ages are most of the people who come?CODE

tUgth;fspy; bgUk;;ghyhdth;;fs; . ve;j taijr; nrh;e;jth;fs;> (FwpaPL)

Location

,lk; Jan $dtup

Feb gpg;utup

Mar khh;r;

Apr Vg;uy;

May nk

Jun $^d;

Jul $^iy

Aug Mf!;l;

Sep brg;lk;gh;

Oct mf;nlhgh;

Nov etk;gh;

Dec ork;gh;

S.no 358. 359. 360. 361. 362. 1

01 02 03 04 05 06 07 08 09 10 11 12

2

01 02 03 04 05 06 07 08 09 10 11 12

3

01 02 03 04 05 06 07 08 09 10 11 12

4

01 02 03 04 05 06 07 08 09 10 11 12

CODES: Migrants – typical age ,lk; bgau;jy; ? taJ gpupt,lk; bgau;jy; ? taJ gpupt,lk; bgau;jy; ? taJ gpupt,lk; bgau;jy; ? taJ gpupt [[[[

Options CODES 5-13 01 14-25 02 26-50 03

50+ 04


DIRECT OBSERVATION BETWEEN THE ENUMERATION AREA AND THE VILLAGE OFFICE me;j gFjpiag;gw;me;j gFjpiag;gw;me;j gFjpiag;gw;me;j gFjpiag;gw;wp neuoahf fz;Lzu;jy; fzf;bfLg;g[ gFjpf;Fk; fpuhk mYtyfj;jpw;Fk; ,ilg;gl;oUf;f ntz;Lk;wp neuoahf fz;Lzu;jy; fzf;bfLg;g[ gFjpf;Fk; fpuhk mYtyfj;jpw;Fk; ,ilg;gl;oUf;f ntz;Lk;wp neuoahf fz;Lzu;jy; fzf;bfLg;g[ gFjpf;Fk; fpuhk mYtyfj;jpw;Fk; ,ilg;gl;oUf;f ntz;Lk;wp neuoahf fz;Lzu;jy; fzf;bfLg;g[ gFjpf;Fk; fpuhk mYtyfj;jpw;Fk; ,ilg;gl;oUf;f ntz;Lk;

VILLAGE WELFARE fpuhk eyd;fpuhk eyd;fpuhk eyd;fpuhk eyd;

Q. No Question Options Codes FwpaPL

372. Does this village have any recreational or cultural facilities?

,e;j fpuhkj;jpy; VjhtJ bghGJ nghf;F my;yJ fyhr;rhu tpHhf;fSf;fhd trjpfs; ,Uf;fpwjh >

Yes Mk; 01

No ,y;iy 02

373. Does this village have a Village Hall or Community Hall? ,e;j fpuhkj;jpy; xU fpuhk Tlk; my;yJ rK:ff;Tlk; ,Uf;fpwjh>

Yes Mk; 01 No ,y;iy 02

374. No. of Cinema/ Video halls

rpdpkh jpnal;lh; - gl’;fs; ghh;g;gjw;fhd Tl’;fspd; vz;zpf;if

375. If no cinema/video hall, distance to nearest rpdpkh jpnal;lh; - gl’;fs; ghh;gjw;fhd Tlk; ,y;iybad;why; . mUfhikapy; cs;s rpdkh jpnal;lh; - gl’;fs; ghh;gjw;fhd Tlj;jpd; J}uk;

376. No. of sports clubs tpisahl;L r’;f’;fs; - FGf;fspd; vz;zpf;if 377. If no sports club, distance to nearest

tpisahl;L r’;f’;fs; - FGf;fs; ; ,y;iybad;why; . mUfhikapy; cs;s r’;f’;fs; - FGf;fspd; J}uk;

378. No. of stadiums, auditoriums tpisahl;lu’;Ffs; . mu’;f’;fspd; vz;zpf;if 379. If no stadium auditorium, distance to nearest

tpisahl;lu’;Ffs; . mu’;f’;fs;; ,y;iybad;why; mUfhikapy; cs;s tpisahl;lu’;Ffs; . mu’;f’;fspd; J}uk;

380. In this village are there any signs/sign boards with public facility directions? ,e;j fpuhkj;jpy; bghJkf;fs; trjpf;fhf tHpfhl;LjYf;fhf VjhtJ milahs’;fs;;-milahs gyiffs; ,Uf;fpwjh>

Yes Mk; 01

No ,y;iy 02

381. In the shopping areas of this village does one see shops or buildings that have been damaged or burnt? ,e;j fpuhkj;jpy; filj; bjUf;fs;; cs;s gFjpapy; VjhtJ filfs; my;yJ fl;ol’;fs; ghHile;J my;yJ vupe;J fhzg;gLfpwjh>

Yes Mk; 01

No ,y;iy 02

382. In this shopping areas of this village does one see shops that have closed/gone out of business ,e;j fpuhkj;jpy; filj; bjUf;fs;; cs;s gFjpapy; VjhtJ filfs;; g{l;lg;gl;L- tpw;gid ,He;J fhzg;gLfpwjh> ? jfty;fs; Kf;fpa egu;fsplkpUe;J bgwg;gl ntz;Lk;

Yes Mk; 01

No ,y;iy 02 383. Does the village have an operating library?

,e;j fpuhkj;jpy; xU E}yfk; ,a’;Ffpwjh> Yes Mk; 01

No ,y;iy 02 384. Does the village have a threshing yard for agricultural purposes?

,e;j fpuhkj;jpy; tptrha fhuz’;fSf;fhf xU fsj;JnkL (nghuog;gjw;fhd - fjpuog;gjw;fhd xU ,lk; ) ,Uf;fpwjh>

Yes Mk; 01

No ,y;iy 02

Q. No Question

01=yes, Mk; 02=no, ,y;iy 03=no observation/ not present ftdpf;f tpy;iy- m’;F ,y;iy

363. Is the air in this village generally polluted (for whatever reason)? ,e;j fpuhkj;jpy; cs;s fhw;W bghJthf khRgl;ljh> (ve;j fhuzj;jpdhyhtJ>)

364. Is there generally any exposed garbage pile visible along the roads? bghJthf M’;fh’;nf Fg;ig Ts’;fspd; Ftpay; rhiy Xu’;fspy; fhzg;gLfpwjh>

365. Is there generally any exposed cattle manure pile in this village? ,e;j fpuhkj;jpy; bghJthf VjhtJ fhy;;;;;;;;;;;;;;eilf; fHpt[fspd; Ftpay; fhzg;gLfpwjh>

366. Is there in general any blocked water duct or obstructed river/gutter in this village? ,e;j fpuhkj;jpy; VjhtJ jz;zPu; milgl;l njf;fk;- my;yJ jilg;gl;l MW- tha;f;fhy; cs;sjh>

367. Are there standing pools of water? (not including marshes, lakes) in this village? ,e;j fpuhkj;jpy; jz;zPu; Fl;ilfs; nj’;fp epw;fpwjh> (Fsk; Fl;ilfs; jtpu)

368. Are there generally any cattle visible in this village (no fowl) that are roaming around in the settlements of

the population? ,e;j fpuhkj;jpy; kf;fs; trpf;Fk; ,l’;fspy; bghJthf M’;fh’;nf fhy;eilfs; (nfhHp nghd;w gwitfs; my;y ) jpupe;J bfhz;oUf;fpd;wdth>

369. Are the house yards in this village generally swept clean? ,e;j fpuhkj;jpy; tPl;L Kw;w’;fs; bghJthf Rj;jkhf bgUf;fp itf;fg;gl;Ls;sjh>

370. Is the grass growing in public squares in this village generally well cared for? ,e;j fpuhkj;jpy; bghJ ,l’;fspy; cs;s g[y; tsUk; jiufs; ed;F guhkupf;fg;gLfpwjh>

371. Are there in general many flies visible (near the food vendors)? bghJthf M’;fh’;nf mjpf <f;fs;. bfhRf;fs; fhzg;gLfpwjh> (czt[g; bghUl;fs; filfspd; mUnf)

VILLAGE QUESTIONNAIRE– Part B 59

SOCIAL AND POLITICAL GROUPS IN VILLAGE

FPUHKJ;JPY; CS;S MURPAY; KW;WK; RK:F MIKG;G[F;FS;

TYPE OF GROUP

How many [……] exist in this village? [No. of groups] ,f;fpuhkj;jpy; [……] vj;jid FGf;fs; cs;sd> [ FGf;fspd; vz;zpf;if ? g{$;$pak; rhj;jpak; ]

What are the names of all groups and organizations in the village? fpuhkj;jpy; cs;s midj;J FGf;fs; kw;Wk; midj;J mikg;g[f;fspd;

bgau;fs; vd;bdd;d>

S. no 385. 386.

1.

Self help group(SHG) for women only (list name of the organization and Bank / MFI Linked to Group affiliated)

bgz;fSf;fhd Ra cjtpf; FGf;fs; (m’;fPfupf;fg;gl;l FGf;fSld; ,izf;fg;gl;Ls;s epWtd’;fs;-t’;fpfs; kw;Wk; FW epjp epWtd’;fspd; bgau;fisg; gl;oayplt[k;)

Group Name FGtpd; bgau;

Linked Bank /MFI ,izf;fg;gl;l t’;fp my;yJ FW epjp epWtdk;

CODE FwpaPL

2.

Other Self help group (SHG) kw;w Ra cjtpf; FGf;fs;

Group Name FGtpd; bgau;

Linked Bank /MFI ,izf;fg;gl;l t’;fp my;yJ FW epjp epWtdk;

CODE FwpaPL

3.

Mothers’ Committee /Magalir Sangam jha;khu;fs; mikg;g[ - kfspu; r’;fk;

4.

Non government organization (NGO) (list specific names) muR rhuh bjhz;L epWtdk; epWtdk; (bgah;fis tupirahf Fwpf;ft[k;)

5.

Religious group Md;kPf FGf;fs; (list groups) (FGf;fis gl;oayplt[k;)

Name of group FGtpd; bgau;

Religion kjk;

CODE kjj;jpd; FwpaPL

6.

Political parties murpay; fl;rpfs; (list parties) (fl;rpfis gl;oayplt[k;;)

Name of Party fl;rpapd; bgau;

Party CODE fl;rpapd; FwpaPL


TYPE OF GROUP

How many [……] exist in this village? [No. of groups] ,f;fpuhkj;jpy; [……] vj;jid FGf;fs; cs;sd> [ FGf;fspd; vz;zpf;if ? g{$;$pak; rhj;jpak; ]

What are the names of all groups and organizations in the village? fpuhkj;jpy; cs;s midj;J FGf;fs; kw;Wk; midj;J mikg;g[f;fspd;

bgau;fs; vd;bdd;d>

S. no 385. 386.

7.

Caste Associations $hjp r’;f’;fs;

Name of Group FGtpd; bgau;

Caste $hjp

CODE $hjp (FwpaPL)

8. Village Devel. Committee fpuhk nkk;ghl;Lf; FG

9. Village Tribal Devel.Agency fpuhk gH’;Fo nkk;ghl;L epWtdk;

10. Village Educ. Committee fpuhk fy;tpf; FG

11.

Committees on Irrigation and water use or Water Users Association or Watershed Committee ghrdk; kw;Wk; jz;zPu; gad;ghl;ow;fhd fkpl;ofs; my;yJ jz;zPu; gad;gLj;Jnthupd; r’;fk; my;yJ ePh; gfph;t[f;fhd thl;lu;b&l; fkpl;o

12.

Cooperatives (list specific names) Tl;Lwt[r; r’;f’;fs; (Fwpg;gpl;l bgah;fisg; gl;oayplt[k;)

13.

Business associations (list specific names) tu;j;jf r’;f’;fs; (Fwpg;gpl;l bgah;fisg; gl;oayplt[k;)

14.


15.



BANKS / MFIs –CODE t’;fpfs; - FW epjp epWtd’;fspd; ? FwpaPL

Options CODE Allahabad Bank my\hghj; t’;fp 01 Andhra Bank Me;jpuh t’;fp 02 Bank of Baroda ng’;f; M`g; gnuhlh 03 Bank of India ng’;f; M`g; ,e;jpah 04 Bank of Maharashtra ng’;f; M`g; k\huh&;;l;uh 05 Canara Bank fduh ng’;f; 06 Central Bank of India brd;l;uy; ng’;f; M`g; ,e;jpah 07 Corporation bank fhh;g;gnu&d; ng’;f; 08 Dena Bank njdh t’;fp 09 ICICI IrpIrpI 10 Indian Bank ,e;jpad; ng’;f; 11 Indian Overseas Bank ,e;jpad; Xtu;rP!; ng’;f; 12 Karur Vysya Bank fU:u; it!;ah t’;fp 13 Oriental Bank of Commerce Xupaz;ly; ng’;f; M`g; fhku;!; 14 Punjab and Sind Bank g”;rhg; mz;l; rpe;J ng’;f; 15 Punjab National Bank g”;rhg; ne&dy; ng’;f; 16 State Bank of India !;nll; ng’;f; M`g; ,e;jpah 17 Syndicate Bank rpz;onfl; ng’;f; 18 Tamilnad Mercantile bank jkpH;ehL bku;f;fz;ily; ng’;f; 19 UCO bank a{nfh ng’;f; 20 Union Bank of India a{dpad; ng’;f; M`g; ,e;jpah 21 United Bank of India a[idl;bll; ng’;f; M`g; ,e;jpah 22 Vijaya Bank it!;ah ng’;f; 23 Other Bank (Specify) kw;w t’;fpfs; (Fwpg;gplt[k;) 24 Activist for Social Alternatives (ASA) rK:f khw;w’;fSf;fhd eltof;iff; FG 25 Bullock cart Workers Development Association(BWDA) khl;L tz;o bjhHpyhsu;fs; nkk;ghl;L mikg;g[ 26 Community Action for Rural Development(CARD) fpuhk nkk;ghl;L rK:f eltof;if 27 Ecumenical Church Loan Fund of India(ECLOF) vf;a{bkdpf;fy; ru;r; nyhd; `gd;L M`g; ,e;jpah 28 Guidance Society for Labour Orphans & Women(GLOW)

CHpau;fs;. mdhij kw;Wk; bgz;fSf;fhd tHpfhlLk; mikg;g[ (f;nsh)

29

Indian Association for Saving & Credit(IASC) nrkpg;g[ kw;Wk; flDf;fhd ,e;jpa mikg;g[ (IVv!;rp) 30 Integrated Village Development Project(IVDP) xU’;fpize;j fpuhk nkk;ghl;L jpl;lk; (Itpogp) 31 Kalanjiam Development Financial Services (KDFS) fs”;rpak; nkk;ghl;L epjp nrit 32 Kalrayan Hills ADP(KHADP) fy;tuhad; kiy gFjp nkk;ghl;Lj; jpl;lk; 33 League for Education & Development(LEAD) fy;tp kw;Wk; nkk;ghl;L xU’;fpize;j FG[ 34 MAHASEMAM k\hnrkk; 35 Micro Finance Consulting Group(MCG) FW epjp Mnyhrid FG 36 Nanayasurabhi Development Financial Services(NDFS) ehza Rugp nkk;ghl;L epjp nritfs; 37 NEW LIFE g[J thH;t[ 38 OAZOANE(The Society for Development of Human Abilities and Environment)

Xnrhd; (kzpj jpwikfisa[k; Rw;Wf; R{Hiya[k; nkk;gLj;Jk; r’;fk;)

39

PIONEER TRAD gadPu; onul; 40 PREPARE g;uPngu; 41 Samam Makalir Suyasarbu Iyakkam rkk; kfspu; Ra rhh;g[ ,af;fk; 42 Sarvodaya Nano Finance Ltd. (SNF) ru;nthjah ehndh epjp epWtdk; 43 Semam Micro Finance Investment Literacy & Empowerment Ltd. (SMILE)

nrkk; FW epjp fy;tp KjyPL kw;Wk; jpwd; btspg;ghL epWtdk;

44

Serva Jana Seva Kosh Ltd. (SJSK) nru;th $d nrth nfh&; ypl; 45 Seva Mahalir Sangamam nrth kfspu; r’;fk; 46 Thirumalai Charity Trust (TCT) jpUkiy rhupl;o ou!;l; 47 Other MFI (Specify) kw;w FW epjp epWtd’;fs; (Fwpg;gplt[k;) 48

Religion CODE kjj;jpd; FwpaPL Options CODE Hinduism ,e;J kjk; 01 Islam ,!;yhk; 02 Christianity fpU!;Jtk; 03 Sikhism rPf;fpak; 04 Jainism i$dk; 05 Buddhism bgsj;jk; 06 Zoroastrianism (Parsi) ghh;rp 07 Others____________ kw;wit 08


Political party CODE murpay; fl;rp murpay; fl;rp murpay; fl;rp murpay; fl;rp FwpaPLFwpaPLFwpaPLFwpaPL Options CODE All India Anna Dravida Munnetra Kazhagam (AIADMK)

midj;jpe;jpa mz;zh jpuhtpl Kd;ndw;wf; fHfk; 01

Bharatiya Janata Party (BJP) ghujpa $djh fl;rp 02 Communist Party of India (CPI) ,e;jpa fk;a{dp!;l; fl;rp 03 Communist Party of India (Marxist) (CPI-M)

khu;f;!pa fk;a{dp!;l; fl;rp 04

Dravida Munnetra Kazhagam (DMK) jpuhtpl Kd;ndw;w fHfk; 05 Indian National Congress (INC) ,e;jpa njrpa fh’;fpu!; 06 Marumalarchi Dravida Munnetra Kazhagam (MDMK)

kWkyu;r;rp jpuhtpl Kd;ndw;wf; fHfk; 07

Pattali Makkal Katchi (PMK) ghl;lhsp kf;fs; fl;rp 08 All India Forward Bloc (Subhasist) mfpy ,e;jpa `ghh;thu;l; gpshf; (Rgh&p!k;) 09 Democratic Forward Bloc. $dehaf `ghh;thh;l; gpshf; 10 Puthiya Tamilagam g[jpa jkpHfk; 11 Dalit Panthers of India (DPI) or Viduthalai Siruthaigal

tpLjiy rpWj;ijfs; 12

Muslim League K!;yPk; yPf; 13 Dhesiya Murtpokku Dravida Kazhagam (DMDK)

njrpa Kw;nghf;F jpuhtpl fHfk; 14

All India Samathuva Makkal Katchi midj;jpe;jpa rkj;Jt kf;fs; fl;rp 15 Others___________ kw;wit 16 Others___________ kw;wit 17


ELECTION SUMMARY: GP ELECTION AND VILLAGES njh;jy; gw;wpa tpgu’;fs; : fpuhk g”;rhaj;J njh;jy; kw;Wk; fpuhk’;fs; When were the elections

held? njh;jy; vg;nghJ eilbgw;wJ>

No. of villages represented by [ ]?

(/////) ?y; g’;bfLj;Jf;bfhz;l fpuhk’;fspd;

vz;zpf;if vd;d>

Number of members of Panchayat?

g”;rhaj;J cWg;gpdu;fspd; vz;zpf;if vd;d>

Total number of eligible voters in this

panchayat ,e;j g”;rhaj;jpy; jFjp bgw;w thf;fhsu;fspd; vz;zpf;if vd;d>

Total Votes polled gjpthd thf;Ffspd; bkhj;j vz;zpf;if

Total number of GP meetings held

bkhj;jk; vj;jid fpuhk g";rhaj;J Tl;l’;fs; eilbgw;wJ>

Total number of gram sabha meetings held bkhj;jk; vj;jid fpuhkrgh Tl;l’;fs; eilbgw;wJ> Year

tUlk;

YYYY

Month khjk;

MM

387. 388. 389. 390. 391. 392. 393. Elections Oct. 2006 mf;/ 2006 njh;jy;fs;

Panchayat 2001 – 2006 g";rhaj;J 2001 ? 2006

DETAILS OF VILLAGES REPRESENTED BY THIS PANCHAYAT ,e;j g”;rhaj;jpy; m’;fk; tfpf;Fk; fpuhk’;fspd; tptu’;fs;

Name of the village fpuhkj;jpd; bgau;

Distance from this village (km.) ,e;j fpuhkj;jpy; ,Ue;J J}uk; (fp/kP)

SI No 394. 395. 1

(panchayat headquarters) g”;rhaj;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;J jiyikafk;

2

3

4

5

6

7


CANDIDATE SUMMARY: VOTES POLLED BY EACH CANDIDATE F OR PANCHAYAT PRESIDENT -2006 Panchayat ntl;ghsupd; tpntl;ghsupd; tpntl;ghsupd; tpntl;ghsupd; tptu’;fs; ? tu’;fs; ? tu’;fs; ? tu’;fs; ? g”;rhaj;J jiytu; njh;jypy; g”;rhaj;J jiytu; njh;jypy; g”;rhaj;J jiytu; njh;jypy; g”;rhaj;J jiytu; njh;jypy; xt;bthUxt;bthUxt;bthUxt;bthU ntl;ghsUk; bgw;w Xl;Lf;fs; ntl;ghsUk; bgw;w Xl;Lf;fs; ntl;ghsUk; bgw;w Xl;Lf;fs; ntl;ghsUk; bgw;w Xl;Lf;fs; = = = = mf;nlhgu; 2006 g”;rhaj;J nju;jy;mf;nlhgu; 2006 g”;rhaj;J nju;jy;mf;nlhgu; 2006 g”;rhaj;J nju;jy;mf;nlhgu; 2006 g”;rhaj;J nju;jy;

CANDIDATE SUMMARY: Panchayat elections ntl;ghsu;fspd; tptu’;fs; ? g”;rhaj;J nju;jy;;

October 2006 Panchayat President mf;nlhgu; 2006 g”;rhaj;J jiytu;nju;jy;mf;nlhgu; 2006 g”;rhaj;J jiytu;nju;jy;mf;nlhgu; 2006 g”;rhaj;J jiytu;nju;jy;mf;nlhgu; 2006 g”;rhaj;J jiytu;nju;jy;

Village support based on … (///////) mog;gilapy; fpuhkj;jpy;;;;; cs;stu;fspd; Mjut[ ( Muliple response possible Xd;Wf;F nkw;gl;l gjpy; tuyhk;

outside support based on (…..)

(///////) mog;gilapy; fpuhkj;jpw;F btspapy; cs;sth;fspd; Mjut[ Muliple response possible Xd;Wf;F nkw;gl;l gjpy; tuyhk;

Mode of election 1=direct election; 2=unopposed njh;jy; Kiw ? 01 ? neuoj; njh;jy; 02 ? vjpu; nghl;oapy;yhky; njh;t[

Total votes polled gjpthd thf;Ffspd; bkhj;j vz;zpf;if

Total votes received by candidate ,e;j ntl;ghsh; bgw;w thf;Ffspd; bkhj;j vz;zpf;if

Does this person live in the village? mtu; ,e;j fpuhkj;jpy; trpf;fpd;whuh>

If yes, HH ID Mk; vdpy;. FLk;g milahs vz;

MEM-BER ID cWg;gpdu; milahs vz;

Candidate NAME nghl;oapl;lth;

bgah;

Gender ghypdk;

Caste (Jati NAME] $hjp (bgau;)

Jati COD

E $hjp FwpaPL

Religion kjk;

CODE FwpaPL

Caste (jati) $hjp

Religion kjk;

wealthy person

bry;te;ju;

Caste

(jati) $hjp

Religion

kjk;

Political party murpay; fl;rp

Yes Mk;

No ,y;iy >NEXT ROW �vdpy; mLj;j tupir

M Mz;

F bgz;

Sl. 396. 397. 398. 399. 400. 401. 402. 403. 404. 405. 406. 407. 408.

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CANDIDATE SUMMARY: VOTES POLLED BY EACH CANDIDATE F OR PANCHAYAT PRESIDENT – 2001 Panchayat ntl;ghsupd; tptu’;fs; ? g”;rhaj;J jiytu; njh;jypy; xt;bthU ntl;ghsUk; bgw;w Xl;Lf;fs; = mf;nlhgu; 2001 g”;rhaj;J nju;jy;ntl;ghsupd; tptu’;fs; ? g”;rhaj;J jiytu; njh;jypy; xt;bthU ntl;ghsUk; bgw;w Xl;Lf;fs; = mf;nlhgu; 2001 g”;rhaj;J nju;jy;ntl;ghsupd; tptu’;fs; ? g”;rhaj;J jiytu; njh;jypy; xt;bthU ntl;ghsUk; bgw;w Xl;Lf;fs; = mf;nlhgu; 2001 g”;rhaj;J nju;jy;ntl;ghsupd; tptu’;fs; ? g”;rhaj;J jiytu; njh;jypy; xt;bthU ntl;ghsUk; bgw;w Xl;Lf;fs; = mf;nlhgu; 2001 g”;rhaj;J nju;jy;

CANDIDATE SUMMARY: Panchayat elections ntl;ghsu;fspd;; tptu’;fs; ? g”;rhaj;J nju;jy;fs;;

2001 – 2006 Panchayat – Previous Panchayat Election (2001 ? 2006 g”;rhaj;J) ? Ke;ija g”;rhaj;J nju;jy;

Within village support based on …

(///////) mog;gilapy; fpuhkj;jpy;;;;; cs;stu;fspd; Mjut[ ( Muliple response possible Xd;Wf;F nkw;gl;l gjpy; tuyhk;

outside support based on (…..)

(///////) mog;gilapy; fpuhkj;jpw;F btspapy; cs;sth;fspd; Mjut[ Muliple response possible Xd;Wf;F nkw;gl;l gjpy; tuyhk;

Mode of election 1=direct election; 2=unopposed njh;jy; Kiw 01 ? neuoj; njh;jy; 02 ? nghl;oapy;yhky; njh;t[

Total number of votes polled gjpthd bkhj;j thf;Ffspd; vz;zpf;if

Total number of votes received by this candidate ,e;j ntl;ghsh; bgw;w thf;Ffspd; bkhj;j vz;zpf;if

Does this person live in the village? mtu; ,e;j fpuhkj;jpy; trpf;fpd;whuh>

If yes, HH ID Mk; vdpy;. FLk;g milahs vz;

MEM-BER ID cWg;gpdu; milahs vz;

Candidate NAME nghl;oapl;lth;

bgah;

Gender ghypdk;

Caste (Jati

NAME] $hjp (bgau;)

Jati CODE $hjp FwpaPL

Religion kjk;

CODE FwpaPL

Caste (jati) $hjp

Religion kjk;

wealthy person

bry;te;ju;

Caste (jati) $hjp

Religion kjk;

Political party

murpay; fl;rp

Yes Mk;

No ,y;iy >NEXT ROW �vdpy; mLj;j tupir

M Mz;

F bgz;

Sl. 409. 410. 411. 412. 413. 414. 415. 416. 417. 418. 419. 420. 421. 1

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CANDIDATE SUMMARY: VOTES POLLED BY EACH ELECTED MEM BER, 2006 PANCHAYAT ntl;ghsupd; tptu’;fs;/ntl;ghsupd; tptu’;fs;/ntl;ghsupd; tptu’;fs;/ntl;ghsupd; tptu’;fs;/; nju;t[ bra;ag;gl;l xt;bthU g”;rhaj;J cWg;gpdUk; ; nju;t[ bra;ag;gl;l xt;bthU g”;rhaj;J cWg;gpdUk; ; nju;t[ bra;ag;gl;l xt;bthU g”;rhaj;J cWg;gpdUk; ; nju;t[ bra;ag;gl;l xt;bthU g”;rhaj;J cWg;gpdUk; bgw;w bgw;w bgw;w bgw;w Xl;Lf;fs;Xl;Lf;fs;Xl;Lf;fs;Xl;Lf;fs; = 2006 = 2006 = 2006 = 2006 g”;rhaj;J nju;jy;g”;rhaj;J nju;jy;g”;rhaj;J nju;jy;g”;rhaj;J nju;jy;

Member's Name cWg;gpdUila bgau;

Number of candidates contested for this post ,e;j gjtpf;Fg; nghl;oapl;l ntl;ghsu; fspd; vz;zpf;if

[Mode of election 01=direct election; 02=unopposed njh;jy; Kiw 01 ? neuoj; njh;jy; 02 ? vjph; nghl;oapy;yhky; njh;t[

Total number of votes polled gjpthd thf;Ffspd; bkhj;j vz;zpf;if


Sl. 422. 423. 424. 425. 426. WARD _____

gFjp

1 Member 1 cWg;gpdh; 1



WARD _____ gFjp




WARD _____ gFjp





Sl.


Number of candidates contested for this post ,e;j gjtpf;Fg; nghl;oapl;l tu;fspd; vz;zpf;if

[Mode of election 01=direct election; 02=unopposed njh;jy; Kiw ? 01 ? neuoj; njh;jy; 02 ? vjph; nghl;oapy;yhky; njh;t[



WARD _____ gFjp




WARD _____ gFjp




WARD _____ gFjp




WARD _____ gFjp





VOTES POLLED BY EACH ELECTED MEMBER OF 2001-2006 PANCHAYAT ( Previous Panchayat Election) 2001 2001 2001 2001 ???? 2006 2006 2006 2006 g”;rhaj;J nju;jypy;g”;rhaj;J nju;jypy;g”;rhaj;J nju;jypy;g”;rhaj;J nju;jypy; nju;t[ bra;ag;gl;l xt;bthU g”:;rhaj;J cWg;gpdUk; nju;t[ bra;ag;gl;l xt;bthU g”:;rhaj;J cWg;gpdUk; nju;t[ bra;ag;gl;l xt;bthU g”:;rhaj;J cWg;gpdUk; nju;t[ bra;ag;gl;l xt;bthU g”:;rhaj;J cWg;gpdUk; bgw;w bgw;w bgw;w bgw;w Xl;Lf;fs;Xl;Lf;fs;Xl;Lf;fs;Xl;Lf;fs; (((( Ke;ija g”;rhaj;J njuKe;ija g”;rhaj;J njuKe;ija g”;rhaj;J njuKe;ija g”;rhaj;J nju;jy;;jy;;jy;;jy;))))


Number of candidates contested for post ,e;j gjtpf;Fg; nghl;oapl;l tu;fspd; vz;zpf;if

01=direct election; 02=unopposed njh;jy; Kiw 01 ? neuoj; njh;jy; 02 ? vjph; nghl;oapy;yhky; njh;t[

Total number of votes polled gjpthd thf;Fffspd; bkhj;j vz;zpf;if

Total number of votes received by this candidate ,e;j ntl;ghsh; bghw;w thf;Ffspd; bkhj;j vz;zpf;if

Sl. 427. 428. 429. 430. 431. WARD _____

gFjp




WARD _____ gFjp




WARD _____ gFjp






Number of candidates contested for this post ,e;j gjtpf;Fg; nghl;oapl;l tu;fspd; vz;zpf;if

[Mode of election 01=direct election; 02=unopposed njh;jy; Kiw ? 01 ? neuoj; njh;jy; 02 ? vjph; nghl;oapy;yhky; njh;t[


Total number of votes received by this candidate ,e;j ntl;ghsh; bgw;w thf;Fffspd; bkhj;jvz;zpf;if

Sl.no WARD _____

gFjp




WARD _____ gFjp




WARD _____ gFjp




WARD _____ gFjp





DETAILS ABOUT GRAM PANCHAYAT (ELECTED OCT 2006): N ote that the filled-in boxes for Panchayat president indicate information already collected in the election summary fpuhk g”;rhaj;J gw;wpa tptu’;fs; (mf; ? 2006 ?y; nju;t[ bra;ag;gl;lJ) Fwpg;g[ ? g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g{u;j;jp bra;ag;gl;Ls;s bgl;ofSf;F njh;jy; bjhFg;gpy; ,Ue;J Vw;fdnt jfty;fs; nrfupf;fg;gl;Ls;sd

Position bghWg;g[

Name bgau;

Gender ghypdk;

Re

serv

atio

n?

[CO

DE

giv

en b

elo

w)

xJf;fPL FwpaPL (fPnHfhzt[k ;)

From this village? ,e;j Ciur; nru;e;jtuh>

If yes, HH ID, Mk; vdpy;. FLk;g milahs vz;

MEMBER ID

cWg;gpdu; milahs vz ��441;; ;;

Caste $hjp

Caste Code $hjp FwpaPL

Ed

uca

tion

cod

e g

iven

bel

ow

fy;;tp FwpaPL fPnH

bfhLf;fg;gl;Ls;sJ

Previously held same post?

Kd;djhf mnj gjtpia tfpj;jhuh>

Candidate at last GP election? fle;j fpuhk g”;rhaj;J nju;jypy;

nghl;oapl;lhuh>

Member of previous GP? fle;j fpuhk g”;rhaj;jpd; cWg;gpduh>

Party affiliation (Refer party

CODES] ve;j fl;rpa[ld; bjhlu;g[

cilatu; (fl;rp FwpaPLfis ghu;f;f)

M M

F bg

Yes Mk;

No ,y;iy ��439

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

S.no 432. 433. 434. 435. 436. 437. 438. 439. 440. 441. 442. 443. 444. 1 President jiyth; 01 02 01 02 01 02

2 Clerk vGj;ju; 01 02 01 02 01 02 01 02 01 02

WARD ___ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


Position bghWg;g[

Name bgau;

Gender ghypdk;

Re

serv

atio

n?

[CO

DE

giv

en b

elo

w)

xJf;fPL FwpaPL (fPnHfhzt[k ;)


If yes, HH ID, Mk; vdpy;. FLk;g milahs vz;

MEMBER ID

cWg;gpdu; milahs vz ��441;; ;;

Caste $hjp


Ed

uca

tion

cod

e g

iven

bel

ow

fy;;tp FwpaPL fPnH

bfhLf;fg;gl;Ls;sJ

Previously held same post?

Kd;djhf mnj gjtpia tfpj;jhuh>


nghl;oapl;lhuh>


Party affiliation (Refer party

CODES] ve;j fl;rpa[ld; bjhlu;g[


M M

F bg

Yes Mk;

No ,y;iy ��439

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


ReservationCODE ,lxJf;fPL FwpaPL

Options CODE SC Mjp jpuhtplu;

1

SC Female Mjp jpuhtplu; ? bgz;fs;

2

ST gH’;Foapdu;

3

ST Female gH’;Foapdu; ? bgz;fs;

4

BC / MBC gpd;j’;fpa tFg;g[ - kpft[k; gpd;j’;fpa tFg;g[

5

BC / MBC Female gpd;j’;fpa tFg;g[ - kpft[k; gpd;j’;fpa tFg;g[ ? bgz;fs;

6

Female bgz;fs; 7 Not Reserved xJf;fPL bra;ag;gltpy;;iy

8

Education CODE fy;tp FwpaPL

Options Code

No education gof;fhjtu; 1 Pre – school Muk;gg; gs;sp 2 Primary School only bjhlf;fg; gs;sp 3 Upper primary school only eLepiyg; gs;sp 4 Secondary/ Higher Secondary school only cau; epiy - nky; epiyg; gs;sp 5 College fy;Y}hp 6 Industrial Training bjhHpw; gapw;rp 7 Vocational Training ifj; bjhHpw; gapw;rp 8 Others (Specify) kw;wit (Fwpg;gplt[k;) 9


DETAILS ABOUT GRAM PANCHAYAT (2001-2006): [FILLED-I N BOXES FOR PANCHAYAT PRESIDENT ARE INFORMATION COL LECTED IN ELECTION SUMMARY] 2001 ?2006 fpuhk g”;rhaj;J gw;wpa tptu’;fs; Fwpg;g[ ? g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g”;rhaj;J jiytUf;fhf g{u;j;jp bra;ag;gl;Ls;s bgl;ofSf;F . njh;jy; bjhFg;gpy; ,Ue;J Vw;fdnt tptu’;fs; nrfupf;fg;gl;Ls;sd vd;gij ftdpf;ft[k ;

;

Position bghWg;g[

Name bgau;

Gender ghypdk;

Reservation? [C

ODE )

xJf;fPL FwpaPL (fPbH

fhzt[k ;)


If yes, HH ID, Mk; vdpy;. FLk;g milahs vz

MEMBER ID


��454;

Caste $hjp


Ed

uca

tion

cod

e g

iven

bel

ow

fy;;tp FwpaPL fPnH

bfhLf;fg;gl;Ls;sJ

Previously held same post? Kd;djhf

mnj gjtpia tfpj;jhuh>


nghl;oapl;lhuh>


Party affiliation

(Refer party CODES]

ve;j fl;rpa[ld; bjhlu;g[


M M

F bg

Yes Mk;

No ,y;iy ��452

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

S.No 445. 446. 447. 448. 449. 450. 451. 452. 453. 454. 455. 456. 457. 1 President jiyth;

01 02 01 02 01 02

2 Clerk vGj;ju; 01 02 01 02 01 02 01 02 01 02

WARD ___ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


;

Position bghWg;g[

Name bgau;

Gender ghypdk;

Reservation? [C

ODE )

xJf;fPL FwpaPL (fPbH

fhzt[k ;)


If yes, HH ID, Mk; vdpy;. FLk;g milahs vz

MEMBER ID


��454;

Caste $hjp


Ed

uca

tion

cod

e g

iven

bel

ow

fy;;tp FwpaPL fPnH

bfhLf;fg;gl;Ls;sJ

Previously held same post? Kd;djhf

mnj gjtpia tfpj;jhuh>


nghl;oapl;lhuh>


Party affiliation

(Refer party CODES]

ve;j fl;rpa[ld; bjhlu;g[


M M

F bg

Yes Mk;

No ,y;iy ��452

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02

WARD ____ gFjp


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


01 02

01 02

01 02 01 02 01 02


ReservationCODE ,lxJf;fPL FwpaPL

Options Code SC Mjp jpuhtplu;

1

SC Female Mjp jpuhtplu; ? bgz;fs;

2

ST gH’;Foapdu;

3

ST Female gH’;Foapdu; ? bgz;fs;

4

BC / MBC gpd;j’;fpa tFg;g[ - kpft[k; gpd;j’;fpa tFg;g[

5

BC / MBC Female gpd;j’;fpa tFg;g[ - kpft[k; gpd;j’;fpa tFg;g[ ? bgz;fs;

6

Female bgz;fs; 7 Not Reserved ,l xJf;fPL ,y;iy

8

Education CODE fy;tp FwpaPL

Options Code

No education gof;fhjtu; 1 Pre – school Muk;g gs;sp 2 Primary School only bjhlf;f gs;sp 3 Upper primary school only eLepiy gs;sp 4 Secondary/ Higher Secondary school only cau; epiy - nky; epiy gs;sp 5 College fy;Y}hp 6 Industrial Training bjhHpw; gapw;rp 7 Vocational Training ifj; bjhHpw; gapw;rp 8 Others (Specify) kw;wit (Fwpg;gplt[k;) 9


Revenue & expenditures: Current Panchayat tUkhdk;tUkhdk;tUkhdk;tUkhdk; & brytpd’;fs; ? jw;nghija g”;rhaj;Jbrytpd’;fs; ? jw;nghija g”;rhaj;Jbrytpd’;fs; ? jw;nghija g”;rhaj;Jbrytpd’;fs; ? jw;nghija g”;rhaj;J

458. Village Income and Expenditure Statement – 2005 to 2006 fpuhk tUkhdk; kw;Wk; brytpd’;fs; ml;ltiz ? 2005 ? 2006

Income tut[fs;[tut[fs;[tut[fs;[tut[fs;[ Rs. Ps. Expenses bryt[fs;bryt[fs;bryt[fs;bryt[fs; Rs. Ps.

1. House Tax tPl;L tup 1. Salary Cjpak; 2. Library Tax E}yf tup 2. Travel Conveyance gazg; go 3. Professional Tax bjhHpy; tup 3. Writing material vGJ bghUs;

4. Other taxes ,ju tup ,d’;fs; 4. Street Light – Electricity kpd; fl;lzk; ? bjU tpsf;Ffs;

5. Dangerous and offensive Trade License fee nfLk; jP’;Fk; tpistpf;fToa bjhHpy; chpkf; fl;lzk;

5. Motor Pumps – Electricity kpd; fl;lzk; ? tpirg; gk;g[fs;

6. Other Fee ,ju chpk fl;lzk;

6. Electricity - Panchayat Buildings kpd; fl;lzk; ? Cuhl;rpapd; fl;ol’;fs;

7. Building / Plot License Fee fl;olk; kw;Wk; kid gphpt[ cupkf; fl;lzk;

7. Maintenance of Wells - Materials and Labour fpzW guhkupg;g[ ? bghUl;fs; kw;Wk; Typ

8. Penalties paid to Panchayat Cuhl;rpapy; tpjpf;fg;gl;l mguhj bjhif

8. Hand Pump maintenance ifg; gk;g[fs; guhkupg;g[

9. Building lease fl;ol Fj;jif

9. Water tanks - materials and Labour nky; epiy ePh; njf;fj; bjhl;o ? jiukl;l ePh;njf;fj; bjhl;o bghUl;fs; kw;Wk; Typ

10. Market (Shandy) Lease re;ij Fj;jif

10. Maintenance of Street Lights - Materials & Labour bjU tpsf;Ffs; guhkupg;g[ ? bghUl;fs; kw;Wk; Typ

11. Income from Social Forestry / Tree Tax ku kfNy; bjhif

11. Radio and TV - Materials & Labour thbdhyp kw;Wk; bjhiyf;fhl;rp ? bghUl;fs; kw;Wk;; Typ

12. Fishery Tax kPd; ghrp Fj;jif

12. Public Sanitation - Materials & labour bghJ Rfhjhuk; ? bghUl;fs; kw;Wk; Typ

13. Other Leases ,ju tif Fj;jif

13. Social Forestry / Gardens rK:f fhLfs;- gHj; njhl;l’;fs; - g{‘;fhf;fs;

14. Surcharge on Stamp paper Kj;jpiuj; jhs; kpF tup

14. Panchayat Tank Maintenance Cuhl;rp Fs’;fs; guhkupg;g[

15. Entertainment Tax nfspf;if tup

15. Recognised Festival Expenses m';fPfupf;fg;gl;l jpUtpHh brytpd’;fs; [

16. Head tax jy thp 16. Panchayat Building Maintenance Cuhl;rp fl;ol guhkupg;g[

17. 2C Tree Tax ku tup (2C gl;lh fl;fzk;)

17. Maintenance of Tools jsthl rhkhd;fs; guhkupg;g[

18. Criminal Penalties Collection Fw;wtpay; jz;l tNy;

18. Road / Minor Bridges maintenance rhiyfs; -rpW ghy’;fs; guhkupg;g[

19. Other income from Funds Allocated ,ju xJf;fg;gl;l epjp tutpdk;

19. Panchayat cremation ground maintenance Cuhl;rpapd; RLfhL guhkupg;g[



20. Deposit itg;g[j; bjhif

20. Library tax – Repaid E}yf tup ? jpUk;g mspj;jy;

21. Matured Deposits fhyk; fle;j itg;g[j; bjhif

21. Paying off deposits itg;g[ bjhif jpUk;g mspj;jy;

22. State Finance Commission Subsidy (without condition) khepy epjp FG khdpak; ( epge;jid ,y;yhj gFjp )

22. Cash Advances Kd; gzk; tH’;Fjy;

23. Other Subsidies ,ju khdpa’;fs;

23. Miscellaneous expenses ,jur; bryt[fs;

24. Others Specify _______________________ kw;wit Fwpg;gplt[k;

24. Construction of New Buildings g[jpa fl;ol’;fs; mikj;jy;

25. Others Specify __________________ kw;wit Fwpg;gplt[k;

25. Laying of New roads / road development g[jpa rhiy mikj;jYk; - nkk;ghL bra;jYk;


26. Construction of New Minor bridges g[jpa rpW ghy’;fs; mikj;jy;

27. Others Specify __________________________ kw;wit Fwpg;gplt[k;

27. Street Light – Extension bjU tpsf;F tpupt[gLj;Jjy;

28. Others Specify ___________________________ kw;wit Fwpg;gplt[k;

28. Water Pipe – Extension FoePh; FHha;fs; tphpt[gLj;Jjy;

29. Provision of New Drinking water facility g[jpa FoePu; rhjd’;fs; mikj;jy;

30. Purchase of Tools / implements g[jpa jsthl rhkhd;fs; th’;Fjy;

31. Deposits by Panchayat Cuhl;rpahy; bra;ag;gLk; KjyPLfs;

32. Other Investment Expenses ,ju K:yjd brytpd’;fs;

33. Others Specify ________________________ kw;wit Fwpg;gplt[k;

34. Others Specify ______________________ kw;wit Fwpg;gplt[k;




Total bkhj;jk; Total

bkhj;jk;

in hand/bank ifapUg;g[ - t’;fpapy; ,Ug;g[ in hand/bank

ifapUg;g[ - t’;fpapy; ,Ug;g[

Gross Total bgU bkhj;jk;



459. Government Grants, Plan Funds, Namathu Gramam, etc – 2005 to 2006 murh’;f rYiffs;. jpl;l xJf;fPL. ekJ fpuhkk;. ,ju ? 2005?2006

S.no Income tUkhdk;tUkhdk;tUkhdk;tUkhdk; Rs. 1. Government Grants - Subject to Conditions

epge;jidf;F cl;gl;l muR khdpa’;fs; epjp (11 / 12th Finance Commission Fund 11 / 12 tJ epjpf;FG khdpak;)

2. State Finance Commission Fund khepy epjpf;FG khdpak; (epge;jidf;F cl;gl;lJ )

3. Plan Fund (SGRY, PMGRY, Indira Memorial Housing Plan & OTHER PLAN FUNDS) jpl;l epjp (,e;jpuh epidt[ FoapUg;g[ jpl;lk;. kw;w jpl;l epjp)

4. Drinking water plan FoePu; jpl;lk;

5. Namathu Gramam (Our Village) ekJ fpuhkk;

6. Other Plans / Projects ,ju jpl;;lk; ______________________________











460. Village Income and Expenditure Statement – 2006 to 2007

fpuhk tUkhdk; kw;Wk; brytpd’;fs; ml;ltiz ? 2006?2007 Income tut[fs;[tut[fs;[tut[fs;[tut[fs;[ Rs. Ps. Expenses bryt[fs;bryt[fs;bryt[fs;bryt[fs; Rs. Ps.





6. Other Fee ,ju chpkf; fl;lzk;






9. Building lease fl;ol bjhif


10. Market (Shandy) Lease re;ijf; Fj;jif






13. Other Leases ,ju tif Fj;jif 13. Social Forestry / Gardens rK:f fhLfs;- gHj; njhl;l’;fs; - g{‘;fhf;fs;

14. Surcharge on Stamp paper Kj;jpiuj; jhs; kpF thp





17. 2C Tree Tax ku tup; (2C gl;lh fl;lzk;)






20. Deposit itg;g[j; bjhif

20. Library tax – Repaid E}yf tup ? jpUk;g mspj;jy;




21. Paying off deposits itg;gj;[ bjhif jpUk;g mspj;jy;

22. State Finance Commission Subsidy (without condition) khepy epjpf; FG khdpak; ( epge;jid ,y;yhj gFjp )








26. Others Specify _____________________ kw;wit Fwpg;gplt[k;





28. Water Pipe – Extension FoePu;f; FHha;fs; tphpt[gLj;Jjy;


30. Purchase of Tools / implements g[jpa jsthlr; rhkhd;fs; th’;Fjy;









bkhj;jk;











4. Drinking water plan FoePu; jpl;lk;













462. Village Income and Expenditure Statement – 2007 to 2008 fpuhk tUkhdk; kw;Wk; brytpd’;fs; ml;ltiz ? 2007?2008






6. Other Fee ,ju chpk fl;lzk;






9. Building lease fl;ol bjhif


10. Market (Shandy) Lease re;ij Fj;jif






13. Other Leases ,ju tif Fj;jif 13. Social Forestry / Gardens rK:f fhLfs;- gHj; njhl;l’;fs; - g{‘;fhf;fs;

14. Surcharge on Stamp paper Kj;jpiuj; jhs; kpF thp





17. 2C Tree Tax ku tup; (2C gl;lh fl;lzk;)






20. Deposit itg;g[j; bjhif 20. Library tax – Repaid E}yf tup ? jpUk;g mspj;jy;




21. Paying off deposits itg;g[ bjhif jpUk;g mspj;jy;

22. State Finance Commission Subsidy (without condition) khepy epjp FG khdpak; ( epge;jid ,y;yhj gFjp )








26. Others Specify ___________ kw;wit Fwpg;gplt[k;





28. Water Pipe – Extension FoePu;f; FHha;fs; tphpt[gLj;Jjy;


30. Purchase of Tools / implements g[jpa jsthl rhkhd;fs; th’;Fjy;









bkhj;jk;











4. Drinking water plan FoePu;;j; jpl;lk;













NATURE OF WORK DONE IN THE STREET /COLONY / NEIGHBO URHOOD: OCT 2006-CURRENT rhiy - FoapUg;g[ - mUfhik ,l’;fspy; bra;ag;gl;l ntiyapd; jd;ik ? elg;g[ g”;rhaj;J mf;nlhgu; 2006 elg;g[ (Work undertaken from Oct 2006 to ___________________ [today’s date: dd/mm/YYYY]- either providing the service OR developing new facility / service OR maintenance activity) mf;nlhgu; 2006 Kjy; ???????????????????????? nkw;bfhs;sg;gl;l ntiyfs; ( ,d;iwa njjp ehs;-khjk;-tUlk;) ? nrit tH’;Ftjw;fhfnth my;yJ g[jpa trjpfs;- nritfis nkk;gLj;jnth my;yJ guhkupg;g[ ntiyfSf;fhfnth)

Type of Work ntiyapd; jd;ik

Was this [TYPE OF WORK] undertaken in Village from Oct 2006 to TODAY? mf;nlhgu; 2006ypUe;J ,d;Wtiu nkw;bfhs;sg;gl;l ,e;j ntiy ,e;j fpuhkj;jpy; eil bgw;wjh> 01 = Yes Mk; 02 = No ,y;iy

If yes, what kind of work? 01= new facility/ service 02= maint-enance 03=both Mk; vdpy;. ve;j tifahd ntiy eilbghw;wJ 01 = g[jpa trjp my;yJ nrit 02 guhkupg;g[ 03= ,uz;Lk;

Where did the work take place? ,e;j ntiy v’;F eilbgw;wJ> Was that provision / development of new facility / service or maintenance activity? mJ g[jpa trjpfs;-nritfis nkk;gLj;Jtjw;fhdjh-my;yJ guhkupg;g[ eltof;ifah> 01 = Yes, new facility / service developed; 01=Mk;. g[jpa trjpfs;-nritfs; nkk;gLj;jg;gl;lJ 02 = Yes, maintenance activity taken place; 02=Mk;. guhkupg;g[ eltof;iffs; bray;gLj;jg;gl;ld 03 = Both - new facility / service developed & maintenance activity taken place 03=Mk;. ,uz;Lk; g[jpa trjpfs;-nritfis nkk;gLj;j kw;Wk; guhkupg;g[ eltof;iffs; Street-Neighborhood ID gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;

ST

RE

ET

ID

1

bjU milahs vz;

1

ST

RE

ET

ID

2

bjU milahs vz;

2 S

TR

EE

T I

D3

bjU milahs vz;

3 S

TR

EE

T I

D4

bjU milahs vz;

4 S

TR

EE

T I

D5

bjU milahs vz;

5 S

TR

EE

T I

D6

bjU milahs vz;

6 S

TR

EE

T I

D7

bjU milahs vz;

7

Q.no 464. 465. 466.

1. Purity of drinking water Fo jz;zPiuj; J}a;ikg; gLj;JtJ

2. Supply of drinking water FoePu; tpepnahfk;

3. Sanitation/ sewage Rfhjhuk;-fHpt[ ePufw;WtJ

4. Roads rhiy mikg;gJ

5. Communication Facilities (e.g. PCO, Post office) jfty; bjhlu;g[ trjpfs; (ck; gprpX. m”;ry; epiyak;)

6. Local Transport cs;S:u; nghf;F tuj;J

7. School quality and access [building schools, improvement, painting, etc] gs;spf;Tlj;jpd; juk; kw;Wk; nkk;gLj;Jjy; (gs;spf;Tl’;fs; fl;Ljy; . trjpfis nkk;gLj;Jjy; bgapd;o’; nghd;wit)

8. Health Mnuhf;fpak;

9. Childcare or child facility, including balwadi FHe;;ijfs; guhkupg;g[. my;yJ FHe;ijf;fhd trjpfs; . ghy;tho cl;gl


Type of Work ntiyapd; jd;ik

Was this [TYPE OF WORK] undertaken in Village from Oct 2006 to TODAY? mf;nlhgu; 2006ypUe;J ,d;Wtiu nkw;bfhs;sg;gl;l ,e;j ntiy ,e;j fpuhkj;jpy; eil bgw;wjh> 01 = Yes Mk; 02 = No ,y;iy

If yes, what kind of work? 01= new facility/ service 02= maint-enance 03=both Mk; vdpy;. ve;j tifahd ntiy eilbghw;wJ 01 = g[jpa trjp my;yJ nrit 02 guhkupg;g[ 03= ,uz;Lk;

Where did the work take place? ,e;j ntiy v’;F eilbgw;wJ> Was that provision / development of new facility / service or maintenance activity? mJ g[jpa trjpfs;-nritfis nkk;gLj;Jtjw;fhdjh-my;yJ guhkupg;g[ eltof;ifah> 01 = Yes, new facility / service developed; 01=Mk;. g[jpa trjpfs;-nritfs; nkk;gLj;jg;gl;lJ 02 = Yes, maintenance activity taken place; 02=Mk;. guhkupg;g[ eltof;iffs; bray;gLj;jg;gl;ld 03 = Both - new facility / service developed & maintenance activity taken place 03=Mk;. ,uz;Lk; g[jpa trjpfs;-nritfis nkk;gLj;j kw;Wk; guhkupg;g[ eltof;iffs; Street-Neighborhood ID gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;gzp nkw;bfhs;sg;gl;l bjU? mUfhikapy; cs;s miahs vz;

ST

RE

ET

ID

1

bjU milahs vz;

1

ST

RE

ET

ID

2

bjU milahs vz;

2 S

TR

EE

T I

D3

bjU milahs vz;

3 S

TR

EE

T I

D4

bjU milahs vz;

4 S

TR

EE

T I

D5

bjU milahs vz;

5 S

TR

EE

T I

D6

bjU milahs vz;

6 S

TR

EE

T I

D7

bjU milahs vz;

7

10. Housing-[Subsidised / Free construction/ improvement/ maintenance, slum upgradation] tPl;L trjp ? (khdpak; tH’;FtJ-,ytrkhf tPL fl;oj; jUtJ my;yJ trjpfis nkk;gLj;JtJ . Foirfisj; juk; cau;j;Jjy; nghd;wd)

11. Irrigation facilities / Public Irrigation Facilities (Construction / Maintenance / Improvement) ghrd trjpfs;-bghJ ePu;g;ghrd trjpfs; (fl;Lkhdk;-guhkupg;g[-nkk;gLj;Jjy;)

12. Water harvesting ePu; tsj;ij nkk;gLj;Jjy;

13. canals (Cleaning / construction / improvement) tha;f;fhy;fs; (Rj;jg;gLj;jy; -fl;Lkhdk;- nkk;gLj;jy;)

14. Electric supply kpd; ,izg;g[f;fs; tH’;FtJ - kpd; tpdpnahfk;

15. Street Light bjU tpsf;F


DETAILS OF THE PREVIOUS TWO GRAM SABHAS HELD IN THE VILLAGE Kd;djhf fpuhkj;jpy; Kd;djhf fpuhkj;jpy; Kd;djhf fpuhkj;jpy; Kd;djhf fpuhkj;jpy; eilbgw;w eilbgw;w eilbgw;w eilbgw;w ,uz;L fpuhk rghf;fspd; ,uz;L fpuhk rghf;fspd; ,uz;L fpuhk rghf;fspd; ,uz;L fpuhk rghf;fspd; tptu’;fs;tptu’;fs;tptu’;fs;tptu’;fs;

Q. no

Details tptu’;fstptu’;fstptu’;fstptu’;fs; ; ; ;

Last Gram sabha

filrp fpuhk rig

Previous Gram sabha Ke;ija fpuhk rig

467. When was the meeting held? Tl;lk; vg;nghJ eilbgw;wJ>

Year YYYY tUlk; ???????

Month khjk;

468. What time did the meeting begin? Tl;lk;; ve;j neuj;jpy; bjhl';fpaJ> Time neuk;

469. Where did the meeting take place?

Tl;lk;; v’;nf ele;jJ> Under a tree kuj;joapy;

01 01

In a School gs;spapy;

02 02

In the Panchayat Office g”;rhaj;J mYtyfj;jpy;

03 03

In the Temple nfhapypy;

04 04

President’s house jiytu; tPl;oy;

05 05

SHG’S building Ra cjtpf; FG fl;olj;jpy;

06 06

VAO Office fpuhk epu;thf mYtyu; mYtyfj;jpy;

07 07

Other place [Specify] ________ kw;wit (Fwpg;gplt[k;)

08 08

470. Duration of meeting (minutes) Tl;lk; vt;tst[ neuk; eilbgw;wJ (epkpl’;fs;)

471. How long in advance of the meeting was it announced to the public? (DAYS) Tl;lk; elg;gjw;F . vj;jid ehl;fSf;F Kd;djhf bghJkf;fSf;F mwptpf;fg;gl;lJ> (ehl;fs;)

472. How was it announced to the public? (code all applicable) mJ bghJkf;fSf;F vg;go mwptpf;fg;gl;lJ> (bghUe;Jtd midj;ija[k; Fwpf;ft[k;)

Village / ward notice board fpuhkk; - thu;L mwptpg;g[g; gyif

01 01

Public announcement (megaphone) bghJ mwptpg;g[ (bkfh`nghd;)

02 02

Beating drums / tom tom jz;nlhuh-lhk; lhk;

03 03

Pamphlet gpuRuk;

04 04

Newspaper/magazine bra;jpjhs; - gj;jpupiffs;;

05 05

Radio/TV thbdhyp - bjhiyf;fhl;rp

06 06

Govt. official/GP secretary (clerk) muR mYtyu; - fpuhk g”;rhaj;J brayhsu; (vGj;ju;)

07 07

Panchayat President/ Vice President / Ward member g”;rhaj;J jiytu; - Jizj; jiytu; - thu;L cWg;gpdu;

08 08

Party worker murpay; fl;rpf;fhf ntiy bra;gtu;fs;

09 09

Other community leader kw;w rKjha jiytu;fs;

10 10

NGO / Community Organization muRrhuh bjhz;L epWtd’;fs;-rKjha epWtd’;fs;

11 11

Other (Specify) kw;wit (Fwpg;gpLf)

12 12


Q. no


Last Gram sabha

filrp fpuhk rig


473. Who chaired the meeting? Tl;lj;jpw;F ahu; jiyik jh’;fpdhu;fs;>

GP President fpuhk g”;rhaj;J jiytu; 01 01

President's spouse jiytupd; Jiztu;

02 02

Other member of President's family jiytupd; FLk;gj;jpYs;s kw;w cWg;gpdu;

03 03

GP Clerk fpuhk g”;rhaj;J vGj;ju; 04 04

GP Vice President fpuhk g”;rhaj;J Jizj;jiytu;

05 05

Other GP member kw;w fpuhk g”;rhaj;J cWg;gpdu;

06 06

Higher Panchayat Members (like councilor, Union Chairman, etc) cau;epiy g”;rhaj;J cWg;gpdu;fs; (ft[d;rpyu;. xd;wpa jiytu;fs; nghd;wtu;fs;)

07 07

Higher panchayat Government official (Block or District level official) cau;epiy g”;rhaj;J murh’;f mYtyu;fs; (tl;lk; my;yJ khtl;l mstpy;)

08 08

Other influential person in the village fpuhkj;jpy; cs;s ,ju bry;thf;F cs;s kdpju;fs;

09 09


10 10

474. Number of panchayat members attended Tl;lj;jpw;F tUif je;j g”;rhaj;J cWg;gpdu;fspd; vz;zpf;if

475. Number of citizens attended Tl;lj;jpw;F tUif je;j Fokf;fspd; vz;zpf;if

476. Number of those in attendance who were female tUif je;jtu;fspy; bgz;fspd; vz;zpf;if

477. Number of those in attendance who were from SC tUif je;jtu;fspy;; jhH;j;jg;gl;l rK:fj;jpdupd; vz;zpf;if

478. Number of those in attendance who were from a ST tUif je;jtu;fspy;; gH';Fo rK:fj;jpdupd; vz;zpf;if

479. Number of higher level government officials attending tUif je;jtu;fspy; murh’;f caujpfhupfspd; vz;zpf;if

480. 3 MOST IMPORTANT ISSUES DISCUSSED/ DECISIONS TAKEN * 3 Kf;fpa gpur;rpidfs; fye;jhnyhrpf;fg;gl;lJ-Kot[ vLf;fg;gl;lJ DECISION codes: jPu;khd FwpaPL 01 = secret ballot0 02 = show of hands 03 = voice vote 04=convener decided 05=president decided 06=ward members decided later 07=no vote *discussed for the longest time 01=,ufrpa thf;bfLg;g[ 02=iffis cau;j;Jjy; 03=Fuy; thf;bfLg;g[ 04=rig elj;Jgtu; Kot[ bra;jhu; 05=jiytu; Kot[ bra;jhu;; 06=thu;L cWg;gpdu;fs; gpd;du; jPu;khdpj;jdu; 07=thf;bfLg;g[ ,y;iy *mjpf neuk; fye;Jiuahodhh;fs;

Most important

Issue kpf Kf;fpakhd gpur;rpid

Issue [WRITE EXACTLY] gpur;rpid ? (brhy ;tij mg ;gona vGJf)

Issue (code given below) gpur;rpid (FwpaPL)

vote type Xl;od; tif

Second most important

Issue ,uz;lhtJ Kf;fpakhd gpur;rpid




Third most important

Issue K:d;whtJ Kf;fpakhd gpur;rpid





Q. no


Last Gram sabha

filrp fpuhk rig


481. Presentation or approval of budget? gl;b$l; rku;g;gzk; bra;ag;gl;ljh my;yJ xg;g[jy; mspf;fg;gl;ljh>

presentation only rku;g;gzk; kl;Lk; 01 01

budget presented and approved rku;g;gpf;fg;gl;L xg;g[jy; bgwg;gl;lJ 02 02

budget presented but not approved gl;b$l; rku;g;gpf;fg;gl;lJ Mdhy; xg;g[jy;;; bgwtpy ;iiy

03 03

budget not presented gl;b$l; rku;g;gpf;fg;gltpy;iy 04 04

482.

Approval of beneficiaries on the agenda? m$d;lhtpy; ,lk; bgw;wpUe;j gadhsp fSf;F xg;g[jy; jug;gl;ljh>

yes, passed unchanged khw;wkpy;yhky; xg;g[jy; bra;ag;gl;lJ 01 01

yes, passed after changes Mk;. khw;w’;fSf;Fg; gpd;du; xg;g[jy; bra;ag;gl;lJ

02 02

yes, but not approved Mk; . Mdhy; xg;g[jy; jug;gltpy;iy 03 03

no ,y;iy 04 04

483. Are the minutes publicly available? [right now] Tl;lj;jpd; epfH;r;rpf; Fwpg;ngLfs; bghJkf;fs; ghh;itf;F fpilf;fpwjh> (,g;nghJ Tl)

Yes Mk; 01 01

No ,y;iy 02 02

Gram Sabha – issues discussed CODE fpuhk rig ? fye;jhnyhrpj;j gpur;rpidfspd; FwpaPL

Options CODES Road rhiy 01 Transport nghf;Ftuj;J 02 Health cly; eyk; 03 Education fy;tp 04 Irrigation water ghrdj;jpw;fhd jz;zPh 05 Drinking water Fo jz;zPu; 06 Other agriculture related tptrhak; bjhlu;ghd kw;w gpur;rpidfs; 07 Ceremonies / Festivals g{i$fs;-tpHhf;fs; 08 Disputes tpthj’;fs; 09 Sewage / Sanitation rhf;fil-Rfhjhuk; 10 Construction other than roads or irrigation rhiy kw;Wk; ghrdk; my;yhj fl;Lkhd gzp 11

Access to and use of lands of the panchayat g";rhaj;J epy';fis gad;gLj;JtJ gw;wp 12

Unemployment schemes ntiy ,y;yhjth;fSf;fhd jpl;l’;fs; 13 Civil Supplies (ration shops) Foikg; bghUl;fs; tH’;Fjy; (nu&d; filfs;) 14

Availability of credit fpilf;Fk; fld;fisg; gw;wp 15 Usage of common property bghJ brhj;ij cgnahfpg;gJ Fwpj;J 16 Street light bjUtpsf;F 17 Electricity supply kpd;rhu tpepnahfk; 18 Cremation ground RLfhL 19 Other (specify) kw;wit (Fwpg;gpLf) 20


LOCATION AND CHARACTERISTICS OF SCHOOLS WITHIN VILL AGE OR WITHIN WALKING DISTANCE OF VILLAGE fpuhkj;jpy;; cs;s my;yJ fpuhkj;jpypUe;J eilJ}uj;jpy; cs;s gs;spf;Tl’;fs; mike;Js;s ,lk; kw;Wk; gz;g[fs; RECORD AS SEPARATE SCHOOL, IF 2 DIFFERENT SYLLABI FOLLOWED IN A SINGLE SCHOOL (LIKE MATRICULATION & CBSE SYLLABUS) xnu gs;spapy; ,uz;L ntW ghl jpl;l’;fs; elj;jpdhy; jdpj;jdp gs;spahf gjpt[ bra;at[k; Fwpg;gplt[k; (bkl;upf;Fny&d;. rpgpv!;, ghlKiw)

SC

HO

OL

FA

CIL

TY

ID

gs;spapd; milahs vz;

NAME OF THE SCHOOL

gs;spf;Tlj;jpd; gs;spf;Tlj;jpd; gs;spf;Tlj;jpd; gs;spf;Tlj;jpd; bgau;bgau;bgau;bgau;

GPS READING OF SCHOOLS

gs;spf;Tl’;fspd; $pgpv!; uPo’;

If outside village: distance from village (km.) fpuhkj;jpw;F btspna vdpy;

fpuhkj;jpy; ,Ue;J vt;tst[ J}uk; (fpkP)

What type of school is

this?

,J ve;j tifahd gs;sp>

CODE FwpaPL

What was / is educational system followed? gpd;gw;wg;gLk; fy;tp Kiw[ vd;dthf ,Ue;jJ - cs;sJ>

CODE FwpaPL

School management

gs;sp nkyhd;ik

CODE FwpaPL

Year established

YYYY

Jtf;fg;gl;l tUlk;

Primary Language of instruction ( Spoken

language for teaching) CODE

fw;gpf;Fk;

Kjd;ikahd bkhHp (ngRk; bkhHpapy;

fw;gpj;jy;) (FwpaPLfs; fPnH

bfhLf;fg;gl;Ls;sd)

Language of

textbooks CODE

ghlg; g[j;jf’;fspd; bkhHp (FwpaPLfs; fPnH

bfhLf;fg;gl;Ls;sd)

Do students learn a second language khztu;fs; ,uz;lhtJ bkhHp gapy; fpd;whuh>

Second Language Taught fw;gpf;fg;gLk; ,uz;lhtJ

bkhHp What is the

second language studied?

(CODES) ,uz;lhtjhf vd;d bkhHp fw;gpf;fg;gLfp

wJ> (fPnH

Fwpg;gplt[k;)

What time spent studying

anguage per week? [TO NEAREST QUARTER

HOUR. thuj;jpw;F vj;jid kzp neuk; ,uz;lhtJ bkhHpia fw;gjw;F brytplg; gLfpwJ> (kzpapy;)

Yes Mk;

No ,y;iy

→→→→496

484. 485. 486. 487. 488. 489. 490. 491. 492. 493. 494. 495.

S1 N: 01 02

E:

S2 N: 01 02

E:

S3 N: 01 02

E:

S4 N: 01 02

E:

S5 N: 01 02

E:

S6 N: 01 02

E:


Type of School CODE

Options Code

Pre – school Muk;gg; gs;sp 01 Primary School only

bjhlf;fg; gs;sp kl;Lk; 02

Primary with Upper Primary School

bjhlf;fg; gs;spa[k; eLepiyg; gs;spa[k; 03

Primary with Upper primary school and secondary/higher secondary school

bjhlf;fg; gs;sp.; eLepiyg; gs;sp. cau;; epiyg; gs;sp kw;Wk; nky; epiyg; gs;sp ,ize;jJ

04

Upper primary school only

eLepiyg; gs;sp kl;Lk; 05

Upper primary school with secondary/higher secondary school

eL epiyg; gs;sp. cau; epiyg; gs;sp kw;Wk; nky; epiyg; gs;sp ,ize;jJ

06

Secondary/ Higher Secondary school only

cau; epiyg; gs;sp - nky; epiyg; gs;sp kl;Lk;

07

College fy;Y}hp 08 Industrial Training

bjhHpw; gapw;rp 09

Vocational Training

ifj;bjhHpw; gapw;rp 10

Others (Specify) kw;wit (Fwpg;gplt[k; 11

Education – standard CODE

Options Code

Pre KG ghy;tho 01 Kindergarten (LKG/ UKG) kHiyau; gs;sp 02

1st standard 1Mk; tFg;g[ 03 2nd standard 2Mk; tFg;g[ 04 3rd standard 3Mk; tFg;g[ 05 4th standard 4Mk; tFg;g[ 06 5th standard 5Mk; tFg;g[ 07 6th standard 6Mk; tFg;g[ 08 7th standard 7Mk; tFg;g[ 09 8th standard 8Mk; tFg;g[ 10 9th standard 9Mk; tFg;g[ 11 10th standard / SSLC 10Mk; tFg;g[ - v!;v!;vy;rp 12

11th standard / Junior college 11Mk; tFg;g[- $Pdpau; fhny$; 13

12th std /HSC/ Junior college 12Mk; tFg;g[-v!;v!;vy;rp-$Pdpau; fhny$;

14

School management CODE

Options Code Department of education fy;tpj; Jiw 01

Tribal/social welfare dept gH’;Foapdu; - rK:f eythH;j;Jiw 02

Local body school cs;S:u; epu;thf gs;sp 03

Private aided muR cjtp bgWk; jdpahu; gs;sp 04

Private unaided school muR cjtp bgwhj jdpahh;gs;sp 05

Other recognized school kw;w m’;fPfupf;fg;gl;l gs;spfs; 06

Unrecognized schools – religious m’;fPfupf;fg;glhj gs;spfs; ? kjk; rhu;e;jit

07

Other Unrecognized schools kw;w m’;fPfupf;fhj gs;spfs; 08

Others kw;wit 09

Language CODE

Options Code Tamil jkpH; 01 English M’;fpyk; 02 Hindi ,e;jp 03 Telugu bjY’;F 04 Kannada fd;dlk; 05 Malayalam kiyahsk; 06 Urdu cUJ 07 Others (specify) ____________


Education system CODE Code State board khepyf; fy;tp thupak; 01

Matriculation bkl;upFny&d; 02

Central board (CBSE) kj;jpaf; fy;tp thupak; (rpgpv!;<)

03

Anglo Indian (AISC) M';fpnyh ,e;jpad; 04

Others (Specify) _______________ kw;wit (Fwpg;gplt[k;)

05


SCHOOLS: BASIC INFO CONT. gs;spf;Tl’;fs; ? mog;gilj; jfty;fs; ? bjhlh;r;rpgs;spf;Tl’;fs; ? mog;gilj; jfty;fs; ? bjhlh;r;rpgs;spf;Tl’;fs; ? mog;gilj; jfty;fs; ? bjhlh;r;rpgs;spf;Tl’;fs; ? mog;gilj; jfty;fs; ? bjhlh;r;rp

SC

HO

OL

FA

CIL

TY

ID

gs;spf;Tl trjp milahs vz; Length of typical

school day (exclude extra classes,

extracurriculars, etc.) rhjhuz ehspy;

gs;spf;Tlj;jpd; ntiy neuk;

(rpwg;g[ tFg;g[f;fis nru;f;f ntz;lhk;)

Specify no. of Hours kzp neu’;fspd; vz;zpf;if

Time Check

In the past 30 days the school was supposed to be

open, how many days was it open?

fle;j 30 ehl;fspy;

gs;sp jpwe;jpUf;fg;gl

ntz;oa ehl;fspy; vj;jid ehl;fs; gs;spf;Tlk; jpwe;jpUe;jJ>

Are school uniforms required?

gs;spf;Tlj;jpw;F rPUil mky;

bra;ag;gl;Ls;sjh>

Do any students not possess

textbooks used for ONE or

MORE of their classes?

khztu;fs; ahuhtJ ghlg; g[j;jf’;fs;

,y;yhky; xd;W my;yJ mjw;F nkw;gl;l

tFg;g[fSf;F tUfpwhu;fsh>

If yes, what percent of students do not have

access to needed textbooks?

Mk; vdpy; vj;jid rjtPj khztu;fs; njitahd

ghlg;g[j;jf’;fs; itj;jpUg;gjpy;iy>

From what source(s) do most students in this school obtain textbooks? ,e;j gs;spf;Tlj;jpYs;;s bgUk;ghyhd khztu;fs; v’;fpUe;J g[j;jf’;fs; th’;Ffpwhu;fs;>

borrow from school gs;spf;Tlj;jpy; ,uty; 01

given free of charge from school gs;spf;Tlj;jpy; fl;lzkpd;wp ,ytrkhf jug;gLfpwJ

02

purchased from school gs;spf;Tlj;jpy; th’;fg;gLfpwJ 03

purchased from other source gpw ,l’;fspy; th’;fg;gLfpwJ 04

photocopy efy; vLf;fg;gLfpwJ 05

used sibling's or other already owned rnfhju rnfhjupfs; my;yJ Vw;fdnt brhe;jkhf itj;jpUe;jth;fsplkpUe;J

06

other (Specify) kw;wit Fwpg;gplt[k;) 07

Time begun

Jt’;Fk; neuk;

Time ended

Koa[k; neuk;

AM fhiy

PM khiy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy �� 503

Source 1 Mjhuk; 1

(kpft[k; bghJthd)

Source 2 Mjhuk; 2

Source 3 Mjhuk; 3

Sl.no 496. 497. 498. 499. 500. 501. 502. 503.

S1 01 02 01 02

S2 01 02 01 02

S3 01 02 01 02

S4 01 02 01 02

S5 01 02 01 02

S6 01 02 01 02


List all fees that students are required to pay (e. g. school fee, term fee, admission fee, ID card fee) khztu;fs; fl;l ntz;oa vy;yh fl;lz’;fisa[k; gl;oayplt[k;/ (ck;/ gs;spf;Tl fl;lzk; fhykhztu;fs; fl;l ntz;oa vy;yh fl;lz’;fisa[k; gl;oayplt[k;/ (ck;/ gs;spf;Tl fl;lzk; fhykhztu;fs; fl;l ntz;oa vy;yh fl;lz’;fisa[k; gl;oayplt[k;/ (ck;/ gs;spf;Tl fl;lzk; fhykhztu;fs; fl;l ntz;oa vy;yh fl;lz’;fisa[k; gl;oayplt[k;/ (ck;/ gs;spf;Tl fl;lzk; fhytiuf;fhdtiuf;fhdtiuf;fhdtiuf;fhd fl;lzk;. mDkjpf; fl;lzk;. milahs ml;il fl;lzk; )fl;lzk;. mDkjpf; fl;lzk;. milahs ml;il fl;lzk; )fl;lzk;. mDkjpf; fl;lzk;. milahs ml;il fl;lzk; )fl;lzk;. mDkjpf; fl;lzk;. milahs ml;il fl;lzk; ) SCHOOL – 1 NAME____ ___ FACILITY ID: gs;sp ? 1 bgau; gs;spf;Tl trjp milahs vz; :

Classes tFg;g[f;fs;

Tution Fees fy;tp fl;lz’;fs;

Uniforms rPUilfs;

Books & Stationary g[j;jf’;fs; kw;Wk; vGJ bghUl;fs;

Other Small Fees kw;w rpW fl;lz’;fs;



amoun

t (Rs.) bjhif

(U:) NOTE : IF “0” Fwpg;g[ ?;

“0” vdpy;;

→→→→ 506

How often paid? vt;tst[

mof;fo fl;lg;gL fpwJ>

amount (Rs.) bjhif

(U:) NOTE : IF “0” Fwpg;g[ :

“0” vdpy;

→→→→508508508508



amount (Rs.) bjhif

(U:) NOTE : IF “0”

→ → → → 510 Fwpg;g[ :

“0” vdpy;

→ → → → 510



amount (Rs.) bjhif

(U:) NOTE : IF “0”

→ → → → 512 Fwpg;g[ :

“0” vdpy;

→ → → → 512



amount (Rs.) bjhif

(U:) NOTE : IF “0”

→ → → → 514 Fwpg;g[ :

“0” vdpy;

→ → → → 514

how often paid? vt;tst[


amount (Rs.)

bjhif (U:) NOTE : IF “0” SKIP TO NEXT

STD Fwpg;g[ :

“0” vdpy; mLj;j tFg;gpw;F bry;yt[k;



Number of

times vj;jid jlit fs ;

Per week – 1, Per month – 2, In a Year – 3

thuk;?1 khjk;?2 tUlk;?3

Number of




Number of times vj;jid jlit fs ;






Number of




Number of times vj;jid jlit fs ;;



Std. 504. 505. 506. 507. 508. 509. 510. 511. 512. 513. 514. 515.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03


SCHOOL – 2 NAME____ ___ FACILITY ID: gs;sp ? 2 bgau; gs;spf;Tl trjp milahs vz; :

Classes tFg;g[f;fs;


Uniforms rPUilfs;





amount (Rs.) bjhif

(U:)

if 00 ��518



amount (Rs.) bjhif

(U:)

if 00 ��555520202020



amount (Rs.) bjhif

(U:) ;

if 00 ��522



amount (Rs.) bjhif

(U:)

if 00 ��555524242424



amount (Rs.) bjhif

(U:)

if 00 ��555526262626



amount (Rs.)


STD Fwpg;g[ :




Number of




Number of










Number of







Standard 516. 517. 518. 519. 520. 521. 522. 523. 524. 525. 526. 527.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03



Classes tFg;g[f;fs;


Uniforms rPUilfs;





amount (Rs.) bjhif

(U:)

if 00 ��530



amount (Rs.) bjhif

(U:)

if 00 ��555533332222



amount (Rs.) bjhif

(U:) ;

if 00 ��534



amount (Rs.) bjhif

(U:)

if 00 ��555533336666



amount (Rs.) bjhif

(U:)

if 00 ��555533338888



amount (Rs.)


STD Fwpg;g[ :




Number of




Number of










Number of







Q.no 528. 529. 530. 531. 532. 533. 534. 535. 536. 537. 538. 539.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03



Classes tFg;g[f;fs;


Uniforms rPUilfs;





amount (Rs.) bjhif

(U:)

if 00 ��542



amount (Rs.) bjhif

(U:)

if 00 ��555544444444



amount (Rs.) bjhif

(U:) ;

if 00 ��546



amount (Rs.) bjhif

(U:)

if 00 ��555548484848



amount (Rs.) bjhif

(U:)

if 00 ��555550505050



amount (Rs.)


STD Fwpg;g[ :




Number of




Number of










Number of







Q.no 540. 541. 542. 543. 544. 545. 546. 547. 548. 549. 550. 551.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03



Classes tFg;g[f;fs;


Uniforms rPUilfs;





amount (Rs.) bjhif

(U:)

if 00 ��554



amount (Rs.) bjhif

(U:)

if 00 ��555556565656



amount (Rs.) bjhif

(U:) ;

if 00 ��558



amount (Rs.) bjhif

(U:)

if 00 ��555560606060



amount (Rs.) bjhif

(U:)

if 00 ��555562626262



amount (Rs.)


STD Fwpg;g[ :




Number of




Number of










Number of







Q.no 552. 553. 554. 555. 556. 557. 558. 559. 560. 561. 562. 563.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03



Classes tFg;g[f;fs;


Uniforms rPUilfs;





amount (Rs.) bjhif

(U:)

If 00 ��566



amount (Rs.) bjhif

(U:)

If 00 ��555568686868



amount (Rs.) bjhif

(U:) ;

if 00 ��570



amount (Rs.) bjhif

(U:)

if 00 ��555572727272



amount (Rs.) bjhif

(U:)

if 00 ��555574747474



amount (Rs.)


STD Fwpg;g[ :




Number of




Number of










Number of





P Per week – 1,

Per month – 2, In a Year – 3


Q.no 564. 565. 566. 567. 568. 569. 570. 571. 572. 573. 574. 575.

1st Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

2nd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

3rd Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

4th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

5th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

6th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

7th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

8th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

9th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03

10th Std 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03 01 02 03


SCHOOLS: ENROLLMENT AND TEACHER DETAILS ggggs;spf;Tl’;fs; ? khztu; nrh;f;if kw;Wk; Mrpupau; gw;wpa tptu’;fs;s;spf;Tl’;fs; ? khztu; nrh;f;if kw;Wk; Mrpupau; gw;wpa tptu’;fs;s;spf;Tl’;fs; ? khztu; nrh;f;if kw;Wk; Mrpupau; gw;wpa tptu’;fs;s;spf;Tl’;fs; ? khztu; nrh;f;if kw;Wk; Mrpupau; gw;wpa tptu’;fs;

School number gs;spf; Tl vz;

Details of Enrolled Students gs;spapy; nru;e;J gof;Fk; khztu;fspd;;; tptu’;fs;

Number of teachers Mrpupau;fspd; vz;zpf;if

Headmaster jiyik Mrpupah;

number of male

students Mz;;Mz;;Mz;;Mz;;

khztu;fspd;

vz;zpf;if

(2008 – 2009)

number of

female students bgz;;;bgz;;;bgz;;;bgz;;; khztpfspd;

vz;zpf;if

(2008 – 2009)

what percent of enrolled

students are in school on a typical day? gs;spapy; nru;e;J gof;Fk;

khztu;fspy; vj;jid rjtPjk; ngu; xU ruhrup ehspy; gs;spf;F

tUfpwhu;fs;> (2008 – 2009)

enrollment for

previous school year

Ke;ija Mz;oy; khztu; nru;f;if (2007 – 2008)

Sex ghypdk;

Qualification fy;tpj; jFjp

Experience mDgtk;

Sex;

Years in position gjtpapy; vj;jid tUl’;fs; ,Uf;fpwhu;>

Qualification fy;tpj; jFjp

high school diploma cau;epiy fy;tp- gl;lag; gog;g[

01

graduate degree ,sepiy gl;ljhup

02

post-graduate degree KJepiy gl;ljhup

03

Name, if resident of

village

fpuhk thrp vdpy; bgau; vd;d>

HH ID

FLk;g milahs vz;

Mem-ber ID cWg;gpdu; milahs vz;

M Mz;

F bgz;

Undergraduate (high school

diploma, etc.)

cau; epiy fy;tp- gl;lag; gog;g[

graduate degree (B.A., B.SC.,

B.COM) ,s epiy gl;ljhupfs;

post-graduate degree (M.A., M.SC.,

M.COM) KJ epiy gl;ljhupfs;

taught 2 years or

less

2 tUlk; my;yJ mjw;F Fiwthf gapw;Wtpj; Js;stu;f

s;

taught between 2

and 10 years

2 ?? 10 tUl’;fs; gapw;Wtpj; Js;stu;f

s;

taught 10 years or

more

10 ? tUl’;fSf;F nky; gapw;W tpj;Js;stu;fs;

M Mz;

F bgz;

576. 577. 578. 579. 580. 581. 582. 583. 584. 585. 586. 587. 588. 589. 590. 591. 592.

S1

01 02

S2

01 02

S3

01 02

S4

01 02

S5

01 02

S6

01 02


SCHOOLS: FACILITIES AND PROGRAMS gs;spf;Tl’;fs; ? trjpfs; kw;Wk; jpl;lgs;spf;Tl’;fs; ? trjpfs; kw;Wk; jpl;lgs;spf;Tl’;fs; ? trjpfs; kw;Wk; jpl;lgs;spf;Tl’;fs; ? trjpfs; kw;Wk; jpl;l’;fs;’;fs;’;fs;’;fs; Source of

drinking water CODE FoePUf; fhd Mjhuk; FwpaPL

Does the school have

electricity? gs;spf; Tlj;jp;y; kpd; trjp ,Uf;fpw jh>

Does your school have a library? c’;fs; gs;spapy; xU E}yfk; cs;sjh>

If yes, approximately how many books does it have? \ Mk; vdpy; . njhuha khf mjpy; vj;jid g[j;jf’;fs; cs;sd>

Does the school provide midday meals? gs;spapy; kjpa czt[ tH’;fg; gLfpwjh> 01 = yes, to all students Mk;/ vy;nyhUf;Fk; 02 = yes, only to some students Mk;. rpy khztu; fSf;F kl;Lk; 03 = no

,y;iy

Does the school have a parents' committee or PTA? gs;spapy; bgw;nwhu; mikg;g[ my;yJ bgw;nwhh; Mrpupau; fHfk; cs;sjh>

If yes, how many times has it met in the previous year? Mk; vdpy;. mJ fle;j tUlj;jpy; vj;jid Kiw To cs;sJ> vz;zpf;if

How many [ . . .] does your school have? c’;fs; gs;spapy; vj;jid /////// cs;sJ>

Does the school have [ . . .]? 1 = yes; 2 = no [ . . .]gs;spapy; ,Uf;fpwjh> 1=Mk;. 2=,y;iy

Computers for students use khztu;fs; gad; gLj;j fk;g;a{l;lu;fs;

Functional Lavatories fHpg;giwfs;

Black boards fUk; gyif fs;

vz;zpf;if

Nos. vz;zpf;if

No. of classrooms for teaching. ghlk; elj;Jk; tFg;giwfspd; vz;zpf;if

Nos. vz;zpf;if

Laboratory gupnrhjidf; Tlk;

playground / sports field tpisahl;L ikjhdk

FURNITURE FOR

TEACHERS Mrpupau; fSf;fhd ehw;fhyp nkirfs;

connected to the internet ,d;lu;; bel; ,izg;g[ld; vj;jid cs;sd> Nos. vz;zpf;if

not connected ,d;lu; bel; ,izg;g[ ,y;;yhky; vj;jid cs;sd> Nos. vz;zpf;if

girls only khztpfSf;F kl;Lk; Nos. vz;zpf;if

Common toilet ,UghyUf;fhd fHptiw Nos. vz;zpf;if

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

→ → → → 597597597597

Yes Mk;

No ,y;iy→→→→

600600600600

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

Yes Mk;

No ,y;iy

593. 594. 595. 596. 597. 598. 599. 600. 601. 602. 603. 604. 605. 606. 607. 608.

S1 01 02 01 02

01 02

01 02 01 02 01 02

S2 01 02 01 02

01 02

01 02 01 02 01 02

S3 01 02 01 02

01 02

01 02 01 02 01 02

S4 01 02 01 02

01 02

01 02 01 02 01 02

S5 01 02 01 02

01 02

01 02 01 02 01 02

S6 01 02 01 02

01 02

01 02 01 02 01 02


HEALTH SERVICES: VISITS BY OUTSIDE VILLAGE HEALTH W ORKERS Rfhjhu Rfhjhu Rfhjhu Rfhjhu nritfs;nritfs;nritfs;nritfs; ???? btsp fpuhkj;jpypUe;J ghh;itapLk; btsp fpuhkj;jpypUe;J ghh;itapLk; btsp fpuhkj;jpypUe;J ghh;itapLk; btsp fpuhkj;jpypUe;J ghh;itapLk; Rfhjhu Rfhjhu Rfhjhu Rfhjhu gzpahsu;fs;gzpahsu;fs;gzpahsu;fs;gzpahsu;fs;

Type of services nritfspd; tif

Frequency of visits by (code)* vt;tst[ fhy ,ilbtspapy; tprpl; bra;ag;gLfpwJ> (FwpaPL) *

Do the visitor(s) conduct this effort at an existing medical clinic/facility in the village? ,e;j Rfhjhu gzpahsu;fs; c’;fs; Chpy; ,g;nghJs;s xU kUj;Jtkid- kUj;Jt trjpa[s;s ,lj;jpy; nrit bra;fpwhu;fsh>

If yes, where have these efforts conducted ?

Mk; vdpy;. v’;F ,Ue;J eltof;if

vLf;fg;gLfpwJ> [write exactly]

(rupahf vGjt[k;) bgau;. kUj;Jt nrit tH’;Fk; ,lj;jpd; tif (m’;fd;tho. kUe;jfk; ,ju)

MULTICODING

POSSIBLE gy gjpy;fs; rhj;jpak;

Health FACILITY

ID (Copy from

Village Question-

naire)

Rfhjhu trjpfs; milahs vz;

Doctors from govt. or other govt. officials murh’;f lhf;lu;fs; my;yJ gpw murh’;f mYtyu;fs;

Doctors: NGO, university, religious organization bjhz;L epWtd’;fs;. gy;fiyf; fHf’;fs; kw;Wk; kj mikg;g[fspypUe;J tUk; lhf;lu;fs;

Other visiting medical personel/ paramedics/VHN/CHN tprpl; bra;a[k; gpw kUj;Jt mYtyu;fs;- kUj;Jt fsg;gzpahsu;fs;-tpvr;vd;-rpvr;vd;-gzpahsh;fs;

Number of times Note: If “On call / emergency” – write 1, circle “4; If “Never” – record “0” and circle “5” in the next column. tprpl; bra;a[k; vz;zpf;iffs; Fwpg;g[ ? Tg;gpl;l neuj;jpy; mtruk; vdpy;. 1 vGjp 4?I tl;lkplt[k; ,y;iybadpy; 0?it gjpt[ bra;J 5?I tl;lkplt[k;

Per week – 1, Per month – 2, Per Year – 3 On call / emergency – 4 Never – 5 thuk;?1 khjk;?2 tUlk;?3 mtruj;jpy;?4 xUbghGJk; ,y;iy?5

Number of times Note: If “On call / emergency” – write 1 and circle “4” If “Never” – record “0” and circle “5” in the next column. tprpl; bra;a[k; vz;zpf;iffs; Fwpg;g[ ? Tg;gpl;l neuj;jpy; mtruk; vdpy;. 1 vGjp 4?I Fwpg;gplt[k; ,y;iybadpy; 0?it gjpt[ bra;J 5?I tl;lkplt[k;


Number of times Note: If “On call / emergency” – write ,circle “4”; If “Never” – record “0” and circle “5” in next column. tprpl; bra;a[k; vz;zpf;iffs; Fwpg;g[ ? Tg;gpl;l neuj;jpy; mtruk; vdpy;. 1 vGjp 4?I Fwpg;gplt[k; ,y;iybadpy; 0?it gjpt[ bra;J 5?I tl;lkplt[k;


Yes Mk;

No ,y;iy ��NEXT

ROW

609. 610. 611. 612. 613. 614. Water purification jz;zPu; Rj;jfupg;g[

Chlorinate wells Fnshupd; fyf;fg;gLk; fpzWfs;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

Malaria eradication knyupah xHpg;g[

Spraying bjspj;jy;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

Blood slides ,uj;j rhk;gps; !;iyLfs;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

01

02 → → → → Next

type

Quinine pills Fapdh khj;jpiufs;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

01

02 → → → → Next

type

Other malaria eradication efforts (specify): kw;w knyupah XHpg;g[ Kiwfs;;;; (Fwpg;gpLf)

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

01

02 → → → → Next

type

Blindness prevention & cure fz;;; ghu;it ,Hg ;ig jLj ;jy ; kw ;Wk ; Fzg ;gLj ;Jjy ;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

01

02 → → → → Next

type









MULTICODING


Health FACILITY

ID (Copy from

Village Question-

naire)











Yes Mk;

No ,y;iy ��NEXT

ROW

609. 610. 611. 612. 613. 614. Immunization of children FHe;ijfSf;F jLg;g{rp

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5

01

02 → → → → Next

type

Help for pregnant women fh;gpzpg; bgz;fSf;fhd cjtpfs;

Iron & Vitamin pills ,Uk;g[r; rj;J & tpl;lkpd; khj;jpiufs;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01

02 → → → → Next

type

Prenatal check-ups gpurtj;jpw;F Ke;ija gupnrhjidfs;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02

→ → → → Next type

Deliver babies gpurtk; ghu;j;jy;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


Other help for pregnant women (specify): fUt[w;w bgz;fSf;F kw;w cjtpfs; (Fwpg;gpLf)

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02










MULTICODING


Health FACILITY

ID (Copy from

Village Question-

naire)











Yes Mk;

No ,y;iy ��NEXT

ROW

609. 610. 611. 612. 613. 614. Nutritional supplements Cl;lr;rj;J <L bra;a[k;; bghUl;fs;

For breast-feeding women ghY}l;Lk; jha; khu;fSf;F

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


For children FHe;ijfSf;F

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


For everyone vy;nyhUf;Fk;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


General health education / advice bghJ Mnuhf;fpa fy;tp-mwpt[iu

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


Family planning education FLk;gf; fl;Lg;ghl;Lf; fy;tp

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


Condom distribution Mqiw tpdpnahfk;

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02 → → → → Next









MULTICODING


Health FACILITY

ID (Copy from

Village Question-

naire)











Yes Mk;

No ,y;iy ��NEXT

ROW

609. 610. 611. 612. 613. 614. Other (specify): kw;wit (Fwpg;gpLf)

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02


Other (specify): kw;wit (Fwpg;gpLf)

1 2 3 4 5

1 2 3 4 5

1 2 3 4 5 01 02 → 6→ 6→ 6→ 611115555


TYPES OF HEALTH WORKERS CURRENTLY AVAILABLE IN THIS VILLAGE: ,e;j ,e;j ,e;j ,e;j fpuhkj;jpy; fpuhkj;jpy; fpuhkj;jpy; fpuhkj;jpy; jw;rkak; jw;rkak; jw;rkak; jw;rkak; fpilf;Fk; fpilf;Fk; fpilf;Fk; fpilf;Fk; Rfhjhu Rfhjhu Rfhjhu Rfhjhu gzpahsu;fsgzpahsu;fsgzpahsu;fsgzpahsu;fspd; tifpd; tifpd; tifpd; tif

Q. no

Options CODE

615. Is there Trained dai available in this Village? gapw;rp bgww jha; ,e;j fpuhkj;jpy; cs;shuh>


616. Is there Trained male health worker available in this Village? gapw;rp bgw;w Mz; Rfhjhu gzpahsu; ,e;j fpuhkj;jpy; cs;shuh>


617. Is there Trained female health worker available in this Village? gapw;rp bgw;w bgz; Rfhjhu gzpahsu; ,e;j fpuhkj;jpy; cs;shuh>


NEAREST HEALTH CARE PROVIDERS OUTSIDE THE VILLAGE fpuhkj;jpw;F btspfpuhkj;jpw;F btspfpuhkj;jpw;F btspfpuhkj;jpw;F btspapy; mUfhikapapy; mUfhikapapy; mUfhikapapy; mUfhikapYs;s Rfhjhu guhkupg;g[ nrit Ys;s Rfhjhu guhkupg;g[ nrit Ys;s Rfhjhu guhkupg;g[ nrit Ys;s Rfhjhu guhkupg;g[ nrit ika’;fs;ika’;fs;ika’;fs;ika’;fs;

INVESTIGATOR: REFER TO FIRST PAGE OF VILLAGE SCHEDULE AS CROSS CHECK ngl;o vLg;gth; /; fpuhk ml;ltizapd; Kjy; gf;fj;ijg; rhpghh;g;gjw;F itj;Jf; bfhs;st[k;

Is there a [….] in this village? IF YES � NEXT ROW fpuhkj;jpy; xU [….] cs;sjh> Mk;Mk;Mk;Mk; vdpy; mLj;j tupirf;Fr; bry;yt[k;

Year of establishment Jtf;fg;gl;l tUlk;

Number of patients treated/ day xU ehisf;F rpfpr;ir bgWk; nehahspfspd; vz;zpf;if

Open how many days in a week? xU thuj;jpy; vj;jid ehs; jpwe;jpUf;Fk;>

No. of hrs. per day xU ehisf;F vj;jid kzp neuk; jpwe;jpUf;Fk; >

Male doctors in place Mz; kUj;Jth; ,Uf;fpwhuh> ,Ue;jhy; vj;jid Mz; kUj;Jtu;fs;>

Female Doctors in Place bgz; kUj;Jth; ,Uf;fpwhuh> ,Ue;jhy; vj;jid bgz; kUj;Jtu;fs;>

Number of beds available for treatment and delivery rpfpr;ir mspg;gjw;Fk; gpurtk; ghu;g;gjw;Fk; fpilf;Fk; bkhj;j gLf;iffspd; vz;zpf;if

Yes Mk

�vdpy; mLj;j tupir;

No ,y;iy

Yes Mk;

No ,y;iy

→ 6→ 6→ 6→ 625252525

Number vz;zpf;if

Yes Mk;

No ,y;iy

−−−−>6>6>6>627272727

Number vz;zpf;if

Sl.no 618. 619. 620. 621. 622. 623. 624. 625. 626. 627.

1 Government / Municipal Hospital murh’;f - Kdprpgy; kUj;Jtkid 01 02

01 02

01 02

2 Govrnment Dispensary muR kUe;jfk; 01 02

01 02

01 02

3 UHC / UHP / UFWC a[b\r;rp - a[b\r;gp- a[v`;g;lgps;a[ rp

01 02

01 02

01 02


INVESTIGATOR: REFER TO FIRST PAGE OF VILLAGE SCHEDULE AS CROSS CHECK ngl;o vLg;gth; /; fpuhk ml;ltizapd; Kjy; gf;fj;ijg; rhpghh;g;gjw;F itj;Jf; bfhs;st[k;

Is there a [….] in this village? IF YES � NEXT ROW fpuhkj;jpy; xU [….] cs;sjh> Mk;Mk;Mk;Mk; vdpy; mLj;j tupirf;Fr; bry;yt[k;

Year of establishment Jtf;fg;gl;l tUlk;

Number of patients treated/ day xU ehisf;F rpfpr;ir bgWk; nehahspfspd; vz;zpf;if

Open how many days in a week? xU thuj;jpy; vj;jid ehs; jpwe;jpUf;Fk;>

No. of hrs. per day xU ehisf;F vj;jid kzp neuk; jpwe;jpUf;Fk; >

Male doctors in place Mz; kUj;Jth; ,Uf;fpwhuh> ,Ue;jhy; vj;jid Mz; kUj;Jtu;fs;>

Female Doctors in Place bgz; kUj;Jth; ,Uf;fpwhuh> ,Ue;jhy; vj;jid bgz; kUj;Jtu;fs;>

Number of beds available for treatment and delivery rpfpr;ir mspg;gjw;Fk; gpurtk; ghu;g;gjw;Fk; fpilf;Fk; bkhj;j gLf;iffspd; vz;zpf;if

Yes Mk

�vdpy; mLj;j tupir;

No ,y;iy

Yes Mk;

No ,y;iy

→ 6→ 6→ 6→ 625252525

Number vz;zpf;if

Yes Mk;

No ,y;iy

−−−−>6>6>6>627272727

Number vz;zpf;if

4 Community Health Centre (CHC) / Rural Hospital / PHC rKjha Rfhjhu ikak; (CHC) - fpuhk kUj;Jtkid / Muk;g Rfhjhu epiyak;-PHC

01 02

01 02

01 02

5 Sub Centre Jiz kUj;Jt ikak; 01 02

01 02

01 02

6 Public Sector health facility bghJj;Jiw kUj;Jt trjpfs; 01 02

01 02

01 02

7 NGO or Trust Hospital / Clinic bjhz;L epWtdk; my;yJ mwf;fl;lis kUj;Jtkid-fpspdpf;

01 02

01 02

01 02

8 Private Hospital / Nursing Home / Clinic jdpahh; kUj;Jtkid-eu;rp’; n\hk;- fpspdpf;

01 02

01 02

01 02

9 Private Medical shop / Pharmacy jdpahh; kUe;J fil - kUe;J tH’;Fkplk;

01 02

01 02

01 02


HEALTH CARE FACILITIES INSIDE THE VILLAGE: DETAILED INFORMATION fpuhkj;jpfpuhkj;jpfpuhkj;jpfpuhkj;jpw;F cs;nsw;F cs;nsw;F cs;nsw;F cs;ns mike;Js;s mike;Js;s mike;Js;s mike;Js;s Rfhjhu Rfhjhu Rfhjhu Rfhjhu nrit nrit nrit nrit ikaikaikaika’;fs;’;fs;’;fs;’;fs; ? tp? tp? tp? tpupthd jfty;fs;upthd jfty;fs;upthd jfty;fs;upthd jfty;fs;

HE

AL

TH

FA

CIL

ITY

ID


LIST ALL

FACILITIES

WITHIN THE

VILLAGE L IMITS –

NAMES fpuhk vy;iyf;Fs; fpilf;Fk; vy;yh nrit fisa[k; gl;oayplt[k;

GPS

Reading $p gp v!; fzf;

bfLg;g[

What year was

the facility estab,?

,e;j

ikak; ve;j Mz;L Jtf;fg; gl;lJ>

YYYY

What type of health facility is

this?

,J vd;d tifahd trjp

CODE fPnH

bfhLf;fg;gl;Ls;s

FwpaPLfis gad;gLj;Jf

FACILITIES PROVIDED (READ OUT) Multicoding Possible

tH’;fg;gLk; kUj;Jt trjpfs; (gof;ft[k;)

gy gjpy;fs; rhj;jpak;

IF OFFERS FAMILY PLANNING ,e;j kUj;Jt kidapy; FLk;g

fl;Lg;ghL - FHe;ij gpwg;g[ fl;Lg;ghL trjpfs; tH’;fg;gLfpd;wdth>

IF OFFERS IMMUNIZAT. ,e;j kUj;Jt ikaj;jpy;

jLg;g{rpfs; nghlg;gLfpd;wdth>

Which types? [RANK] ve;j tiffspy;> (kpf mof;fo tH’;fg;gLtjd; mog;gilapy;

nu’;f; gl;oayplt[k;) (Use Codes given below)

(FwpaPLfs; fPnH bfhLf;fg;gl;Ls;sd)

Are the following Immunizations offered? fPH; tUk; jLg;g{rpfs; nghlg;gLfpd;wd>

Prenatal checkups Kd; ngU fhy gupnrhjid

Delivery gpurtk;

Family Planning / FLk;gf;

fl;Lg;ghL - FHe;ij gpwg;g[

fl;Lg;ghL

Immuniza ions jLg;g{rpfs;

First Aid KjYjtp

NutritionSuppli-ments Cl;lr; rj;J tH’;fy;

Medicine kUe;J

General Education /

Advice bghJ cly; eyf; fy;tp - mwpt[iu

Rank 1 nu’;f;; 1

CODE FwpaPL

Rank 2 nu’;f;; 2

CODE FwpaPL

Rank 3 nu’;f;; 3

CODE FwpaPL

Polio nghypnah

Measles jl;lk;ik

BCG gprp$p

DPT ogpo

628. 629. 630. 631. 632. 633. 634.

H1 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H2 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H3 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H4 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H5 N

01 02 03 04 05 06 07 08

01 02 03 04 E

H6 N 01 02 03 04 05 06 07 08

01 02 03 04

E


HE

AL

TH

FA

CIL

ITY

ID


LIST ALL

FACILITIES

WITHIN THE

VILLAGE L IMITS –

NAMES fpuhk vy;iyf;Fs; fpilf;Fk; vy;yh nrit fisa[k; gl;oayplt[k;

GPS

Reading $p gp v!; fzf;

bfLg;g[

What year was

the facility estab,?

,e;j

ikak; ve;j Mz;L Jtf;fg; gl;lJ>

YYYY

What type of health facility is

this?

,J vd;d tifahd trjp

CODE fPnH

bfhLf;fg;gl;Ls;s

FwpaPLfis gad;gLj;Jf

FACILITIES PROVIDED (READ OUT) Multicoding Possible

tH’;fg;gLk; kUj;Jt trjpfs; (gof;ft[k;)

gy gjpy;fs; rhj;jpak;

IF OFFERS FAMILY PLANNING ,e;j kUj;Jt kidapy; FLk;g

fl;Lg;ghL - FHe;ij gpwg;g[ fl;Lg;ghL trjpfs; tH’;fg;gLfpd;wdth>

IF OFFERS IMMUNIZAT. ,e;j kUj;Jt ikaj;jpy;

jLg;g{rpfs; nghlg;gLfpd;wdth>

Which types? [RANK] ve;j tiffspy;> (kpf mof;fo tH’;fg;gLtjd; mog;gilapy;

nu’;f; gl;oayplt[k;) (Use Codes given below)

(FwpaPLfs; fPnH bfhLf;fg;gl;Ls;sd)

Are the following Immunizations offered? fPH; tUk; jLg;g{rpfs; nghlg;gLfpd;wd>

Prenatal checkups Kd; ngU fhy gupnrhjid

Delivery gpurtk;

Family Planning / FLk;gf;

fl;Lg;ghL - FHe;ij gpwg;g[

fl;Lg;ghL

Immuniza ions jLg;g{rpfs;

First Aid KjYjtp

NutritionSuppli-ments Cl;lr; rj;J tH’;fy;

Medicine kUe;J

General Education /

Advice bghJ cly; eyf; fy;tp - mwpt[iu

Rank 1 nu’;f;; 1

CODE FwpaPL

Rank 2 nu’;f;; 2

CODE FwpaPL

Rank 3 nu’;f;; 3

CODE FwpaPL

Polio nghypnah

Measles jl;lk;ik

BCG gprp$p

DPT ogpo

628. 629. 630. 631. 632. 633. 634.

H7 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H8 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H9 N 01 02 03 04 05 06 07 08

01 02 03 04

E

H10 N 01 02 03 04 05 06 07 08

01 02 03 04

E


Health facility CODE Rfhjhu Rfhjhu Rfhjhu Rfhjhu trjpfs; FwpaPLtrjpfs; FwpaPLtrjpfs; FwpaPLtrjpfs; FwpaPL

Public Medical Sector

bghJ kUj;Jtj;Jiw CODE

Private Medical Sector jdpahh; kUj;Jtj;Jiwjdpahh; kUj;Jtj;Jiwjdpahh; kUj;Jtj;Jiwjdpahh; kUj;Jtj;Jiw

CODE

Govt./Municipal Hospital

murh';f-Kdp!pgy; kUj;Jtkid 01 Private Hospital;

jdpahh; kUj;Jtkid 13

Govt. Dispensary murh';f kUe;jfk; 02

Private Doctor / Clinic jdpahh; kUj;Jtu; - kUe;jfk; 14

UHV/UHP/UFWC a[b\r;tp - a[b\r;gp - a[v`g;rplgps;a[rp 03

Private mobile clinic jdpahh; bkhigy; kUe;jfk; 15

CHC/Rural Hospital/PHC rpb\r;rp- fpuhkg;g[w kUj;Jtkid- Muk;g Rfhjhu ikak; 04

Ayurvedic doctor [Vaidya/Hakim/Homeopath] Ma[h;ntj kUj;Jth;

(itj;jpau;-\f;fpk;-n\hkpnahgjp 16

Sub Centre Jiz ikak ; 05

Traditional Healer ghuk;gupa itj;jpau; 17

Govt. Mobile Clinic murh';f elkhLk; fpspdpf; 06

Pharmacy/ Dispensary kUe;J fil-kUe;J tH’;Fkplk; 18

Camp Kfhk; (nfk;g;) 07

Dai (TBA) brtpypj;jha; (ogpV) 19

Anganwadi/ICDS center m';fd;tho-Irpov!; brd;lh; 08

Other private sector health facility kw;w jdpahh; Jiw Mnuhf;fpa trjpfs; 20

Other Public sector health facility kw;w bghJj;Jiw Mnuhf;fpa trjpfs; 09

Other kw;wit 21

Other Government/ Public medical facility kw;w murh’;f-bghJ kUj;Jt trjpfs; 10 Don’t know bjupahJ 22

Don’t know bjupahJ 11

NGO or Trust Hospital/Clinic vd;$pX my;yJ mwf;fl;lis kUj;Jtkid-fpspdpf; 12

Birth Control CODE Options CODE Female sterilization bgz;fSf;fhd fUj;jil mWit rpfpr;ir

01

Male sterilization Mz;fSf;fhd fUj;jil mWit rpfpr;ir

02

Pills fUj;jil khj;jpiufs; 03

Injectables / Implants Crp K:yk; brYj;jg;gLtJ-clYf;Fs; bghUj;jg;gLtJ

04

IUD / Loop Ia[o- Y}g; 05

Condom Mqiw 06

Diaphragm (lnah`ghk;) bgz;fSf;fhd fUj;jil rhjdk;

07

Foam / jelly `nghk; - b$y;yp 08

Emergency contraception mtru fhy fUj;jil rhjdk; 09

Induced abortion J}z;lg;gl;l fUf;iyg;g[ 10

Others (specify) kw;wit (Fwpg;gplt[k;) 11


HEALTH: STAFF AND FACILITIES--ALL FACILITIES INSIDE VILLAGE Rfhjhuk; ? mYtyu;fs; kw;Wk; kUj;Jt trjpfs; ? fpuhkj;jpYs;s vy;yh kUj;Jt trjpfSf;Fk;

HE

ALT

H F

AC

ILIT

Y ID


Is the head of this

facility a medical doctor? ,e;j

kUj;Jt ikaj;jpd; jiytu; xU kUj;Jt lhf;luh>

01 = yes 02 = no 01=Mk; 02=,y;iy

How many

hours a week does

head of facility work here? ,e;j

kUj;Jt ikaj;jpd; jiytu; thuj;jpy; vj;jid kzp neuk; ,';F ntiy bra;fpwhu;>

Is the head of this

facility a resident of

this village? ,e;j

kUj;Jt ikaj;jpd; jiytu; ,e;j

fpuhkj;jpy; trpg;gtuh>

If no → 6→ 6→ 6→ 633339999 01 = yes 02 = no 01=Mk; 02=,y;iy

If yes, give name Mk; vdpy; . bgaiuf;

Fwpg;gplt[k;

Number of full time staff (don't include head)

KG neu mYtyu;fspd; vz;zpf;if (jiytiur; nru;f;f ntz;lhk;)

Number of part time staff (don't include head)

gFjp neu mYtyu;fspd; vz;zpf;if (jiytiur; nru;f;f ntz;lhk;)

How many patients are

treated in this facility in a typical day? xU ruhrup ehisf;F ,e;j

ikaj;jpy; vj;jid nehahspfs; rpfpr;ir

bgWfpwhu;fs;>

Number of beds

available for treatment

and delivery rpfpr;ir kw;Wk;

gpurtj;jpw;F fpilf;Fk; gLf;iffspd; vz;zpf;if

Is every patient that enters

facility examined by an Medical Doctor (MBBS / MD /

MS, etc)? ,e;j

ikaj;jpw;Fs; EiHa[k; xt;bthU

nehahspiaa[k; lhf;lu;

gupnrhjpf;fpwhuh> 01 = yes 02 = no 01=Mk;. 02=,y;iy

Does the facility have

electricity? ,e;j

ikaj;jpy; kpd;trjp cs;sjh>

01 = Yes 02 = No 01=Mk;. 02=,y;iy

Doctors lhf;lu;fs;

Nurses eu;Rfs;

Other F-T employees kw;w

KGneu gzpahsh;fs;

Doctors lhf;lu;fs;

Nurses eu;Rfs;

Other P-T employees kw;w gFjp neu

gzpahsh;fs;

Name bgau;

HH ID

FLk;g mil ahs vz;

Mem ID cWg;gpdu;milahs vz; cWg;gpdu; milahs vz;

Male Mz;

Female

bgz;

Male Mz;

Female bgz;

635. 636. 637. 638. 639. 640. 641. 642. 643. 644. 645. 646. 647. 648.

H1 01 02

01 02

01 02 01 02

H2 01 02

01 02

01 02 01 02

H3 01 02

01 02

01 02 01 02

H4 01 02

01 02

01 02 01 02

H5 01 02

01 02

01 02 01 02

H6 01 02

01 02

01 02 01 02

H7 01 02

01 02

01 02 01 02

H8 01 02

01 02

01 02 01 02

H9 01 02

01 02

01 02 01 02

H10 01 02

01 02

01 02 01 02


HEALTH: STAFF AND FACILITIES--ALL FACILITIES WITHIN VILLAGE (CONT..) Rfhjhuk; ? mYtyu;fs; kw;Wk; kUj;Jt trjpfs; ? fpuhkj;jpYs;s vy;yh kUj;Jt trjpfSf;Fk; (bjhlu;r;rp)

HE

ALT

H F

AC

ILIT

Y I

D


Sunday “hapW

Monday jp’;fs;

Tuesday brt;tha;

Wednesday g[jd;

Total Hours kept open

jpwe;jpUf;Fk; bkhj;j neuk;

Tim

e o

pen

jpwf;Fk neuk;

AM

fhiy

P

M

khiy

Tim

e cl

osi

ng

K:Lk; neuk;

AM

fhiy

P

M

khiy



Tim

e o

pen

jpwf;Fk; neuk;

AM

fhiy

PM

khiy

Tim

e cl

osi

ng

K:Lk; neuk;

AM

fhiy

PM

khiy



Tim

e o

pen

jpwf;Fk; neuk;

AM

fhiy

PM

khiy

Tim

e cl

osi

ng

K:Lk; neuk;

AM

fhiy

P

M

khiy



Tim

e o

pen

jpwf;Fk; neuk;

AM

fhiy

P

M

khiy

Tim

e cl

osi

ng

K:Lk; neuk;

AM

fhiy

P

M

khiy

ID 649. 650. 651. 652. 653. 654. 655. 656. 657. 658. 659. 660.

H1 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H2 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H3 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H4 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H5 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H6 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H7 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H8 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H9 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02

H10 01 02 01 02 01 02 01 02 01 02 01 02 01 02 01 02


HE

ALT

H F

AC

ILIT

Y I

D

cly; ey trjpfs;

milahs vz;

Thursday tpahHd;

Friday bts;sp

Saturday rdp



Time open jpwf;Fk; neuk; A

M

fhiy

PM

khiy

Time closing K:Lk; neuk;

AM

fhiy

PM

khiy



Time open jpwf;Fk; neuk; AM

fhiy

PM

khiy

Time closing K:Lk; neuk; A

M

fhiy

PM

khiy



Time open jpwf;Fk; neuk; A

M

fhiy

PM

khiy

Time closing K:Lk; neuk; A

M

fhiy

PM

khiy

H1 661. 662. 663. 664. 665. 666. 667. 668. 669.

H2 01 02 01 02 01 02 01 02 01 02 01 02

H3 01 02 01 02 01 02 01 02 01 02 01 02

H4 01 02 01 02 01 02 01 02 01 02 01 02

H5 01 02 01 02 01 02 01 02 01 02 01 02

H6 01 02 01 02 01 02 01 02 01 02 01 02

H7 01 02 01 02 01 02 01 02 01 02 01 02

H8 01 02 01 02 01 02 01 02 01 02 01 02

H9 01 02 01 02 01 02 01 02 01 02 01 02

H10 01 02 01 02 01 02 01 02 01 02 01 02

H1 01 02 01 02 01 02 01 02 01 02 01 02


HE

AL

TH

FA

CIL

ITY

ID


If a patient needs more specialized care than can be provided in [----facility], where is the patient generally referred? xU nehahspf;F (?????kUj;Jt ikak;) ?y; yH’;ff;Toa kUj;Jt nritiatpl mjpf gpuj;jpnahfg; guhkupg;g[ njitg;gl;lhy; . bghJthf me;j nehahsp v’;F bry;y

gupe;Jiuf;fg;gLfpwhh;>

Name of referred facility gupe;Jiuf;fg;gLk; kUj;Jt

ikaj;jpd; bgau;

village/town fpuhkk;- efuk;

CENSUS CODE brd;!!; FwpaPL

Taluk jhYf;fh


District khtl;lk;


State khepyk;


Distance (KMs) bjhiyt[ (fp/kPl;lupy;)

ID 670. 671. 672. 673. 674. 675.

H1

H2

H3

H4

H5

H6

H7

H8

H9

H10


FORMAL AND INFORMAL FINANCIAL INSTITUTIONS FOR SAVI NGS, CREDIT, INSURANCE nrkpg;g[ . fld; . fhg;gPl;ow;fhd Kiwahd kw;Wk; Kiwnrkpg;g[ . fld; . fhg;gPl;ow;fhd Kiwahd kw;Wk; Kiwnrkpg;g[ . fld; . fhg;gPl;ow;fhd Kiwahd kw;Wk; Kiwnrkpg;g[ . fld; . fhg;gPl;ow;fhd Kiwahd kw;Wk; Kiwg;g;g;g; gLj;jg;glhj epjp epWtd’;fs;gLj;jg;glhj epjp epWtd’;fs;gLj;jg;glhj epjp epWtd’;fs;gLj;jg;glhj epjp epWtd’;fs;

CODE/ TYPE FwpaPL - tif

Agency epWtdk;

[…] In this village? ,e;j fpuhkj;jpy; […] cs;sjh>

If yes, Number in this village ? ,e;j fpuhkj;jpy; cs;s

vz;zpf;if � NEXT ROW

If None in village, distance of nearest to village/town (km.) ,y;iy vd;why; . mUfhikapy; cs;s Fwpg;gpl;l

epWtdk;[ fpuhkj;jpy; - efuj;jpy; ,Ue;J vt;tst[ J}uk;> Yes Mk; No ,y;iy →→→→ 676767678888

CODE 676. 677. 678.

1 Commercial Banks – Public Sector Bank (e.g., SBI) tzpf hPjpapyhd t’;fpfs; ? bghJj;Jiw t’;fpfs; (cjhuzk; v!;gpI) 01 02

2 Commercial bank: Gramya banks (e.g.,RRBs) tzpf hPjpapyhd t’;fpfs; ? fpuhkpa t’;fpfs; (cjhuzk; Mu;Mu;gp) 01 02

3 Commercial Bank – private commercial banks (ex: ICICI) tzpf hPjpapyhd t’;fpfs; ? jdpahh; tzpf hPjpapyhd t’;fpfs; (cjhuzk; ? IrpIrpI)

01 02

4

Commercial Bank – Foreign Bank (ex: HSBC) tzpf hPjpapyhd t’;fpfs; ? btspehl;L t’;fp (cjhuzk; b\r;v!;gprp) 01 02

6 Cooperative Commercial Bank Tl;Lwt[ tzpf t’;fp 01 02

7 Agricultural credit societies tptrhaf; fld; cjtp r’;f’;fs; 01 02

8 Non-agricultural credit societies tptrhak; my;yhj kw;w fld; cjtp r’;f’;fs; 01 02

9 Other credit societies kw;w fld; tH’;Fk; r’;f’;fs; 01 02

10 Insurance agent fhg;gpl;L Kftu; 01 02

11 Post Office m”;ry; epiyak; 01 02

12 Other (specify) kw;wit (Fwpg;gplt[k;) 01 02

Informal institutions Kiwrhuh epWtd’;fs; /;Kiwrhuh epWtd’;fs; /;Kiwrhuh epWtd’;fs; /;Kiwrhuh epWtd’;fs; /;

13 Self help Groups (SHGs) Ra cjtp FGf ;fs ; 01 02

14 Micro Finance Institutions (MFIs) FW epjp epWtd’ ;fs ; 01 02

15 Other Non-banking financial institutions (like Nidhi companies, etc) kw ;w t’ ;fprhuh epjp epWtd’ ;fs ; (cjhuzk ; epjp epWtd’ ;fs ; ,ju) 01 02

16 Professional money lenders tl;of;F gzk; bfhLg;gtu; 01 02

17 Chit funds rpl; `gz;L fk;bgdpfs; 01 02

18 Other informal institutions kw;w Kiwrhuh epWtd’;fs; 01 02


DETAILS ON EACH FINANCIAL INSTITUTION IN VILLAGE, O R WITHIN W ALKING DISTANCE OF THIS VILLAGE ,e;j fpuhkj;jpy; my;yJ ,e;j fpuhkj;jpypUe;J eil J}uj;jpy; cs;s epjp epWtd’;fs; xt;bthd;iwa[k; gw;wpa tpupthd jfty;fs;

Fin

anci

al in

stu

titio

n F

AC

ILIT

Y I

D

epjp epWtdj;jpd; milahs vz;

LIST ALL INSTITUTIONS – Write complete Name

vy;yh epWtd’;fisa[k; gl;oayplt[k; ? KGg; bgaiua[k; vGjt[k; [note: i. If there are 2 Commercial Banks list as separate institutions ii. If person, Record Name of the Person and the Institution associated with] (Fwpg;g[ ? 1 ) ,uz;L tu;j;jf t’;fpfs; ,Ue;jhy;;. jdpj;jdp epWtd’;fshf vGjt[k;/ 2) ? jdp egu; vdpy; mtupd; bgaiu Fwpg;gpl;L mtu; rhh;e;jpUf;Fk; epWtdj;ij Fwpg;gplt[k;

CODE tifapd; FwpaPL (Ke;ija gf;fj;jpy; ,Ue;J) Refer Q 676 nfs;tp nfs;tp nfs;tp nfs;tp vz; 676 vz; 676 vz; 676 vz; 676 I I I I ghh;f;ft[k;ghh;f;ft[k;ghh;f;ft[k;ghh;f;ft[k;

GPS Reading $p gp v!; fzf;bfLg;g[

Year of

establishment Jtf;fg;gl;l tUlk;

YYYY

Name of highest official or lender caujpfhup my;yJ fld; bfhLg;gth; bgau;

If he resides in the same village his HH ID mtu; ,nj fpuhkj;jpy; trpf;fpwhh; vdpy; FLk;g milahs vz;

MEM. ID FLk;g cWg;gpdu; vz;

Is institution a branch of some other institution ,e;j epWtdk; ntW epWtdj;jpd; fpisah>

Take deposits itg;g[ epjpfs; vLj;Jf; bfhs;sg; gLfpwjh>

Interest on deposits (%)? KjyPl;Lf;fhd tl;o

(%)?

Give Loans. fld;fs; jug;gLfpwjh>

Average Interest on Loans (%)? fld;fSf;fhd ruhrup tl;o

(%)?

Yes Mk;

No ,y;iy

Yes Mk ;

No ,y;iy

→→→→ 688

Yes Mk

;

No ,y;iy -->Next

row �vdpy; mLj;j tupir

ID 679. 680. 681. 682. 683. 684. 685. 686. 687. 688. 689.

FI

N:

01 02 01 02

01 02

E:

F2

N:

01 02 01 02

01 02

E:

F3

N:

01 02 01 02

01 02

E:

F4

N:

01 02 01 02

01 02

E:

F5

N:

01 02 01 02

01 02

E:

F6

N:

01 02 01 02

01 02

E:


Fin

anci

al in

stu

titio

n F

AC

ILIT

Y I

D

epjp epWtdj;jpd; milahs vz;

LIST ALL INSTITUTIONS – Write complete Name

vy;yh epWtd’;fisa[k; gl;oayplt[k; ? KGg; bgaiua[k; vGjt[k; [note: i. If there are 2 Commercial Banks list as separate institutions ii. If person, Record Name of the Person and the Institution associated with] (Fwpg;g[ ? 1 ) ,uz;L tu;j;jf t’;fpfs; ,Ue;jhy;;. jdpj;jdp epWtd’;fshf vGjt[k;/ 2) ? jdp egu; vdpy; mtupd; bgaiu Fwpg;gpl;L mtu; rhh;e;jpUf;Fk; epWtdj;ij Fwpg;gplt[k;

CODE tifapd; FwpaPL (Ke;ija gf;fj;jpy; ,Ue;J) Refer Q 676 nfs;tp nfs;tp nfs;tp nfs;tp vz; 676 vz; 676 vz; 676 vz; 676 I I I I ghh;f;ft[k;ghh;f;ft[k;ghh;f;ft[k;ghh;f;ft[k;

GPS Reading $p gp v!; fzf;bfLg;g[

Year of

establishment Jtf;fg;gl;l tUlk;

YYYY

Name of highest official or lender caujpfhup my;yJ fld; bfhLg;gth; bgau;

If he resides in the same village his HH ID mtu; ,nj fpuhkj;jpy; trpf;fpwhh; vdpy; FLk;g milahs vz;

MEM. ID FLk;g cWg;gpdu; vz;

Is institution a branch of some other institution ,e;j epWtdk; ntW epWtdj;jpd; fpisah>

Take deposits itg;g[ epjpfs; vLj;Jf; bfhs;sg; gLfpwjh>

Interest on deposits (%)? KjyPl;Lf;fhd tl;o

(%)?

Give Loans. fld;fs; jug;gLfpwjh>

Average Interest on Loans (%)? fld;fSf;fhd ruhrup tl;o

(%)?

Yes Mk;

No ,y;iy

Yes Mk ;

No ,y;iy

→→→→ 688

Yes Mk

;

No ,y;iy -->Next

row �vdpy; mLj;j tupir

ID 679. 680. 681. 682. 683. 684. 685. 686. 687. 688. 689.

F7

N:

01 02 01 02

01 02

E:

F8

N:

01 02 01 02

01 02

E:

F9

N:

01 02 01 02

01 02

E:

F10

N:

01 02 01 02

01 02

E:

F11

N:

01 02 01 02

01 02

E:

F12

N:

01 02 01 02

01 02

E:

117 VILLAGE QUESTIONNAIRE B- Village Approach

VILLAGE APPROACH INFORMATION SHEET fpuhkj;ij brd;wila cjt[k; jfty; VL

1. Name of Village fpuhkj;jpd; bgau;

2. Taluk jhYf;fh

3. District khtl;lk;

4. Place of stay j’;Fkplk;

5. Distance from the village (KMs) fpuhkj;jpypUe;J vt;tst[ bjhiytpy; (fp/kP)

6. Mode of Transport nghf;Ftuj;J trjp

Car hire thlif fhh; 01

Public Transport bghJ nghf;Ftuj;J 02

7. If hired car, what is the Common public Transport available thliff;F fhu; mku;j;jpf; bfhz;lhy;. m’;F bghJthf gad;gLj;jg;gLk; nghf;Ftuj;J trjp vd;d>

8. Central Point of Village fpuhkj;jpd; kj;jpagFjp

9. GPS location at Central point of Village fpuhkj;jpd; kj;jpapypUe;J g”;rhaj;J mYtyfk; mike;Js;s ,lk;

N: . .

E: . .

10. Elevation gug;gst[

Meters


11. Bus Facility ngUe;J trjp

Bus Route Nos / Other Transport facility* ngUe;J tHpj; jl’;fspd; vz;fs; - kw;w nghf;Ftuj;J trjpfs;

Bus en route ngUe;J tHpj;jlk;

Where should we v’;F ehk;

Distance to Village from the place we got down (KMs) (If at Village, Record as 00) ehk; ,w’;Fk; ,lj;jpy;,Ue;J fpuhkg;gFjp vt;tst[ bjhiytpy; cs;sJ (fp/kP) (fpuhkj;jpnyna vd;why; 00 vd Fwpg;gplt[k;)

Time of First service in a day Kjy; nritapd; neuk;

Time of Last service in a day filrp nritapd; neuk;

No. of times a day xU ehspy; vj;jid nritfs;

Starting Point Muk;gpf;Fk; ,lk;

Destination nrUkplk;

get in? (Place) Vwntz;oa (,lk;)

get down? (Place) ,w’;fntz;oa (,lk;)

* Specify the Transport facility (like Van, Share auto, Trucker, Tempo, etc) nghf;Ftuj;J trjpia Fwpg;gpLf (ntd;. n&u; Ml;nlh. ouf;fu;. blk;ngh ,ju)

12. If need to take another Bus… ntW xU ngUe;ij vLf;f ntz;oapUe;jhy;///

Bus Route Nos / Other Transport facility* ngUe;J tHpj; jl’;fspd; vz;fs; - kw;w nghf;Ftuj;J trjpfs;

Bus en route nghf;Ftuj;J tHp

Where should we v’;F ehk;

Distance to Village from the

place we got down (KMs) (If at Village itself, Record as 00) ehk; ,w’;Fk; ,lj;jpy;,Ue;J fpuhkg;gFjp vt;tst[ bjhiytpy; cs;sJ (fp/kP) (fpuhkj;jpnyna vd;why; 00 vd Fwpg;gplt[k;)

Time of First service in a day Kjy; nritapd; neuk;

Time of Last service in a day filrp nritapd; neuk;

No. of times a day xU ehspy; vj;jid nritfs;

Starting Point Muk;gpf;Fk; ,lk;

Destination nrUkplk;

get in? (Place) Vwntzoa (,lk;)

get down? (Place) ,w’;fntzoa (,lk;)

* Specify the Transport facility (like Van, Share auto, Trucker, Tempo, etc) nghf;Ftuj;J trjpia Fwpg;gpLf (ntd;. n&u; Ml;nlh. ouf;fu;. blk;ngh ,ju)


13.

No of Hamlets & Name FoapUg;g[f;fspd; vz;zpf;if kw;Wk; ,lj;jpd; bgau;

14. Panchayat President’s Name & Phone Number g”;rhaj;J jiytupd; bgau; kw;Wk; bjhiyngrp vz;

Name bgau;

Phone Number bjhiyngrp vz;

15. VAO’s Name & Phone Number fpuhk epu;thf mYtyupd; bgau; kw;Wk; bjhiyngrp vz;

Name bgau;


16. Any other knowledgeable person – Name & Phone Number kw;w Kf;fpa egu;fspd; bgau; kw;Wk; bjhiyngrp vz;

Name bgau;


120 VILLAGE QUESTIONNAIRE B-Key Informant Data

RECORD NAMES OF KNOWLEDGEABLE PERSONS AND OFFICIALS (WITH DESIGNATION) CONTACTED FOR OBTAINING DATA IN VILLAGE SCHEDULE. fpuhk tptu’;fis nrfupf;Fk; bghGJ bjhlu;g[ bfhz;l Kf;fpa egu;fs;. tptuk; bjupe;j egu;fs; kw;Wk; mjpfhupfis (gjtpfpuhk tptu’;fis nrfupf;Fk; bghGJ bjhlu;g[ bfhz;l Kf;fpa egu;fs;. tptuk; bjupe;j egu;fs; kw;Wk; mjpfhupfis (gjtpfpuhk tptu’;fis nrfupf;Fk; bghGJ bjhlu;g[ bfhz;l Kf;fpa egu;fs;. tptuk; bjupe;j egu;fs; kw;Wk; mjpfhupfis (gjtpfpuhk tptu’;fis nrfupf;Fk; bghGJ bjhlu;g[ bfhz;l Kf;fpa egu;fs;. tptuk; bjupe;j egu;fs; kw;Wk; mjpfhupfis (gjtp bgaU[ldbgaU[ldbgaU[ldbgaU[ld;;;;) gl;oayplt[k;) gl;oayplt[k;) gl;oayplt[k;) gl;oayplt[k;

SL.

SECTION NO. bjhFjp

vz;

SUB.SECT. NO. Jizj;

bjhFjp vz;

SECTION NAME [SPECIFY] bjhFjp bgau; (Fwpg;gplt[k;)

RESPONDENT NAME WITH INITIAL

gjpyspg;gtupd; bgau; ,dp&paYld;

DESIGNATION [SPECIFY] gjtp (Fwpg;gplt[k;)

RESIDE IN VILLAGE fpuhkj;jpw;Fs; FoapUf;fpd;whuh

HOUSEHOLD ID

FoapUg;g[ milahs vz;

MEMBER ID

cWg;gpdu; milahs vz; Yes

Mk; No

,y;iy

1 2 3 4 5 1 01 02

2 01 02

3 01 02

4 01 02

5 01 02

6 01 02

7 01 02

8 01 02

9 01 02

10 01 02

11 01 02

12 01 02

13 01 02

14 01 02

15 01 02

tamil nadu panel survey village questionnaire: part a … · 2009-07-15 · 1 village...

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