Professional Documents
Culture Documents
A: GENERAL
1.Name of Panchayat
2. Ward No.
B: DEMOGRAPHIC DETAILS
B.1 Details of Family members
Serial Name M Age Education Occupation Place of Monthly
No / & (Mark S for occupation income
F Literacy students) (Tcr, Kerala, (salary/pensio
India, n/other
abroad) sources)
1
2
3
4
6
7
8
1
Serial Name Relationship Age at Reason for
No with the HOF death death
1. Area of land
2. Type of land
C.2 House
D: LIVING CONDITIONS
1. Source of drinking water: Own well/ Other’s well/ common tap/ pipe connection
2
6. Internet connection: Yes/ No
E: CONSUMER DURABLES
F: EDUCATION
4. Type of colleges in which children are studying : Government /Aided/ /self financing
G: HEALTH