Household ID Household No

Household
No. Household ID
1
0 1
2
0 2
3
0 3
4
0 4
5
0 5
6
0 6
7
0 7
8
0 8
9
0 9
10
1 0
11
1 1
12
1 2
13
1 3
14
1 4
15
1 5
16
1 6
17
1 7
18
1 8
19
1 9
20
2 0
21
2 1
69841
GRAM PANCHAYAT HQ
VILLAGE (NAME)
(Name if different from Village)
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
Rajasar Bhatiyan
CD BLOCK Name TALUK/ TEHSIL Name DISTRICT Name
Lunkaransar Chattargarh Bikaner

STATE Name NAME OF HEAD OF HH (2018) D
Rajasthan Champalal Purohit 1
Rajasthan Kadar Pathan 1
Rajasthan Harun Khan 1
Rajasthan Jethi Devi 1
Rajasthan Surjaram Meghwal 1
Rajasthan Daulal purohit 2
Rajasthan Bhanwarlal 2
Rajasthan Sahiram Ji Nayak 1
Rajasthan Pemaram Nayak 1
Rajasthan Rajuram Meghwal 2
Rajasthan Sukhi Devi Meghwal 2
Rajasthan Sattudas Sadh 1
Rajasthan Amrat Sen Purohit 2
Rajasthan Girdhari Singh 1
Rajasthan Jagdish Godara 1
Rajasthan Faiza 2
Rajasthan Bhanwar Ram Suthar 2
Rajasthan Hari Ram Acharaya 0
Rajasthan Sameer Khan 0
Rajasthan Amolakhram 2
Rajasthan Ganeshram 2
Date of Interview Date Edit
9 2 0
1 0 2 0 1 8 1
6
1 0 2 0 1 8 1
8
1 0 2 0 1 8 1 9 1
6
1 0 2 0 1 8 1
7
1 0 2 0 1 8 1 8 1
5
1 0 2 0 1 8 2 6 1
0
1 0 2 0 1 8 2 1 1
0
1 1 2 0 1 8 1
5
1 0 2 0 1 8 1 4 1
4
1 0 2 0 1 8 2 5 1
6
1 0 2 0 1 8 2 7 1
7
1 0 2 0 1 8 1 7 1
8
1 0 2 0 1 8 2 8 1
4
1 0 2 0 1 8 1 4 1
3 1 3
1 0 2 0 1 8 1
9
1 0 2 0 1 8 2 9 1
1
1 0 2 0 1 8 2 1 1
2
1 1 2 0 1 8 0 2 1
3
1 1 2 0 1 8 0 4 1
1
1 1 2 0 1 8 2 1 1
2
1 1 2 0 1 8 2 2 1
Interview Start Time Interview End
Date Edited
(24hr format) (24hr form
0 2 0 1 8 1 2 5 2 1
0 2 0 1 8 1 7 2 5 2
0 2 0 1 8 1 6 1 7 1
0 2 0 1 8 1 1 2 0 1
0 2 0 1 8 1 7 5 2 1
0 2 0 1 8 1 6 5 3 1
0 2 0 1 8 1 6 0 0 1
0 2 0 1 8 0 9 5 4 1
1 1 0 1 8 0 9 3 0 1
0 2 0 1 8 1 4 3 0 1
0 2 0 1 8 1 7 2 0 1
0 2 0 1 8 1 0 5 2 1
0 2 0 1 8 1 1 0 0 1
0 2 0 1 8 1 6 1 5 1
0 2 0 1 8 1 7 3 7 1
0 2 0 1 8 1 4 2 8 1
0 2 0 1 8 1 0 1 7 1
1 2 0 1 8 1 2 0 0 1
0 2 0 1 8 1 2 2 6 1
1 2 0 1 8 1 1 0 0 1
1 2 0 1 8 1 1 3 0 1
Interview End Time
(24hr format)
4 0 5
0 3 0
8 0 0
2 0 6
8 3 1
8 5 0
8 3 0
1 2 0
1 2 8
6 0 0
9 4 0
2 1 0
3 2 0
8 5 0
9 5 0
6 0 5
1 4 5
3 5 0
4 2 4
3 4 5
3 2 0
Identification of Household
Household Household ID
No. [to be copied correctly from Introduction/Cover Sheet]
1 0 1
2 0 2
3 0 3
4 0 4
5 0 5
6 0 6
7 0 7
8 0 8
9 0 9
10 1 0
11 1 1
12 1 2
13 1 3
14 1 4
15 1 5
16 1 6
17 1 7
18 1 8
19 1 9
20 2 0
21 2 1
SECTION-1. BASIC PROFILE
1.5 Gram
1.1 State 1.2 District 1.3 Tehsil/ 1.4 Block 1.6 Village
Code Code Taluka Code Code Panchayat Code
Code
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841

8 101 479 18 69841 69841
8 101 479 18 69841 69841
8 101 479 18 69841 69841

1.7 Tola/Majra/Hamlet/Ward
(Name) 1.8 Name of the Head of the Household
Ward No. 6 Champalal Purohit
Ward No. 2 Kadar Pathan
Ward No. 2 Harun Khan
Ward No. 7 Jethi Devi
Ward No. 3 Surjaram Meghwal
Ward No. 6 Daulal Purohit
Ward No. 4 Bhanwarlal Sansi
Ward No. 4 SahiRam Ji Naik
Ward No.4 Pemaram Naik
Ward No. 3 Rajuram Meghwal
Ward No. 3 Sukhidevi Meghwal
Ward No.9 Sattudas Sadh
Ward No.7 Amrat Sen Purohit
Ward No. 5 Girdhari Singh
Ward No. 6 Jagdish Godara
Ward No. 5 Faiza
Ward No. 9 Bhanwar Ram Suthar
Ward No. 8 Hari Ram Acharaya

Ward No. 2 Sameer Khan
Ward No.8 Amolakhram
Ward No.2 Ganeshram

SECTION-1. BASIC PROF
1.9 Household ID (UNIQUE 1.11 Total number

TO THE VILLAGE) 1.10 Location Address of HH members
0 1 VPO Rajasar Bhatiyan 8


N-1. BASIC PROFILE SECTION-1. BASIC
1.15 Which colour ration

1.12 1.13 1.14 Is any member of your house card (APL/BPL Card) do you
have?
Religion Grouping drawn from a Primitive Tribal Group? (Indicate -9999 in case
(Code) (Code) (1-Yes, 2-No)
household does not possess
a card)
1 3 2 APL 9
2 3 2 BPL 9
2 3 2 BPL 8
1 3 2 APL 7
1 1 2 APL 8
1 3 2 APL 9
1 1 2 APL 8
1 1 2 BPL 9
1 1 2 BPL 9
1 1 2 APL 9
1 1 2 APL 9
1 3 2 BPL 9
1 3 2 APL 9
1 3 2 APL
1 3 2 APL 9
2 3 2 APL 9
1 3 2 APL 9
1 3 2 APL 7
2 3 2 APL 9
1 3 2 BPL 8
1 3 2 APL 9
1.16 Mobile No.
0 0 1 4 2 4 5 5 6
7 9 9 4 5 6 4 1 6
8 9 0 2 2 3 1 1 2
2 9 6 9 7 1 1 0 5
1 0 7 6 9 6 7 7 1
0 0 1 6 6 6 9 0 6
3 0 3 1 9 1 7 1 9
9 5 0 4 3 6 4 5 0
9 2 9 0 3 7 4 4 9
0 0 1 6 5 7 7 2 0
7 9 9 0 6 6 7 8 4
6 0 2 2 2 4 7 3 0
7 8 4 3 3 1 3 0 3
9 5 0 1 7 1 4 5 2
4 6 0 0 1 9 3 6 7
6 8 0 2 6 2 4 2 3
7 2 7 8 2 2 7 7 1
9 2 8 8 4 3 9 9 2
1 0 7 2 6 2 0 4 2
9 5 0 5 1 0 6 3 0
Household ID
Household
No. [to be copied correctly from the
Introduction/Cover Sheet]
1 0 1
2 0 2
3 0 3
4 0 4
5 0 5
6 0 6
7 0 7
8 0 8
9 0 9
10 1 0
11 1 1
12 1 2
13 1 3
14 1 4
15 1 5
16 1 6
17 1 7
18 1 8
19 1 9
20 2 0
21 2 1
SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
Relationship Gender
Name of the Member with head (Male=1; Age (yrs)
[Head of Household] (Use Code 1) Female=2)
Champalal Purohit 1 1 50
Kadar Pathan 1 1 65
Harun Khan 1 1 35
Jethi Devi 1 2 58
Surjaram Meghwal 1 1 56
Daulal Purohit 1 1 55
Bhanwarlal 1 1 46
Sahiram Naik 1 1 45
Pemaram Naik 1 1 62
Rajuram Meghwal 1 1 40
Sukhi Devi Meghwal 1 2 65
Sattudas Sadh 1 1 59
Amratsen Purohit 1 1 60
Girdhari Singh 1 1 70
Jagdish Godara 1 1 38
Faiza 1 2 45
Bhanwar Ram Suthar 1 1 60
Hari Ram Acharaya 1 1 52
Sameer Khan 1 1 50
Amolakhram 1 1 80
Ganeshram 1 1 80
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOU
2.1 MEMBERS OF THE HOUSEHOLD (Household Roster) 2.1 MEMBERS

(Hous
Member ID [1] : [Head of Household]
For members less than

18 yrs.
Marital Status
Self-employed Worked as
[1=married; Involved in
Self-employed in in non- agricultural
2=unmarried; migration
agriculture during agriculture casual laborer
3=widow; during last
last 12 months? during last 12 during last 12
4=divorced; 12 months?
(1=Yes; 2=No) months? months?
5=separated; (1=Yes; 2=No)
Height Weight (1=Yes; 2=No) [1=Yes; 2=No]
6=widower]
(in Inches) (in kg)
1 2 1 2 1
1 2 1 1 2
1 1 1 2 2
1 2 1 2 2
1 2 1 2 1
1 2 1 2 2
1 2 2 1 1
1 2 1 2 1
1 2 1 2 2
5 2 2 1 2
6 2 2 2 2
1 2 1 2 1
1 2 1 2 2
1 2 2 2 2
1 2 1 2
2
1 2 1 2
1
1 2 2 2
1
1 2 1 2
2
1 2 1 1
2
6 2 2 2
2
1 2 2 2
2
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSIT
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Househol
(Household Roster)
Occupation Code
(Use NCO Code) Net
Net transfers transfers to
Non- Do you have a
Salary work to and from and from
agricultural Bank Account?
during last 12 non co- non co-
casual laborer (No– 1,
months? resident resident
during last 12 Individual – 2,
[1=Yes; brother & sisters &
months? Joint – 3,
2=No] father of the mother of
[1=Yes; 2=No] Both – 4)
Primary Secondary Head of Hhd. the Head
of Hhd.
2 1 610 630 2 0 0
2 1 191 213 2 0 0
2 1 611 740 2 0 0
2 1 500 622 2 0 0
2 2 610 630 2 0 0
2 2 621 610 2 0 0
1 2 802 630 2 0 0
1 2 610 2 0 0
2 2 610 2 0 0
2 2 574 2 0 0
2 2 1111 2 0 0
2 2 610 2 0 0
2 2 621 610 2 0 0
2 2 1117 2 0 0
0 0
2 2 610 2
0 0
2 2 1111 621 2
0 0
2 2 621 630 2
0 0
2 2 610 2
0 0
2 2 401 610 2
0 0
2 2 1112 2
0 0
2 2 1112 2
2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
S OF THE HOUSEHOLD (Household Roster) 2.1 MEMBERS OF THE HOUSEHOLD (Household

Roster)
Member ID

18 yrs.
Relationship Gender
(Use Code 1) Female=2)
Height Weight
(in Inches) (in kg)
Bharji Devi 2 2 47
Husseina 2 2 60
Kamma 2 2 33
Mana Ram Suthar 2 1 61
Surji Devi 2 2 50
Pushpadevi Purohit 2 2 54
Raju Devi 2 2 40
Kamla 2 2 43
Kamladevi Nayak 2 2 48
Bhanwari Devi 4 2 60
Rugaram Meghwal 4 1 37
Mammo Devi 2 2 50
Sarla Devi Purohit 2 2 50
Bhanvar Kunwar 2 2 65
Pushpa 2 2 35
Shareef Khan 2 1 50
Ram Rakhi Devi 2 2 61
Kiran Devi 2 2 50
Hajra 2 2 45
Raman 4 1 45
Goradevi 2 2 75
HOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHO
oster) (Household Roster) (Household Roster)
Member ID [2]
Occupation Code
Self- Self- Worked as (Use NCO Code)
Non-
Marital Status Involved in employed employed agricultural Salary
agricultural
[1=married; migration in in non- casual work
casual
2=unmarried; during last agriculture agriculture laborer during last
laborer
3=widow; 12 during last during last during last 12
during last
4=divorced; months? 12 12 12 months?
12 months?
5=separated; (1=Yes; months? months? months? [1=Yes;
[1=Yes;
6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; 2=No] Primary Secondary
2=No]
2=No) 2=No) 2=No]
1 2 1 2 2 2 2 610 622
1 2 1 2 2 2 2 622 621
1 2 1 2 2 2 2 622 611
1 2 1 2 2 2 2 610 622
1 2 1 2 2 2 2 610 630
1 2 2 2 2 2 2 621 610
1 2 2 2 1 1 2 630
1 2 1 2 1 2 2 1111 621
1 2 2 2 2 2 1 310 1111
6 2 2 2 2 2 2 1111
1 2 1 2 1 1 2 999 611
1 2 2 2 2 2 2 1111
1 2 2 2 2 2 2 1111 621
1 2 2 2 2 2 2 1117
1 2 2 2
2 2 2 1111
1 2 1 2
1 2 2 610 630
1 2 2 2
1 2 2 630
1 2 2 2
2 2 2 1111 621
1 2 1 2
2 2 2 1111 621
1 2 1 2
2 2 2 610
1 2 2 2
2 2 2 1112
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOL
RS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
usehold Roster)
Do you Net Net

have a transfers to transfers to
Bank and from and from
Account? non co- non co- Relationship Gender
(No– 1, resident resident Name of the Member with head (Male=1; Age (yrs)
Individual brother & sisters & (Use Code 1) Female=2)
– 2, Joint – father of mother of
3, the Head the Head
Both – 4) of Hhd. of Hhd.
2 Dhanesh Purohit 4 1 19
2 Yunus Khan 4 1 30
2 Mohd. Rizwan 4 1 12
2 Bhanvar Lal Suthar 4 1 45
2 Bhagwana Ram 4 1 22
2 Neelu 4 2 21
2 Tikuram 4 1 22
2 Sundar 4 2 22
2 Parbu Naik 4 1 21
2 Kamla Devi 11 2 35
2 Prakash Sadh 4 1 18
2 Manoj Purohit 4 1 33
2 Mahavir Singh 4 1 34
Rajendra 4 1 16
2
Nizam Khan 4 1 25
2
2
Bajrang Lal 4 1 25
2
Malku Khan 4 1 22
2
Chuki 11 2 40
2
Bhanwarlal 4 1 58
2
ON 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD
(Household Roster) (Household Roster)
Member ID [3]

18 yrs. Self- Self- Worked as Non-
Marital Status Involved in employed employed agricultural agricultural Salary
[1=married; migration in in non- casual casual work
2=unmarried; during last agriculture agriculture laborer laborer during last
3=widow; 12 during last during last during last during last 12
4=divorced; months? 12 12 12 12 months?
5=separated; (1=Yes; months? months? months? months? [1=Yes;
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; [1=Yes; 2=No]
(in Inches) (in kg) 2=No) 2=No) 2=No] 2=No]
2 2 1 2 1 2 2
1 2 1 1 2 2 2
54 27 27 2 2 2 2 2 2
1 2 1 2 2 2 2
2 1 2 2 1 2 1
2 2 2 2 2 2 2
1 2 2 2 1 1 2
2 2 1 2 1 2 2
1 2 1 2 1 1 2
1 2 1 2 1 2 2
2 2 1 2 1 2 2
1 2 1 2 1 2 2
1 2 1 2 2 2 2
60 41 2 2 2 2
2 2 2
1 2 1 2
1 1 2
1 1 1 1
2 2 2
2 2 2 1
2 1 2
1 2 2 2
2 2 2
1 1 2 1
2 2 2
OMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
E HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
oster)
Occupation Code
(Use NCO Code) Do you Net Net
Account? non co- non co-
(No– 1, resident resident Name of the Member
Individual brother & sisters &
Primary Secondary 3, the Head the Head
610 630 2 Ramnarayan Purohit
986 610 2 Iqbal Khan
1114 2 Mohd. Akram
610 2 Bhanvari Devi
771 2 Raju Ram
1114 2 Priyanka
630 2 Babulal
621 630 2 Vimla
999 610 2 Salu Naik
1111 621 2 Anu
610 2 Sanju
621 610 2 Nirma
610 2 Pinky Kunwar
Surendra Godhara
1114 2
Mukhtiar
811 630 2
Poonam Devi
610 811 2
Najeer Khan
999 630 2
Dinesh
1111 2
Dhudidevi
621 2
SITION SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household
(Household Roster) Roster)
Member ID [4]

18 yrs. Self- Self-
Marital Status Involved in employed employed
[1=married; migration in in non-
Relationship Gender 2=unmarried; during last agriculture agriculture
with head (Male=1; Age (yrs) 3=widow; 12 during last during last
(Use Code 1) Female=2) 4=divorced; months? 12 12
5=separated; (1=Yes; months? months?
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes;
(in Inches) (in kg) 2=No) 2=No)
4 1 25 1 2 1 2
4 1 28 1 1 1 2
4 1 10 48 25 25 2 2 2
11 2 40 1 2 1 2
4 1 20 2 2 2 2
4 2 19 2 2 2 2
4 1 18 39 13.6 2 2 2 2
4 2 20 2 2 1 2
11 2 18 56 41 1 2 2 2
5 2 14 54 31 2 2 2 2
11 2 20 1 2 2 2
11 2 25 1 2 2 2
11 2 30 1 2 2 2
4 1 13 49 23 2 2 2 2
11 2 30 1 2 2 2
11 2 23 1 2 2 2
4 1 19 2 1 2 1
5 1 23 1 2 2 1
11 2 53 1 1 2 1
ION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSIT
HOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOU
Occupation Code
Worked as Non- (Use NCO Code) Net Net
agricultural agricultural Salary transfers to transfers to
Do you have a
casual casual work and from and from
Bank Account?
laborer laborer during last non co- non co-
(No– 1,
during last during last 12 resident resident
Individual – 2,
12 12 months? brother & sisters &
Joint – 3,
months? months? [1=Yes; father of mother of
Both – 4)
[1=Yes; [1=Yes; 2=No] Primary Secondary the Head the Head
2=No] 2=No] of Hhd. of Hhd.
1 2 2 610 630 2
2 2 2 610 621 2
2 2 2 1114 2
2 2 2 610 622 2
2 2 2 1114 2
2 2 2 1114 2
1 1 2 630 2
1 2 2 621 630 2
2 2 2 1111 621 2
2 2 2 1114
2 2 2 1111 2
2 2 2 1111 621 2
2 2 2 1111 621 2
2 2 2 1114 1
2 2 2 1111 2
2 2 2 1111 621 2
2 1 2 999 630 2
2 2 2 843 2
2 2 2 621 2
ON 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household
Member ID [5

18 yrs.
Relationship Gender
Height Weight
(in Inches) (in kg)
Anju Devi 11 2 22
Irshad Khan 4 1 26
Yasmin Bano 4 2 8 39.3 16
Kailash Suthar 5 1 29
Rahul 4 1 17 63 48.5
Maina Devi 11 2 20
Chanda 4 2 17 62 39
Sushila 5 2 12 51 27
Bablu Sadh 4 1 18 64 48.6
Dev Kishan 4 1 31
Komal 5 2 8 39.4 14
Virendra 4 1 10 49 23
Nazru Khan 4 1 18 60 44
Prem Kumar 4 1 22
Habib Khan 4 1 15 62 41
Pooja 14 2 20
Gopiram 4 1 40
OLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSE
Roster) (Household Roster) (Household Roster)
Member ID [5]
Occupation Code
Self- Self- Worked as Non- (Use NCO Code)
6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; [1=Yes; 2=No] Primary Secondary
2=No) 2=No) 2=No] 2=No]
1 2 1 2 2 2 2 610 622
1 2 1 2 2 2 2 610 621
2 2 2 2 2 2 2 1114
1 1 1 1 2 2 2 811 610
2 2 2 2 2 2 2 1114
1 2 2 2 2 2 2
2 2 2 2 2 2 2 1114
2 2 2 2 2 2 2 1114
2 2 1 2 1 2 2 610
1 2 1 2 1 2 2 621 610
2 2 2 2 2 2 2 1114
2 2 2 2
2 2 2 1114
2 2 2 2
2 2 2 1114
1 1 2 1
2 2 2 810
2 2 2 2
2 2 2 1114
1 2 2 2
2 2 2 1111
1 2 1 2
2 2 2 621 610
SECTION 2. H
COMPO
MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
(Household Roster)
Do you Net Net

(No– 1, resident resident Name of the Member with head (Male=1;
2 Usha 5 2
2 Maqsood Khan 4 1
2 Anusuya 11 2
2 Sandhya 4 2
2 Sapna 5 2
2 Pooja 4 2
2 Tilok Ram 5 1
2 Meena 11 2
1 Vishwajeet 5 1
1
Dariya 4 2
2
Usha Devi 11 2
2
2
Anil 5 1
2
Kamladevi 11 2
2
SECTION 2. HOUSEHOLD
COMPOSITION
ousehold Roster) 2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEH
Roster) (Household Roster)
Member ID [6]

Marital Status Involved in employed employed agricultural agricultural
[1=married; migration in in non- casual casual
2=unmarried; during last agriculture agriculture laborer laborer
Age (yrs) 3=widow; 12 during last during last during last during last
4=divorced; months? 12 12 12 12
5=separated; (1=Yes; months? months? months? months?
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; [1=Yes;
5 33.5 14 2 2 2 2 2 2
24 1 1 1 2 2 2
17 66 54 1 2 1 2 2 2
5 33 13.8 2 2 2 2 2 2
1 30 8.2 2 2 2 2 2 2
12 48 20 2 2 2 2 2 2
10 48 29 2 2 2 2 2 2
24 1 2 2 2 2 2
5 34 13 2 2 2 2 2 2
15 58 38 2 2 2 2
2 2
20 1 2 2 2
2 2
21 1 1 2 1
2 2
41 1 2 2 2
2 2
MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
(Household Roster)
Occupation Code
Salary have a transfers to transfers to
work Bank and from and from
during last Account? non co- non co-
12 (No– 1, resident resident Name of the Member
months? Individual brother & sisters &
[1=Yes; – 2, Joint – father of mother of
2=No] Primary Secondary 3, the Head the Head
2 1116 1 Bal Chand
2 610 621 2 Kali
2 622 610 2 Sunil Suthar
2 1116 2
2 2
2 1114 2 Kaluram
2 1114 1 Laxmi
2 1111 621 2 Siksha
2 1116 1 Kan Singh

Rubina
2 1114 2
Mukesh
2 1111 2
Rahul
2 819 2
Rajuram
2 1111 2
OSITION SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOL
ehold Roster) 2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD
Member ID
[7]

18 yrs. Self- Self-
Marital Status Involved in employed employed
[1=married; migration in in non-
Relationship Gender 2=unmarried; during last agriculture agriculture
with head (Male=1; Age (yrs) 3=widow; 12 during last during last
(Use Code 1) Female=2) 4=divorced; months? 12 12
5=separated; (1=Yes; months? months?
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes;
(in Inches) (in kg) 2=No) 2=No)
5 1 3 34 13.5 2 2 2 2
11 2 28 1 2 1 2
5 1 19 2 2 1 1
4 1 10 47 25 2 2 2 2
5 2 7 40 9 2 2 2 2
5 2 5 33.6 13.5 2 2 2 2
4 1 32 1 1 2 1
5 2 2 32.5 8 2 2 2 2
4 1 20 1 1 2 1
18 1 1 30.5 7.8 2 2 2 2
5 1 27 1 1 1 2
ION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOS
RS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE H
usehold Roster) Roster)
Occupation Code
Worked as Non- (Use NCO Code) Net Net
agricultural agricultural Salary transfers to transfers to
Do you have a
casual casual work and from and from
Bank Account?
laborer laborer during last non co- non co-
(No– 1,
during last during last 12 resident resident
Individual – 2,
12 12 months? brother & sisters &
Joint – 3,
months? months? [1=Yes; father of mother of
Both – 4)
[1=Yes; [1=Yes; 2=No] Primary Secondary the Head the Head
2=No] 2=No] of Hhd. of Hhd.
2 2 2 1116 1
2 2 2 622 621 2
2 2 2 401 610 2
2 2 2 1114 2
2 2 2 1114 1
2 2 2 1116 1
2 1 2 810 2
2 2 2 1116 1
2 2 2 810 2
2 2 2 1116 1
1 2 2 610 630 2
TION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD (Household Roster) 2.1 MEMBERS OF THE HOU
(Household Roster
Member I
For members less

than
18 yrs.
Relationship Gender
Height Weight
(in Inches) (in kg)
Disha 5 2 0 29 6
Ghulam Jora 11 2 26
Chandrakant 4 1 8 40 16
Jeena 5 2 5 33.4 14
Bisham 5 1 4 33 13
Sambhandh Kunwar 11 1 28
Bajrang Devi 11 2 20
Shivkaran 5 1 12 50 22
1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS
Member ID [8]
Occupation Code
2=No) 2=No) 2=No] 2=No]
2 2 2 2 2 2 2 1116
1 1 1 2 2 2 2 610 621
2 2 2 2 2 2 2 1114
2 2 2 2 2 2 2 1116
2 2 2 2 2 2 2 1116
1 1 2 2 2 2 2 1111
1 2 2 2
2 2 2 1111
2 2 2 2
2 2 2 1114
SECTION 2.
COMP
2.1 MEMBERS OF THE HOUSEHOLD (Household Roster) 2.1 MEMBERS OF THE HOUS
(Household Roster)
Do you Net Net

2 Ruksana 11 2
1 Leela 5 2
1 Lucky 5 1
2 Pritam 5 2
Lokesh 4 1
2
Shyamsundar 5 1
1
COMPOSITION
MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE
(Household Roster) Roster) (Household R
Member ID [9]

24 1 2 1 2 2 2
3 37 13 2 2 2 2 2 2
3 37 14.6 2 2 2 2 2 2
5 33.2 12 2 1 2 2 2 2
18 66 48 2 2 2 2
2 2
13 50 23 2 2 2 2 2 2
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD
Occupation Code
12 (No– 1, resident resident
2 622 621 2
2 1116 1
2 1116 1
2 1116 1
2 1114 2
2
1114 1
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSIT
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOL
Me

18 yrs.
Relationship Gender
Height
(in Inches)
Kali (There are 2 Kali's in same house) 11 2 22
Tanisha 5 2 2 31
Laku Singh 5 1 2 32.3

Tamanna 5 2 3 36
Ramchandra 5 1 11 48.2
OUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
MBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF T
Roster) (Household Roster) (Household
Member ID
[10]
For members less than Occupation Code

18 yrs. Self- Self- Worked as Non- (Use NCO Code)
Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; [1=Yes; 2=No] Primary
(in kg) 2=No) 2=No) 2=No] 2=No]
1 1 1 2 2 2 2 610
9 2 2 2 2 2 2 2 1116
8.5 2 1 2 2 2 2 2 1116
12.5 2 2 2 2
2 2 2 1116
20 2 2 2 2 2 2 2
1114
ITION SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster
(Household Roster)
Occupation Code
(Use NCO Code) Net Net
Do you have a transfers to transfers to
Account? non co- non co- Relationship
(No– 1, resident resident Name of the Member with head
Individual – 2, brother & sisters & (Use Code 1)
Joint – 3, father of mother of
Secondary Both – 4) the Head the Head
of Hhd. of Hhd.
621 2 Insaaf Khan 5
1 Dheeraj 5
1 Kalu Singh 4
Payal 5
1
1
SECTION 2. HOUSEHOLD COMPOSI
COMPOSITION
SEHOLD (Household Roster) 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE
(Household Roster) (Household Ro
Member ID [11]

18 yrs. Self- Self- Worked as
Marital Status Involved in employed employed agricultural
[1=married; migration in in non- casual
Gender 2=unmarried; during last agriculture agriculture laborer
(Male=1; Age (yrs) 3=widow; 12 during last during last during last
Female=2) 4=divorced; months? 12 12 12
5=separated; (1=Yes; months? months? months?
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes;
(in Inches) (in kg) 2=No) 2=No) 2=No]
1 9 40 16 2 2 2 2 2
1 1 30.5 8 2 2 2 2 2
1 30 1 1 2 1 2
2 2 30.6 8 2 2 2 2
2
HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Rost
(Household Roster)
Occupation Code
Non- (Use NCO Code) Net Net
agricultural Salary transfers to transfers to
Do you have a
casual work and from and from
Bank Account?
laborer during last non co- non co-
(No– 1,
during last 12 resident resident
Individual – 2,
12 months? brother & sisters &
Joint – 3,
months? [1=Yes; father of mother of
Both – 4)
[1=Yes; 2=No] Primary Secondary the Head the Head
2=No] of Hhd. of Hhd.
2 2 1114 2
2 2 1116 1
1 2 810 2
2 2 1116 1
ION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
MBERS OF THE HOUSEHOLD (Household Roster) 2.1 MEMBERS OF THE HOUSEHOLD (Household
Roster)
Member

18 yrs.
Relationship Gender
Height Weight
(in Inches) (in kg)
Farzaana 5 2 5 33 14
Vimla Kunwar 11 2 26
Raja 5 1 3 37 14.5
OUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD
er) (Household Roster) (Household Roster)
Member ID [12]
Occupation Code
2=No) 2=No) 2=No] 2=No]
2 2 2 2 2 2 2 1116
1 1 2 2 2 2 2 1111
2 2 2 2
2 2 2 1116
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEH
ERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
ousehold Roster)
Net Net
transfers to transfers to
Do you have a
and from and from
Bank Account?
non co- non co- Relationship Gender
(No– 1,
resident resident Name of the Member with head (Male=1;
Individual – 2,
brother & sisters & (Use Code 1) Female=2)
Joint – 3,
father of mother of
Both – 4)
the Head the Head
of Hhd. of Hhd.
2 Afsana 5 2
2 Jyoti 5 2
Gunjan 5 2
1
SECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
ld Roster) 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD

Member-ID [13]

7 42.5 15 2 1 2 2 2 2
1 30.8 8 2 1 2 2 2 2
1 30.6 8 2 2 2 2
2 2
RS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household Roster)
usehold Roster)
Occupation Code
Salary transfers to transfers to
Do you have a
work and from and from
Bank Account?
during last non co- non co-
(No– 1,
12 resident resident
Individual – 2,
months? brother & sisters &
Joint – 3,
[1=Yes; father of mother of
Both – 4)
2=No] Primary Secondary the Head the Head
of Hhd. of Hhd.
2 1114 2
2 1116 1
2 1116 1
ECTION 2. HOUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITI
F THE HOUSEHOLD (Household Roster) 2.1 MEMBERS OF THE HOUSEHOLD

(Household Roster)
Mem

18 yrs.
Relationship Gender
Height
(in Inches)
Altaf Khan 5 1 5 34
OUSEHOLD COMPOSITION SECTION 2. HOUSEHOLD COMPOSITION
OUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD (Hous
er) Roster) Roster)
Member-ID [14]
For members less than Occupation Code

18 yrs. Self- Self- Worked as Non- (Use NCO Code)
Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes; [1=Yes; 2=No] Primary
(in kg) 2=No) 2=No) 2=No] 2=No]
13.9 2 1 2 2 2 2 2 1116
ITION SECTION 2. HOUSEHOLD COMPOSITION
OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD
Occupation Code
transfers to transfers to
Do you have a
and from and from
Bank Account?
non co- non co- Relationship
(No– 1,
resident resident Name of the Member with head
Individual – 2,
brother & sisters & (Use Code 1)
Joint – 3,
father of mother of
Both – 4)
Secondary the Head the Head
of Hhd. of Hhd.
2 Ayub Khan 5
2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHO
Member-ID [15]

18 yrs. Self- Self- Worked as
Marital Status Involved in employed employed agricultural
[1=married; migration in in non- casual
Gender 2=unmarried; during last agriculture agriculture laborer
(Male=1; Age (yrs) 3=widow; 12 during last during last during last
Female=2) 4=divorced; months? 12 12 12
5=separated; (1=Yes; months? months? months?
Height Weight 6=widower] 2=No) (1=Yes; (1=Yes; [1=Yes;
(in Inches) (in kg) 2=No) 2=No) 2=No]
1 3 37.5 14 2 2 2 2 2
RS OF THE HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD
usehold Roster) (Household Roster)
Occupation Code
Non- (Use NCO Code) Do you Net Net
agricultural Salary have a transfers to transfers to
casual work Bank and from and from
laborer during last Account? non co- non co-
during last 12 (No– 1, resident resident
12 months? Individual brother & sisters &
months? [1=Yes; – 2, Joint – father of mother of
[1=Yes; 2=No] Primary Secondary 3, the Head the Head
2=No] Both – 4) of Hhd. of Hhd.
2 2 1116 1
2.1 MEMBERS OF THE HOUSEHOLD (Hou
Roster)
Member

18 yrs.
Relationship Gender
Height Weight
(in Inches) (in kg)
Alfaaz Khan 5 1 1 30.8 8

SECTION 2. HOUSEHOLD COMPO
S OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD 2.1 MEMBERS OF THE H
Roster) (Household Roster) (Household Rost
Member-ID [16]
Occupation Code
2=No) 2=No) 2=No] 2=No]
2 2 2 2 2 2 2 1116
USEHOLD COMPOSITION
MEMBERS OF THE HOUSEHOLD
(Household Roster)
Do you Net Net

1 Raeesa 4 2
2.1 MEMBERS OF THE HOUSEHOLD (Household 2.1 MEMBERS OF THE HOUSEHOLD
Member-ID [17]

12 50 27 1 2 2 2 2 2
E HOUSEHOLD 2.1 MEMBERS OF THE HOUSEHOLD
oster) (Household Roster) 2.2 Number of other persons staying
with the household
[Household level Information]
Occupation Code
12 (No– 1, resident resident Servants Permanent labourers
0 0
2 1114 2 0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
SECTION-3 : OWNERSHIP OF ASSETS
3.1 : Ownership Status of Mechanized and Non-Mechanized Assets

(2017-18)
Household-1
Household ID
[to be copied correctly from Introduction/Cover Sheet]
0 1
Sl. Assets Number Owned in 2017- Total Value Now (Rs.) Sl. No. Assets
No. 18
Mechanized Assets
1 Tractor 0 0 1 Tractor
2 Trailer 0 0 2 Trailer
3 Thresher 0 0 3 Thresher
4 Electrified motor 0 0 4 Electrified motor
Non-electrified motor
5 0 0 5 Non-electrified motor (Oil
(Oil engine)
6 Gauge wheel 0 0 6 Gauge wheel
7 Plough 0 0 7 Plough
8 Disc harrow 0 0 8 Disc harrow
9 Tiller/cultivator 0 0 9 Tiller/cultivator
10 Plough disc/mould board 0 0 10 Plough disc/mould board
11 Seed drill 0 0 11 Seed drill
12 Power tiller 0 0 12 Power tiller
13 Power sprayer 0 0 13 Power sprayer
14 Chaff cutter 0 0 14 Chaff cutter
15 Cane Crusher 0 0 15 Cane Crusher
16 Combine harvester 0 0 16 Combine harvester
17 Mechanized fishing boats 0 0 17 Mechanized fishing boats
18 Mechanized fishing nets 0 0 18 Mechanized fishing nets
Non-Mechanized Assets
19 Iron plough 0 0 19 Iron plough
20 Cultivator 0 0 20 Cultivator
21 Harrow 0 0 21 Harrow
22 Leveler 0 0 22 Leveler
Hoe / Manual earth Hoe / Manual earth remov
23 remover 1 50 23
24 Residential Houses 1 1200000 24 Residential Houses
25 Seed drill 0 0 25 Seed drill
26 Weeder 0 0 26 Weeder
27 Sprayer/duster 0 0 27 Sprayer/duster
28 Winnower / Pitch fork 0 0 28 Winnower / Pitch fork
29 Farm Houses 1 5000 29 Farm Houses
Godowns, warehouses,
30 0 0 30 Godowns, warehouses, etc
etc.
31 Rice pounder 0 0 31 Rice pounder
32 Livestock sheds 0 0 32 Livestock sheds
33 Other livestock assets 0 0 33 Other livestock assets
Buildings for non-farm Buildings for non-farm acti
34 activities 0 0 34
35 Biogas plant 0 0 35 Biogas plant
36 Bullock Cart 0 0 36 Bullock Cart
Non-mechanized fishing
37 0 0 37 Non-mechanized fishing bo
boats
Non-mechanized fishing
38 0 0 38 Non-mechanized fishing ne
nets
39 Beehives 0 0 39 Beehives
40 Cream Extractor 0 0 40 Cream Extractor
41 Honey Extractor 0 0 41 Honey Extractor
42 Chaff cutter 0 0 42 Chaff cutter
43 Sickles 5 100 43 Sickles
44 Scissors (Heavy duty) 0 0 44 Scissors (Heavy duty)

(2017-18)
Household-2
Household ID
Assets Number Owned in 2017-19 Total Value Now (Rs.)
Mechanized Assets
Tractor 0 0
Trailer 0 0
Thresher 0 0
Electrified motor 0 0
Non-electrified motor (Oil engine) 0 0
Gauge wheel 0 0
Plough 0 0
Disc harrow 0 0
Tiller/cultivator 0 0
Plough disc/mould board 0 0
Seed drill 0 0
Power tiller 0 0
Power sprayer 0 0
Chaff cutter 0 0
Cane Crusher 0 0
Combine harvester 0 0
Mechanized fishing boats 0 0
Mechanized fishing nets 0 0
Iron plough 0 0
Cultivator 0 0
Harrow 0 0
Leveler 0 0
Hoe / Manual earth remover 1 150
Residential Houses 1 300000
Seed drill 0 0
Weeder 1 50
Sprayer/duster 0 0
Winnower / Pitch fork 0 0
Farm Houses 0 0
Godowns, warehouses, etc. 0 0
Rice pounder 0 0
Livestock sheds 0 0
Other livestock assets 0 0
Buildings for non-farm activities 0 0
Biogas plant 0 0
Bullock Cart 0 0
Non-mechanized fishing boats 0 0
Non-mechanized fishing nets 0 0
Beehives 0 0
Cream Extractor 0 0
Honey Extractor 0 0
Chaff cutter 0 0
Sickles 12 300
Scissors (Heavy duty) 1 100
SECTION-3 : OWNERSHIP OF ASSET
3.1 : Ownership Status of Mechanized and Non-Mechanize

(2017-18)
Household-3
Household ID
[to be copied correctly from Introduction/Cover S
0 2
Total Value Now (Rs.) Sl. No. Assets Number Owned in 2017-19
Mechanized Assets
0 1 Tractor 0
0 2 Trailer 0
0 3 Thresher 0
0 4 Electrified motor 0
0 5 Non-electrified motor (Oil engine) 0
0 6 Gauge wheel 0
0 7 Plough 0
0 8 Disc harrow 0
0 9 Tiller/cultivator 0
0 10 Plough disc/mould board 0
0 11 Seed drill 0
0 12 Power tiller 0
0 13 Power sprayer 0
0 14 Chaff cutter 0
0 15 Cane Crusher 0
0 16 Combine harvester 0
0 17 Mechanized fishing boats 0
0 18 Mechanized fishing nets 0
0 19 Iron plough 0
0 20 Cultivator 0
0 21 Harrow 0
0 22 Leveler 0
150 23 Hoe / Manual earth remover 1
300000 24 Residential Houses 1
0 25 Seed drill 0
50 26 Weeder 1
0 27 Sprayer/duster 0
0 28 Winnower / Pitch fork 0
0 29 Farm Houses 0
0 30 Godowns, warehouses, etc. 0
0 31 Rice pounder 0
0 32 Livestock sheds 0
0 33 Other livestock assets 0
0 34 Buildings for non-farm activities 0
0 35 Biogas plant 0
0 36 Bullock Cart 0
0 37 Non-mechanized fishing boats 0
0 38 Non-mechanized fishing nets 0
0 39 Beehives 0
0 40 Cream Extractor 0
0 41 Honey Extractor 0
0 42 Chaff cutter 0
300 43 Sickles 4
100 44 Scissors (Heavy duty) 1
NERSHIP OF ASSETS SECTIO
nized and Non-Mechanized Assets 3.1 : Ownership

17-18)
ehold-3
ehold ID
m Introduction/Cover Sheet] [to be copie
0 3
Number Owned in 2017-19 Total Value Now (Rs.) Sl. No. Assets
zed Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 4 Electrified motor
0 0 5 Non-electrified motor (Oil engine)
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 9 Tiller/cultivator
0 0 10 Plough disc/mould board
0 0 11 Seed drill
0 0 12 Power tiller
0 0 13 Power sprayer
0 0 14 Chaff cutter
0 0 15 Cane Crusher
0 0 16 Combine harvester
0 0 17 Mechanized fishing boats
0 0 18 Mechanized fishing nets
anized Assets
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
1 150 23 Hoe / Manual earth remover
1 190000 24 Residential Houses
0 0 25 Seed drill
1 50 26 Weeder
0 0 27 Sprayer/duster
0 0 28 Winnower / Pitch fork
0 0 29 Farm Houses
0 0 30 Godowns, warehouses, etc.
0 0 31 Rice pounder
0 0 32 Livestock sheds
0 0 33 Other livestock assets
0 0 34 Buildings for non-farm activities
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 37 Non-mechanized fishing boats
0 0 38 Non-mechanized fishing nets
0 0 39 Beehives
0 0 40 Cream Extractor
0 0 41 Honey Extractor
0 0 42 Chaff cutter
4 100 43 Sickles
1 100 44 Scissors (Heavy duty)

(2017-18)
Household-4
Household ID
0 4
Mechanized Assets
0 0
0 0
0 0
0 0
otor (Oil engine) 0 0
0 0
0 0
0 0
0 0
d board 0 0
0 0
0 0
0 0
0 0
0 0
er 0 0
ng boats 0 0
ng nets 0 0
0 0
0 0
0 0
0 0
th remover 1 150
s 1 1,000,000
0 0
1 50
0 0
fork 0 0
1 50000
ouses, etc. 0 0
0 0
1 7000
sets 0 0
farm activities 0 0
0 0
1 20000
fishing boats 0 0
fishing nets 0 0
0 0
0 0
0 0
0 0
20 1000
uty) 0 0

(2017-18)
Household-5
Household ID
Sl. No. Assets Number Owned in 2017-19
Mechanized Assets
1 Tractor 0
2 Trailer 0
3 Thresher 0
4 Electrified motor 0
5 Non-electrified motor (Oil engine) 0
6 Gauge wheel 0
7 Plough 0
8 Disc harrow 0
9 Tiller/cultivator 0
10 Plough disc/mould board 0
11 Seed drill 0
12 Power tiller 0
13 Power sprayer 0
14 Chaff cutter 0
15 Cane Crusher 0
16 Combine harvester 0
17 Mechanized fishing boats 0
18 Mechanized fishing nets 0
19 Iron plough 0
20 Cultivator 0
21 Harrow 0
22 Leveler 0
23 Hoe / Manual earth remover 2
24 Residential Houses 1
25 Seed drill 0
26 Weeder 2
27 Sprayer/duster 0
28 Winnower / Pitch fork 0
29 Farm Houses 0
30 Godowns, warehouses, etc. 0
31 Rice pounder 0
32 Livestock sheds 0
33 Other livestock assets 0
34 Buildings for non-farm activities 0
35 Biogas plant 0
36 Bullock Cart 0
37 Non-mechanized fishing boats 0
38 Non-mechanized fishing nets 0
39 Beehives 0
40 Cream Extractor 0
41 Honey Extractor 0
42 Chaff cutter 0
43 Sickles 5
44 Scissors (Heavy duty) 0
SETS SECTION-3 : OWNER
anized Assets 3.1 : Ownership Status of Mechanized

(2017-18
Household
Household
ver Sheet] [to be copied correctly from In
0 5
Total Value Now (Rs.) Sl. No. Assets
Mechanized A
0 1 Tractor
0 2 Trailer
0 3 Thresher
0 4 Electrified motor
0 5 Non-electrified motor (Oil engine)
0 6 Gauge wheel
0 7 Plough
0 8 Disc harrow
0 9 Tiller/cultivator
0 10 Plough disc/mould board
0 11 Seed drill
0 12 Power tiller
0 13 Power sprayer
0 14 Chaff cutter
0 15 Cane Crusher
0 16 Combine harvester
0 17 Mechanized fishing boats
0 18 Mechanized fishing nets
Non-Mechanize
0 19 Iron plough
0 20 Cultivator
0 21 Harrow
0 22 Leveler
100 23 Hoe / Manual earth remover
150000 24 Residential Houses
0 25 Seed drill
100 26 Weeder
0 27 Sprayer/duster
0 28 Winnower / Pitch fork
0 29 Farm Houses
0 30 Godowns, warehouses, etc.
0 31 Rice pounder
0 32 Livestock sheds
0 33 Other livestock assets
0 34 Buildings for non-farm activities
0 35 Biogas plant
0 36 Bullock Cart
0 37 Non-mechanized fishing boats
0 38 Non-mechanized fishing nets
0 39 Beehives
0 40 Cream Extractor
0 41 Honey Extractor
0 42 Chaff cutter
200 43 Sickles
0 44 Scissors (Heavy duty)
CTION-3 : OWNERSHIP OF ASSETS
ship Status of Mechanized and Non-Mechanized Assets

(2017-18)
Household-6
Household ID
opied correctly from Introduction/Cover Sheet]
0 6
Number Owned in 2017-20 Total Value Now (Rs.) Sl. No. A
Mechanized Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 5 Non-electrified motor
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 10 Plough disc/mould bo
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
0 0 17 Mechanized fishing bo
0 0 18 Mechanized fishing ne
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
1 50 23 Hoe / Manual earth re
0 0 25 Seed drill
1 150 26 Weeder
0 0 29 Farm Houses
0 0 30 Godowns, warehouse
0 0 31 Rice pounder
0 0 34 Buildings for non-farm
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 37 Non-mechanized fishin
0 0 39 Beehives
0 0 42 Chaff cutter
4 100 43 Sickles

(2017-18)
Household-7
Household ID
Mechanized Assets
Tractor 0 0
Trailer 0 0
Thresher 0 0
Gauge wheel 0 0
Plough 0 0
Disc harrow 0 0
Seed drill 0 0
Power tiller 0 0
Power sprayer 0 0
Chaff cutter 0 0
Cane Crusher 0 0
Iron plough 0 0
Cultivator 0 0
Harrow 0 0
Leveler 0 0
Seed drill 0 0
Weeder 0 0
Sprayer/duster 0 0
Farm Houses 0 0
Rice pounder 0 0
Livestock sheds 0 0
Biogas plant 0 0
Bullock Cart 0 0
Beehives 0 0
Cream Extractor 0 0
Honey Extractor 0 0
Chaff cutter 0 0
Sickles 2 100

(2017-18)
Household-8
Household ID
0 7
Mechanized Assets
0 1 Tractor 0
0 2 Trailer 0
0 3 Thresher 0
0 6 Gauge wheel 0
0 7 Plough 0
0 8 Disc harrow 0
0 11 Seed drill 0
0 12 Power tiller 0
0 14 Chaff cutter 0
0 15 Cane Crusher 0
0 19 Iron plough 0
0 20 Cultivator 0
0 21 Harrow 0
0 22 Leveler 0
0 25 Seed drill 0
0 26 Weeder 0
0 29 Farm Houses 0
0 31 Rice pounder 0
0 35 Biogas plant 0
0 36 Bullock Cart 0
0 39 Beehives 0
0 42 Chaff cutter 0
100 43 Sickles 3

17-18)
ehold-8
ehold ID
0 8
zed Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
anized Assets
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
0 0 25 Seed drill
0 0 26 Weeder
0 0 29 Farm Houses
0 0 31 Rice pounder
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 39 Beehives
0 0 42 Chaff cutter
3 75 43 Sickles

(2017-18)
Household-9
Household ID
0 9
Mechanized Assets
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
d board 0 0
0 0
0 0
0 0
0 0
0 0
er 0 0
ng boats 0 0
ng nets 0 0
0 0
0 0
0 0
0 0
th remover 2 100
s 1 600000
0 0
3 450
0 0
fork 0 0
1 20000
ouses, etc. 0 0
0 0
1 4000
sets 0 0
farm activities 0 0
0 0
0 0
fishing boats 0 0
fishing nets 0 0
0 0
0 0
0 0
0 0
5 125
uty) 0 0

(2017-18)
Household-10
Household ID
Mechanized Assets
1 Tractor 0
2 Trailer 0
3 Thresher 0
6 Gauge wheel 0
7 Plough 0
8 Disc harrow 0
11 Seed drill 0
12 Power tiller 0
13 Power sprayer 0
14 Chaff cutter 0
15 Cane Crusher 0
19 Iron plough 0
20 Cultivator 0
21 Harrow 0
22 Leveler 0
25 Seed drill 0
26 Weeder 0
27 Sprayer/duster 0
29 Farm Houses 0
31 Rice pounder 0
35 Biogas plant 0
36 Bullock Cart 0
39 Beehives 0
42 Chaff cutter 0
43 Sickles 0

(2017-18
Household
Household
1 0
Mechanized A
0 1 Tractor
0 2 Trailer
0 3 Thresher
0 6 Gauge wheel
0 7 Plough
0 8 Disc harrow
0 11 Seed drill
0 12 Power tiller
0 13 Power sprayer
0 14 Chaff cutter
0 15 Cane Crusher
Non-Mechanize
0 19 Iron plough
0 20 Cultivator
0 21 Harrow
0 22 Leveler
0 25 Seed drill
0 26 Weeder
0 27 Sprayer/duster
0 29 Farm Houses
0 31 Rice pounder
0 35 Biogas plant
0 36 Bullock Cart
0 39 Beehives
0 42 Chaff cutter
0 43 Sickles

(2017-18)
Household-11
Household ID
1 1
Mechanized Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
0 0 25 Seed drill
0 0 26 Weeder
0 0 29 Farm Houses
0 0 31 Rice pounder
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 39 Beehives
0 0 42 Chaff cutter
0 0 43 Sickles

(2017-18)
Household-12
Household ID
Mechanized Assets
Tractor 0 0
Trailer 0 0
Thresher 0 0
Gauge wheel 0 0
Plough 0 0
Disc harrow 0 0
Seed drill 0 0
Power tiller 0 0
Power sprayer 0 0
Chaff cutter 0 0
Cane Crusher 0 0
Iron plough 0 0
Cultivator 0 0
Harrow 0 0
Leveler 0 0
Seed drill 0 0
Weeder 0 0
Sprayer/duster 0 0
Farm Houses 0 0
Rice pounder 0 0
Livestock sheds 0 0
Biogas plant 0 0
Bullock Cart 0 0
Beehives 0 0
Cream Extractor 0 0
Honey Extractor 0 0
Chaff cutter 0 0
Sickles 2 150

(2017-18)
Household-13
Household ID
1 2
Mechanized Assets
0 1 Tractor 1
0 2 Trailer 1
0 3 Thresher 0
0 6 Gauge wheel 0
0 7 Plough 1
0 8 Disc harrow 1
0 11 Seed drill 0
0 12 Power tiller 0
0 14 Chaff cutter 0
0 15 Cane Crusher 0
0 19 Iron plough 0
0 20 Cultivator 0
0 21 Harrow 0
0 22 Leveler 0
0 25 Seed drill 0
0 26 Weeder 0
0 29 Farm Houses 0
0 31 Rice pounder 0
0 35 Biogas plant 0
0 36 Bullock Cart 0
0 39 Beehives 0
0 42 Chaff cutter 0
150 43 Sickles 4

17-18)
hold-13
ehold ID
1 3
zed Assets
1 600000 1 Tractor
1 40000 2 Trailer
0 0 3 Thresher
0 0 6 Gauge wheel
1 20000 7 Plough
1 25000 8 Disc harrow
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
anized Assets
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
0 0 25 Seed drill
0 0 26 Weeder
0 0 29 Farm Houses
0 0 31 Rice pounder
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 39 Beehives
0 0 42 Chaff cutter
4 100 43 Sickles

(2017-18)
Household-14
Household ID
1 4
Mechanized Assets
1 600000
1 30000
0 0
0 0
0 0
2 0
1 25000
0 0
d board 0 0
0 0
0 0
0 0
0 0
0 0
er 0 0
ng boats 0 0
ng nets 0 0
0 0
0 0
0 0
0 0
th remover 3 150
s 1 2000000
0 0
0 0
0 0
fork 0 0
1 10000
ouses, etc. 0 0
0 0
1 5000
sets 0 0
farm activities 0 0
0 0
0 0
fishing boats 0 0
fishing nets 0 0
0 0
0 0
0 0
0 0
0 0
uty) 0 0

(2017-18)
Household-15
Household ID
Mechanized Assets
1 Tractor 0
2 Trailer 0
3 Thresher 0
6 Gauge wheel 0
7 Plough 0
8 Disc harrow 0
11 Seed drill 0
12 Power tiller 0
13 Power sprayer 0
14 Chaff cutter 0
15 Cane Crusher 0
19 Iron plough 0
20 Cultivator 0
21 Harrow 0
22 Leveler 0
25 Seed drill 0
26 Weeder 0
27 Sprayer/duster 0
29 Farm Houses 0
31 Rice pounder 0
35 Biogas plant 0
36 Bullock Cart 0
39 Beehives 0
42 Chaff cutter 0
43 Sickles 3

(2017-18
Household
Household
1 5
Mechanized A
0 1 Tractor
0 2 Trailer
0 3 Thresher
0 6 Gauge wheel
0 7 Plough
0 8 Disc harrow
0 11 Seed drill
0 12 Power tiller
0 13 Power sprayer
0 14 Chaff cutter
0 15 Cane Crusher
Non-Mechanize
0 19 Iron plough
0 20 Cultivator
0 21 Harrow
0 22 Leveler
0 25 Seed drill
0 26 Weeder
0 27 Sprayer/duster
0 29 Farm Houses
0 31 Rice pounder
0 35 Biogas plant
0 36 Bullock Cart
0 39 Beehives
0 42 Chaff cutter
150 43 Sickles

(2017-18)
Household-16
Household ID
1 6
Mechanized Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
0 0 25 Seed drill
1 150 26 Weeder
0 0 29 Farm Houses
0 0 31 Rice pounder
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 39 Beehives
0 0 42 Chaff cutter
4 100 43 Sickles

(2017-18)
Household-17
Household ID
Mechanized Assets
Tractor 0 0
Trailer 0 0
Thresher 0 0
Gauge wheel 0 0
Plough 0 0
Disc harrow 0 0
Seed drill 0 0
Power tiller 0 0
Power sprayer 0 0
Chaff cutter 0 0
Cane Crusher 0 0
Iron plough 0 0
Cultivator 0 0
Harrow 0 0
Leveler 0 0
Seed drill 0 0
Weeder 0 0
Sprayer/duster 0 0
Farm Houses 0 0
Rice pounder 0 0
Livestock sheds 1 4500
Biogas plant 0 0
Bullock Cart 0 0
Beehives 0 0
Cream Extractor 0 0
Honey Extractor 0 0
Chaff cutter 0 0
Sickles 4 100

(2017-18)
Household-18
Household ID
1 7
Mechanized Assets
0 1 Tractor 0
0 2 Trailer 0
0 3 Thresher 0
0 6 Gauge wheel 0
0 7 Plough 0
0 8 Disc harrow 0
0 11 Seed drill 0
0 12 Power tiller 0
0 14 Chaff cutter 0
0 15 Cane Crusher 0
0 19 Iron plough 0
0 20 Cultivator 0
0 21 Harrow 0
0 22 Leveler 0
0 25 Seed drill 0
0 26 Weeder 0
0 29 Farm Houses 0
0 31 Rice pounder 0
0 35 Biogas plant 0
0 36 Bullock Cart 0
0 39 Beehives 0
0 42 Chaff cutter 0
100 43 Sickles 0

17-18)
hold-18
ehold ID
1 8
zed Assets
0 0 1 Tractor
0 0 2 Trailer
0 0 3 Thresher
0 0 6 Gauge wheel
0 0 7 Plough
0 0 8 Disc harrow
0 0 11 Seed drill
0 0 12 Power tiller
0 0 14 Chaff cutter
0 0 15 Cane Crusher
anized Assets
0 0 19 Iron plough
0 0 20 Cultivator
0 0 21 Harrow
0 0 22 Leveler
0 0 25 Seed drill
0 0 26 Weeder
0 0 29 Farm Houses
0 0 31 Rice pounder
0 0 35 Biogas plant
0 0 36 Bullock Cart
0 0 39 Beehives
0 0 42 Chaff cutter
0 0 43 Sickles

(2017-18)
Household-19
Household ID
1 9
Mechanized Assets
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
d board 0 0
0 0
0 0
0 0
0 0
0 0
er 0 0
ng boats 0 0
ng nets 0 0
0 0
0 0
0 0
0 0
th remover 2 100
s 1 600000
0 0
0 0
0 0
fork 0 0
0 0
ouses, etc. 0 0
0 0
1 3500
sets 0 0
farm activities 0 0
0 0
0 0
fishing boats 0 0
fishing nets 0 0
0 0
0 0
0 0
0 0
4 100
uty) 1 100

(2017-18)
Household-20
Household ID
Mechanized Assets
1 Tractor 0
2 Trailer 0
3 Thresher 0
6 Gauge wheel 0
7 Plough 0
8 Disc harrow 0
11 Seed drill 0
12 Power tiller 0
13 Power sprayer 0
14 Chaff cutter 0
15 Cane Crusher 0
19 Iron plough 0
20 Cultivator 0
21 Harrow 0
22 Leveler 0
25 Seed drill 0
26 Weeder 0
27 Sprayer/duster 0
29 Farm Houses 0
31 Rice pounder 0
35 Biogas plant 0
36 Bullock Cart 0
39 Beehives 0
42 Chaff cutter 0
43 Sickles 8

(2017-18
Household
Household
Mechanized A
0 1 Tractor
0 2 Trailer
0 3 Thresher
0 6 Gauge wheel
0 7 Plough
0 8 Disc harrow
0 11 Seed drill
0 12 Power tiller
0 13 Power sprayer
0 14 Chaff cutter
0 15 Cane Crusher
Non-Mechanize
0 19 Iron plough
0 20 Cultivator
0 21 Harrow
0 22 Leveler
0 25 Seed drill
0 26 Weeder
0 27 Sprayer/duster
0 29 Farm Houses
0 31 Rice pounder
0 35 Biogas plant
0 36 Bullock Cart
0 39 Beehives
0 42 Chaff cutter
1200 43 Sickles

(2017-18)
Household-21
Household ID
Number Owned in 2017-20 Total Value Now (Rs.)
Mechanized Assets
1 150000
1 20000
0 0
0 0
0 0
0 0
1 10000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
4 400
1 500000
0 0
0 0
0 0
0 0
0 0
1 50000
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
3 300
0 0
3.2 : Ownership of Assets in Nearby Village, Towns & Cities
Household-1
Household ID
0
Did you own this If Yes,

Sl. No. Type of Assets asset in 2017? then Value of Assets in 2017
(1= Yes, 2= No) (in Rs.)
Residential land
1 2
Residential houses
2 2
Residential flats
3 2
Commercial property (like shops)

4 2
Commercial vehicles
5 2
Agriculture land
6 2
Household-2
Household ID
1
If Yes, Did you own this

of Assets in 2017 Sl. No. Type of Assets asset in 2017?
(in Rs.) (1= Yes, 2= No)
Residential land
1 2
Residential houses
2 1
Residential flats
3 2

4 2
Commercial vehicles
5 1
Agriculture land
6 1
OF ASSETS SECTION-3 : O
age, Towns & Cities 3.2 : Ownership of Ass
H
ction/Cover Sheet] [to be copied correct
0 2
own this If Yes,

n 2017? then Value of Assets in 2017 Sl. No. Type of Assets
s, 2= No) (in Rs.)
Residential land
2 1
Residential houses
1 400000 2
Residential flats
2 3

2 4
Commercial vehicles
1 900000 5
Agriculture land
1 250000 6
Household-3
Household ID
0 3

ets asset in 2017? then Value of Assets in 2017 Sl. No.
(1= Yes, 2= No) (in Rs.)
2 1
2 2
2 3
hops)
2 4
2 5
2 6
Household-4
Household ID

Type of Assets asset in 2017? then Value of Asse
(1= Yes, 2= No) (in Rs.)
Residential land
2
Residential houses
2
Residential flats
2

2
Commercial vehicles
2
Agriculture land
2
SECTION-3 : OWNERSHIP OF
3.2 : Ownership of Assets in Nearby Village,
Household-5
Household ID
[to be copied correctly from Introductio
0 4
If Yes, Did you own

then Value of Assets in 2017 Sl. No. Type of Assets asset in 201
(in Rs.) (1= Yes, 2=
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

4 2
Commercial vehicles
5 2
Agriculture land
6 1
3 : OWNERSHIP OF ASSETS
Assets in Nearby Village, Towns & Cities 3
Household-5
Household ID
rectly from Introduction/Cover Sheet] [to
0 5

asset in 2017? then Value of Assets in 2017 Sl. No. Type of Assets
(1= Yes, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
2 5
Agriculture land
1 360,000 6
Household-6
Household ID
0

Type of Assets asset in 2017? then Value of Assets in 2017
(1= Yes, 2= No) (in Rs.)
ntial land
2
ntial houses
2
ntial flats
2
ercial property (like shops)

2
ercial vehicles
2
ture land
2
Household-7
Household ID
6
Yes, Did you own this

Assets in 2017 Sl. No. Type of Assets asset in 2017?
Rs.) (1= Yes, 2= No)
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

4 2
Commercial vehicles
5 2
Agriculture land
6 2
H
0 7
own this If Yes,

s, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
2 5
Agriculture land
2 6
Household-8
Household ID
0 8

(1= Yes, 2= No) (in Rs.)
2 1
2 2
2 3
hops)
2 4
2 5
2 6
Household-9
Household ID

(1= Yes, 2= No) (in Rs.)
Residential land
2
Residential houses
2
Residential flats
2

1 600000
Commercial vehicles
2
Agriculture land
2
Household-10
Household ID
0 9
If Yes, Did you own

(in Rs.) (1= Yes, 2=
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

600000 4 2
Commercial vehicles
5 2
Agriculture land
6 2
Household-10
Household ID
1 0

(1= Yes, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
2 5
Agriculture land
2 6
Household-11
Household ID
1

(1= Yes, 2= No) (in Rs.)
ntial land
2
ntial houses
2
ntial flats
2

2
ercial vehicles
2
ture land
2
Household-12
Household ID
1

Rs.) (1= Yes, 2= No)
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

4 2
Commercial vehicles
5 2
Agriculture land
6 1
H
1 2
own this If Yes,

s, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
2 5
Agriculture land
1 300000 6
Household-13
Household ID
1 3

(1= Yes, 2= No) (in Rs.)
2 1
2 2
2 3
hops)
2 4
2 5
2 6
Household-14
Household ID

(1= Yes, 2= No) (in Rs.)
Residential land
2
Residential houses
2
Residential flats
2

2
Commercial vehicles
2
Agriculture land
2
Household-15
Household ID
1 4
If Yes, Did you own

(in Rs.) (1= Yes, 2=
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

4 2
Commercial vehicles
5 1
Agriculture land
6 2
Household-15
Household ID
1 5

(1= Yes, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
1 750000 5
Agriculture land
2 6
Household-16
Household ID
1

(1= Yes, 2= No) (in Rs.)
ntial land
2
ntial houses
2
ntial flats
2

2
ercial vehicles
2
ture land
2
Household-17
Household ID
6

Rs.) (1= Yes, 2= No)
Residential land
1 2
Residential houses
2 2
Residential flats
3 2

4 2
Commercial vehicles
5 2
Agriculture land
6 2
H
1 7
own this If Yes,

s, 2= No) (in Rs.)
Residential land
2 1
Residential houses
2 2
Residential flats
2 3

2 4
Commercial vehicles
2 5
Agriculture land
2 6
Household-18
Household ID
1 8

(1= Yes, 2= No) (in Rs.)
2 1
2 2
2 3
hops)
2 4
2 5
1 600000 6
Household-19
Household ID

(1= Yes, 2= No) (in Rs.)
Residential land
2
Residential houses
2
Residential flats
2

2
Commercial vehicles
2
Agriculture land
2
Household-20
Household ID
1 9
If Yes, Did you own

(in Rs.) (1= Yes, 2=
Residential land
1 1
Residential houses
2 0
Residential flats
3 0

4 1
Commercial vehicles
5 1
Agriculture land
6 0
Household-20
Household ID

(1= Yes, 2= No) (in Rs.)
Residential land
1 8500000 1
Residential houses
0 0 2
Residential flats
0 0 3

1 200000 4
Commercial vehicles
1 350000 5
Agriculture land
0 0 6
Household-21
Household ID

(1= Yes, 2= No) (in Rs.)
ntial land
2
ntial houses
2
ntial flats
2

2
ercial vehicles
2
ture land
2
Yes,
Assets in 2017
Rs.)
SECTION-4 : CONSUMPTION EXPENDITUR
4A : Household Consumption Expenditure
Household-1
Household ID
[to be copied correctly from Introduction/Cover She
Have You Consumed

this Item in the Past 12
Sl. Item Months?
No. (Yes-1, No-2)
1 Rice – PDS (Kgs) 2

2 Rice – Other Sources (Kgs) 1
3 Wheat/Atta – PDS (Kgs) 1
4 Wheat/Atta – Other Sources (Kgs) 1
5 Other Cereals (Kgs) 1
6 Cereal Products (bread, muri, chura, maida, suji, etc.) (Kgs) 2
7 Pulses & Pulse Products (soyabean, gram, etc.) (Kgs) 1
8 Sugar – PDS (Kgs) 2
9 Sugar – Other Sources (Kgs) 1
10 Gur and Other Sweeteners (Kgs) 1
11 Edible Oils and Vanaspati (in litres) 1
12 Meat, Chicken and Fish (Kgs) 2
13 Eggs (in numbers) 2
14 Milk (in litres) 1
15 Other Milk Products (butter, curd, ice-cream, etc.) (Kgs) 2
TION EXPENDITURE
mption Expenditure
old-1
old ID
ntroduction/Cover Sheet]
0 1
Consumption Out of Total Purchase in Consumption of Home Produce in Last 30

Last 30 Days Days
Sl. Item
No.
Quantity Value
of Purchase Value of Purchase (Rs.) Quantity (Rs.)
0 0 0 0 1 Rice – PDS (Kgs)

10 350 0 0 2 Rice – Other Sources (Kgs)
15 30 0 0 3 Wheat/Atta – PDS (Kgs)
100 2200 0 0 4 Wheat/Atta – Other Sources
25 500 0 0 5 Other Cereals (Kgs)
Cereal Products (bread, mur
0 0 0 0 6
etc.)
Pulses(Kgs)
& Pulse Products (soy
5 550 0 0 7
(Kgs)
0 0 0 0 8 Sugar – PDS (Kgs)
50 2100 0 0 9 Sugar – Other Sources (Kgs)
5 200 0 0 10 Gur and Other Sweeteners (
15 1500 0 0 11 Edible Oils and Vanaspati (in
0 0 0 0 12 Meat, Chicken and Fish (Kgs
0 0 0 0 13 Eggs (in numbers)
0 0 120 3000 14 Milk (in litres)
Other Milk Products (butter,
15 1500 0 0 15
(Kgs)
SECTION-4 : CONSUMPTION EXPENDITURE
Household-2
Household ID
Consumption Out of Total Consumption of Home Pro

Purchase in Last 30 Days Last 30 Days
Have You Consumed
this Item in the Past
Item 12 Months?
(Yes-1, No-2) Quantity
of Value of Purchase
Purchase (Rs.) Quantity
Rice – PDS (Kgs) 2

Rice – Other Sources (Kgs) 2
Wheat/Atta – PDS (Kgs) 1 45 90
Wheat/Atta – Other Sources (Kgs) 1 200 4200
Other Cereals (Kgs) 2
Cereal Products (bread, muri, chura, maida, suji,
etc.) (Kgs) 2
Pulses & Pulse Products (soyabean, gram, etc.)
(Kgs) 1 30 2400
Sugar – PDS (Kgs) 2
Sugar – Other Sources (Kgs) 1 15 675
Gur and Other Sweeteners (Kgs) 2
Edible Oils and Vanaspati (in litres) 1 5 475
Meat, Chicken and Fish (Kgs) 1 2 400
Eggs (in numbers) 1 120 1200
Milk (in litres) 1 60
Other Milk Products (butter, curd, ice-cream, etc.)
(Kgs) 1 1
SECTION-4 : CONSUMPTION EXPENDIT
Household-3
Household ID
0 2
Consumption of Home Produce in

Last 30 Days
Have You Consumed
Sl. Item 12 Months?
No. (Yes-1, No-2)
Value
(Rs.)
1 Rice – PDS (Kgs) 2

2 Rice – Other Sources (Kgs) 2
3 Wheat/Atta – PDS (Kgs) 1
4 Wheat/Atta – Other Sources (Kgs) 1
5 Other Cereals (Kgs) 2
6 2
etc.)
Pulses(Kgs)
& Pulse Products (soyabean, gram, etc.)
7 1
(Kgs)
8 Sugar – PDS (Kgs) 2
9 Sugar – Other Sources (Kgs) 1
10 Gur and Other Sweeteners (Kgs) 2
11 Edible Oils and Vanaspati (in litres) 1
12 Meat, Chicken and Fish (Kgs) 1
13 Eggs (in numbers) 1
1200 14 Milk (in litres) 1
500 15 1
(Kgs)
MPTION EXPENDITURE SECTION-
umption Expenditure 4A :
ehold-3
ehold ID
0 3
Consumption Out of Total Consumption of Home Produce in

Sl. Item
No.
Quantity
of Value of Purchase Value
Purchase (Rs.) Quantity (Rs.)
0 0 0 0 1 Rice – PDS (Kgs)

50 1100 0 0 4 Wheat/Atta – Other Sources (Kgs)
Cereal Products (bread, muri, chura, maida,
0 0 0 0 6
etc.)
Pulses(Kgs)
& Pulse Products (soyabean, gram, e
2 200 0 0 7
(Kgs)
0 0 0 0 10 Gur and Other Sweeteners (Kgs)
5 500 0 0 11 Edible Oils and Vanaspati (in litres)
4 1400 0 0 12 Meat, Chicken and Fish (Kgs)
0 0 120 3000 14 Milk (in litres)
Other Milk Products (butter, curd, ice-cream
0 0 1 500 15
(Kgs)
Household-4
Household ID
0 4

Have You Consumed
Item 12 Months?
2 0 0 0 0
ces (Kgs) 1 2 70 0 0
S (Kgs) 2 0 0 0 0
her Sources (Kgs) 1 30 600 0 0
s) 2 0 0 0 0
bread, muri, chura, maida, suji,
2 0 0 0 0
oducts (soyabean, gram, etc.)
1 2 140 0 0
2 0 0 0 0
urces (Kgs) 1 35 1400 0 0
eeteners (Kgs) 1 2 80 0 0
naspati (in litres) 1 5 400 0 0
d Fish (Kgs) 2 0 0 0 0
2 0 0 0 0
1 0 0 90 1800
cts (butter, curd, ice-cream, etc.)
1 0 0 2 1000
Household-5
Household ID
Consumption Out of Total

Purchase in Last 30 Days
Have You Consumed
Sl. Item 12 Months?
No. (Yes-1, No-2) Quantity
Purchase (Rs.)
1 Rice – PDS (Kgs) 2 0 0

2 Rice – Other Sources (Kgs) 2 0 0
3 Wheat/Atta – PDS (Kgs) 1 20 40
4 Wheat/Atta – Other Sources (Kgs) 1 50 900
5 Other Cereals (Kgs) 1 20 320
6 1 5 200
etc.)
Pulses(Kgs)
7 1 5 450
(Kgs)
8 Sugar – PDS (Kgs) 2 0 0
9 Sugar – Other Sources (Kgs) 1 20 800
10 Gur and Other Sweeteners (Kgs) 1 5 250
11 Edible Oils and Vanaspati (in litres) 1 5 500
12 Meat, Chicken and Fish (Kgs) 1 5 1750
13 Eggs (in numbers) 1 30 600
14 Milk (in litres) 1 0 0
15 1 0 0
(Kgs)
DITURE SECTION-4 : CONSUMPT
4A : Household Consump
Household
Household
0 5
mption Out of Total Consumption of Home Produce in

ase in Last 30 Days Last 30 Days
Sl. Item
No.
Value of Purchase Value
(Rs.) Quantity (Rs.)
0 0 0 1 Rice – PDS (Kgs)

0 0 0 2 Rice – Other Sources (Kgs)
40 0 0 3 Wheat/Atta – PDS (Kgs)
900 0 0 4 Wheat/Atta – Other Sources (Kgs)
320 0 0 5 Other Cereals (Kgs)
200 0 0 6
etc.)
Pulses(Kgs)
450 0 0 7
(Kgs)
0 0 0 8 Sugar – PDS (Kgs)
800 0 0 9 Sugar – Other Sources (Kgs)
250 0 0 10 Gur and Other Sweeteners (Kgs)
500 0 0 11 Edible Oils and Vanaspati (in litres)
1750 0 0 12 Meat, Chicken and Fish (Kgs)
600 0 0 13 Eggs (in numbers)
0 60 1320 14 Milk (in litres)
0 1 500 15
(Kgs)
ON-4 : CONSUMPTION EXPENDITURE
Household-6
Household ID
0 6

Have You Consumed
12 Months? Sl. I
(Yes-1, No-2) No.
Quantity
2 0 0 0 0 1 Rice – PDS (Kgs)

2 0 0 0 0 2 Rice – Other Sources (
2 0 0 0 0 3 Wheat/Atta – PDS (Kg
1 100 2200 0 0 4 Wheat/Atta – Other So
2 0 0 0 0 5 Other Cereals (Kgs)
Cereal Products (bread
2 0 0 0 0 6
etc.)
Pulses(Kgs)
& Pulse Produc
1 7 700 0 0 7
(Kgs)
2 0 0 0 0 8 Sugar – PDS (Kgs)
1 25 1000 0 0 9 Sugar – Other Sources
2 0 0 0 0 10 Gur and Other Sweete
1 15 1500 0 0 11 Edible Oils and Vanasp
2 0 0 0 0 12 Meat, Chicken and Fis
2 0 0 0 0 13 Eggs (in numbers)
1 0 0 120 3000 14 Milk (in litres)
Other Milk Products (b
1 0 0 4 2000 15
(Kgs)
Household-7
Household ID

Have You Consumed
Item 12 Months?
Rice – PDS (Kgs) 2 0 0 0

Rice – Other Sources (Kgs) 2 0 0 0
Wheat/Atta – PDS (Kgs) 1 30 60 0
Wheat/Atta – Other Sources (Kgs) 1 5 100 0
Other Cereals (Kgs) 1 8 128 0
etc.) (Kgs) 2 0 0 0
(Kgs) 1 5 500 0
Sugar – PDS (Kgs) 2 0 0 0
Sugar – Other Sources (Kgs) 1 7 280 0
Gur and Other Sweeteners (Kgs) 2 0 0 0
Edible Oils and Vanaspati (in litres) 1 12 1200 0
Meat, Chicken and Fish (Kgs) 1 1 350 0
Eggs (in numbers) 1 20 200 0
Milk (in litres) 1 15 450 0
(Kgs) 2 0 0 0
Household-8
Household ID
0 7

Last 30 Days
Have You Consumed
Sl. Item 12 Months?
No. (Yes-1, No-2)
Value
(Rs.)
0 1 Rice – PDS (Kgs) 2

0 2 Rice – Other Sources (Kgs) 2
0 3 Wheat/Atta – PDS (Kgs) 1
0 4 Wheat/Atta – Other Sources (Kgs) 1
0 5 Other Cereals (Kgs) 2
0 6 2
etc.)
Pulses(Kgs)
0 7 1
(Kgs)
0 8 Sugar – PDS (Kgs) 2
0 9 Sugar – Other Sources (Kgs) 1
0 10 Gur and Other Sweeteners (Kgs) 2
0 11 Edible Oils and Vanaspati (in litres) 1
0 12 Meat, Chicken and Fish (Kgs) 2
0 13 Eggs (in numbers) 2
0 15 1
(Kgs)
ehold-8
ehold ID
0 8

Sl. Item
No.
Quantity
0 0 0 0 1 Rice – PDS (Kgs)

0 0 0 0 6
etc.)
Pulses(Kgs)
2 200 0 0 7
(Kgs)
0 0 150 3200 14 Milk (in litres)
0 0 3 1500 15
(Kgs)
Household-9
Household ID
0 9

Have You Consumed
Item 12 Months?
2 0 0 0 0
ces (Kgs) 1 5 200 0 0
S (Kgs) 1 15 30 0 0
s) 1 10 160 0 0
1 2 200 0 0
1 3.5 350 0 0
2 0 0 0 0
urces (Kgs) 1 10 400 0 0
d Fish (Kgs) 2 0 0 0 0
2 0 0 0 0
1 0 0 90 1980
1 0 0 2.5 1250
Household-10
Household ID

Have You Consumed
Sl. Item 12 Months?
Purchase (Rs.)

6 2 0 0
etc.)
Pulses(Kgs)
7 1 2 200
(Kgs)
15 1 0 0
(Kgs)
Household
Household
1 0

Sl. Item
No.

0 0 0 6
etc.)
Pulses(Kgs)
200 0 0 7
(Kgs)
0 2 1000 15
(Kgs)
Household-11
Household ID
1 1

Have You Consumed
12 Months? Sl. I
(Yes-1, No-2) No.
Quantity
2 0 0 0 0 1 Rice – PDS (Kgs)

2 0 0 0 0 6
etc.)
Pulses(Kgs)
& Pulse Produc
1 3 300 0 0 7
(Kgs)
2 0 0 0 0 8 Sugar – PDS (Kgs)
1 0 0 120 2640 14 Milk (in litres)
1 0 0 2 1000 15
(Kgs)
Household-12
Household ID

Have You Consumed
Item 12 Months?

etc.) (Kgs) 2 0 0 0
(Kgs) 1 5 450 0
(Kgs) 2 0 0 0
Household-13
Household ID
1 2

Last 30 Days
Have You Consumed
Sl. Item 12 Months?
No. (Yes-1, No-2)
Value
(Rs.)

0 6 2
etc.)
Pulses(Kgs)
0 7 1
(Kgs)
0 15 1
(Kgs)
hold-13
ehold ID
1 3

Sl. Item
No.
Quantity
0 0 0 0 1 Rice – PDS (Kgs)

0 0 0 0 6
etc.)
Pulses(Kgs)
4 400 0 0 7
(Kgs)
0 0 120 2640 14 Milk (in litres)
0 0 7 3500 15
(Kgs)
Household-14
Household ID
1 4

Have You Consumed
Item 12 Months?
2 0 0 0 0
ces (Kgs) 2 0 0 0 0
S (Kgs) 2 0 0 0 0
s) 2 0 0 0 0
1 1.5 400 0 0
1 4 400 0 0
2 0 0 0 0
urces (Kgs) 1 20 760 0 0
d Fish (Kgs) 2 0 0 0 0
2 0 0 0 0
1 0 0 180 3960
1 0 0 5 2500
Household-15
Household ID

Have You Consumed
Sl. Item 12 Months?
Purchase (Rs.)

6 2 0 0
etc.)
Pulses(Kgs)
7 1 2 160
(Kgs)
15 1 0 0
(Kgs)
Household
Household
1 5

Sl. Item
No.

0 0 0 6
etc.)
Pulses(Kgs)
160 0 0 7
(Kgs)
0 3 1500 15
(Kgs)
Household-16
Household ID
1 6

Have You Consumed
12 Months? Sl. I
(Yes-1, No-2) No.
Quantity
2 0 0 0 0 1 Rice – PDS (Kgs)

2 0 0 0 0 6
etc.)
Pulses(Kgs)
& Pulse Produc
1 1 100 0 0 7
(Kgs)
1 0 0 0 0 8 Sugar – PDS (Kgs)
1 0 0 90 1980 14 Milk (in litres)
1 0 0 2 1000 15
(Kgs)
Household-17
Household ID

Have You Consumed
Item 12 Months?

etc.) (Kgs) 2 0 0 0
(Kgs) 1 2 200 0
(Kgs) 1 0 0 2
Household-18
Household ID
1 7

Last 30 Days
Have You Consumed
Sl. Item 12 Months?
No. (Yes-1, No-2)
Value
(Rs.)

0 6 2
etc.)
Pulses(Kgs)
0 7 1
(Kgs)
1000 15 1
(Kgs)
hold-18
ehold ID
1 8

Sl. Item
No.
Quantity
0 0 0 0 1 Rice – PDS (Kgs)

0 0 0 0 6
etc.)
Pulses(Kgs)
7 700 0 0 7
(Kgs)
0 0 200 4400 14 Milk (in litres)
0 0 5 2500 15
(Kgs)
Household-19
Household ID
1 9

Have You Consumed
Item 12 Months?
2 0 0 0 0
ces (Kgs) 1 2 80 0 0
S (Kgs) 1 30 60 0 0
s) 2 0 0 0 0
2 0 0 0 0
1 3 300 0 0
2 0 0 0 0
urces (Kgs) 1 10 400 0 0
d Fish (Kgs) 1 15 3000 0 0
2 0 0 0 0
1 0 0 120 2640
1 0 0 2 1000
Household-20
Household ID

Have You Consumed
Sl. Item 12 Months?
Purchase (Rs.)

6 2 0 0
etc.)
Pulses(Kgs)
7 1 2 250
(Kgs)
15 1 4 2000
(Kgs)
Household
Household

Sl. Item
No.

0 0 0 6
etc.)
Pulses(Kgs)
250 0 0 7
(Kgs)
2000 0 0 15
(Kgs)
Household-21
Household ID

Have You Consumed
12 Months?
2 0 0 0 0
2 0 0 0 0
1 30 60 0 0
1 160 3200 0 0
2 0 0 0 0
2 0 0 0 0
1 3 300 0 0
2 0 0 0 0
1 10 400 0 0
2 0 0 0 0
1 10 900 0 0
2 0 0 0 0
2 0 0 0 0
1 0 0 150 3000
1 0 0 5 2500
Household-1
Household ID
Sl. Item
No.
16 Vegetables (including garlic, ginger, etc.)

17 Salt and Spices
18 Other Foods (tea, coffee, processed foods, such as biscuits, cake, pickles, sauce, etc.)
19 Paan, Tobacco, Intoxicants
20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca, other dried fruits)
21 Food at Restaurants, Eating Out, etc.
22 Fuel and Light (includes LPG, electricity, firewood, kerosene)
23 Entertainment (includes cinema, picnic, sports, club fees, video cassettes)
24 Personal Care (includes spectacles, torch, umbrella, lighter, etc.)
25 Toilet Articles (includes toothpaste, hair oil, shaving blades, etc.)
26 Household Items (electric bulb, tube-light, glassware, bucket, washing soap agarbatti, etc.)
27 Conveyance (railway, bus, taxi, rickshaw, diesel, petrol, school bus/van, etc.)
28 House Rent/Other Rents (like rented hh appliances, furniture, etc.)
29 Medical Expenses (Out-patient Services)
30 Expenditure on Mobile Phone/Telephone Charges
TION EXPENDITURE
mption Expenditure
old-1
old ID
0 1
Do you Incur Expenses on Total Expenditure in Last

these Items? 30 Days Sl.
(Yes-1. No-2) (Rs.) No.
1 1500 16 Vegetables (including garlic,

1 500 17 Salt and Spices
etc.) 1 1800 18 Other Foods (tea, coffee, pro
2 0 19 Paan, Tobacco, Intoxicants
ruits) 1 500 20 Fruits & Nuts (mango, banan
2 0 21 Food at Restaurants, Eating
1 2100 22 Fuel and Light (includes LPG
2 0 23 Entertainment (includes cine
2 0 24 Personal Care (includes spec
1 4000 25 Toilet Articles (includes toot
rbatti, etc.) 1 1000 26 Household Items (electric bu
1 2500 27 Conveyance (railway, bus, ta
2 0 28 House Rent/Other Rents (lik
1 2000 29 Medical Expenses (Out-patie
1 300 30 Expenditure on Mobile Phon
Household-2
Household ID
Do you Incur Expenses

Item on these Items?
(Yes-1. No-2)
Vegetables (including garlic, ginger, etc.) 1

Salt and Spices 1
Other Foods (tea, coffee, processed foods, such as biscuits, cake, pickles, sauce, etc.) 1
Paan, Tobacco, Intoxicants 1
Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca, other dried fruits) 2
Food at Restaurants, Eating Out, etc. 2
Fuel and Light (includes LPG, electricity, firewood, kerosene) 2
Entertainment (includes cinema, picnic, sports, club fees, video cassettes) 2
Personal Care (includes spectacles, torch, umbrella, lighter, etc.) 2
Toilet Articles (includes toothpaste, hair oil, shaving blades, etc.) 1
Household Items (electric bulb, tube-light, glassware, bucket, washing soap agarbatti, etc.) 1
Conveyance (railway, bus, taxi, rickshaw, diesel, petrol, school bus/van, etc.) 1
House Rent/Other Rents (like rented hh appliances, furniture, etc.) 2
Medical Expenses (Out-patient Services) 2
Expenditure on Mobile Phone/Telephone Charges 1
Household-3
Household ID
0 2
Total Expenditure in
Last 30 Days Sl. Item
(Rs.) No.
1000 16 Vegetables (including garlic, ginger, etc.)

500 17 Salt and Spices
150 18 Other Foods (tea, coffee, processed foods, such as biscuits, cake, pickles, sauce, etc.)
1200 19 Paan, Tobacco, Intoxicants
0 20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca, other dried fruits)
0 21 Food at Restaurants, Eating Out, etc.
0 22 Fuel and Light (includes LPG, electricity, firewood, kerosene)
0 23 Entertainment (includes cinema, picnic, sports, club fees, video cassettes)
0 24 Personal Care (includes spectacles, torch, umbrella, lighter, etc.)
150 25 Toilet Articles (includes toothpaste, hair oil, shaving blades, etc.)
150 26 Household Items (electric bulb, tube-light, glassware, bucket, washing soap agarbatti, e
200 27 Conveyance (railway, bus, taxi, rickshaw, diesel, petrol, school bus/van, etc.)
0 28 House Rent/Other Rents (like rented hh appliances, furniture, etc.)
0 29 Medical Expenses (Out-patient Services)
480 30 Expenditure on Mobile Phone/Telephone Charges
ehold-3
ehold ID
0 3
Do you Incur Expenses Total Expenditure in

on these Items? Last 30 Days Sl. I
(Yes-1. No-2) (Rs.) No.
1 1000 16 Vegetables (including garlic, ginger, etc.)

ake, pickles, sauce, etc.) 1 5000 18 Other Foods (tea, coffee, processed foods, s
nacca, other dried fruits) 1 200 20 Fruits & Nuts (mango, banana, coconut, dat
2 0 21 Food at Restaurants, Eating Out, etc.
1 350 22 Fuel and Light (includes LPG, electricity, fire
eo cassettes) 2 0 23 Entertainment (includes cinema, picnic, spo
tc.) 1 450 24 Personal Care (includes spectacles, torch, um
tc.) 1 500 25 Toilet Articles (includes toothpaste, hair oil,
, washing soap agarbatti, etc.) 1 100 26 Household Items (electric bulb, tube-light, g
ol bus/van, etc.) 1 500 27 Conveyance (railway, bus, taxi, rickshaw, die
, etc.) 2 0 28 House Rent/Other Rents (like rented hh app
1 5000 29 Medical Expenses (Out-patient Services)
1 200 30 Expenditure on Mobile Phone/Telephone Ch
Household-4
Household ID
0 4

Item on these Items? Last 30 Days
(Yes-1. No-2) (Rs.)
ding garlic, ginger, etc.) 1 900

1 500
coffee, processed foods, such as biscuits, cake, pickles, sauce, etc.) 1 400
toxicants 1 300
ngo, banana, coconut, dates, kishmish, monacca, other dried fruits) 1 1000
nts, Eating Out, etc. 1 0
cludes LPG, electricity, firewood, kerosene) 1 1150
cludes cinema, picnic, sports, club fees, video cassettes) 1 0
cludes spectacles, torch, umbrella, lighter, etc.) 1 0
ludes toothpaste, hair oil, shaving blades, etc.) 1 500
(electric bulb, tube-light, glassware, bucket, washing soap agarbatti, etc.) 1 300
way, bus, taxi, rickshaw, diesel, petrol, school bus/van, etc.) 1 500
r Rents (like rented hh appliances, furniture, etc.) 1 300
(Out-patient Services) 1 1000
Mobile Phone/Telephone Charges 1 300
Household-5
Household ID
Sl. Item
No.

17 Salt and Spices
Household
Household
0 5

on these Items? Last 30 Days Sl. Item
(Yes-1. No-2) (Rs.) No.

1 300 18 Other Foods (tea, coffee, processed foods, such as biscuits, cake,
1 500 20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca
1 1950 22 Fuel and Light (includes LPG, electricity, firewood, kerosene)
2 0 23 Entertainment (includes cinema, picnic, sports, club fees, video ca
2 0 24 Personal Care (includes spectacles, torch, umbrella, lighter, etc.)
1 500 25 Toilet Articles (includes toothpaste, hair oil, shaving blades, etc.)
1 1000 26 Household Items (electric bulb, tube-light, glassware, bucket, was
1 2000 27 Conveyance (railway, bus, taxi, rickshaw, diesel, petrol, school bu
1 3000 28 House Rent/Other Rents (like rented hh appliances, furniture, etc
1 500 30 Expenditure on Mobile Phone/Telephone Charges
Household-6
Household ID
0 6

Item on these Items? Last 30 Days Sl.
(Yes-1. No-2) (Rs.) No.
.) 1 500 16 Vegetables (including

ods, such as biscuits, cake, pickles, sauce, etc.) 1 200 18 Other Foods (tea, coff
1 200 19 Paan, Tobacco, Intoxic
, dates, kishmish, monacca, other dried fruits) 2 20 Fruits & Nuts (mango,
2 21 Food at Restaurants, E
, firewood, kerosene) 1 800 22 Fuel and Light (include
, sports, club fees, video cassettes) 2 23 Entertainment (includ
h, umbrella, lighter, etc.) 2 24 Personal Care (include
r oil, shaving blades, etc.) 1 300 25 Toilet Articles (include
ht, glassware, bucket, washing soap agarbatti, etc.) 1 400 26 Household Items (elec
w, diesel, petrol, school bus/van, etc.) 1 1500 27 Conveyance (railway,
h appliances, furniture, etc.) 2 28 House Rent/Other Ren
) 1 1200 29 Medical Expenses (Ou
ne Charges 1 500 30 Expenditure on Mobile
Household-7
Household ID

(Yes-1. No-2)

Salt and Spices 1
Household-8
Household ID
0 7
(Rs.) No.

ehold-8
ehold ID
0 8

(Yes-1. No-2) (Rs.) No.

nacca, other dried fruits) 2 20 Fruits & Nuts (mango, banana, coconut, dat
2 22 Fuel and Light (includes LPG, electricity, fire
eo cassettes) 2 23 Entertainment (includes cinema, picnic, spo
tc.) 2 24 Personal Care (includes spectacles, torch, um
, washing soap agarbatti, etc.) 2 26 Household Items (electric bulb, tube-light, g
, etc.) 2 28 House Rent/Other Rents (like rented hh app
Household-9
Household ID
0 9

(Yes-1. No-2) (Rs.)

1 400
toxicants 1 2100
ngo, banana, coconut, dates, kishmish, monacca, other dried fruits) 2
nts, Eating Out, etc. 2
cludes cinema, picnic, sports, club fees, video cassettes) 2
cludes spectacles, torch, umbrella, lighter, etc.) 2
r Rents (like rented hh appliances, furniture, etc.) 2
Household-10
Household ID
Sl. Item
No.

17 Salt and Spices
Household
Household
1 0

(Yes-1. No-2) (Rs.) No.

2 20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca
2 23 Entertainment (includes cinema, picnic, sports, club fees, video ca
2 26 Household Items (electric bulb, tube-light, glassware, bucket, was
2 27 Conveyance (railway, bus, taxi, rickshaw, diesel, petrol, school bu
2 28 House Rent/Other Rents (like rented hh appliances, furniture, etc
Household-11
Household ID
1 1

(Yes-1. No-2) (Rs.) No.

, dates, kishmish, monacca, other dried fruits) 2 20 Fruits & Nuts (mango,
2 21 Food at Restaurants, E
, sports, club fees, video cassettes) 2 23 Entertainment (includ
h, umbrella, lighter, etc.) 2 24 Personal Care (include
h appliances, furniture, etc.) 2 28 House Rent/Other Ren
Household-12
Household ID

(Yes-1. No-2)

Salt and Spices 1
Household-13
Household ID
1 2
(Rs.) No.

hold-13
ehold ID
1 3

(Yes-1. No-2) (Rs.) No.

Household-14
Household ID
1 4

(Yes-1. No-2) (Rs.)

1 400
toxicants 1 350
Household-15
Household ID
Sl. Item
No.

17 Salt and Spices
Household
Household
1 5

(Yes-1. No-2) (Rs.) No.

2 0 20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca
2 0 24 Personal Care (includes spectacles, torch, umbrella, lighter, etc.)
1 250 26 Household Items (electric bulb, tube-light, glassware, bucket, was
2 0 28 House Rent/Other Rents (like rented hh appliances, furniture, etc
Household-16
Household ID
1 6

(Yes-1. No-2) (Rs.) No.

, dates, kishmish, monacca, other dried fruits) 2 0 20 Fruits & Nuts (mango,
2 0 21 Food at Restaurants, E
, sports, club fees, video cassettes) 2 0 23 Entertainment (includ
h, umbrella, lighter, etc.) 2 0 24 Personal Care (include
h appliances, furniture, etc.) 2 0 28 House Rent/Other Ren
Household-17
Household ID

(Yes-1. No-2)

Salt and Spices 1
Household-18
Household ID
1 7
(Rs.) No.

hold-18
ehold ID
1 8

(Yes-1. No-2) (Rs.) No.

Household-19
Household ID
1 9

(Yes-1. No-2) (Rs.)

1 200
toxicants 1 100
Household-20
Household ID
Sl. Item
No.

17 Salt and Spices
Household
Household

(Yes-1. No-2) (Rs.) No.

2 20 Fruits & Nuts (mango, banana, coconut, dates, kishmish, monacca
2 26 Household Items (electric bulb, tube-light, glassware, bucket, was
2 28 House Rent/Other Rents (like rented hh appliances, furniture, etc
Household-21
Household ID

(Yes-1. No-2) (Rs.)
.) 1 500
1 200
ods, such as biscuits, cake, pickles, sauce, etc.) 1 600
1 300
, dates, kishmish, monacca, other dried fruits) 2 0
2 0
, firewood, kerosene) 1 1500
, sports, club fees, video cassettes) 2 0
h, umbrella, lighter, etc.) 2 0
r oil, shaving blades, etc.) 2 0
ht, glassware, bucket, washing soap agarbatti, etc.) 1 200
w, diesel, petrol, school bus/van, etc.) 1 2000
h appliances, furniture, etc.) 2
) 1 1000
ne Charges 1 800
4B : Household Consumption Expenditure
Household-1
Household ID
Sl. Item
No.
1 Medical Expenses (In-patient Services)

2 School/Private Tuition Fees (includes private tutor, school/college fees)
3 School Books & Other Educational Articles (newspaper, library, stationery, etc.)
4 Clothing and Bedding
5 Footwear
6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carpet, etc.)
7 Crockery and Utensils (includes stainless steel utensils, casseroles, thermos, etc.)
Cooking and Household Appliances (includes electric fan, AC, sewing machine, washing machine, pressure
8 refrigerator)
9 Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, etc.)
10 Jewelry and Ornaments
11 Personal Transport Equipment (includes bicycle, scooter, car tyres, etc.)
12 Therapeutic Appliances (includes glass eye, hearing aids, etc.)
13 Other Personal Goods (includes clock, watch, PC, etc.)
14 Repair and Maintenance (of residential buildings, bathroom equipment, etc.)
15 Insurance Premiums
16 Vacations
17 Social Functions (marriage, funerals, gifts, etc.)
TION EXPENDITURE
mption Expenditure
old-1
old ID
0 1

on these Items? Last 365 Days Sl.
(Yes-1. No-2) (Rs.) No.
1 45000 1 Medical Expenses (In-patien

2 0 2 School/Private Tuition Fees
2 0 3 School Books & Other Educa
1 10000 4 Clothing and Bedding
1 2500 5 Footwear
1 2000 6 Furniture and Fixtures (inclu
) 2 0 7 Crockery and Utensils (inclu
washing machine, pressure cooker, Cooking and Household App
2 0 8 machine, pressure cooker, r
ayers, etc.) 1 5000 9 Goods for Recreation (TV, ra
2 0 10 Jewelry and Ornaments
2 0 11 Personal Transport Equipme
2 0 12 Therapeutic Appliances (incl
2 0 13 Other Personal Goods (inclu
2 0 14 Repair and Maintenance (of
2 0 15 Insurance Premiums
2 0 16 Vacations
2 0 17 Social Functions (marriage, f
Household-2
Household ID

(Yes-1. No-2)
Medical Expenses (In-patient Services) 2

School/Private Tuition Fees (includes private tutor, school/college fees) 2
School Books & Other Educational Articles (newspaper, library, stationery, etc.) 1
Clothing and Bedding 1
Footwear 1
Furniture and Fixtures (includes bedstead, almirah, suitcase, carpet, etc.) 2
Crockery and Utensils (includes stainless steel utensils, casseroles, thermos, etc.) 2
Cooking and Household Appliances (includes electric fan, AC, sewing machine, washing
machine, pressure cooker, refrigerator) 2
Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, etc.) 2
Jewelry and Ornaments 1
Personal Transport Equipment (includes bicycle, scooter, car tyres, etc.) 2
Therapeutic Appliances (includes glass eye, hearing aids, etc.) 2
Other Personal Goods (includes clock, watch, PC, etc.) 2
Repair and Maintenance (of residential buildings, bathroom equipment, etc.) 2
Insurance Premiums 2
Vacations 2
Social Functions (marriage, funerals, gifts, etc.) 1
Household-3
Household ID
0 2
(Rs.) No.

5000 3 School Books & Other Educational Articles (newspaper, library, stationery, etc.)
7000 4 Clothing and Bedding
2000 5 Footwear
8 machine, pressure cooker, refrigerator)
9 Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, e
180000 10 Jewelry and Ornaments
16 Vacations
100000 17 Social Functions (marriage, funerals, gifts, etc.)
umption Expenditure 4B :
ehold-3
ehold ID
0 3

(Yes-1. No-2) (Rs.) No.
2 0 1 Medical Expenses (In-patient Services)

llege fees) 2 0 2 School/Private Tuition Fees (includes private
y, stationery, etc.) 1 3000 3 School Books & Other Educational Articles (
1 2500 5 Footwear
carpet, etc.) 2 0 6 Furniture and Fixtures (includes bedstead, a
roles, thermos, etc.) 1 1500 7 Crockery and Utensils (includes stainless ste
sewing machine, washing Cooking and Household Appliances (include
2 0 8 machine, pressure cooker, refrigerator)
uments, CD/DVD players, etc.) 2 0 9 Goods for Recreation (TV, radio, tape record
tyres, etc.) 2 0 11 Personal Transport Equipment (includes bic
) 1 500 12 Therapeutic Appliances (includes glass eye,
2 0 13 Other Personal Goods (includes clock, watch
equipment, etc.) 1 90000 14 Repair and Maintenance (of residential build
1 6000 16 Vacations
2 0 17 Social Functions (marriage, funerals, gifts, e
Household-4
Household ID
0 4

(Yes-1. No-2) (Rs.)
(In-patient Services) 1 25000

ition Fees (includes private tutor, school/college fees) 2 0
ther Educational Articles (newspaper, library, stationery, etc.) 2 0
ding 1 9000
1 6000
ures (includes bedstead, almirah, suitcase, carpet, etc.) 2 0
nsils (includes stainless steel utensils, casseroles, thermos, etc.) 1 300
sehold Appliances (includes electric fan, AC, sewing machine, washing
e cooker, refrigerator) 1 1000
tion (TV, radio, tape recorder, musical instruments, CD/DVD players, etc.) 1 1500
ments 1 350000
rt Equipment (includes bicycle, scooter, car tyres, etc.) 2 0
ances (includes glass eye, hearing aids, etc.) 2 0
oods (includes clock, watch, PC, etc.) 2 0
enance (of residential buildings, bathroom equipment, etc.) 2 0
ms 2 0
2 0
marriage, funerals, gifts, etc.) 1 300000
Household-5
Household ID
Sl. Item
No.

5 Footwear
16 Vacations
4B : Household Consump
Household
Household
0 5

(Yes-1. No-2) (Rs.) No.

1 33000 2 School/Private Tuition Fees (includes private tutor, school/college
1 5000 3 School Books & Other Educational Articles (newspaper, library, st
1 5000 5 Footwear
1 2000 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carp
1 2000 7 Crockery and Utensils (includes stainless steel utensils, casseroles
Cooking and Household Appliances (includes electric fan, AC, sew
1 30000 9 Goods for Recreation (TV, radio, tape recorder, musical instrumen
2 0 11 Personal Transport Equipment (includes bicycle, scooter, car tyre
2 0 12 Therapeutic Appliances (includes glass eye, hearing aids, etc.)
1 2000 13 Other Personal Goods (includes clock, watch, PC, etc.)
1 10000 14 Repair and Maintenance (of residential buildings, bathroom equip
1 10000 16 Vacations
2 0 17 Social Functions (marriage, funerals, gifts, etc.)
Household-6
Household ID
0 6

(Yes-1. No-2) (Rs.) No.
2 1 Medical Expenses (In-

rivate tutor, school/college fees) 1 2500 2 School/Private Tuition
les (newspaper, library, stationery, etc.) 2 3 School Books & Other
1 5000 5 Footwear
ad, almirah, suitcase, carpet, etc.) 2 6 Furniture and Fixtures
s steel utensils, casseroles, thermos, etc.) 1 2000 7 Crockery and Utensils
ludes electric fan, AC, sewing machine, washing Cooking and Househo
1 10500 8 machine, pressure coo
ecorder, musical instruments, CD/DVD players, etc.) 2 9 Goods for Recreation
1 5000 10 Jewelry and Ornamen
s bicycle, scooter, car tyres, etc.) 2 11 Personal Transport Eq
eye, hearing aids, etc.) 2 12 Therapeutic Appliance
watch, PC, etc.) 1 1000 13 Other Personal Goods
buildings, bathroom equipment, etc.) 2 14 Repair and Maintenan
2 16 Vacations
fts, etc.) 1 70000 17 Social Functions (marr
Household-7
Household ID

(Yes-1. No-2)

Footwear 1
Vacations 2
Household-8
Household ID
0 7
(Rs.) No.

1700 5 Footwear
200 7 Crockery and Utensils (includes stainless steel utensils, casseroles, thermos, etc.)
9 Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, e
16 Vacations
ehold-8
ehold ID
0 8

(Yes-1. No-2) (Rs.) No.
2 1 Medical Expenses (In-patient Services)

1 3000 5 Footwear
carpet, etc.) 2 6 Furniture and Fixtures (includes bedstead, a
roles, thermos, etc.) 2 7 Crockery and Utensils (includes stainless ste
2 8 machine, pressure cooker, refrigerator)
uments, CD/DVD players, etc.) 2 9 Goods for Recreation (TV, radio, tape record
tyres, etc.) 2 11 Personal Transport Equipment (includes bic
) 2 12 Therapeutic Appliances (includes glass eye,
2 13 Other Personal Goods (includes clock, watch
equipment, etc.) 2 14 Repair and Maintenance (of residential build
2 15 Insurance Premiums
2 16 Vacations
2 17 Social Functions (marriage, funerals, gifts, e
Household-9
Household ID
0 9

(Yes-1. No-2) (Rs.)
(In-patient Services) 2
ition Fees (includes private tutor, school/college fees) 2
ther Educational Articles (newspaper, library, stationery, etc.) 2
ding 1 5000
1 1500
ures (includes bedstead, almirah, suitcase, carpet, etc.) 2
nsils (includes stainless steel utensils, casseroles, thermos, etc.) 2
e cooker, refrigerator) 2
tion (TV, radio, tape recorder, musical instruments, CD/DVD players, etc.) 2
ments 1 20000
rt Equipment (includes bicycle, scooter, car tyres, etc.) 2
ances (includes glass eye, hearing aids, etc.) 2
oods (includes clock, watch, PC, etc.) 2
ms 1 600
2
Household-10
Household ID
Sl. Item
No.

5 Footwear
16 Vacations
Household
Household
1 0

(Yes-1. No-2) (Rs.) No.

2 2 School/Private Tuition Fees (includes private tutor, school/college
2 3 School Books & Other Educational Articles (newspaper, library, st
1 800 5 Footwear
2 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carp
2 7 Crockery and Utensils (includes stainless steel utensils, casseroles
2 9 Goods for Recreation (TV, radio, tape recorder, musical instrumen
2 11 Personal Transport Equipment (includes bicycle, scooter, car tyre
2 12 Therapeutic Appliances (includes glass eye, hearing aids, etc.)
2 13 Other Personal Goods (includes clock, watch, PC, etc.)
2 14 Repair and Maintenance (of residential buildings, bathroom equip
2 16 Vacations
Household-11
Household ID
1 1

(Yes-1. No-2) (Rs.) No.
2 0 1 Medical Expenses (In-

les (newspaper, library, stationery, etc.) 1 2500 3 School Books & Other
1 5000 5 Footwear
ad, almirah, suitcase, carpet, etc.) 2 0 6 Furniture and Fixtures
ecorder, musical instruments, CD/DVD players, etc.) 2 0 9 Goods for Recreation
s bicycle, scooter, car tyres, etc.) 2 0 11 Personal Transport Eq
eye, hearing aids, etc.) 2 0 12 Therapeutic Appliance
buildings, bathroom equipment, etc.) 2 0 14 Repair and Maintenan
2 0 16 Vacations
Household-12
Household ID

(Yes-1. No-2)

Footwear 1
Vacations 2
Household-13
Household ID
1 2
(Rs.) No.

0 2 School/Private Tuition Fees (includes private tutor, school/college fees)
1000 5 Footwear
0 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carpet, etc.)
0 9 Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, e
0 11 Personal Transport Equipment (includes bicycle, scooter, car tyres, etc.)
0 14 Repair and Maintenance (of residential buildings, bathroom equipment, etc.)
0 16 Vacations
hold-13
ehold ID
1 3

(Yes-1. No-2) (Rs.) No.

1 3500 5 Footwear
2 0 16 Vacations
Household-14
Household ID
1 4

(Yes-1. No-2) (Rs.)
ding 1 25000
1 7500
ments 2 0
ms 2 0
2 0
Household-15
Household ID
Sl. Item
No.

5 Footwear
16 Vacations
Household
Household
1 5

(Yes-1. No-2) (Rs.) No.

1 25000 2 School/Private Tuition Fees (includes private tutor, school/college
1 5000 3 School Books & Other Educational Articles (newspaper, library, st
1 5000 5 Footwear
2 0 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carp
1 2000 7 Crockery and Utensils (includes stainless steel utensils, casseroles
2 0 9 Goods for Recreation (TV, radio, tape recorder, musical instrumen
2 0 12 Therapeutic Appliances (includes glass eye, hearing aids, etc.)
1 500 13 Other Personal Goods (includes clock, watch, PC, etc.)
2 0 16 Vacations
Household-16
Household ID
1 6

(Yes-1. No-2) (Rs.) No.
1 8000 1 Medical Expenses (In-

les (newspaper, library, stationery, etc.) 1 1000 3 School Books & Other
1 3500 5 Footwear
ad, almirah, suitcase, carpet, etc.) 2 0 6 Furniture and Fixtures
ecorder, musical instruments, CD/DVD players, etc.) 2 0 9 Goods for Recreation
s bicycle, scooter, car tyres, etc.) 2 0 11 Personal Transport Eq
eye, hearing aids, etc.) 2 0 12 Therapeutic Appliance
buildings, bathroom equipment, etc.) 2 0 14 Repair and Maintenan
2 0 16 Vacations
Household-17
Household ID

(Yes-1. No-2)

Footwear 1
Vacations 2
Household-18
Household ID
1 7
(Rs.) No.

0 2 School/Private Tuition Fees (includes private tutor, school/college fees)
1500 5 Footwear
0 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carpet, etc.)
0 9 Goods for Recreation (TV, radio, tape recorder, musical instruments, CD/DVD players, e
0 11 Personal Transport Equipment (includes bicycle, scooter, car tyres, etc.)
0 14 Repair and Maintenance (of residential buildings, bathroom equipment, etc.)
0 16 Vacations
hold-18
ehold ID
1 8

(Yes-1. No-2) (Rs.) No.

1 5000 5 Footwear
1 2500 16 Vacations
Household-19
Household ID
1 9

(Yes-1. No-2) (Rs.)

ding 1 10000
1 5000
ments 2 0
ms 1 650
2 0
Household-20
Household ID
Sl. Item
No.

5 Footwear
16 Vacations
Household
Household

(Yes-1. No-2) (Rs.) No.

2 2 School/Private Tuition Fees (includes private tutor, school/college
2 3 School Books & Other Educational Articles (newspaper, library, st
1 3000 5 Footwear
2 6 Furniture and Fixtures (includes bedstead, almirah, suitcase, carp
2 7 Crockery and Utensils (includes stainless steel utensils, casseroles
2 9 Goods for Recreation (TV, radio, tape recorder, musical instrumen
1 2000 16 Vacations
Household-21
Household ID

(Yes-1. No-2) (Rs.)
1 50000
rivate tutor, school/college fees) 1 60000
les (newspaper, library, stationery, etc.) 1 5000
1 15000
1 3000
ad, almirah, suitcase, carpet, etc.) 2 0
s steel utensils, casseroles, thermos, etc.) 2 0
ludes electric fan, AC, sewing machine, washing
2 0
ecorder, musical instruments, CD/DVD players, etc.) 2 0
2 0
s bicycle, scooter, car tyres, etc.) 1 3000
eye, hearing aids, etc.) 2 0
watch, PC, etc.) 2 0
buildings, bathroom equipment, etc.) 2 0
2 0
2 0
fts, etc.) 2 0
SECTION-5 : HOUSEHOLD INCOME
Household-1
Household ID
Sl. Particulars
No.
5.1 Income From Livestock (in last 12 Months)

5.1.1 Income from Livestock Sale in the Last 12 Months (in Rs.)
5.1.2 Income from Sale of Livestock Products in the Last 12 Months (in Rs.)
5.1.3 Total Cost of Livestock Maintenance (including labor) (in Rs.)
5.2 Income From Self Employment (excluding agriculture operations) (in last 12 Months)
5.2.1 Revenue from Self Employment in the Last 12 Months (in Rs.)
5.2.2 Cost of Self Employment in the Last 12 Months (including labor, excluding self cost) (in Rs.)
5.3 Income From Salary (in last 12 Months)
5.3.1 Total Income from Salary in the Last 12 Months (in Rs.)
5.4 Income From Wages (in last 12 Months)
5.4.1 Total Family Member Worked as Agriculture Labor
5.4.2 Total Wage Income Received From Agriculture Labor Work in the Last 12 Months (in Rs.)
5.4.3 Total Family Members Worked as Non-Agriculture Labor (But not in MGNREGS)
5.4.4 Total Wage Income Received From Non-Agriculture Labor Work in the Last 12 Months (in Rs.)
5.4.5 Total Family Members Worked in MGNREGS
5.4.6 Total Wage income from MGNREGS
5.5 Income From Other Sources (in last 12 Months)
5.5.1 Total Income From Transfers (money transfers, regular gifts, etc ) in the Last 12 Months (in Rs.)
5.5.2 Total Income From Pension in the Last 12 Months (in Rs.)
Total Income From Other Sources Not Listed Above in the Last 12 Months (in Rs.) (such as, income from i
5.5.3
deposits, rent from house property, etc.)
EHOLD INCOME
old-1
old ID
0 1
Response Sl.
No.
5.1 Income From Livestock (in last

0 5.1.1 Income from Livestock Sale
300000 5.1.2 Income from Sale of Livesto
85000 5.1.3 Total Cost of Livestock Main
hs) 5.2 Income From Self Employment
0 5.2.1 Revenue from Self Employm
ost) (in Rs.) 0 5.2.2 Cost of Self Employment in t
5.3 Income From Salary (in last 12
0 5.3.1 Total Income from Salary in
5.4 Income From Wages (in last 12
3 60 5.4.1 Total Family Member Worke
s (in Rs.) 54000 5.4.2 Total Wage Income Receive
0 0 5.4.3 Total Family Members Work
Months (in Rs.) 0 5.4.4 Total Wage Income Receive
2 30 5.4.5 Total Family Members Work
5100 5.4.6 Total Wage income from MG
5.5 Income From Other Sources (in
Total Income From Transfer
Months (in Rs.) 0 5.5.1
Rs.)
0 5.5.2 Total Income From Pension
.) (such as, income from interests on Total Income From Other So
5.5.3
income from interests on de
0
Household-2
Household ID
Particulars Response
Income From Livestock (in last 12 Months)

Income from Livestock Sale in the Last 12 Months (in Rs.) 26000
Income from Sale of Livestock Products in the Last 12 Months (in Rs.) 180000
Total Cost of Livestock Maintenance (including labor) (in Rs.) 50000
Income From Self Employment (excluding agriculture operations) (in last 12 Months)
Revenue from Self Employment in the Last 12 Months (in Rs.) 240000
Cost of Self Employment in the Last 12 Months (including labor, excluding self cost) (in Rs.) 0
Income From Salary (in last 12 Months)
Total Income from Salary in the Last 12 Months (in Rs.) 70000
Income From Wages (in last 12 Months)
Total Family Member Worked as Agriculture Labor 0
Total Wage Income Received From Agriculture Labor Work in the Last 12 Months (in Rs.) 0
Total Family Members Worked as Non-Agriculture Labor (But not in MGNREGS) 0
Total Wage Income Received From Non-Agriculture Labor Work in the Last 12 Months (in Rs.) 0
Total Family Members Worked in MGNREGS 4
Total Wage income from MGNREGS 34000
Income From Other Sources (in last 12 Months)
Total Income From Transfers (money transfers, regular gifts, etc ) in the Last 12 Months (in
Rs.) 0
Total Income From Pension in the Last 12 Months (in Rs.) 12000
Total Income From Other Sources Not Listed Above in the Last 12 Months (in Rs.) (such as,
income from interests on deposits, rent from house property, etc.)
0
Household-3
Household ID
0 2
Response Sl. Particulars

No.

26000 5.1.1 Income from Livestock Sale in the Last 12 Months (in Rs.)
180000 5.1.2 Income from Sale of Livestock Products in the Last 12 Months (in Rs.)
50000 5.1.3 Total Cost of Livestock Maintenance (including labor) (in Rs.)
240000 5.2.1 Revenue from Self Employment in the Last 12 Months (in Rs.)
0 5.2.2 Cost of Self Employment in the Last 12 Months (including labor, excluding self cost) (in
70000 5.3.1 Total Income from Salary in the Last 12 Months (in Rs.)
0 5.4.1 Total Family Member Worked as Agriculture Labor
0 5.4.2 Total Wage Income Received From Agriculture Labor Work in the Last 12 Months (in Rs
0 5.4.3 Total Family Members Worked as Non-Agriculture Labor (But not in MGNREGS)
0 5.4.4 Total Wage Income Received From Non-Agriculture Labor Work in the Last 12 Months
100 5.4.5 Total Family Members Worked in MGNREGS
34000 5.4.6 Total Wage income from MGNREGS
Total Income From Transfers (money transfers, regular gifts, etc ) in the Last 12 Months
0 5.5.1
Rs.)
12000 5.5.2 Total Income From Pension in the Last 12 Months (in Rs.)
Total Income From Other Sources Not Listed Above in the Last 12 Months (in Rs.) (such
5.5.3
0
USEHOLD INCOME SECT
ehold-3
ehold ID
0 3
Response Sl. Parti

No.

0 5.1.1 Income from Livestock Sale in the Last 12 M
s (in Rs.) 345600 5.1.2 Income from Sale of Livestock Products in th
108000 5.1.3 Total Cost of Livestock Maintenance (includ
ns) (in last 12 Months) 5.2 Income From Self Employment (excluding agri
) 0 5.2.1 Revenue from Self Employment in the Last 1
or, excluding self cost) (in Rs.) 0 5.2.2 Cost of Self Employment in the Last 12 Mon
63000 5.3.1 Total Income from Salary in the Last 12 Mon
0 0 5.4.1 Total Family Member Worked as Agriculture
n the Last 12 Months (in Rs.) 0 5.4.2 Total Wage Income Received From Agricultu
t not in MGNREGS) 0 0 5.4.3 Total Family Members Worked as Non-Agric
ork in the Last 12 Months (in Rs.) 0 5.4.4 Total Wage Income Received From Non-Agr
2 20 5.4.5 Total Family Members Worked in MGNREGS
5.5 Income From Other Sources (in last 12 Month
etc ) in the Last 12 Months (in Total Income From Transfers (money transf
0 5.5.1
Rs.)
0 5.5.2 Total Income From Pension in the Last 12 M
st 12 Months (in Rs.) (such as, Total Income From Other Sources Not Listed
5.5.3
y, etc.) income from interests on deposits, rent fro
0
Household-4
Household ID
0 4
ock (in last 12 Months)

stock Sale in the Last 12 Months (in Rs.) 30000
of Livestock Products in the Last 12 Months (in Rs.) 503700
stock Maintenance (including labor) (in Rs.) 204000
mployment (excluding agriculture operations) (in last 12 Months)
f Employment in the Last 12 Months (in Rs.) 420000
oyment in the Last 12 Months (including labor, excluding self cost) (in Rs.) 0
(in last 12 Months)
m Salary in the Last 12 Months (in Rs.) 36000
(in last 12 Months)
mber Worked as Agriculture Labor 0 0
me Received From Agriculture Labor Work in the Last 12 Months (in Rs.) 0
mbers Worked as Non-Agriculture Labor (But not in MGNREGS) 0 0
me Received From Non-Agriculture Labor Work in the Last 12 Months (in Rs.) 0
mbers Worked in MGNREGS 4 60
me from MGNREGS 20520
Sources (in last 12 Months)
m Transfers (money transfers, regular gifts, etc ) in the Last 12 Months (in
300000
m Pension in the Last 12 Months (in Rs.) 12000
m Other Sources Not Listed Above in the Last 12 Months (in Rs.) (such as,
rests on deposits, rent from house property, etc.)
0
Household-5
Household ID
Sl. Particulars
No.

5.5.1
Rs.)
5.5.3
ME SECTION-5 : HOUSE
Household
Household
0 5

No.

270000 5.1.2 Income from Sale of Livestock Products in the Last 12 Months (in
) 5.2 Income From Self Employment (excluding agriculture operations) (i
0 5.2.2 Cost of Self Employment in the Last 12 Months (including labor, e
2 10 5.4.1 Total Family Member Worked as Agriculture Labor
6000 5.4.2 Total Wage Income Received From Agriculture Labor Work in the
0 0 5.4.3 Total Family Members Worked as Non-Agriculture Labor (But not
0 5.4.4 Total Wage Income Received From Non-Agriculture Labor Work in
Total Income From Transfers (money transfers, regular gifts, etc )
0 5.5.1
Rs.)
Total Income From Other Sources Not Listed Above in the Last 12
5.5.3
income from interests on deposits, rent from house property, etc
0
ECTION-5 : HOUSEHOLD INCOME
Household-6
Household ID
0 6
Particulars Response Sl.

No.
) 5.1 Income From Livestock (

12 Months (in Rs.) 28000 5.1.1 Income from Livestock
in the Last 12 Months (in Rs.) 450000 5.1.2 Income from Sale of L
cluding labor) (in Rs.) 140000 5.1.3 Total Cost of Livestock
agriculture operations) (in last 12 Months) 5.2 Income From Self Emplo
Last 12 Months (in Rs.) 0 5.2.1 Revenue from Self Em
Months (including labor, excluding self cost) (in Rs.) 0 5.2.2 Cost of Self Employme
5.3 Income From Salary (in la
Months (in Rs.) 0 5.3.1 Total Income from Sal
5.4 Income From Wages (in l
ulture Labor 0 0 5.4.1 Total Family Member
culture Labor Work in the Last 12 Months (in Rs.) 0 5.4.2 Total Wage Income Re
Agriculture Labor (But not in MGNREGS) 0 0 5.4.3 Total Family Members
n-Agriculture Labor Work in the Last 12 Months (in Rs.) 0 5.4.4 Total Wage Income Re
REGS 0 0 5.4.5 Total Family Members
0 5.4.6 Total Wage income fro
onths) 5.5 Income From Other Sour
ansfers, regular gifts, etc ) in the Last 12 Months (in Total Income From Tra
0 5.5.1
Rs.)
12 Months (in Rs.) 0 5.5.2 Total Income From Pe
Listed Above in the Last 12 Months (in Rs.) (such as, Total Income From Ot
5.5.3
t from house property, etc.) income from interests
0
Household-7
Household ID

Income from Livestock Sale in the Last 12 Months (in Rs.)
Income from Sale of Livestock Products in the Last 12 Months (in Rs.)
Total Cost of Livestock Maintenance (including labor) (in Rs.)
Total Income from Salary in the Last 12 Months (in Rs.)
Rs.)
Total Income From Pension in the Last 12 Months (in Rs.)
Household-8
Household ID
0 7

No.

5.5.1
Rs.)
5.5.3
USEHOLD INCOME SECT
ehold-8
ehold ID
0 8
Response Sl. Parti

No.

0 5.3.1 Total Income from Salary in the Last 12 Mon
1500 0 Total Wage income from MGNREGS
0 5.5.1
Rs.)
5.5.3
0
Household-9
Household ID
0 9

(in last 12 Months)
m Salary in the Last 12 Months (in Rs.) 72000
(in last 12 Months)
me from MGNREGS 0
0
0
Household-10
Household ID
Sl. Particulars
No.

5.5.1
Rs.)
5.5.3
Household
Household
1 0

No.

0 5.5.1
Rs.)
5.5.3
0
Household-11
Household ID
1 1

No.

Months (in Rs.) 0 5.3.1 Total Income from Sal
0 5.5.1
Rs.)
5.5.3
0
Household-12
Household ID

Rs.) 0
0
Household-13
Household ID
1 2

No.

0 5.5.1
Rs.)
5.5.3
0
USEHOLD INCOME SECT
hold-13
ehold ID
1 3
Response Sl. Parti

No.

0 0 5.3.1 Total Income from Salary in the Last 12 Mon
0 5.5.1
Rs.)
5.5.3
0
Household-14
Household ID
1 4

(in last 12 Months)
m Salary in the Last 12 Months (in Rs.) 0 0
(in last 12 Months)
0
0
Household-15
Household ID
Sl. Particulars
No.

5.5.1
Rs.)
5.5.3
Household
Household
1 5

No.

0 0 5.3.1 Total Income from Salary in the Last 12 Months (in Rs.)
0 5.5.1
Rs.)
5.5.3
0
Household-16
Household ID
1 6

No.

Months (in Rs.) 0 0 5.3.1 Total Income from Sal
0 5.5.1
Rs.)
5.5.3
0
Household-17
Household ID

Rs.) 0
0
Household-18
Household ID
1 7

No.

0 5.5.1
Rs.)
5.5.3
0
USEHOLD INCOME SECT
hold-18
ehold ID
1 8
Response Sl. Parti

No.

0 0 5.3.1 Total Income from Salary in the Last 12 Mon
0 5.5.1
Rs.)
5.5.3
0
Household-19
Household ID
1 9

(in last 12 Months)
m Salary in the Last 12 Months (in Rs.) 0 0
(in last 12 Months)
0
0
Household-20
Household ID
Sl. Particulars
No.

5.5.1
Rs.)
5.5.3
Household
Household

No.

0 0 5.3.1 Total Income from Salary in the Last 12 Months (in Rs.)
0 0 1 Total Family Member Worked as Agriculture Labor
0 5.5.1
Rs.)
5.5.3
0
Household-21
Household ID
)
12 Months (in Rs.) 100000
in the Last 12 Months (in Rs.) 1300000
cluding labor) (in Rs.) 650000
agriculture operations) (in last 12 Months)
Last 12 Months (in Rs.) 120000
Months (including labor, excluding self cost) (in Rs.) 0
Months (in Rs.) 0 0
ulture Labor 1
culture Labor Work in the Last 12 Months (in Rs.) 27000
Agriculture Labor (But not in MGNREGS) 0
n-Agriculture Labor Work in the Last 12 Months (in Rs.) 0
REGS 0
0
onths)
ansfers, regular gifts, etc ) in the Last 12 Months (in
0
12 Months (in Rs.) 12000
Listed Above in the Last 12 Months (in Rs.) (such as,
t from house property, etc.)
SECTION-6 : FOOD SECURITY, SHOCKS & COPING M
Household-1
Household ID
Sl.
No. Particulars
6.1 Which of the Following Statements Best Describes the Food Situation at Your Home in Last 12 months?
(We Always Eat Enough of What We Want-1, We Eat Enough But Not Always What We Would Like-2)
6.2 In the Past 12 Months, You (household) -----
6.2.1 Were Worried that the Household Would Not Have Enough Food?
[Never-1, Rarely (1-2 times in a Year)-2, Sometimes (between 3-6 times in a year)-3, Always-4]
6.2.2 Were Not Able to Eat the Kinds of Food Preferred?

6.2.3 Ate a Limited Variety of Foods? (Never-1, Rarely-2, Sometimes-3, Often-4)

6.2.4 Ate Some Foods that You Really Did Not Want to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.5 Ate a Smaller Meal than You Felt You Needed? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.6 Ate Fewer Meals in a Day? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.7 Had No Food to Eat of Any Kind in Your Household? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.8 Went to Sleep at Night Hungry? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.9 Went a Whole Day and Night Without Eating? (Never-1, Rarely-2, Sometimes-3, Often-4)
6.2.10 Were the Children in the Household Also Affected or Was it Just the Adults? (Children Affected-1, Children Not Affec
6.2.11 Did Your Household Face/Experience Any Distress Event Over the Past 12 Months? (Yes-1, No-2)
6.2.12 If Yes, then What Kind of Distress Event? -----
Sl. Distress Event (experienced by household during past 3 years)

No.
Village-level Events Specific to Climate Change/Adverse Weather Patterns [Use Code-1]

1 Drought
2
3
4
5
6
7
Village-level Events Specific to Other Adverse Situations [Use Code-1]
8
9
10
11
12
13
14
15
16
17
18
Household-level Adverse Events [Use Code-1]
19
20
21 Sudden Job Loss
22
23
24
25
26
27
28
29
30
31
32
OCKS & COPING MECHANISM SECTION
mption Expenditure
old-1
old ID
0 1
Sl.
Response No.
st 12 months? 1 6.1 Which of the Following Statemen

uld Like-2) (We Always Eat Enough of What W
6.2 In the Past 12 Months, You (ho
6.2.1 Were Worried that the Househ

ways-4] [Never-1, Rarely (1-2 times in a
1
6.2.2 Were Not Able to Eat the Kinds

ways-4] [Never-1, Rarely (1-2 times in a
1
1 6.2.3 Ate a Limited Variety of Foods?
Often-4) 1 6.2.4 Ate Some Foods that You Reall
4) 1 6.2.5 Ate a Smaller Meal than You Fe
1 6.2.6 Ate Fewer Meals in a Day? (Ne
ften-4) 1 6.2.7 Had No Food to Eat of Any Kind
1 6.2.8 Went to Sleep at Night Hungry
) 1 6.2.9 Went a Whole Day and Night W
Were the Children in the House
ffected-1, Children Not Affected-2) 6.2.10
Children Not Affected-2)
2
-1, No-2) 1 6.2.11 Did Your Household Face/Expe
6.2.12 If Yes, then What Kind of Di
If Yes, then
Did you Coping Strategy
experience [Use Code 1]
3 years) these (indicate TWO most Sl. Distress Even
events ? prominent coping strategies No.
[Yes – 1, resorted
No – 2] by the household)
Village-level Events Specific to Climate

1 3 1
2
3
4
5
6
7
Village-level Events Specific to Other A
8
9
10
11
12
13
14
15
16
17
18
Household-level Adverse Events [Use C
19
20
1 3 21
22
23
24
25
26
27
28
29
30
31
32
SECTION-6 : FOOD SECURITY, SHOCKS & COPING MECHANISM
Household-2
Household ID
Which of the Following Statements Best Describes the Food Situation at Your Home in Last 12 months? 1
In the Past 12 Months, You (household) -----

Were Worried that the Household Would Not Have Enough Food?
1
Were Not Able to Eat the Kinds of Food Preferred?
1
Ate a Limited Variety of Foods? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Ate Some Foods that You Really Did Not Want to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Ate a Smaller Meal than You Felt You Needed? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Ate Fewer Meals in a Day? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Had No Food to Eat of Any Kind in Your Household? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Went to Sleep at Night Hungry? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Went a Whole Day and Night Without Eating? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Were the Children in the Household Also Affected or Was it Just the Adults? (Children Affected-1,
2
Did Your Household Face/Experience Any Distress Event Over the Past 12 Months? (Yes-1, No-2) 1
If Yes, then What Kind of Distress Event? -----
Did you
experience
Distress Event (experienced by household during past 3 years) these
events ?
[Yes – 1,
No – 2]
-level Events Specific to Climate Change/Adverse Weather Patterns [Use Code-1]

Drought 1
-level Events Specific to Other Adverse Situations [Use Code-1]

hold-level Adverse Events [Use Code-1]
SM SECTION-6 : FOOD SECURITY, SHOCKS & COPING
Household-3
Household ID
0 2
Sl.
Response No. Particulars
1 6.1 Which of the Following Statements Best Describes the Food Situation at Your Home in Last 12 m
(We Always Eat Enough of What We Want-1, We Eat Enough But Not Always What We Would Like
1

1
1 6.2.3 Ate a Limited Variety of Foods? (Never-1, Rarely-2, Sometimes-3, Often-4)
1 6.2.4 Ate Some Foods that You Really Did Not Want to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4
1 6.2.5 Ate a Smaller Meal than You Felt You Needed? (Never-1, Rarely-2, Sometimes-3, Often-4)
1 6.2.6 Ate Fewer Meals in a Day? (Never-1, Rarely-2, Sometimes-3, Often-4)
1 6.2.7 Had No Food to Eat of Any Kind in Your Household? (Never-1, Rarely-2, Sometimes-3, Often-4)
1 6.2.8 Went to Sleep at Night Hungry? (Never-1, Rarely-2, Sometimes-3, Often-4)
1 6.2.9 Went a Whole Day and Night Without Eating? (Never-1, Rarely-2, Sometimes-3, Often-4)
Were the Children in the Household Also Affected or Was it Just the Adults? (Children Affected-
6.2.10
2
1 6.2.11 Did Your Household Face/Experience Any Distress Event Over the Past 12 Months? (Yes-1, No-2
If Yes, then
Coping Strategy
[Use Code 1]
(indicate TWO most Sl. Distress Event (experienced by household during past 3 years)
prominent coping No.
strategies resorted
by the household)

2 3 1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
SHOCKS & COPING MECHANISM SECTION-6 : FOOD
ehold-3
ehold ID
0 3
Sl.
Response No. Parti
n at Your Home in Last 12 months? 1 6.1 Which of the Following Statements Best Describes
Always What We Would Like-2) (We Always Eat Enough of What We Want-1, We Ea
6.2.1 Were Worried that the Household Would Not H

times in a year)-3, Always-4] [Never-1, Rarely (1-2 times in a Year)-2, Sometim
1
6.2.2 Were Not Able to Eat the Kinds of Food Preferre

1
Often-4) 4 6.2.3 Ate a Limited Variety of Foods? (Never-1, Rarely
rely-2, Sometimes-3, Often-4) 1 6.2.4 Ate Some Foods that You Really Did Not Want to
Sometimes-3, Often-4) 1 6.2.5 Ate a Smaller Meal than You Felt You Needed? (
-4) 1 6.2.6 Ate Fewer Meals in a Day? (Never-1, Rarely-2, S
ly-2, Sometimes-3, Often-4) 1 6.2.7 Had No Food to Eat of Any Kind in Your Househo
Often-4) 1 6.2.8 Went to Sleep at Night Hungry? (Never-1, Rarely
ometimes-3, Often-4) 1 6.2.9 Went a Whole Day and Night Without Eating? (N
e Adults? (Children Affected-1, Were the Children in the Household Also Affecte
6.2.10
2
Past 12 Months? (Yes-1, No-2) 1 6.2.11 Did Your Household Face/Experience Any Distre
6.2.12 If Yes, then What Kind of Distress Event? --
If Yes, then
g past 3 years) these (indicate TWO most Sl. Distress Event (experienced b
events ? prominent coping No.
[Yes – 1, strategies resorted
erns [Use Code-1] Village-level Events Specific to Climate Change/Adver

1 3 1 Dr
2
3
4
5
6
7
Village-level Events Specific to Other Adverse Situatio
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
ECTION-6 : FOOD SECURITY, SHOCKS & COPING MECHANISM
Household-4
Household ID
0 4
g Statements Best Describes the Food Situation at Your Home in Last 12 months? 1
h of What We Want-1, We Eat Enough But Not Always What We Would Like-2)
hs, You (household) -----

the Household Would Not Have Enough Food?
2 times in a Year)-2, Sometimes (between 3-6 times in a year)-3, Always-4]
1
at the Kinds of Food Preferred?
1
ty of Foods? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
at You Really Did Not Want to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
than You Felt You Needed? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
a Day? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
of Any Kind in Your Household? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
ght Hungry? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
and Night Without Eating? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
n the Household Also Affected or Was it Just the Adults? (Children Affected-1,
ed-2)
2
d Face/Experience Any Distress Event Over the Past 12 Months? (Yes-1, No-2) 1
Kind of Distress Event? -----
If Yes, then
istress Event (experienced by household during past 3 years) these (indicate TWO most
events ? prominent coping
to Climate Change/Adverse Weather Patterns [Use Code-1]

Drought 1 3
to Other Adverse Situations [Use Code-1]

ents [Use Code-1]
Household-5
Household ID
Sl.
No. Particulars


6.2.10

No.

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
NG MECHANISM SECTION-6 : FOOD SECURITY, SHO
Household
Household
0 5
Sl.
2 6.1 Which of the Following Statements Best Describes the Food Situation at Y
(We Always Eat Enough of What We Want-1, We Eat Enough But Not Alwa
[Never-1, Rarely (1-2 times in a Year)-2, Sometimes (between 3-6 times
3

3
3 6.2.3 Ate a Limited Variety of Foods? (Never-1, Rarely-2, Sometimes-3, Often-
3 6.2.4 Ate Some Foods that You Really Did Not Want to Eat? (Never-1, Rarely-2
3 6.2.5 Ate a Smaller Meal than You Felt You Needed? (Never-1, Rarely-2, Some
3 6.2.7 Had No Food to Eat of Any Kind in Your Household? (Never-1, Rarely-2,
3 6.2.8 Went to Sleep at Night Hungry? (Never-1, Rarely-2, Sometimes-3, Often
3 6.2.9 Went a Whole Day and Night Without Eating? (Never-1, Rarely-2, Some
Were the Children in the Household Also Affected or Was it Just the Adu
6.2.10
2
1 6.2.11 Did Your Household Face/Experience Any Distress Event Over the Past 1
If Yes, then
these (indicate TWO most Sl. Distress Event (experienced by household during pas
Village-level Events Specific to Climate Change/Adverse Weather Patterns

1 7 1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
OD SECURITY, SHOCKS & COPING MECHANISM SECT
Household-6
Household ID
0 6
Sl.
Particulars Response No.
ribes the Food Situation at Your Home in Last 12 months? 2 6.1 Which of the Following Sta
We Eat Enough But Not Always What We Would Like-2) (We Always Eat Enough of W
---- 6.2 In the Past 12 Months, Y

Not Have Enough Food? 6.2.1 Were Worried that the H
metimes (between 3-6 times in a year)-3, Always-4] [Never-1, Rarely (1-2 tim
1
ferred? 6.2.2 Were Not Able to Eat th
1
arely-2, Sometimes-3, Often-4) 1 6.2.3 Ate a Limited Variety of
ant to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4) 1 6.2.4 Ate Some Foods that Yo
ed? (Never-1, Rarely-2, Sometimes-3, Often-4) 1 6.2.5 Ate a Smaller Meal than
-2, Sometimes-3, Often-4) 1 6.2.6 Ate Fewer Meals in a Da
usehold? (Never-1, Rarely-2, Sometimes-3, Often-4) 1 6.2.7 Had No Food to Eat of A
Rarely-2, Sometimes-3, Often-4) 1 6.2.8 Went to Sleep at Night H
ng? (Never-1, Rarely-2, Sometimes-3, Often-4) 1 6.2.9 Went a Whole Day and N
ffected or Was it Just the Adults? (Children Affected-1, Were the Children in the
6.2.10
1
Distress Event Over the Past 12 Months? (Yes-1, No-2) 1 6.2.11 Did Your Household Fac
t? ----- 6.2.12 If Yes, then What Kind
If Yes, then
ced by household during past 3 years) these (indicate TWO most Sl. Distre
dverse Weather Patterns [Use Code-1] Village-level Events Specific to C

Drought 1 7 3 1
2
3
4
5
6
7
uations [Use Code-1] Village-level Events Specific to O
8
9
10
11
12
13
14
15
16
17
18
Household-level Adverse Events
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-7
Household ID

2
2
2
Did you
experience
events ?
[Yes – 1,
No – 2]

Sudden Health Problems 1 10
Household-8
Household ID
0 7
Sl.
2

2
6.2.10
2
If Yes, then
Coping Strategy
[Use Code 1]
strategies resorted
by the household)

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
ehold-8
ehold ID
0 8
Sl.
Response No. Parti

2

2
6.2.10
2
If Yes, then

1 8 1 Dr
2
3
4
5
6
7
8 Loss o
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-9
Household ID
0 9

2
2
ed-2)
2
If Yes, then

Drought 1 8

Loss of Property 1 8
ents [Use Code-1]

Household-10
Household ID
Sl.
No. Particulars


6.2.10

No.

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household
Household
1 0
Sl.
1

1
6.2.10
2
If Yes, then

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-11
Household ID
1 1
Sl.

1
1
6.2.10
2
If Yes, then

Drought 1 3 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-12
Household ID

1
1
2
Did you
experience
events ?
[Yes – 1,
No – 2]

Drought 1

Livestock Epidemic 1

Household-13
Household ID
1 2
Sl.
1

1
6.2.10
2
If Yes, then
Coping Strategy
[Use Code 1]
strategies resorted
by the household)

3 1
2
3
4
5
6
7
3 8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
hold-13
ehold ID
1 3
Sl.
Response No. Parti

1

1
6.2.10
2
If Yes, then

1 Dr
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-14
Household ID
1 4

1
1
ed-2)
2
If Yes, then

Drought 1 3

ents [Use Code-1]
Household-15
Household ID
Sl.
No. Particulars


6.2.10

No.

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household
Household
1 5
Sl.
1

1
6.2.10
2
If Yes, then

1 8 1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-16
Household ID
1 6
Sl.

1
1
6.2.10
2
If Yes, then

Drought 1 3 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-17
Household ID

1
1
2
Did you
experience
events ?
[Yes – 1,
No – 2]

Household-18
Household ID
1 7
Sl.
1

1
6.2.10
2
If Yes, then
Coping Strategy
[Use Code 1]
strategies resorted
by the household)

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
hold-18
ehold ID
1 8
Sl.
Response No. Parti

1

1
6.2.10
2
If Yes, then

1 3 1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19 Sudden He
20
21
22
23
24
25
26
27
28
29
30
31
32
Household-19
Household ID
1 9

1
1
ed-2)
2
If Yes, then

ents [Use Code-1]
Sudden Health Problems 1 3
Household-20
Household ID
Sl.
No. Particulars


6.2.10

No.

1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Household
Household
Sl.
1

1
6.2.10
2
If Yes, then

1 7 1 Drought
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
OD SECURITY, SHOCKS & COPING MECHANISM
Household-21
Household ID
ribes the Food Situation at Your Home in Last 12 months? 1

We Eat Enough But Not Always What We Would Like-2)
----
Not Have Enough Food?
metimes (between 3-6 times in a year)-3, Always-4]
1
ferred?
metimes (between 3-6 times in a year)-3, Always-4]
1
arely-2, Sometimes-3, Often-4) 1
ant to Eat? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
ed? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
-2, Sometimes-3, Often-4) 1
usehold? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
Rarely-2, Sometimes-3, Often-4) 1
ng? (Never-1, Rarely-2, Sometimes-3, Often-4) 1
ffected or Was it Just the Adults? (Children Affected-1,
2
Distress Event Over the Past 12 Months? (Yes-1, No-2) 1
t? -----
If Yes, then
ced by household during past 3 years) these (indicate TWO most
dverse Weather Patterns [Use Code-1]

Drought 1 7
uations [Use Code-1]

SECTION-7 : DETAILS OF CROPS GROWN
7.1 : Details of Crop Grown by Household : Season-1 : Rabi 2017-18 (Novembe
Household-1
Household ID
Sl.
No. Particulars
1 Did you cultivate during this season? (1=Yes, 2=No) ---- {If ‘No’, then skip to next season}
2 Number of Crops Grown during this Season
3 Details of Crops Grown during this Season -----
3.1 Use Crop Code
3.2 Crop Name
3.3 Area Cultivated (Local Units)
3.4 Details of Cultivated Land [1=Owned, 2=Leased-in]
3.5 Total Output Harvested (in Kg.)
3.6 Total Value of Output (in Rs.)
3.7 Quantity Retained for Home Consumption (in Kg.)
Details of Output Sold & Value of Sales
3.8 Total Output Sold to Local Traders (In Kg.)
3.9 Value of Sales (in Rs.)
3.10 Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.)
3.12 Total Output Sold to Govt. (through Procurement) ---- (In Kg.)
Cost on Chemical Fertilizers
3.14 Quantity
3.15 Value
Cost on Bio-fertilizer/ Manure
3.16 Quantity
3.17 Value
3.18 Total Seed Cost (Nursery + Field)
Total Irrigation Cost
3.19 Own Sources
3.20 Private Sources
3.21 Govt. Sources
Labour
3.22 Number of Persons Hired
3.23 Average No. of Days Worked by Each Person
3.24 Wages Paid (per Day) --- (in Rs.)
3.25 Expenditure on Bullocks (Rs.)

3.26 Tractor Cost (Rs.)
3.27 Other Costs (Rs.)
OF CROPS GROWN
: Rabi 2017-18 (November-2017 to March-2018) 7.1 : Details of Cr
old-1
old ID
0 1
Sl.
Response No.
2 1 Did you cultivate during this seas

2 Number of Crops Grown during th
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 3 Details of Crops Grown during
3.1 Use Crop Code
3.2 Crop Name
3.4 Details of Cultivated Land [1=O
3.7 Quantity Retained for Home Co
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Details of Output Sold & Value
3.8 Total Output Sold to Local Trad
g.) 3.10 Total Output Sold in the Marke
3.12 Total Output Sold to Govt. (thr
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Cost on Chemical Fertilizers
3.14 Quantity
3.15 Value
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Cost on Bio-fertilizer/ Manure
3.16 Quantity
3.17 Value
3.18 Total Seed Cost (Nursery + Fiel
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Total Irrigation Cost
3.19 Own Sources
3.21 Govt. Sources
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Labour
3.23 Average No. of Days Worked b
3.24 Wages Paid (per Day) --- (in Rs
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5
7.1 : Details of Crop Grown by Household : Season-1 : Rabi 2017-18 (November-2017 to March-2018)
Household-2
Household ID
Did you cultivate during this season? (1=Yes, 2=No) ---- {If ‘No’, then skip to next season} 2
Number of Crops Grown during this Season
Details of Crops Grown during this Season ----- CROP-6 CROP-7 CROP-8
Use Crop Code
Crop Name
Area Cultivated (Local Units)
Details of Cultivated Land [1=Owned, 2=Leased-in]
Total Output Harvested (in Kg.)
Total Value of Output (in Rs.)
Quantity Retained for Home Consumption (in Kg.)
Details of Output Sold & Value of Sales CROP-6 CROP-7 CROP-8
Total Output Sold to Local Traders (In Kg.)
Value of Sales (in Rs.)
Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.)
Total Output Sold to Govt. (through Procurement) ---- (In Kg.)
Cost on Chemical Fertilizers CROP-6 CROP-7 CROP-8
Quantity
Value
Cost on Bio-fertilizer/ Manure CROP-6 CROP-7 CROP-8
Quantity
Value
Total Seed Cost (Nursery + Field)
Total Irrigation Cost CROP-6 CROP-7 CROP-8
Own Sources
Private Sources
Govt. Sources
Labour CROP-6 CROP-7 CROP-8
Number of Persons Hired
Average No. of Days Worked by Each Person
Wages Paid (per Day) --- (in Rs.)
CROP-6 CROP-7 CROP-8
Expenditure on Bullocks (Rs.)
Tractor Cost (Rs.)
Other Costs (Rs.)
SECTION-7 : DETAILS OF CROPS GROW
ch-2018) 7.1 : Details of Crop Grown by Household : Season-1 : Rabi 2017-18 (Novem
Household-3
Household ID
Sl.
2 1 Did you cultivate during this season? (1=Yes, 2=No) ---- {If ‘No’, then skip to next season}
CROP-9 CROP-10 3 Details of Crops Grown during this Season -----
3.1 Use Crop Code
3.2 Crop Name
CROP-9 CROP-10 Details of Output Sold & Value of Sales
CROP-9 CROP-10 Cost on Chemical Fertilizers
3.14 Quantity
3.15 Value
CROP-9 CROP-10 Cost on Bio-fertilizer/ Manure
3.16 Quantity
3.17 Value
CROP-9 CROP-10 Total Irrigation Cost
3.19 Own Sources
3.21 Govt. Sources
CROP-9 CROP-10 Labour
CROP-9 CROP-10
S OF CROPS GROWN SECTION
n-1 : Rabi 2017-18 (November-2017 to March-2018) 7.1 : Details of Crop Grown by Ho
ehold-3
ehold ID
Sl.
Response No. Particular
skip to next season} 2 1 Did you cultivate during this season? (1=Yes, 2=No
CROP-6 CROP-7 CROP-8 CROP-9 CROP-10 3 Details of Crops Grown during this Season ----
3.1 Use Crop Code
3.2 Crop Name
3.4 Details of Cultivated Land [1=Owned, 2=Leased-
3.7 Quantity Retained for Home Consumption (in Kg
CROP-6 CROP-7 CROP-8 CROP-9 CROP-10 Details of Output Sold & Value of Sales
centres, etc.) --- (In Kg.) 3.10 Total Output Sold in the Markets (such as APMC
3.12 Total Output Sold to Govt. (through Procuremen
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
etails of Crop Grown by Household : Season-1 : Rabi 2017-18 (November-2017 to March-2018)
Household-4
Household ID
ng this season? (1=Yes, 2=No) ---- {If ‘No’, then skip to next season} 2
wn during this Season
wn during this Season ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
cal Units)
d Land [1=Owned, 2=Leased-in]
sted (in Kg.)
ut (in Rs.)
or Home Consumption (in Kg.)
ld & Value of Sales CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
o Local Traders (In Kg.)
s.)
n the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.)
s.)
o Govt. (through Procurement) ---- (In Kg.)
s.)
rtilizers CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
r/ Manure CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
rsery + Field)

Hired
s Worked by Each Person
y) --- (in Rs.)
locks (Rs.)
7.1 : Details of Crop Grown by Household : Season-1 : Rabi 2017-18 (November-2017 to March-2
Household-5
Household ID
Sl.
No. Particulars Res
3 Details of Crops Grown during this Season ----- CROP-6
3.1 Use Crop Code
3.2 Crop Name
Details of Output Sold & Value of Sales CROP-6
Cost on Chemical Fertilizers CROP-6
3.14 Quantity
3.15 Value
Cost on Bio-fertilizer/ Manure CROP-6
3.16 Quantity
3.17 Value
Total Irrigation Cost CROP-6
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-6
CROP-1
ROWN SECTION-7 : DETAILS O
ovember-2017 to March-2018) 7.1 : Details of Crop Grown by Household : Season-1 :
Household
Household
Sl.
2 1 Did you cultivate during this season? (1=Yes, 2=No) ---- {If ‘No’, then skip
CROP-7 CROP-8 CROP-9 CROP-10 3 Details of Crops Grown during this Season -----
3.1 Use Crop Code
3.2 Crop Name
CROP-7 CROP-8 CROP-9 CROP-10 Details of Output Sold & Value of Sales
3.10 Total Output Sold in the Markets (such as APMC, direct marketing centr
CROP-7 CROP-8 CROP-9 CROP-10 Cost on Chemical Fertilizers
3.14 Quantity
3.15 Value
CROP-7 CROP-8 CROP-9 CROP-10 Cost on Bio-fertilizer/ Manure
3.16 Quantity
3.17 Value
CROP-7 CROP-8 CROP-9 CROP-10 Total Irrigation Cost
3.19 Own Sources
3.21 Govt. Sources
CROP-7 CROP-8 CROP-9 CROP-10 Labour
CROP-2 CROP-3 CROP-4 CROP-5
ION-7 : DETAILS OF CROPS GROWN
by Household : Season-1 : Rabi 2017-18 (November-2017 to March-2018) 7.1 : Details
Household-6
Household ID
Sl.
culars Response No.
2=No) ---- {If ‘No’, then skip to next season} 2 1 Did you cultivate during th
2 Number of Crops Grown du
n ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 3 Details of Crops Grown d
3.1 Use Crop Code
3.2 Crop Name
3.3 Area Cultivated (Local U
ased-in] 3.4 Details of Cultivated Lan
3.5 Total Output Harvested
3.6 Total Value of Output (in
(in Kg.) 3.7 Quantity Retained for Ho
CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 Details of Output Sold &
3.8 Total Output Sold to Loc
PMC, direct marketing centres, etc.) --- (In Kg.) 3.10 Total Output Sold in the
ement) ---- (In Kg.) 3.12 Total Output Sold to Gov
CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 Cost on Chemical Fertiliz
3.14 Quantity
3.15 Value
CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 Cost on Bio-fertilizer/ Ma
3.16 Quantity
3.17 Value
3.18 Total Seed Cost (Nursery
3.19 Own Sources
3.21 Govt. Sources
3.22 Number of Persons Hire
n 3.23 Average No. of Days Wo
3.24 Wages Paid (per Day) ---
3.25 Expenditure on Bullocks
Household-7
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-8
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-4 CROP-5
ehold-8
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-9
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-10
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-11
CROP-6
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-11
Household ID
Sl.
culars Response No.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-12
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-13
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-9 CROP-10
hold-13
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-14
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-15
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-16
CROP-1
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-16
Household ID
Sl.
culars Response No.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-17
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-18
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-4 CROP-5
hold-18
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-19
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-20
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-16
CROP-6
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
by Household : Season-1 : Rabi 2017-18 (November-2017 to March-2018)
Household-21
Household ID
culars Response
2=No) ---- {If ‘No’, then skip to next season} 2
n ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
ased-in]
(in Kg.)
PMC, direct marketing centres, etc.) --- (In Kg.)
ement) ---- (In Kg.)

7.2 : Details of Crop Grown by Household : Season-2 : Zaid/Summer Crop 201
Household-1
Household ID
Sl.
No. Particulars
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour

OF CROPS GROWN
2 : Zaid/Summer Crop 2018 (April to June, 2018) 7.2 : Details of C
old-1
old ID
Sl.
Response No.
2 1 Did you cultivate during this seas

2 Number of Crops Grown during th
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 3 Details of Crops Grown during
3.1 Use Crop Code
3.2 Crop Name
3.4 Details of Cultivated Land [1=O
3.7 Quantity Retained for Home Co
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Details of Output Sold & Value
3.8 Total Output Sold to Local Trad
g.) 3.10 Total Output Sold in the Marke
3.12 Total Output Sold to Govt. (thr
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.18 Total Seed Cost (Nursery + Fiel
3.19 Own Sources
3.21 Govt. Sources
3.23 Average No. of Days Worked b
3.24 Wages Paid (per Day) --- (in Rs
7.2 : Details of Crop Grown by Household : Season-2 : Zaid/Summer Crop 2018 (April to June, 2018)
Household-2
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
e, 2018) 7.2 : Details of Crop Grown by Household : Season-2 : Zaid/Summer Crop 2
Household-3
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-9 CROP-10
on-2 : Zaid/Summer Crop 2018 (April to June, 2018) 7.2 : Details of Crop Grown by H
ehold-3
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
etails of Crop Grown by Household : Season-2 : Zaid/Summer Crop 2018 (April to June, 2018)
Household-4
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
7.2 : Details of Crop Grown by Household : Season-2 : Zaid/Summer Crop 2018 (April to June, 20
Household-5
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-6
CROP-1
rop 2018 (April to June, 2018) 7.2 : Details of Crop Grown by Household : Season-2
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
by Household : Season-2 : Zaid/Summer Crop 2018 (April to June, 2018) 7.2 : Detai
Household-6
Household ID
Sl.
culars Response No.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-7
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-8
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-4 CROP-5
ehold-8
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-9
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-10
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-11
CROP-6
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-11
Household ID
Sl.
culars Response No.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-12
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-13
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-9 CROP-10
hold-13
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-14
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-15
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-16
CROP-1
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-16
Household ID
Sl.
culars Response No.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-17
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity
Value
Own Sources
Private Sources
Govt. Sources
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-18
Household ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
CROP-4 CROP-5
hold-18
ehold ID
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Household-19
Household ID
cal Units)
sted (in Kg.)
ut (in Rs.)
s.)
s.)
s.)
rsery + Field)

Hired
y) --- (in Rs.)
locks (Rs.)
Household-20
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour CROP-16
CROP-6
Household
Household
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
by Household : Season-2 : Zaid/Summer Crop 2018 (April to June, 2018)
Household-21
Household ID
culars Response
2=No) ---- {If ‘No’, then skip to next season} 2
n ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
ased-in]
(in Kg.)
PMC, direct marketing centres, etc.) --- (In Kg.)
ement) ---- (In Kg.)

7.3 : Details of Crop Grown by Household : Season-3 : Kharif 2017 (June to
Household-1
Household ID
Sl.
No. Particulars
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity
3.17 Value
3.19 Own Sources
3.21 Govt. Sources
Labour

OF CROPS GROWN
on-3 : Kharif 2017 (June to November, 2017) 7.3 : Details
old-1
old ID
0 1
Sl.
Response No.
next season} 1 1 Did you cultivate during this sea

4 2 Number
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 3 Details of C
6 72 14 19 10 3.1
Bajra Guar Moth Til Moong 3.2
15 20 15 0.5 3.3 A
1 1 1 1 3.4 Details of Cu
0 1000 500 0 3.5 To
0 35000 15000 0 3.6 T
0 0 0 0 3.7 Quantity Re
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Details
0 1000 500 0 3.8 Total Ou
0 35000 15000 0 3.9
c.) --- (In Kg.) 0 0 0 0 3.10 Total Output Sold in the Market
0 0 0 0 3.11
0 0 0 0 3.12 Total Output Sold
0 0 0 0 3.13
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Co
1 1 1 0 3.14
1000 1000 1000 0 3.15
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Cos
0 0 0 0 3.16
0 0 3.17
0 0 0 0 0 3.18 Tot
0 0 3.19
0 0 0 0 0 3.20
0 0 0 0 0 3.21
3 3 3 0 3.22
10 10 10 0 3.23 Average N
300 300 300 0 3.24 Wa
0 0 0 0 3.25 Ex
3250 5000 3250 0 3.26
500 500 500 0 3.27
7.3 : Details of Crop Grown by Household : Season-3 : Kharif 2017 (June to November, 2017)
Household-2
Household ID
Use Crop Code 14 72
Crop Name Moth Guar
Area Cultivated (Local Units) 20 20
Details of Cultivated Land [1=Owned, 2=Leased-in] 1 1
Total Output Harvested (in Kg.) 900 1000
Total Value of Output (in Rs.) 36000 35000
Quantity Retained for Home Consumption (in Kg.) 100 0
Total Output Sold to Local Traders (In Kg.) 800 1000
Value of Sales (in Rs.) 32000 35000
Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.) 0 0
Total Output Sold to Govt. (through Procurement) ---- (In Kg.) 0 0
Quantity 2 3300
Value 0 0
Quantity 0 0 0
Value 0 0
Total Seed Cost (Nursery + Field) 0 0 0
Own Sources 0 0
Private Sources 0 0 0
Govt. Sources 0 0 0
Number of Persons Hired 0 0
Average No. of Days Worked by Each Person 0 0
Wages Paid (per Day) --- (in Rs.) 0 0
Tractor Cost (Rs.) 4500 4500
Other Costs (Rs.) 0 0
2017) 7.3 : Details of Crop Grown by Household : Season-3 : Kharif 2017 (Jun
Household-3
Household ID
0 2
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
0 3.16 Quantity
0 3.17 Value
0 0 3.18 Total Seed Cost (Nursery + Field)
0 3.19 Own Sources
0 0 3.20 Private Sources
0 0 3.21 Govt. Sources
CROP-9 CROP-10
eason-3 : Kharif 2017 (June to November, 2017) 7.3 : Details of Crop Grown
ehold-3
ehold ID
0 3
Sl.
n skip to next season} 1 1 Did you cultivate during this season? (1=Yes, 2=N
1 2 Number of Crops Grown d
---- CROP-6 CROP-7 CROP-8 CROP-9 CROP-10 3 Details of Crops Grown dur
72 3.1 Use Crop Co
Guar 3.2 Crop Nam
40 3.3 Area Cultivated (Lo
in] 2 3.4 Details of Cultivated Land [1=
1600 3.5 Total Output Harve
56000 3.6 Total Value of Out
g.) 0 3.7 Quantity Retained for Home
1600 3.8 Total Output Sold to Loca
56000 3.9 Value of Sales
entres, etc.) --- (In Kg.) 0 3.10 Total Output Sold in the Markets (such as APMC,
(In Kg.) 0 3.12 Total Output Sold to Govt. (through
CROP-6 CROP-7 CROP-8 CROP-9 CROP-10 Cost on Chemical
8 3.14 Quantity
4000 3.15 Value
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Cost on Bio-fertiliz
0 0 0 0 3.16 Quantity
0 0 3.17 Value
4200 0 0 0 0 3.18 Total Seed Cost (Nur
CROP-1 CROP-2 CROP-3 CROP-4 CROP-5 Total Irrigatio
0 0 3.19 Own Sourc
0 0 0 0 0 3.20 Private Sour
0 0 0 0 0 3.21 Govt. Sourc
3.22 Number of Perso
3.23 Average No. of Days Work
3.24 Wages Paid (per Day
3.25 Expenditure on Bu
8500 3.26 Tractor Cost
14000 3.27 Other Costs
: Details of Crop Grown by Household : Season-3 : Kharif 2017 (June to November, 2017)
Household-4
Household ID
0 4
ring this season? (1=Yes, 2=No) ---- {If ‘No’, then skip to next season} 1
Number of Crops Grown during this Season 5
Details of Crops Grown during this Season ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Use Crop Code 6 14 72 10 19
Crop Name Bajra Moth Guar Moong Til
Area Cultivated (Local Units) 0.5 8 25 1 0.5
Details of Cultivated Land [1=Owned, 2=Leased-in] 1 1 1 1 1
Total Output Harvested (in Kg.) 0 300 500 0 0
Total Value of Output (in Rs.) 0 10000 16500 0 0
Quantity Retained for Home Consumption (in Kg.) 0 0 0 0 0
Details of Output Sold & Value of Sales CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Total Output Sold to Local Traders (In Kg.) 0 300 500 0 0
Value of Sales (in Rs.) 0 10000 16500 0 0
the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.) 0 0 0 0 0
Output Sold to Govt. (through Procurement) ---- (In Kg.) 0 0 0 0 0
Cost on Chemical Fertilizers CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Quantity 0 1 1 0 0
Value 0 2500 2500 0 0
Cost on Bio-fertilizer/ Manure CROP-1 CROP-2 CROP-3 CROP-4 CROP-5
Quantity 0 0 0 0 0
Value 0 0
Total Seed Cost (Nursery + Field) 0 0 0 0 0
Total Irrigation Cost CROP-1 CROP-2 CROP-3 CROP-4 CROP-5
Own Sources 0 0
Private Sources 0 0 0 0 0
Govt. Sources 0 0 0 0 0
Labour CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Number of Persons Hired 0 2 3 0 0
Average No. of Days Worked by Each Person 0 5 5 0 0
Wages Paid (per Day) --- (in Rs.) 0 300 300 0 0
Tractor Cost (Rs.)
Other Costs (Rs.) 0 1800 5625 225 0
7.3 : Details of Crop Grown by Household : Season-3 : Kharif 2017 (June to November, 2017
Household-5
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code 72
3.2 Crop Name Guar
3.3 Area Cultivated (Local Units) 10
3.4 Details of Cultivated Land [1=Owned, 2=Leased-in] 1
3.5 Total Output Harvested (in Kg.) 500
3.6 Total Value of Output (in Rs.) 17500
3.7 Quantity Retained for Home Consumption (in Kg.) 0
3.8 Total Output Sold to Local Traders (In Kg.) 500
3.9 Value of Sales (in Rs.) 17500
3.10 Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.) 0
3.12 Total Output Sold to Govt. (through Procurement) ---- (In Kg.) 0
3.14 Quantity 0
3.15 Value 0
3.16 Quantity 0
3.17 Value 0
3.18 Total Seed Cost (Nursery + Field) 1750
3.19 Own Sources 0
3.20 Private Sources 0
3.21 Govt. Sources 0
Labour CROP-6
3.22 Number of Persons Hired 10
3.23 Average No. of Days Worked by Each Person 6
3.24 Wages Paid (per Day) --- (in Rs.) 300
CROP-1
3.26 Tractor Cost (Rs.) 2500
(June to November, 2017) 7.3 : Details of Crop Grown by Household : Seaso
Household
Household
0 5
Sl.
3 2 Number of Crops Grown during this Season
6 14 3.1 Use Crop Code
Bajra Moth 3.2 Crop Name
5 10 3.3 Area Cultivated (Local Units)
1 1 3.4 Details of Cultivated Land [1=Owned, 2=Leased-in]
200 300 3.5 Total Output Harvested (in Kg.)
2800 12000 3.6 Total Value of Output (in Rs.)
200 0 3.7 Quantity Retained for Home Consumption (in Kg.)
0 300 3.8 Total Output Sold to Local Traders (In Kg.)
0 12000 3.9 Value of Sales (in Rs.)
0 0 0 0 3.10 Total Output Sold in the Markets (such as APMC, direct marketing centre
0 0 0 0 3.11 Value of Sales (in Rs.)
0 0 0 0 3.12 Total Output Sold to Govt. (through Procurement) ---- (In K
0 1 3.14 Quantity
0 3000 3.15 Value
0 0 0 3.16 Quantity
0 3.17 Value
42 2000 0 0 3.18 Total Seed Cost (Nursery + Field)
0 3.19 Own Sources
0 0 0 0 3.20 Private Sources
0 0 0 0 3.21 Govt. Sources
0 10 3.22 Number of Persons Hired
0 6 3.23 Average No. of Days Worked by Each Person
0 300 3.24 Wages Paid (per Day) --- (in Rs.)
1250 2500 3.26 Tractor Cost (Rs.)
own by Household : Season-3 : Kharif 2017 (June to November, 2017) 7.3 : D
Household-6
Household ID
0 6
Sl.
culars Response No.
, 2=No) ---- {If ‘No’, then skip to next season} 1 1 Did you cultivate during t
own during this Season 2 2 Nu
n during this Season ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 3 Detai
op Code 72 14 3.1
Name Guar Moth 3.2
ed (Local Units) 40 18 3.3
d [1=Owned, 2=Leased-in] 1 1 3.4 Detai
arvested (in Kg.) 0 0 3.5
Output (in Rs.) 0 0 3.6
ome Consumption (in Kg.) 0 0 3.7 Quan
old & Value of Sales CROP-11 CROP-12 CROP-13 CROP-14 CROP-15 De
Local Traders (In Kg.) 0 0 3.8 T
ales (in Rs.) 0 0 3.9
PMC, direct marketing centres, etc.) --- (In Kg.) 0 0 0 0 0 3.10 Total Output Sold in the M
ales (in Rs.) 0 0 0 0 0 3.11
rough Procurement) ---- (In Kg.) 0 0 0 0 0 3.12 Total Outp
ales (in Rs.) 0 0 0 0 0 3.13
mical Fertilizers CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
antity 1 0 3.14
alue 1000 0 3.15
rtilizer/ Manure CROP-1 CROP-2 CROP-3 CROP-4 CROP-5
antity 0 0 0 0 3.16
alue 0 0 3.17
(Nursery + Field) 6400 5000 0 0 0 3.18
gation Cost CROP-1 CROP-2 CROP-3 CROP-4 CROP-5
Sources 0 0 3.19
Sources 0 0 0 0 0 3.20
Sources 0 0 0 0 0 3.21
bour CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Persons Hired 1 2 3.22
Worked by Each Person 1 2 3.23 Av
r Day) --- (in Rs.) 300 300 3.24
on Bullocks (Rs.) 0 0 3.25
Cost (Rs.) 10000 4500 3.26
osts (Rs.) 0 0 3.27
Household-7
Household ID
Use Crop Code
Crop Name
Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.) 0 0 0
Value of Sales (in Rs.) 0 0 0
Total Output Sold to Govt. (through Procurement) ---- (In Kg.) 0 0 0
Quantity
Value
Quantity 0 0 0
Value 0 0
Own Sources 0 0
Govt. Sources 0 0 0
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-8
Household ID
0 7
Sl.
3.1 Use Crop Code
3.2 Crop Name
0 0 3.10 Total Output Sold in the Markets (such as APMC, direct marketing centres, etc.) --- (In Kg.)
0 0 3.12 Total Output Sold to Govt. (through Procurement) ---- (In Kg.)
3.14 Quantity
3.15 Value
0 3.16 Quantity
0 3.17 Value
0 3.19 Own Sources
CROP-4 CROP-5
ehold-8
ehold ID
0 8
Sl.
14 72 3.1 Use Crop Co
Moth Guar 3.2 Crop Nam
10 5 3.3 Area Cultivated (Lo
in] 1 1 3.4 Details of Cultivated Land [1=
500 200 3.5 Total Output Harve
17500 6000 3.6 Total Value of Out
g.) 0 0 3.7 Quantity Retained for Home
500 200 3.8 Total Output Sold to Loca
17500 6000 3.9 Value of Sales
entres, etc.) --- (In Kg.) 0 0 0 0 0 3.10 Total Output Sold in the Markets (such as APMC,
0 0 0 0 0 3.11 Value of Sales
(In Kg.) 0 0 0 0 0 3.12 Total Output Sold to Govt. (through
1 3300 3.14 Quantity
3.15 Value
0 0 0 0 3.16 Quantity
0 0 3.17 Value
0 0 3.19 Own Sourc
0 0 0 0 0 3.21 Govt. Sourc
2500 1250 3.26 Tractor Cost
3.27 Other Costs
Household-9
Household ID
0 9
Use Crop Code 14 72
Crop Name Moth Guar
Area Cultivated (Local Units) 10 5
Details of Cultivated Land [1=Owned, 2=Leased-in] 1 2
Total Output Harvested (in Kg.) 600 72
Total Value of Output (in Rs.) 600 1200
Quantity Retained for Home Consumption (in Kg.) 0 0
Total Output Sold to Local Traders (In Kg.) 600 1200
Quantity 1 1
Value 3400 1000
Quantity 0 0 0 0
Value 0 0
Own Sources 0 0
Number of Persons Hired 12 10
Average No. of Days Worked by Each Person 1 2
Wages Paid (per Day) --- (in Rs.) 300 300
Tractor Cost (Rs.) 5000 6250
Other Costs (Rs.)
Household-10
Household ID
Sl.
No. Particulars Res
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
3.16 Quantity 0
3.17 Value 0
3.19 Own Sources 0
Labour CROP-11
CROP-6
Household
Household
1 0
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
0 0 0 3.16 Quantity
0 3.17 Value
0 3.19 Own Sources
Household-11
Household ID
1 1
Sl.
culars Response No.
, 2=No) ---- {If ‘No’, then skip to next season} 1 Did you cultivate during t
op Code 72 14 6 3.1
Name Guar Moth Bajra 3.2
ed (Local Units) 60 30 10 3.3
d [1=Owned, 2=Leased-in] 2 1 2 3.4 Detai
arvested (in Kg.) 0 1000 0 3.5
Output (in Rs.) 0 35000 0 3.6
ome Consumption (in Kg.) 0 0 0 3.7 Quan
Local Traders (In Kg.) 0 1000 0 3.8 T
ales (in Rs.) 0 35000 0 3.9
ales (in Rs.) 0 0 0 0 0 3.11
ales (in Rs.) 0 0 0 0 0 3.13
antity 3.14
alue 3.15
antity 0 0 0 0 3.16
alue 0 0 3.17
(Nursery + Field) 6000 3150 500 0 0 3.18
Sources 0 0 3.19
Sources 0 0 0 0 0 3.20
Sources 0 0 0 0 0 3.21
Persons Hired 3.22
Worked by Each Person 3.23 Av
r Day) --- (in Rs.) 3.24
on Bullocks (Rs.) 3.25
Cost (Rs.) 12000 7500 2500 3.26
osts (Rs.) 3.27
Household-12
Household ID
Use Crop Code 72
Crop Name Guar
Area Cultivated (Local Units) 25
Details of Cultivated Land [1=Owned, 2=Leased-in] 1
Total Output Harvested (in Kg.) 1200
Total Value of Output (in Rs.) 36000
Quantity Retained for Home Consumption (in Kg.) 0
Total Output Sold to Local Traders (In Kg.) 1200
Value of Sales (in Rs.) 36000
Quantity 0
Value 0
Quantity 0 0 0
Value 0 0
Own Sources 0 0
Govt. Sources 0 0 0
Number of Persons Hired 10
Average No. of Days Worked by Each Person 2
Wages Paid (per Day) --- (in Rs.) 300
Tractor Cost (Rs.) 6250
Other Costs (Rs.)
Household-13
Household ID
1 2
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
0 3.16 Quantity
0 3.17 Value
0 3.19 Own Sources
CROP-9 CROP-10
hold-13
ehold ID
1 3
Sl.
3.8 Total Output Sold to Loca
3.9 Value of Sales
3.14 Quantity
3.15 Value
0 0 0 0 3.16 Quantity
0 0 3.17 Value
0 0 3.19 Own Sourc
0 0 0 0 0 3.21 Govt. Sourc
3.27 Other Costs
Household-14
Household ID
1 4
Use Crop Code 6 72 14
Crop Name Bajra Guar Moth
Area Cultivated (Local Units) 20 150 50
Details of Cultivated Land [1=Owned, 2=Leased-in] 1 1 1
Total Output Harvested (in Kg.) 600 5000 1800
Total Value of Output (in Rs.) 9600 190000 63000
Quantity Retained for Home Consumption (in Kg.) 0 0 0
Total Output Sold to Local Traders (In Kg.) 600 5000 1800
Quantity 0 0 1
Value 0 0 3300
Quantity 0 0 0 0
Value 0 0
Own Sources 0 0
Number of Persons Hired 10 2 1
Average No. of Days Worked by Each Person 5 50 50
Wages Paid (per Day) --- (in Rs.) 300 300 300
Tractor Cost (Rs.) 5000 37500 12500
Other Costs (Rs.)
Household-15
Household ID
Sl.
No. Particulars Res
3.2 Crop Name Guar
3.14 Quantity 0
3.15 Value 0
3.16 Quantity 0
3.17 Value 0
3.19 Own Sources 0
Labour CROP-16
CROP-1
3.27 Other Costs (Rs.) 10000
Household
Household
1 5
Sl.
14 3.1 Use Crop Code
Moth 3.2 Crop Name
50 3.3 Area Cultivated (Local Units)
1 3.4 Details of Cultivated Land [1=Owned, 2=Leased-in]
700 3.5 Total Output Harvested (in Kg.)
35000 3.6 Total Value of Output (in Rs.)
0 3.7 Quantity Retained for Home Consumption (in Kg.)
700 3.8 Total Output Sold to Local Traders (In Kg.)
35000 3.9 Value of Sales (in Rs.)
0 3.14 Quantity
0 3.15 Value
0 0 0 3.16 Quantity
0 3.17 Value
0 3.19 Own Sources
30 3.22 Number of Persons Hired
2 3.23 Average No. of Days Worked by Each Person
300 3.24 Wages Paid (per Day) --- (in Rs.)
0 3.26 Tractor Cost (Rs.)
10000 3.27 Other Costs (Rs.)
Household-16
Household ID
1 6
Sl.
culars Response No.
, 2=No) ---- {If ‘No’, then skip to next season} 1 1 Did you cultivate during t
op Code 72 14 6 19 3.1
Name Guar Moth Bajra Til 3.2
ed (Local Units) 60 6 5 6 3.3
d [1=Owned, 2=Leased-in] 1 2 2 2 3.4 Detai
arvested (in Kg.) 1200 3000 0 10 3.5
Output (in Rs.) 42000 12000 0 1000 3.6
ome Consumption (in Kg.) 0 0 0 10 3.7 Quan
Local Traders (In Kg.) 1200 3000 0 0 3.8 T
ales (in Rs.) 42000 12000 0 0 3.9
ales (in Rs.) 0 0 0 0 0 3.11
ales (in Rs.) 0 0 0 0 0 3.13
antity 0 1 0 0 3.14
alue 0 3300 0 0 3.15
antity 0 0 0 0 3.16
alue 0 0 3.17
(Nursery + Field) 9000 2000 200 150 0 3.18
Sources 0 0 3.19
Sources 0 0 0 0 0 3.20
Sources 0 0 0 0 0 3.21
Persons Hired 3.22
Worked by Each Person 3.23 Av
r Day) --- (in Rs.) 3.24
on Bullocks (Rs.) 3.25
Cost (Rs.) 12000 1200 1000 1200 3.26
osts (Rs.) 0 3000 0 0 3.27
Household-17
Household ID
Use Crop Code
Crop Name
Quantity
Value
Quantity 0 0 0
Value 0 0
Own Sources 0 0
Govt. Sources 0 0 0
Tractor Cost (Rs.)
Other Costs (Rs.)
Household-18
Household ID
1 7
Sl.
3.1 Use Crop Code
3.2 Crop Name
3.14 Quantity
3.15 Value
0 3.16 Quantity
0 3.17 Value
0 3.19 Own Sources
CROP-4 CROP-5
hold-18
ehold ID
1 8
Sl.
900 880 3.8 Total Output Sold to Loca
31500 29040 3.9 Value of Sales
1 0 3.14 Quantity
3300 0 3.15 Value
0 0 0 0 3.16 Quantity
0 0 3.17 Value
0 0 3.19 Own Sourc
0 0 0 0 0 3.21 Govt. Sourc
5 10 3.22 Number of Perso
2 1 3.23 Average No. of Days Work
300 300 3.24 Wages Paid (per Day
3.27 Other Costs
Household-19
Household ID
1 9
Use Crop Code 72
Crop Name Guar
Area Cultivated (Local Units) 30
Details of Cultivated Land [1=Owned, 2=Leased-in] 1
Total Output Harvested (in Kg.) 1200
Total Value of Output (in Rs.) 48000
Quantity Retained for Home Consumption (in Kg.) 0
Total Output Sold to Local Traders (In Kg.) 1200
Value of Sales (in Rs.) 48000
Quantity
Value
Quantity 0 0 0 0
Value 0 0
Own Sources 0 0
Number of Persons Hired 15
Average No. of Days Worked by Each Person 2
Wages Paid (per Day) --- (in Rs.) 300
Tractor Cost (Rs.) 6300
Other Costs (Rs.)
Household-20
Household ID
Sl.
No. Particulars Res
3.2 Crop Name Moth
3.14 Quantity 0
3.15 Value 0
3.16 Quantity 0
3.17 Value 0
3.19 Own Sources 0
Labour CROP-16
CROP-6
3.25 Expenditure on Bullocks (Rs.) 0
3.27 Other Costs (Rs.) 0
Household
Household
Sl.
72 19 10 3.1 Use Crop Code
Guvar Til Moong 3.2 Crop Name
40 5 2 3.3 Area Cultivated (Local Units)
1 1 1 3.4 Details of Cultivated Land [1=Owned, 2=Leased-in]
250 0 0 3.5 Total Output Harvested (in Kg.)
9000 0 0 3.6 Total Value of Output (in Rs.)
250 0 0 3.7 Quantity Retained for Home Consumption (in Kg.)
0 0 0 3.8 Total Output Sold to Local Traders (In Kg.)
0 0 0 3.9 Value of Sales (in Rs.)
0 0 0 3.10 Total Output Sold in the Markets (such as APMC, direct marketing centre
0 0 0 3.12 Total Output Sold to Govt. (through Procurement) ---- (In K
0 0 0 3.14 Quantity
0 0 0 3.15 Value
0 0 0 3.16 Quantity
0 0 0 3.17 Value
7000 60 100 3.18 Total Seed Cost (Nursery + Field)
0 0 0 3.19 Own Sources
0 0 0 3.20 Private Sources
0 0 0 3.21 Govt. Sources
0 0 0 3.22 Number of Persons Hired
0 0 0 3.23 Average No. of Days Worked by Each Person
0 0 0 3.24 Wages Paid (per Day) --- (in Rs.)
0 0 0 3.25 Expenditure on Bullocks (Rs.)
3000 3000 3000 3.26 Tractor Cost (Rs.)
0 0 0 3.27 Other Costs (Rs.)
own by Household : Season-3 : Kharif 2017 (June to November, 2017)
Household-21
Household ID
culars Response
, 2=No) ---- {If ‘No’, then skip to next season} 1

own during this Season 3
n during this Season ----- CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
op Code 14 72
Name Moth Guvar
ed (Local Units) 1 1
d [1=Owned, 2=Leased-in] 300 100
arvested (in Kg.) 300 100
Output (in Rs.) 300 100
ome Consumption (in Kg.) 300 100
old & Value of Sales CROP-11 CROP-12 CROP-13 CROP-14 CROP-15
Local Traders (In Kg.) 0 0
ales (in Rs.) 0 0
PMC, direct marketing centres, etc.) --- (In Kg.) 0 0
ales (in Rs.) 0 0
rough Procurement) ---- (In Kg.) 0 0
ales (in Rs.) 0 0
antity 1 3000
alue 0 0
antity 0 0
alue 0 0
(Nursery + Field) 4000 1500
Sources 0 0
Sources 0 0
Sources 0 0
Persons Hired 0 0
Worked by Each Person 0 0
r Day) --- (in Rs.) 0 0
on Bullocks (Rs.) 0 0
Cost (Rs.) 6000 3000
osts (Rs.) 0 0
Household ID
Household
1 0 1
2 0 2
3 0 3
4 0 4
5 0 5
6 0 6
7 0 7
8 0 8
9 0 9
10 1 0
11 1 1
12 1 2
13 1 3
14 1 4
15 1 5
16 1 6
17 1 7
18 1 8
19 1 9
20
2 0
21
2 1
SECTION 8. GOVERNANCE
8.1 Governance (To Be Asked from HH Members of Age 18 Years an
Member ID - 1
Par
How Many Gram

Name of the Member Member ID Sabha Meetings
Did You
Participate in the
Last 12 Months?
Ramnarayan 4 0
Kadar Pathan 1 0
Harun Khan 1 0
Jethi Devi 1 0
Surjaram 1 0
Daulal Purohit 1 0
Bhanwarlal 1 0
Sahiram Naik 1 0
Kamla Devi 2 0
Rajuram Meghwal 2 0
Rugaram 2 0
Sattudas 1 0
Amrat Sen Purohit 1 0
Girdhari Singh 1 0
Jagdish Godara 1 0
Faiza 1 0
Bhanwar Ram 1 0
Hariram 1 0
Sameer Khan 1 0
Dinesh 4 0
BHanwarlal 3 0
N 8. GOVERNANCE
m HH Members of Age 18 Years and Above)
ember ID - 1
Particulars
How Did You Usually

Have You
Participate in These
Approached Any of Was the
Meetings?
If No Gram Sabha the Elected Problem
[Passive Observation-1,
Meeting was Representatives for Resolution
Forming Coalitions from
Attended, then Problem Satisfactory?
Members of Your Own
Reason(s) for the Resolution in the
Gender & Collectively
Same* Last 12 months? (Yes-1, No-2)
Asking Questions-2,
Participating Individually-
(Yes-1, No-2)
3, Arguing-4]
4 2 2
18 1 2
18 2
18 1 1
18 2
1 2
18
18 2
18
18 1 1
18
18 2
18 2
18
18 2
18 2
18 2
18 2
18 2
18 2
18 2
8.1 Governance (To Be Asked from HH Members of Age 18 Years and Above
Member ID - 2
Particulars
How Many
Gram Sabha
Member If No Gram
Name of the Member Meetings
ID Sabha Meeting
Did You
was Attended,
Participate in
then Reason(s)
the
for the Same*
Last 12
Months?
Kamma 2 0 18
Mana Ram 2 0 18
Rajuram 4 0 18
Raju Devi 2 0 18
Manoj 3 0 18
Mahvir Singh 3 0 18
Pushpa 2 0 18
Raman 2 0 18
8. GOVERNANCE
m HH Members of Age 18 Years and Above)
ember ID - 2
Particulars
How Did You Usually

Have You Approached Was the
Participate in These Meetings?
Any of the Elected Problem
Representatives for Resolution
Problem Resolution in Satisfactory?
Members of Your Own Gender
the Last 12 months?
& Collectively Asking
(Yes-1, No-2)
Questions-2, Participating
(Yes-1, No-2)
Individually-3, Arguing-4]
2 2
2
8.1 Governance (To Be Asked from HH Members of Age 18 Years and
Member ID - 3
Particul
How Many
Gram Sabha
Member If No Gram
Name of the Member Meetings
ID Sabha Meeting
Did You
was Attended,
Participate in
then Reason(s)
the
for the Same*
Last 12
Months?
Bhanvar Lal 3 0 18
Tikuram 3 0 18
Dev Kishan 5 0 18
OVERNANCE
Members of Age 18 Years and Above)
r ID - 3
Particulars
How Did You Usually

Have You Approached Was the
Any of the Elected Problem
Problem Resolution in the Satisfactory?
Members of Your Own Gender
Last 12 months?
& Collectively Asking
(Yes-1, No-2)
Questions-2, Participating
(Yes-1, No-2)
Individually-3, Arguing-4]
2 2
8.1 Governance (To Be Asked from HH Members of Age 18 Years an
Member ID - 4
Particula
Member How Many Gram Sabha If No Gram Sabha

Name of the Member Meetings Meeting was
ID
Did You Participate in Attended, then
the Reason(s) for the
Last 12 Months? Same*
Bhanvari Devi 4 0 18
Babulal 4 0 18
NANCE
ers of Age 18 Years and Above) 8.1 Governance (
Particulars
How Did You Usually

Have You
Participate in These
Approached Any of Was the
Meetings?
the Elected Problem
[Passive Observation-1, Name of the Member
Problem Resolution Satisfactory?
Members of Your Own
in the Last 12
Gender & Collectively
months? (Yes-1, No-2)
Asking Questions-2,
Participating Individually-3,
(Yes-1, No-2)
Arguing-4]
2 2
Maina Devi
8.1 Governance (To Be Asked from HH Members of Age 18 Years and Above)
Member ID - 5
Particulars
How Did You Usually

Have You Approached
Member How Many Gram If No Gram
[Passive Observation-1, Forming
Any of the Elected
ID Sabha Meetings Sabha Meeting Representatives for
Coalitions from Members of
Did You was Attended, Problem Resolution in
Your Own Gender &
Participate in the then Reason(s) the Last 12 months?
Collectively Asking Questions-2,
Last 12 Months? for the Same*
Participating Individually-3,
(Yes-1, No-2)
Arguing-4]
5 0 18
Was the
Problem
Resolution
Satisfactory?
(Yes-1, No-2)
Household ID
Household
1 0 1
2 0 2
3 0 3
4 0 4
5 0 5
6 0 6
7 0 7
8 0 8
9 0 9
10 1 0
11 1 1
12 1 2
13 1 3
14 1 4
15 1 5
16 1 6
17 1 7
18 1 8
19 1 9
20
2 0
21
2 1
8.1 Governance (To Be Asked from H
Mem
If Yes, th
Gram Sa
Did You
Participate in any
Gram
Sabha/WUG/WUA
Meeting in which
Issues related to
Name of the Member Member ID Irrigation Water
were discussed? Timing of
[Last 12 Months] Availability of
Water for
(Yes-1, irrigation?
No-2) (Yes-1,
No-2)
Ramnarayan 4 2
Kadar Pathan 1 2
Harun Khan 1 2
Jethi Devi 1 2
Surjaram 1 2
Daulal Purohit 1 2
Bhanwarlal 1 2
Sahiram 1 2
Kamla Devi 2 2
Raju 2 2
Rugaram 2 2
Sattudas 2 2
Amratsen 1 2
Girdhari Singh 1 2
Jagdish Godara 1 2
Faiza 1 2
Bhanwar Ram 1 2
Hariram 1 2
Sameer Khan 1 2
Dinesh 4 2
Bhanwarlal 3 2
ANCE SECTION 8. GOVERNANCE
e (To Be Asked from HH Members of Age 18 Years and Above)
Member ID - 1
If Yes, then Issues discussed in the

If Yes, then Issues discussed
Gram Sabha/WUG/WUA Meetings
Gram Sabha/ VWSC/VHNSC
(Yes-1, No-2)
Did You Participate in (Yes-1, No-2)
any Gram
Sabha/VWSC/
VHNSC Meeting in
which Issues related to
Safe Drinking Water Duration of
Allocation/ were discussed? availability of
Frequency of Quantity of [Last 12 Months] Drinking
Duration of Receiving availability of Irrigation
Water?
Irrigation Water? Water? Water? (Yes-1, (Yes-1,
(Yes-1, (Yes-1, No-2) No-2)
No-2) No-2)
2
2
2
TION 8. GOVERNANCE SECTION 8. GOVERNANCE
8.1 Governance (To Be
If Yes, then Issues d

Gram Sabha/WUG/W
Gram Sabha/ VWSC/VHNSC Meetings
(Yes-1, N
(Yes-1, No-2) Did You Participate in
any Gram
Sabha/WUG/WUA
Meeting in which Issues
Name of related to Irrigation
Member
the Water were discussed?
Frequency of Allocation/ ID Timing of
Quality of Member [Last 12 Months]
availability of Quantity of Availability of
Drinking
Drinking Drinking (Yes-1, Water for
Water?
Water? Water? No-2) irrigation?
(Yes-1,
(Yes-1, (Yes-1, (Yes-1,
No-2)
No-2) No-2) No-2)
Kamma 2 2
Mana Ram 2 2
1 1 1
Rajuram 4 2
Raju Devi 2 2
Manoj
3 2
Kishan
Mahavir
3 2
Singh
Pushpa 2 2
Raman 2 2
8. GOVERNANCE SECTION 8. GOVERNANCE
Member ID - 2

(Yes-1, No-2)
Did You Participate in (Yes-1, No-2)
any Gram
Sabha/VWSC/
VHNSC Meeting in
which Issues related to
Safe Drinking Water Duration of
Allocation/ were discussed? Frequency of
availability of
Duration of Frequency of Quantity of [Last 12 Months] availability of
Drinking
Receiving availability of Irrigation Drinking
Water?
Irrigation Water? Water? (Yes-1, Water?
(Yes-1,
Water? (Yes-1, (Yes-1, No-2) (Yes-1,
No-2)
No-2) No-2) No-2)
2
2
2
GOVERNANCE SECTION 8. GOVERNANCE
8.1 Governance (To Be A
es, then Issues discussed in the

Sabha/ VWSC/VHNSC Meetings
(Yes-1, No-2)
Member
Name of the Member
Allocation/ ID
Quantity of Quality of
Drinking Drinking Water?
Water? (Yes-1,
(Yes-1, No-2)
No-2)
Bhanvar Lal 3
Tiku Ram 3
Dev Kishan 5
SECTION 8. GOVERNANCE SECTION 8. GO
Member ID - 3

(Yes-1, No-2) Did You
Participate in any
Did You Participate in any Gram Gram
Sabha/WUG/WUA Meeting in Sabha/VWSC/
which Issues related to Irrigation VHNSC Meeting
Water were discussed? in which Issues
[Last 12 Months] related to Safe
Timing of Frequency Allocation/ Drinking Water
Duration
(Yes-1, Availability of of Quantity of were discussed?
of
No-2) Water for availabilit Irrigation [Last 12 Months]
Receiving
irrigation? y of Water?
Irrigation
(Yes-1, Water? (Yes-1, (Yes-1,
Water?
No-2) (Yes-1, No-2) No-2)
No-2)
2
2
2
2
2
2
SECTION 8. GOVERNANCE SECTION 8. GOVERNANCE
e) 8.1 Governance (To Be Asked from HH M
Member
If Yes, then Issues discusse

Did You Gram Sabha/WUG/WUA M
Participate in any (Yes-1, No-2)
(Yes-1, No-2)
Gram
Sabha/WUG/WU
A Meeting in
which Issues
Name of
Member related to
Duration of the
Frequency of Allocation/ ID Irrigation Water Timing of
availability Quality of Member
availability Quantity of were discussed? Availability of
of Drinking Drinking [Last 12 Months]
of Drinking Drinking Water for
Water? Water?
Water? Water? irrigation?
(Yes-1, (Yes-1, (Yes-1,
(Yes-1, (Yes-1, (Yes-1,
No-2) No-2) No-2)
No-2) No-2) No-2)
Bhanvari
4 2
Devi
Babu Lal 4 2
GOVERNANCE SECTION 8. GOVERNANCE
(To Be Asked from HH Members of Age 18 Years and Above)
Member ID - 4
Did You
Participat
If Yes, then Issues discussed in the e in any
Gram If Yes, then Issues discussed in the
Sabha/V Gram Sabha/ VWSC/VHNSC Meetings
(Yes-1, No-2)
WSC/ (Yes-1, No-2)
VHNSC
Meeting in
which
Issues Duration
Allocation related to Frequency Allocation
of
Frequency / Safe of /
Duration availabilit Quality of
of Quantity Drinking availabilit Quantity
of y of Drinking
availabilit of Water y of of
Receiving Drinking Water?
y of Irrigation were Drinking Drinking
Irrigation Water? (Yes-1,
Water? Water? discussed? Water? Water?
Water? (Yes-1, No-2)
(Yes-1, (Yes-1, [Last 12 (Yes-1, (Yes-1,
No-2)
No-2) No-2) Months] No-2) No-2)
(Yes-1,
No-2)
2
8.1 Governance (To Be Asked from HH Members of A
Member ID - 5

Did You Gram Sabha/WUG/WUA Meetings
Participate in (Yes-1, No-2)
any Gram
Sabha/WUG/WU
A Meeting in
which Issues
Member related to
Name of the Member
ID Irrigation Water Timing of
were discussed? Availability of Duration of
[Last 12 Months] Water for Receiving
irrigation? Irrigation
(Yes-1, (Yes-1, Water?
No-2) No-2)
Maina Devi 5 2
from HH Members of Age 18 Years and Above)
Member ID - 5
then Issues discussed in the

abha/WUG/WUA Meetings
Did You Gram Sabha/ VWSC/VHNSC Meetings
(Yes-1, No-2)
Participate in any (Yes-1, No-2)
Gram
Sabha/VWSC/
VHNSC Meeting in
which Issues
related to Safe Duration of
Allocation/ Drinking Water availability of Frequency of Allocation/ Quality of
Frequency of Quantity of were discussed? availability of Quantity of
Drinking Drinking
availability of Irrigation [Last 12 Months] Drinking Drinking
Water? Water?
Water? Water? Water? Water?
(Yes-1, (Yes-1,
(Yes-1, (Yes-1, (Yes-1, (Yes-1, (Yes-1,
No-2) No-2)
No-2) No-2) No-2) No-2) No-2)
2
SECTION-8 : GOVERNANCE
8.2 : Participation in Government Schemes/Programs
Household-1
Household ID
[to be copied correctly from Introduction/Cover Shee
Whether received
Benefit in
Sl.
No. Scheme/Program Past 12 Month?
[Yes-1,
No-2]
BPL Card/Antyodaya
1 BPL Card – Poorest (Antyodya) 2
2 BPL Card – Less Poor 1
3 Other Ration Card (Above Poverty Line) 2
4 Annapurna 2
Safe Drinking Water
5 National Rural Drinking Water Program (NRDWP) 2
6 Swachch Bharat Mission – Grameen (SBM-G) 2

Irrigation Management & Watershed Development
Pradhan Mantri Krishi Sinchai Yojana – Watershed
7 Development (PMKSY) 2
8 State Irrigation Management Program/Scheme 2
School and Education
9 Scholarship 2
10 Mid day Meal (MDM) 2
11 ICDS (Integrated child development scheme) 1
12 Right to Education (RTE) 2
Employment Schemes/Food for Work/Livelihood Programs
Mahatma Gandhi National Rural Employment Guarantee
13 Scheme (MGNREGS) 1
14 FFW (Food for work program) 2
15 National Rural Livelihoods Mission (NRLM) 2
Rural Housing Schemes
16 Pradhan Mantri Awas Yojana Grameen (PMAY-G) 2
17 Indira Awaas Yojana (IAY) 2
18 Innovative Scheme for Housing and Habitat 2
Other Development Schemes
19 Credit-cum-Subsidy Scheme 2
20 Business Support Program 2
21 Pradhan Mantri Ujjwala Yojana 2
22 Saubhagya (Pradhan Mantri Sahaj Bijri Har Ghar Yojana) 2
23 Ujala Scheme 2
24 Pradhan Mantri Jan Dhan Yojana 2
25 Pradhan Mantri MUDRA Yojana (PMMY) 2
26 Pradhan Mantri Jeevan Jyoti Bima Yojana 2
27 Pradhan Mantri Suraksha Bima Yojana 2
28 Mission Indradhanush 2
29 National Dairy Plan – I 2
GOVERNANCE
ernment Schemes/Programs
ehold-1
ehold ID
m Introduction/Cover Sheet]
0 1
Did you receive Nature of Delay in the

benefit directly Benefits receipts of Did you pay
in your bank anything extra to Sl.
account (Cash – 1, benefits receive the benefits No. Scheme/Pro
Kind – 2, (Yes – 1,
(Yes – 1, Both – 3) No – 2) (Yes -1, No- 2)
No -2)
BPL Card/Antyodaya
1 BPL Card – Poorest (Antyo
2 2 2 2 2 BPL Card – Less Poor
3 Other Ration Card (Above
4 Annapurna
Safe Drinking Water
5 National Rural Drinking Wa
6 Swachch Bharat Mission –

Irrigation Management & Watershed Devel
Pradhan Mantri Krishi Sinc
7 Development (PMKSY)
8 State Irrigation Manageme
9 Scholarship
10 Mid day Meal (MDM)
2 2 2 2 11 ICDS (Integrated child deve
12 Right to Education (RTE)
Employment Schemes/Food for Work/Livel
Mahatma Gandhi National
1 1 2 1 13 Guarantee Scheme (MGNR
14 FFW (Food for work progra
15 National Rural Livelihoods
16 Pradhan Mantri Awas Yoja
17 Indira Awaas Yojana (IAY)
18 Innovative Scheme for Hou
19 Credit-cum-Subsidy Schem
20 Business Support Program
21 Pradhan Mantri Ujjwala Yo
Saubhagya (Pradhan Mant
22 Yojana)
23 Ujala Scheme
24 Pradhan Mantri Jan Dhan Y
25 Pradhan Mantri MUDRA Yo
26 Pradhan Mantri Jeevan Jyo
27 Pradhan Mantri Suraksha B
28 Mission Indradhanush
29 National Dairy Plan – I
Household-2
Household ID
Did you
Whether received receive Nature of Delay in the
Benefit in benefit Benefits receipts of
directly in
Scheme/Program Past 12 Month? your bank (Cash – 1, benefits
[Yes-1, Kind – 2, (Yes – 1,
No-2] account Both – 3) No – 2)
(Yes – 1,
No -2)
Antyodaya
BPL Card – Poorest (Antyodya) 2
BPL Card – Less Poor 1 2 2 2
Other Ration Card (Above Poverty Line) 2
Annapurna 2
ing Water
National Rural Drinking Water Program (NRDWP) 2
Swachch Bharat Mission – Grameen (SBM-G) 2

Management & Watershed Development
Development (PMKSY) 2
State Irrigation Management Program/Scheme 2
d Education
Scholarship 1 1 1 2
Mid day Meal (MDM) 1 2 2 2
ICDS (Integrated child development scheme) 1 2 2 2
Right to Education (RTE) 1 1 2 2
nt Schemes/Food for Work/Livelihood Programs
Mahatma Gandhi National Rural Employment
Guarantee Scheme (MGNREGS) 1 1 1 1
FFW (Food for work program) 2
National Rural Livelihoods Mission (NRLM) 2
sing Schemes
Pradhan Mantri Awas Yojana Grameen (PMAY-G) 2
Indira Awaas Yojana (IAY) 1 1 1 1
Innovative Scheme for Housing and Habitat 2
elopment Schemes
Credit-cum-Subsidy Scheme 1 1 1 1
Business Support Program 2
Pradhan Mantri Ujjwala Yojana 1 2 2 1
Saubhagya (Pradhan Mantri Sahaj Bijri Har Ghar
Yojana) 2
Ujala Scheme 2
Pradhan Mantri Jan Dhan Yojana 2
Pradhan Mantri MUDRA Yojana (PMMY) 2
Pradhan Mantri Jeevan Jyoti Bima Yojana 2
Pradhan Mantri Suraksha Bima Yojana 2
Mission Indradhanush 2
National Dairy Plan – I 2
8.2 : Participation in Government Schemes/Program
Household-3
Household ID
0 2
Whether received
Did you pay Benefit in
anything extra to Sl.
receive the benefits No. Scheme/Program Past 12 Month?
[Yes-1,
(Yes -1, No- 2) No-2]
BPL Card/Antyodaya
2 2 BPL Card – Less Poor 1
4 Annapurna 2
Safe Drinking Water

2 9 Scholarship 1
2 10 Mid day Meal (MDM) 1
2 11 ICDS (Integrated child development scheme) 2
2 12 Right to Education (RTE) 1
1 13 Guarantee Scheme (MGNREGS) 1
1 17 Indira Awaas Yojana (IAY) 1
1 19 Credit-cum-Subsidy Scheme 2
1 21 Pradhan Mantri Ujjwala Yojana 2
22 Yojana) 2
23 Ujala Scheme 2
GOVERNANCE S
rnment Schemes/Programs 8.2 : Parti
ehold-3
ehold ID
0 3
Did you
receive Nature of Delay in the
benefit Benefits receipts of Did you pay
directly in anything extra to Sl.
your bank (Cash – 1, benefits receive the benefits No. Scheme/Program
Kind – 2, (Yes – 1,
account Both – 3) No – 2) (Yes -1, No- 2)
(Yes – 1,
No -2)
BPL Card/Antyodaya
1 BPL Card – Poorest (Antyodya)
3 Other Ration Card (Above Poverty Line)
4 Annapurna
Safe Drinking Water
5 National Rural Drinking Water Program (NR
6 Swachch Bharat Mission – Grameen (SBM-G

Pradhan Mantri Krishi Sinchai Yojana – Wate
8 State Irrigation Management Program/Sche
1 1 2 2 9 Scholarship
2 2 2 2 10 Mid day Meal (MDM)
11 ICDS (Integrated child development scheme
2 2 2 2 12 Right to Education (RTE)
Mahatma Gandhi National Rural Employme
1 1 1 1 13 Guarantee Scheme (MGNREGS)
14 FFW (Food for work program)
15 National Rural Livelihoods Mission (NRLM)
16 Pradhan Mantri Awas Yojana Grameen (PM
1 1 1 1 17 Indira Awaas Yojana (IAY)
18 Innovative Scheme for Housing and Habitat
19 Credit-cum-Subsidy Scheme
21 Pradhan Mantri Ujjwala Yojana
Saubhagya (Pradhan Mantri Sahaj Bijri Har G
22 Yojana)
23 Ujala Scheme
24 Pradhan Mantri Jan Dhan Yojana
25 Pradhan Mantri MUDRA Yojana (PMMY)
26 Pradhan Mantri Jeevan Jyoti Bima Yojana
27 Pradhan Mantri Suraksha Bima Yojana
Household-4
Household ID
0 4
Did you
Benefit in benefit Benefits receipts of Did you pay
directly in anything extra to
heme/Program Past 12 Month? your bank (Cash – 1, benefits receive the benefits
[Yes-1, Kind – 2, (Yes – 1,
No-2] account Both – 3) No – 2) (Yes -1, No- 2)
(Yes – 1,
No -2)
st (Antyodya) 2
oor 2
d (Above Poverty Line) 2
2
nking Water Program (NRDWP) 2
Mission – Grameen (SBM-G) 2

hed Development
rishi Sinchai Yojana – Watershed
MKSY) 2
anagement Program/Scheme 2
2
DM) 2
child development scheme) 2
n (RTE) 2
Work/Livelihood Programs
National Rural Employment
e (MGNREGS) 1 1 1 1 1
rk program) 2
elihoods Mission (NRLM) 2
was Yojana Grameen (PMAY-G) 2

na (IAY) 2
e for Housing and Habitat 2
dy Scheme 1 1 1 2 2
Program 2
jjwala Yojana 2
han Mantri Sahaj Bijri Har Ghar
2
2
an Dhan Yojana 2
MUDRA Yojana (PMMY) 2
eevan Jyoti Bima Yojana 2
uraksha Bima Yojana 2
nush 2
n–I 2
Household-5
Household ID
Did you
Whether received receive Nature of
Benefit in benefit Benefits
Sl. directly in
No. Scheme/Program Past 12 Month? your bank (Cash – 1,
[Yes-1, Kind – 2,
No-2] account Both – 3)
(Yes – 1,
No -2)
BPL Card/Antyodaya
2 BPL Card – Less Poor 1 2 2
4 Annapurna 2
Safe Drinking Water

9 Scholarship 1 1 1
13 Guarantee Scheme (MGNREGS) 1 1 1
19 Credit-cum-Subsidy Scheme 1 1 1
21 Pradhan Mantri Ujjwala Yojana 1 1 1
22 Yojana) 2
23 Ujala Scheme 2
SECTION-8 : GOV
grams 8.2 : Participation in Governm
Household
Household
0 5
Delay in the
receipts of Did you pay
benefits receive the benefits No. Scheme/Program
(Yes – 1,
No – 2) (Yes -1, No- 2)
BPL Card/Antyodaya
2 2 2 BPL Card – Less Poor
4 Annapurna
Safe Drinking Water
5 National Rural Drinking Water Program (NRDWP)
6 Swachch Bharat Mission – Grameen (SBM-G)

8 State Irrigation Management Program/Scheme
2 2 9 Scholarship
11 ICDS (Integrated child development scheme)
1 1 13 Guarantee Scheme (MGNREGS)
16 Pradhan Mantri Awas Yojana Grameen (PMAY-G)
2 2 19 Credit-cum-Subsidy Scheme
2 2 21 Pradhan Mantri Ujjwala Yojana
22 Yojana)
23 Ujala Scheme
Participation in Government Schemes/Programs
Household-6
Household ID
0 6
Did you
Past 12 Month? your bank (Cash – 1, benefits receive the benefits No. Schem
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
2 1 BPL Card – Poorest (An
2 2 BPL Card – Less Poor
2 3 Other Ration Card (Ab
2 4 Annapurna
Safe Drinking Water
2 5 National Rural Drinkin
2 6 Swachch Bharat Missio

Irrigation Management & Watershed D
Pradhan Mantri Krishi
2 7 Development (PMKSY
2 8 State Irrigation Manag
1 1 1 2 2 9 Scholarship
2 10 Mid day Meal (MDM)
2 11 ICDS (Integrated child
2 12 Right to Education (RT
ms Employment Schemes/Food for Work/
Mahatma Gandhi Nati
2 13 Guarantee Scheme (M
2 14 FFW (Food for work pr
2 15 National Rural Liveliho
2 16 Pradhan Mantri Awas
2 17 Indira Awaas Yojana (I
2 18 Innovative Scheme for
1 1 1 2 2 19 Credit-cum-Subsidy Sc
2 20 Business Support Prog
1 1 1 2 2 21 Pradhan Mantri Ujjwa
Saubhagya (Pradhan M
2 22 Yojana)
2 23 Ujala Scheme
2 24 Pradhan Mantri Jan Dh
2 25 Pradhan Mantri MUDR
2 26 Pradhan Mantri Jeeva
2 27 Pradhan Mantri Surak
2 28 Mission Indradhanush
2 29 National Dairy Plan – I
Household-7
Household ID
Did you
directly in
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
Antyodaya
BPL Card – Less Poor 2
Other Ration Card (Above Poverty Line) 1 2 2 2
Annapurna 2
ing Water

Scholarship 2
Mid day Meal (MDM) 2
ICDS (Integrated child development scheme) 2
Right to Education (RTE) 2
sing Schemes
Indira Awaas Yojana (IAY) 2
elopment Schemes
Credit-cum-Subsidy Scheme 2
Yojana) 2
Ujala Scheme 2
Household-8
Household ID
0 7
Whether received
[Yes-1,
(Yes -1, No- 2) No-2]
BPL Card/Antyodaya
2 3 Other Ration Card (Above Poverty Line) 2
4 Annapurna 2
Safe Drinking Water

9 Scholarship 1
22 Yojana) 2
23 Ujala Scheme 2
GOVERNANCE S
ehold-8
ehold ID
0 8
Did you
Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
4 Annapurna
Safe Drinking Water
1 1 1 1 6 Swachch Bharat Mission – Grameen (SBM-G

1 1 2 2 9 Scholarship
1 1 1 1 16 Pradhan Mantri Awas Yojana Grameen (PM
22 Yojana)
23 Ujala Scheme
Household-9
Household ID
0 9
Did you
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
st (Antyodya) 2
oor 1 2 2 2 2
2

hed Development
MKSY) 2
2
DM) 2
n (RTE) 2
e (MGNREGS) 2
rk program) 2

na (IAY) 2
dy Scheme 1 1 1 2 2
Program 2
jjwala Yojana 1 1 1 2 2
2
2
an Dhan Yojana 2
nush 2
n–I 2
Household-10
Household ID
Did you
Sl. directly in
[Yes-1, Kind – 2,
(Yes – 1,
No -2)
BPL Card/Antyodaya
3 Other Ration Card (Above Poverty Line) 1 2 2
4 Annapurna 2
Safe Drinking Water

9 Scholarship 2
21 Pradhan Mantri Ujjwala Yojana 1 1 1
22 Yojana) 2
23 Ujala Scheme 2
SECTION-8 : GOV
Household
Household
1 0
Delay in the
(Yes – 1,
No – 2) (Yes -1, No- 2)
BPL Card/Antyodaya
2 BPL Card – Less Poor
2 2 3 Other Ration Card (Above Poverty Line)
4 Annapurna
Safe Drinking Water

9 Scholarship
2 2 21 Pradhan Mantri Ujjwala Yojana
22 Yojana)
23 Ujala Scheme
Household-11
Household ID
1 1
Did you
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
1 2 2 2 2 3 Other Ration Card (Ab
2 4 Annapurna
Safe Drinking Water
2 6 Swachch Bharat Missio

2 9 Scholarship
Mahatma Gandhi Nati
1 1 1 1 1 13 Guarantee Scheme (M
2 19 Credit-cum-Subsidy Sc
2 22 Yojana)
2 23 Ujala Scheme
Household-12
Household ID
Did you
directly in
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
Antyodaya
BPL Card – Less Poor 1 2 2 2
Other Ration Card (Above Poverty Line) 2
Annapurna 2
ing Water

d Education
Scholarship 2
sing Schemes
elopment Schemes
Yojana) 2
Ujala Scheme 2
Household-13
Household ID
1 2
Whether received
[Yes-1,
(Yes -1, No- 2) No-2]
BPL Card/Antyodaya
2 2 BPL Card – Less Poor 2
4 Annapurna 2
Safe Drinking Water

9 Scholarship 2
22 Yojana) 2
23 Ujala Scheme 2
GOVERNANCE S
hold-13
ehold ID
1 3
Did you
Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
4 Annapurna
Safe Drinking Water

9 Scholarship
22 Yojana)
23 Ujala Scheme
Household-14
Household ID
1 4
Did you
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
st (Antyodya) 2
oor 2
2

hed Development
MKSY) 2
2
DM) 2
n (RTE) 2
e (MGNREGS) 1 1 1 1 1
rk program) 2

na (IAY) 2
dy Scheme 2
Program 2
2
2
an Dhan Yojana 2
nush 2
n–I 2
Household-15
Household ID
Did you
Sl. directly in
[Yes-1, Kind – 2,
(Yes – 1,
No -2)
BPL Card/Antyodaya
4 Annapurna 2
Safe Drinking Water

9 Scholarship 1 2 1
10 Mid day Meal (MDM) 1 2 2
12 Right to Education (RTE) 1 2 2
13 Guarantee Scheme (MGNREGS) 2
22 Yojana) 2
23 Ujala Scheme 2
SECTION-8 : GOV
Household
Household
1 5
Delay in the
(Yes – 1,
No – 2) (Yes -1, No- 2)
BPL Card/Antyodaya
4 Annapurna
Safe Drinking Water

2 2 9 Scholarship
2 2 10 Mid day Meal (MDM)
2 2 12 Right to Education (RTE)
13 Guarantee Scheme (MGNREGS)
22 Yojana)
23 Ujala Scheme
Household-16
Household ID
1 6
Did you
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
2 3 Other Ration Card (Ab
2 4 Annapurna
Safe Drinking Water
1 1 1 2 2 6 Swachch Bharat Missio

1 1 1 2 2 9 Scholarship
Mahatma Gandhi Nati
1 1 1 2 2 13 Guarantee Scheme (M
2 19 Credit-cum-Subsidy Sc
2 22 Yojana)
2 23 Ujala Scheme
Household-17
Household ID
Did you
directly in
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
Antyodaya
BPL Card – Less Poor 2
Other Ration Card (Above Poverty Line) 1 1 2 2
Annapurna 2
ing Water

d Education
Scholarship 2
sing Schemes
Pradhan Mantri Awas Yojana Grameen (PMAY-G) 1 1 1 2
elopment Schemes
Yojana) 2
Ujala Scheme 2
Household-18
Household ID
1 7
Whether received
[Yes-1,
(Yes -1, No- 2) No-2]
BPL Card/Antyodaya
2 3 Other Ration Card (Above Poverty Line) 2
4 Annapurna 2
Safe Drinking Water

9 Scholarship 2
2 16 Pradhan Mantri Awas Yojana Grameen (PMAY-G) 2
22 Yojana) 2
23 Ujala Scheme 2
GOVERNANCE S
hold-18
ehold ID
1 8
Did you
Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
BPL Card/Antyodaya
4 Annapurna
Safe Drinking Water

9 Scholarship
1 1 2 2 21 Pradhan Mantri Ujjwala Yojana
22 Yojana)
23 Ujala Scheme
Household-19
Household ID
1 9
Did you
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
st (Antyodya) 2
oor 2
d (Above Poverty Line) 1 1 2 2 2
2

hed Development
MKSY) 2
1 1 1 2 2
DM) 2
n (RTE) 2
e (MGNREGS) 1 1 1 1 1
rk program) 2

na (IAY) 2
dy Scheme 2
Program 2
2
2
an Dhan Yojana 2
nush 2
n–I 2
Household-20
Household ID
Did you
Sl. directly in
[Yes-1, Kind – 2,
(Yes – 1,
No -2)
BPL Card/Antyodaya
4 Annapurna 2
Safe Drinking Water

9 Scholarship 2

22 Yojana) 2
23 Ujala Scheme 2
SECTION-8 : GOV
Household
Household
Delay in the
(Yes – 1,
No – 2) (Yes -1, No- 2)
BPL Card/Antyodaya
4 Annapurna
Safe Drinking Water

9 Scholarship
22 Yojana)
23 Ujala Scheme
Household-21
Household ID
Did you
Past 12 Month? your bank (Cash – 1, benefits receive the benefits
[Yes-1, Kind – 2, (Yes – 1,
(Yes – 1,
No -2)
2
2
1 1 1 2 2
2
1 1 1 2 2
2
2
2
2
2
2
ms
2
2
2
2
2
2
1 1 1 2 2
2
1 1 1 2 2
2
2
2
2
2
2
2
2
8.3 : Climate Change & Green Governance
Household-1
Household ID
[to be copied correctly from Introduction/Cover
Sl.
No. Particulars
1 People have been saying that there has been significant change in the climate?
[Agree-1, Disagree-2]
If you Agree then according to you, what are the three most significant indicators of
2 this change that you experienced in the past 5 years? {Code-1}
{Multiple Response}
3 PREFERANCE FOR AND PARTICIPATION IN GREEN GOVERNANCE
The Panchayat is planning to plant fruit bearing trees along the roads inside the village.
These trees will start yielding fruits in the next three to five years, income from the sale
3.1
of these fruits will be shared amongst all households. These trees will also prevent soil
erosion, cool the temperatures during the summer and reduce pollution.
Over the years, it has been found that there has been significant increase in the
quantum of waste and garbage generated within the village. This is contributing to
3.2 communicable diseases, death of livestock amongst others. The Panchayat is planning
to build a recycling plant to deal with both degradable and non-degradable wastes (such
as plastics)
Power cuts are contributing to significant disruptions in agricultural activities, leading to

crop losses and incomes. Such powercuts are also adversely affecting school
3.3 performance of children. The panchayat is planning to set aside the common land for
construction of solar and wind farm to overcome power shortage.
Availability and purity of drinking water is becoming a serious problem in this village.
The panchayat is planning a two pronged strategy to overcome this problem (a)
3.4 Construction and maintenance of ground water recharging pits across the village (b) It is
also attempting to raise revenue and build a reverse osmosis plant.
Over the last five years the panchayat is unable to adequately provide and operate
street lights, as a result women and children in the village are particularly vulnerable to
3.5 dog bites and other stray animals. The panchayat is planning to install solar panels on
top of street lamps. Solar panels will be significant and dependable source of clean
power.
Over the years common water bodies are having less water and are getting silted up as
a result ground water in the village has depleted, households owning livestock are not
able to care for their livestock and farmers are not able to access water for irrigation.
3.6 The panchayat also wishes to use these common water bodies for raising revenue
through the promotion of fresh water fishery. Accordingly it has come up with four
pronged strategy (a) Widening, de-silting and strengthening of bunds of all common
water bodies, (b) Planting of fruit bearing and orchard tress on the boundaries, (C)
Planting Asola in these water bodies and (d) introducing fresh water fish.
There are significant benefits of using bio-fertilizers in cultivation. Fruits, vegetables and
crops cultivated using bio-fertilizers fetches higher prices in the market. Recognizing
3.7 this, the panchayat is adopting a two pronged strategy (a) Collecting and aggregating all
of the bio-degradable waste (b) Setting up a facility to convert the degradable waste
into bio-fertilizer. The fertilizers produced in this manner can both be sold in the market
as well as shared and used by the cultivating households in this village.
If the Govt. wishes to spend Rs. 1 lakh on local development of your village and
it is undecided regarding the nature of allocation and expects that the
Panchayat has to arrive at a formula to allocate it across the activities indicated
2
Household-1
10
in Col.-2, you are expected to advice the Panchayat. How should the Panchayat
Household ID
allocate Rs. 1 Lakh [Respondent must be asked to divide the amount across
these issues in %.]
ECTION-8 : GOVERNANCE
: Climate Change & Green Governance
In addition to Col.3, the Govt. has requested you to contribute Rs. 5000/- every
5 years towards village development. The money will be spent on activities
listed in Col. 2. Will you contribute? (Yes – 1, No -2)
d correctly from Introduction/Cover Sheet]
If 1 in Col.4a then
How would you want the Panchayat to allocate your contribution?
[Respondent must be asked to divide the amount across these issues in
monetary terms (Rs.)]
1
If 2 in Col.4a then reasons for not willing to contribute [Poor – 1, Don’t feel it is
Response
your responsibility – 2, This is a non-issue – 3 Must be done by the Govt. rather

than using my money– 4]
In addition to Col.3, the Govt. wants every HH to allocate 100 hours in a year as
labor or provision of technical expertise towards activities listed in Col.-2. Will
you contribute your time? [ Yes – 1, No -2]
If 1 in Col.5a then
20
[Respondent must be asked to divide the number of hours across these issues]
0
If 2 in Col.5a then reasons for not willing to contribute [Don’t have technical
capacities – 1, Physically unable – 2, This is a non-issue – 3], Must be done by
the Govt. rather than by me – 4]
1
10 10
30 40
20 10
2 1 1
10 10
10 10
10 0
Household-2
Household ID
Sl.
No. Particulars Response
1 People have been saying that there has been significant change in
the climate? [Agree-1, Disagree-2]
If you Agree then according to you, what are the three most
2 significant indicators of this change that you experienced in the past
5 years? {Code-1}
{Multiple Response}



these issues in %.]
If 1 in Col.4a then
PREFERANCE FOR AND PARTICIPATION IN GREEN
3 GOVERNANCE
The Panchayat is planning to plant fruit bearing trees along the roads
inside the village. These trees will start yielding fruits in the next three
3.1 to five years, income from the sale of these fruits will be shared 30 5000
amongst all households. These trees will also prevent soil erosion,
cool the temperatures during the summer and reduce pollution.
Over the years, it has been found that there has been significant
increase in the quantum of waste and garbage generated within the
village. This is contributing to communicable diseases, death of
3.2 livestock amongst others. The Panchayat is planning to build a 10
recycling plant to deal with both degradable and non-degradable
wastes (such as plastics)
Power cuts are contributing to significant disruptions in agricultural

activities, leading to crop losses and incomes. Such powercuts are also
3.3 adversely affecting school performance of children. The panchayat is 30
planning to set aside the common land for construction of solar and
wind farm to overcome power shortage.
Availability and purity of drinking water is becoming a serious

problem in this village. The panchayat is planning a two pronged
3.4 strategy to overcome this problem (a) Construction and maintenance 30
of ground water recharging pits across the village (b) It is also
attempting to raise revenue and build a reverse osmosis plant.
1
Over the last five years the panchayat is unable to adequately provide
and operate street lights, as a result women and children in the village
3.5 are particularly vulnerable to dog bites and other stray animals. The 0
panchayat is planning to install solar panels on top of street lamps.
Solar panels will be significant and dependable source of clean power.
Over the years common water bodies are having less water and are
getting silted up as a result ground water in the village has depleted,
households owning livestock are not able to care for their livestock
and farmers are not able to access water for irrigation. The panchayat
3.6 also wishes to use these common water bodies for raising revenue 0
through the promotion of fresh water fishery. Accordingly it has come
up with four pronged strategy (a) Widening, de-silting and
strengthening of bunds of all common water bodies, (b) Planting of
fruit bearing and orchard tress on the boundaries, (C) Planting Asola
in these water bodies and (d) introducing fresh water fish.
There are significant benefits of using bio-fertilizers in cultivation.

Fruits, vegetables and crops cultivated using bio-fertilizers fetches
higher prices in the market. Recognizing this, the panchayat is
3.7 adopting a two pronged strategy (a) Collecting and aggregating all of 0
the bio-degradable waste (b) Setting up a facility to convert the
degradable waste into bio-fertilizer. The fertilizers produced in this
manner can both be sold in the market as well as shared and used by
the cultivating households in this village.
SECTION-8 : GOV
e 8.3 : Climate Change & G
Household
Household
0 2
Sl.
5 years? {Code-1}
{Multiple Response}


If 1 in Col.5a then

3 GOVERNANCE
30 3.1 to five years, income from the sale of these fruits will be shared
10 3.2 livestock amongst others. The Panchayat is planning to build a

30 3.3 adversely affecting school performance of children. The panchayat is

30 3.4 strategy to overcome this problem (a) Construction and maintenance
1
0 3.5 are particularly vulnerable to dog bites and other stray animals. The
0 3.6 also wishes to use these common water bodies for raising revenue

0 3.7 adopting a two pronged strategy (a) Collecting and aggregating all of
ree-2]
TION IN GREEN
are the three most
e fruits will be shared

and reduce pollution.
o prevent soil erosion,
n significant change in
ng trees along the roads

experienced in the past
g fruits in the next three

0
2
Household-3
Household ID
these issues in %.]
If 1 in Col.4a then
1

Response
If 1 in Col.5a then
0
3
2
1
3
Sl.
3.1
No.
The Panchayat is planning

People have been saying
cool the temperatures d

If you Agree then acco
inside the village. These tre

PREFERANCE FOR
significant indicators of thi
to five years, income fro

the climat
{M
amongst all households. T

e has been significant Over the years, it has be
e generated within the increase in the quantum o
le diseases, death of village. This is contributi
s planning to build a 100 5000 100 3.2 livestock amongst othe
e and non-degradable recycling plant to deal wi
s) wast
ruptions in agricultural Power cuts are contributin

Such powercuts are also activities, leading to crop lo
ldren. The panchayat is 0 3.3 adversely affecting school p
nstruction of solar and planning to set aside the c
shortage. wind farm to
becoming a serious Availability and purity o

anning a two pronged problem in this village. T
uction and maintenance 0 3.4 strategy to overcome this p
e village (b) It is also of ground water rechar
verse osmosis plant. attempting to raise reve
1 1
e to adequately provide Over the last five years the

nd children in the village and operate street lights, as
ther stray animals. The 0 3.5 are particularly vulnerable
on top of street lamps. panchayat is planning to i
e source of clean power. Solar panels will be significa
ving less water and are Over the years common w

he village has depleted, getting silted up as a result
care for their livestock households owning livesto
rigation. The panchayat and farmers are not able to
ies for raising revenue 0 3.6 also wishes to use these c
Accordingly it has come through the promotion of f
ing, de-silting and up with four pronged
bodies, (b) Planting of strengthening of bunds of
aries, (C) Planting Asola fruit bearing and orchard t
g fresh water fish. in these water bodies
rtilizers in cultivation. There are significant ben

bio-fertilizers fetches Fruits, vegetables and cro
his, the panchayat is higher prices in the ma
g and aggregating all of 0 3.7 adopting a two pronged st
acility to convert the the bio-degradable was
tilizers produced in this degradable waste into bio
l as shared and used by manner can both be sold in
is village. the cultivatin
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

to five years, income from the sale of these fruits will be shared
People have been saying that there has been significant change in
significant indicators of this change that you experienced in the past
5
Household-4
Household ID
these issues in %.]
If 1 in Col.4a then
2

Response
livestock amongst others. The Panchayat is planning to build a 5

adversely affecting school performance of children. The panchayat is 5

strategy to overcome this problem (a) Construction and maintenance 30
2 4 2
are particularly vulnerable to dog bites and other stray animals. The 5
also wishes to use these common water bodies for raising revenue 50

adopting a two pronged strategy (a) Collecting and aggregating all of 0
Household-5
Household ID
0 4
Sl.
No. Particulars
5 years? {Code-1}
{Multiple Response}


these issues in %.]

If 1 in Col.5a then

3 GOVERNANCE
20 3.1 to five years, income from the sale of these fruits will be shared 20
10 3.2 livestock amongst others. The Panchayat is planning to build a 10

20 3.3 adversely affecting school performance of children. The panchayat is 20

10 3.4 strategy to overcome this problem (a) Construction and maintenance 10
4
10 3.5 are particularly vulnerable to dog bites and other stray animals. The 10
30 3.6 also wishes to use these common water bodies for raising revenue 20

0 3.7 adopting a two pronged strategy (a) Collecting and aggregating all of 10
ehold-5
ehold ID
GOVERNANCE
& Green Governance
If 1 in Col.4a then
If 2 in Col.4a then reasons for not willing to contribute [Poor – 1, Don’t feel it is m Introduction/Cover Sheet]
1
Response
If 1 in Col.5a then
0
5
2
1
3
Sl.
3.1
No.
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}
to five years, income from the sale of these frui

cool the temperatures during the summer and r
People have been saying that there has been sig
significant indicators of this change that you expe
amongst all households. These trees will also pre

inside the village. These trees will start yielding frui
PREFERANCE FOR AND PARTICIPATION
The Panchayat is planning to plant fruit bearing tre

If you Agree then according to you, what are t
8
the climate? [Agree-1, Disagree-2

[to be cop
Over the years, it has been found that there has
increase in the quantum of waste and garbage gen
village. This is contributing to communicable dis
3.2 livestock amongst others. The Panchayat is plan
recycling plant to deal with both degradable and
Power cuts are contributing to significant disrupti

activities, leading to crop losses and incomes. Such
3.3 adversely affecting school performance of children
planning to set aside the common land for constru
wind farm to overcome power short
Availability and purity of drinking water is beco

problem in this village. The panchayat is plannin
3.4 strategy to overcome this problem (a) Construction
of ground water recharging pits across the villa
attempting to raise revenue and build a reverse
2 1 2 4
Over the last five years the panchayat is unable to

and operate street lights, as a result women and ch
3.5 are particularly vulnerable to dog bites and other
panchayat is planning to install solar panels on to
Solar panels will be significant and dependable sou
Over the years common water bodies are having l

getting silted up as a result ground water in the vil
households owning livestock are not able to care
and farmers are not able to access water for irrigati
3.6 also wishes to use these common water bodies fo
through the promotion of fresh water fishery. Acco
up with four pronged strategy (a) Widening, d
strengthening of bunds of all common water bodi
fruit bearing and orchard tress on the boundaries,
in these water bodies and (d) introducing fre
There are significant benefits of using bio-fertiliz

Fruits, vegetables and crops cultivated using bio-
higher prices in the market. Recognizing this, th
3.7 adopting a two pronged strategy (a) Collecting and
the bio-degradable waste (b) Setting up a facilit
degradable waste into bio-fertilizer. The fertilizer
manner can both be sold in the market as well as s
the cultivating households in this vill
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}
limate? [Agree-1, Disagree-2]
FOR AND PARTICIPATION IN GREEN

according to you, what are the three most
me from the sale of these fruits will be shared

res during the summer and reduce pollution.
olds. These trees will also prevent soil erosion,
ying that there has been significant change in
ning to plant fruit bearing trees along the roads

of this change that you experienced in the past
e trees will start yielding fruits in the next three

2
Household-6
20
Household ID
these issues in %.]
3

If 1 in Col.4a then

1
Response
If 1 in Col.5a then
20
0
as been found that there has been significant
um of waste and garbage generated within the
ributing to communicable diseases, death of
others. The Panchayat is planning to build a 30 5000 50
eal with both degradable and non-degradable
ibuting to significant disruptions in agricultural

op losses and incomes. Such powercuts are also
hool performance of children. The panchayat is 30 0
the common land for construction of solar and
rm to overcome power shortage.
urity of drinking water is becoming a serious

ge. The panchayat is planning a two pronged
this problem (a) Construction and maintenance 20 0
echarging pits across the village (b) It is also
revenue and build a reverse osmosis plant.
1 1
s the panchayat is unable to adequately provide

ts, as a result women and children in the village
rable to dog bites and other stray animals. The 0
g to install solar panels on top of street lamps.
nificant and dependable source of clean power.
mon water bodies are having less water and are

result ground water in the village has depleted,
ivestock are not able to care for their livestock
ble to access water for irrigation. The panchayat
ese common water bodies for raising revenue 0 30
n of fresh water fishery. Accordingly it has come
nged strategy (a) Widening, de-silting and
ds of all common water bodies, (b) Planting of
hard tress on the boundaries, (C) Planting Asola
odies and (d) introducing fresh water fish.
benefits of using bio-fertilizers in cultivation.

d crops cultivated using bio-fertilizers fetches
e market. Recognizing this, the panchayat is
ed strategy (a) Collecting and aggregating all of 0 0
waste (b) Setting up a facility to convert the
o bio-fertilizer. The fertilizers produced in this
old in the market as well as shared and used by
vating households in this village.
Household-7
Household ID
6
Sl.
No. Particulars Res
5 years? {Code-1}
{Multiple Response}


these issues in %.]

3 GOVERNANCE
3.1 to five years, income from the sale of these fruits will be shared 10


1

NANCE
Governance
If 1 in Col.4a then
1000
ction/Cover Sheet]
Response
If 1 in Col.5a then
20
0
7
2
1
3
Sl.
3.1
No.
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}
People have been saying that there has been significant cha
[to be copied correct

If you Agree then according to you, what are the three m
SECTION
8.3 : Climate C
amongst all households. These trees will also prevent soil ero
inside the village. These trees will start yielding fruits in the nex
The Panchayat is planning to plant fruit bearing trees along the
to five years, income from the sale of these fruits will be sha
cool the temperatures during the summer and reduce polluti
significant indicators of this change that you experienced in th
H
Over the years, it has been found that there has been signifi
increase in the quantum of waste and garbage generated with
village. This is contributing to communicable diseases, deat
2000 10 3.2 livestock amongst others. The Panchayat is planning to bui
recycling plant to deal with both degradable and non-degrad
Power cuts are contributing to significant disruptions in agricu

activities, leading to crop losses and incomes. Such powercuts a
0 10 3.3 adversely affecting school performance of children. The panch
planning to set aside the common land for construction of sol
Availability and purity of drinking water is becoming a serio

problem in this village. The panchayat is planning a two pron
1000 10 3.4 strategy to overcome this problem (a) Construction and mainte
of ground water recharging pits across the village (b) It is a
attempting to raise revenue and build a reverse osmosis pla
1
Over the last five years the panchayat is unable to adequately p

and operate street lights, as a result women and children in the
1000 20 3.5 are particularly vulnerable to dog bites and other stray anima
panchayat is planning to install solar panels on top of street la
Solar panels will be significant and dependable source of clean
Over the years common water bodies are having less water an
getting silted up as a result ground water in the village has dep
households owning livestock are not able to care for their live
and farmers are not able to access water for irrigation. The pan
0 10 3.6 also wishes to use these common water bodies for raising rev
through the promotion of fresh water fishery. Accordingly it ha
up with four pronged strategy (a) Widening, de-silting an
strengthening of bunds of all common water bodies, (b) Planti
fruit bearing and orchard tress on the boundaries, (C) Planting
in these water bodies and (d) introducing fresh water fish
There are significant benefits of using bio-fertilizers in cultiva

Fruits, vegetables and crops cultivated using bio-fertilizers fe
higher prices in the market. Recognizing this, the panchaya
0 20 3.7 adopting a two pronged strategy (a) Collecting and aggregatin
the bio-degradable waste (b) Setting up a facility to convert
degradable waste into bio-fertilizer. The fertilizers produced i
manner can both be sold in the market as well as shared and u
culars
RNANCE
{Code-1}
Response}
ree-1, Disagree-2]
PARTICIPATION IN GREEN
o you, what are the three most
sale of these fruits will be shared

he summer and reduce pollution.
rees will also prevent soil erosion,
ere has been significant change in
t fruit bearing trees along the roads

ge that you experienced in the past
start yielding fruits in the next three

2
Household-8
30
Household ID
these issues in %.]
3
If 1 in Col.4a then
5000
1

Response
If 1 in Col.5a then
20
0
8
2
1
3
Sl.
3.1
No.
nd that there has been significant
and garbage generated within the
ommunicable diseases, death of
Panchayat is planning to build a 20 20 3.2
h degradable and non-degradable
h as plastics)
gnificant disruptions in agricultural

d incomes. Such powercuts are also
mance of children. The panchayat is 0 3.3
n land for construction of solar and
ome power shortage.
ing water is becoming a serious

chayat is planning a two pronged
m (a) Construction and maintenance 0 10 3.4
ts across the village (b) It is also
d build a reverse osmosis plant.
1 1
ayat is unable to adequately provide

lt women and children in the village
bites and other stray animals. The 10 10 3.5
olar panels on top of street lamps.
dependable source of clean power.
odies are having less water and are

d water in the village has depleted,
not able to care for their livestock
water for irrigation. The panchayat
n water bodies for raising revenue 20 20 3.6
ater fishery. Accordingly it has come
gy (a) Widening, de-silting and
mmon water bodies, (b) Planting of
n the boundaries, (C) Planting Asola
) introducing fresh water fish.
using bio-fertilizers in cultivation.

tivated using bio-fertilizers fetches
ecognizing this, the panchayat is
(a) Collecting and aggregating all of 20 20 3.7
etting up a facility to convert the
zer. The fertilizers produced in this
arket as well as shared and used by
eholds in this village.
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

1
Household-9
10
Household ID
these issues in %.]
If 1 in Col.4a then
1

Response


2 1

SECTION-8 : GOVERNAN
8.3 : Climate Change & Green Gove
Household-10
Household ID
0 9
Sl.
1 1 People have been saying that there has been significant change in
5 years? {Code-1}
{Multiple Response}


If 1 in Col.5a then

3 GOVERNANCE
3.1 to five years, income from the sale of these fruits will be shared
3.2 livestock amongst others. The Panchayat is planning to build a

3.3 adversely affecting school performance of children. The panchayat is

3.4 strategy to overcome this problem (a) Construction and maintenance
2 4
3.5 are particularly vulnerable to dog bites and other stray animals. The
3.6 also wishes to use these common water bodies for raising revenue

3.7 adopting a two pronged strategy (a) Collecting and aggregating all of
30
Household-10
Household ID
these issues in %.]
ON-8 : GOVERNANCE
ate Change & Green Governance
If 1 in Col.4a then
5000
rectly from Introduction/Cover Sheet]
1
Response
If 1 in Col.5a then
30
1
0
2
1
3
Sl.
3.1
No.
amongst all households. These trees

inside the village. These trees will start
cool the temperatures during the su

The Panchayat is planning to plant frui
significant indicators of this change th
[to
Particular
5 years? {Cod
the climate? [Agree-1
People have been saying that there h
PREFERANCE FOR AND PART

If you Agree then according to you
to five years, income from the sale o

{Multiple Resp
GOVERNAN
Over the years, it has been found th
increase in the quantum of waste and
village. This is contributing to comm
20 20 3.2 livestock amongst others. The Panc
recycling plant to deal with both deg
wastes (such as
Power cuts are contributing to signific

activities, leading to crop losses and inc
10 10 3.3 adversely affecting school performance
planning to set aside the common land
wind farm to overcome
Availability and purity of drinking w

problem in this village. The panchay
10 10 3.4 strategy to overcome this problem (a)
of ground water recharging pits ac
attempting to raise revenue and bu
1 1
Over the last five years the panchayat i

and operate street lights, as a result wo
10 10 3.5 are particularly vulnerable to dog bite
panchayat is planning to install solar p
Solar panels will be significant and depe
Over the years common water bodies

getting silted up as a result ground wa
households owning livestock are not a
and farmers are not able to access wate
10 10 3.6 also wishes to use these common wa
through the promotion of fresh water fi
up with four pronged strategy (a)
strengthening of bunds of all common
fruit bearing and orchard tress on the
in these water bodies and (d) intr
There are significant benefits of using

Fruits, vegetables and crops cultivate
higher prices in the market. Recogn
10 10 3.7 adopting a two pronged strategy (a) Co
the bio-degradable waste (b) Setting
degradable waste into bio-fertilizer. T
manner can both be sold in the market
the cultivating household
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}
EFERANCE FOR AND PARTICIPATION IN GREEN

Agree then according to you, what are the three most
years, income from the sale of these fruits will be shared

temperatures during the summer and reduce pollution.
all households. These trees will also prevent soil erosion,
ave been saying that there has been significant change in
ayat is planning to plant fruit bearing trees along the roads

indicators of this change that you experienced in the past
village. These trees will start yielding fruits in the next three
0
2
Household-11
Household ID
these issues in %.]
If 1 in Col.4a then
5000
1

Response
If 1 in Col.5a then
1
e years, it has been found that there has been significant
n the quantum of waste and garbage generated within the
This is contributing to communicable diseases, death of
ck amongst others. The Panchayat is planning to build a 30 100
g plant to deal with both degradable and non-degradable
ts are contributing to significant disruptions in agricultural

eading to crop losses and incomes. Such powercuts are also
affecting school performance of children. The panchayat is 0
to set aside the common land for construction of solar and
bility and purity of drinking water is becoming a serious

m in this village. The panchayat is planning a two pronged
o overcome this problem (a) Construction and maintenance 30
und water recharging pits across the village (b) It is also
ting to raise revenue and build a reverse osmosis plant.
1 1
ast five years the panchayat is unable to adequately provide

te street lights, as a result women and children in the village
ularly vulnerable to dog bites and other stray animals. The 20
at is planning to install solar panels on top of street lamps.
ls will be significant and dependable source of clean power.
years common water bodies are having less water and are
ted up as a result ground water in the village has depleted,
ds owning livestock are not able to care for their livestock
rs are not able to access water for irrigation. The panchayat
hes to use these common water bodies for raising revenue 20
e promotion of fresh water fishery. Accordingly it has come
with four pronged strategy (a) Widening, de-silting and
ening of bunds of all common water bodies, (b) Planting of
ing and orchard tress on the boundaries, (C) Planting Asola
ese water bodies and (d) introducing fresh water fish.
e significant benefits of using bio-fertilizers in cultivation.

egetables and crops cultivated using bio-fertilizers fetches
prices in the market. Recognizing this, the panchayat is
a two pronged strategy (a) Collecting and aggregating all of 0
-degradable waste (b) Setting up a facility to convert the
ble waste into bio-fertilizer. The fertilizers produced in this
an both be sold in the market as well as shared and used by
Household-12
Household ID
1
Sl.
No. Particulars Res
2 significant indicators of this change that you experienced in the past 1 2
5 years? {Code-1}
{Multiple Response}


these issues in %.]

3 GOVERNANCE


1

NANCE
Governance
If 1 in Col.4a then
4
1000
ction/Cover Sheet]
1
Response
If 1 in Col.5a then
20
1
2
2
1
3
Sl.
3.1
No.
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

SECTION
8.3 : Climate C
H


1


culars
RNANCE
{Code-1}
Response}
ree-1, Disagree-2]



10
Household-13
Household ID
these issues in %.]
If 1 in Col.4a then
2000
1

Response
If 1 in Col.5a then
20
1
3
2
1
3
Sl.
3.1
No.
Panchayat is planning to build a 10 0 20 3.2
h as plastics)

mance of children. The panchayat is 20 0 20 3.3
ome power shortage.

m (a) Construction and maintenance 20 3000 10 3.4
1 1

bites and other stray animals. The 20 0 10 3.5

n water bodies for raising revenue 10 0 10 3.6

(a) Collecting and aggregating all of 10 0 10 3.7
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

2
40
Household-14
Household ID
these issues in %.]
4

If 1 in Col.4a then
5000
1

Response


1

Household-15
Household ID
1 4
Sl.
5 years? {Code-1}
{Multiple Response}


If 1 in Col.5a then

3 GOVERNANCE
3.1 to five years, income from the sale of these fruits will be shared
3.2 livestock amongst others. The Panchayat is planning to build a

3.3 adversely affecting school performance of children. The panchayat is

3.4 strategy to overcome this problem (a) Construction and maintenance
2 4
3.5 are particularly vulnerable to dog bites and other stray animals. The
3.6 also wishes to use these common water bodies for raising revenue

3.7 adopting a two pronged strategy (a) Collecting and aggregating all of
20
Household-15
Household ID
these issues in %.]
2
ON-8 : GOVERNANCE
If 1 in Col.4a then
3
3000
1
Response
If 1 in Col.5a then
30
1
5
2
1
3
Sl.
3.1
No.


[to
Particular
5 years? {Cod


{Multiple Resp
GOVERNAN
10 2000 30 3.2 livestock amongst others. The Panc
wastes (such as


1 1



Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}



2
20
Household-16
Household ID
these issues in %.]
If 1 in Col.4a then
1

Response
If 1 in Col.5a then
1
ck amongst others. The Panchayat is planning to build a 10

affecting school performance of children. The panchayat is 10

o overcome this problem (a) Construction and maintenance 30
2 1 2

ularly vulnerable to dog bites and other stray animals. The 10
hes to use these common water bodies for raising revenue 20

a two pronged strategy (a) Collecting and aggregating all of 0
Household-17
Household ID
6
Sl.
No. Particulars Res
2 significant indicators of this change that you experienced in the past 1 2
5 years? {Code-1}
{Multiple Response}


these issues in %.]

3 GOVERNANCE


4 1

NANCE
Governance
If 1 in Col.4a then
3
1000
ction/Cover Sheet]
1
Response
If 1 in Col.5a then
20
1
7
2
1
3
Sl.
3.1
No.
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

SECTION
8.3 : Climate C
H


1


culars
RNANCE
{Code-1}
Response}
ree-1, Disagree-2]



20
Household-18
Household ID
these issues in %.]
2
If 1 in Col.4a then
0
[Respondent must be asked to divide the amount across these issues in 3
1

Response
If 1 in Col.5a then
10
1
8
2
1
3
Sl.
3.1
No.
Panchayat is planning to build a 20 0 10 3.2
h as plastics)

mance of children. The panchayat is 10 0 10 3.3
ome power shortage.

m (a) Construction and maintenance 30 5000 20 3.4
1 1

bites and other stray animals. The 0 0 10 3.5

n water bodies for raising revenue 10 0 20 3.6

(a) Collecting and aggregating all of 10 0 20 3.7
Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}

2
20
Household-19
Household ID
these issues in %.]
1

If 1 in Col.4a then
4
1000
1

Response
livestock amongst others. The Panchayat is planning to build a 20 0

adversely affecting school performance of children. The panchayat is 10 0

strategy to overcome this problem (a) Construction and maintenance 10 1000
1
are particularly vulnerable to dog bites and other stray animals. The 10 1000
also wishes to use these common water bodies for raising revenue 10 1000

adopting a two pronged strategy (a) Collecting and aggregating all of 20 1000
Household-20
Household ID
1 9
Sl.
5 years? {Code-1}
{Multiple Response}


If 1 in Col.5a then

3 GOVERNANCE
20 3.1 to five years, income from the sale of these fruits will be shared
20 3.2 livestock amongst others. The Panchayat is planning to build a

0 3.3 adversely affecting school performance of children. The panchayat is

20 3.4 strategy to overcome this problem (a) Construction and maintenance
1
20 3.5 are particularly vulnerable to dog bites and other stray animals. The
0 3.6 also wishes to use these common water bodies for raising revenue

20 3.7 adopting a two pronged strategy (a) Collecting and aggregating all of
0
2
Household-20
Household ID
these issues in %.]
1
ON-8 : GOVERNANCE
If 1 in Col.4a then
0
1
Response
If 1 in Col.5a then
2
1
3
Sl.
3.1
No.


[to
Particular
5 years? {Cod


{Multiple Resp
GOVERNAN
0 0 3.2 livestock amongst others. The Panc
wastes (such as


1 4



Particulars
GOVERNANCE
5 years? {Code-1}
{Multiple Response}



0
1
Household-21
Household ID
these issues in %.]
2

If 1 in Col.4a then
0
1

Response
If 1 in Col.5a then
ck amongst others. The Panchayat is planning to build a 10 0

affecting school performance of children. The panchayat is 20 0

o overcome this problem (a) Construction and maintenance 30 5000
1

ularly vulnerable to dog bites and other stray animals. The 10 0
hes to use these common water bodies for raising revenue 20 0

a two pronged strategy (a) Collecting and aggregating all of 10 0
4s
SECTION-9 : EDUCATION
9.1 : SCHOOLS
9.1.1 : Choice of schools (To be canvassed from the Moth

Household-1
Household ID
Sl.
No. Criteria
1 School within the village (Easy access)

2 School of right category (primary; secondary; higher)
3 Quality of education (will include qualified teachers; modern syllabus; Computer etc.)
Facilities available in the school (blackboard; furniture; tap water for drinking; Lavatory etc)
4
5 Noon meal facility in this school
6 Perceived prestige associated with the school
7 Medium of instruction of the desired choice
8 Presence of religious instructions
9 Other students are of similar and comparable caste and/or religion
10 Affordability
9.1 : SCHOOLS
(To be canvassed from the Mother of the child)

Household-1
Household ID
0 1
Response
Child ID-1* Child ID-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6*
uter etc.)
g; Lavatory etc)
9.1 : SCHOOLS
9.1.1 : Choice of schools (To be canvassed from the Mother of the child)
Household-2
Household ID
Sl. Response
No. Criteria
17-1* Child ID-2*
1 School within the village (Easy access) 1
2 School of right category (primary; secondary; higher) 2
Quality of education (will include qualified teachers; modern syllabus; Computer
3 etc.) 1
Facilities available in the school (blackboard; furniture; tap water for drinking;
4 Lavatory etc) 1
5 Noon meal facility in this school 1
6 Perceived prestige associated with the school 2
7 Medium of instruction of the desired choice 2
8 Presence of religious instructions 2
9 Other students are of similar and comparable caste and/or religion 2
10 Affordability 1
SECTION-9 : ED
9.1 : SCHO
other of the child) 9.1.1 : Choice of schools (To be canvassed

Household
Household
0 2
Response Sl.
No. Criteria
Child ID-3* Child ID-4* Child ID-5* Child ID-6*
Quality of education (will include qualified teachers; modern syllabus; Com
3 etc.)
Facilities available in the school (blackboard; furniture; tap water for drinki
4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS
ools (To be canvassed from the Mother of the child) 9.1.

Household-3
Household ID
0 3
Response Sl.
3-1* 4-2* 5-3* Child ID-4* Child ID-5* Child ID-6* No.
2 1 1 1 School within the village (Ea
higher) 1 2 2 2 School of right category (pr
chers; modern syllabus; Computer Quality of education (will in
3 etc.)
2 2 2
urniture; tap water for drinking; Facilities available in the sch
2 2 2 4 Lavatory etc)
2 2 2 5 Noon meal facility in this sc
2 2 2 6 Perceived prestige associate
2 2 2 7 Medium of instruction of th
2 2 2 8 Presence of religious instru
caste and/or religion 2 2 2 9 Other students are of simila
2 2 2 10 Affordability
9.1 : SCHOOLS
Household-4
Household ID
Response
Criteria
School within the village (Easy access)
School of right category (primary; secondary; higher)
etc.)
Lavatory etc)
Noon meal facility in this school
Perceived prestige associated with the school
Medium of instruction of the desired choice
Presence of religious instructions
Other students are of similar and comparable caste and/or religion
Affordability
9.1 : SCHOOLS
) 9.1.1 : Choice of schools (To be canvassed from the Mothe

Household-5
Household ID
0 4
ponse Sl.
No. Criteria
Child ID-5* Child ID-6*
3 etc.)
4 Lavatory etc)
10 Affordability
EDUCATION
CHOOLS
ssed from the Mother of the child) 9.1.1 : Choice of schools

ehold-5
ehold ID
0 5
Response Sl.
No. Criteria
2 School of right category (primary; secondary; highe
Quality of education (will include qualified teachers
3 etc.)
Facilities available in the school (blackboard; furnitu

4 Lavatory etc)
9 Other students are of similar and comparable caste
10 Affordability
9.1 : SCHOOLS
Household-6
Household ID
0 6
Response
Criteria
6-1* Child ID-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6*
ge (Easy access) 1
y (primary; secondary; higher) 2
will include qualified teachers; modern syllabus; Computer
1
he school (blackboard; furniture; tap water for drinking;
2
his school 2
ociated with the school 2
of the desired choice 2
nstructions 2
similar and comparable caste and/or religion 2
1
9.1 : SCHOOLS
Household-7
Household ID
Sl. Respons
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
SECTION-9 : ED
9.1 : SCHO

Household
Household
0 7
Response Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS

Household-8
Household ID
0 8
Response Sl.
6-1* 7-2* 8-3* Child ID-4* Child ID-5* Child ID-6* No.
1 1 1 1 School within the village (Ea
higher) 2 2 2 2 School of right category (pr
3 etc.)
1 1 1
2 2 2 5 Noon meal facility in this sc
2 2 2 6 Perceived prestige associate
2 2 2 7 Medium of instruction of th
2 2 2 8 Presence of religious instru
caste and/or religion 2 2 2 9 Other students are of simila
9.1 : SCHOOLS
Household-9
Household ID
Response
Criteria
School within the village (Easy access)
School of right category (primary; secondary; higher)
etc.)
Lavatory etc)
Noon meal facility in this school
Perceived prestige associated with the school
Medium of instruction of the desired choice
Presence of religious instructions
Other students are of similar and comparable caste and/or religion
Affordability
9.1 : SCHOOLS

Household-10
Household ID
0 9
ponse Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
EDUCATION
CHOOLS

hold-10
ehold ID
1 0
Response Sl.
No. Criteria
3 etc.)

4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS
Household-11
Household ID
1 1
Response
Criteria
4-1* 5-2* 6-3* Child ID-4* Child ID-5* Child ID-6*
ge (Easy access) 1 1 1
y (primary; secondary; higher) 2 2 2
1 1 1
1 1 1
his school 2 2 2
ociated with the school 2 2 2
of the desired choice 2 2 2
nstructions 2 2 2
similar and comparable caste and/or religion 2 2 2
2 2 2
9.1 : SCHOOLS
Household-12
Household ID
Sl. Respons
No. 8]
3 etc.)
4 Lavatory etc)
10 Affordability
SECTION-9 : ED
9.1 : SCHO

Household
Household
1 2
Response Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS

Household-13
Household ID
1 3
Response Sl.
7-1* Child ID-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6* No.
1 1 School within the village (Ea
higher) 2 2 School of right category (pr
3 etc.)
2
2 4 Lavatory etc)
2 5 Noon meal facility in this sc
2 6 Perceived prestige associate
2 7 Medium of instruction of th
2 8 Presence of religious instru
caste and/or religion 2 9 Other students are of simila
1 10 Affordability
9.1 : SCHOOLS
Household-14
Household ID
Response
Criteria
5-1* Child ID-2* Child ID-3* Child ID-4*
School within the village (Easy access) 1
School of right category (primary; secondary; higher) 2
etc.) 1
Lavatory etc) 1
Noon meal facility in this school 1
Perceived prestige associated with the school 2
Medium of instruction of the desired choice 1
Presence of religious instructions 2
Other students are of similar and comparable caste and/or religion 2
Affordability 1
9.1 : SCHOOLS

Household-15
Household ID
1 4
ponse Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
EDUCATION
CHOOLS

hold-15
ehold ID
1 5
Response Sl.
No. Criteria
3-1* 4-2* 5-3* Child ID-4* Child ID-5* Child ID-6*
1 1 1 1 School within the village (Easy access)
1 1 1 2 School of right category (primary; secondary; highe
3 etc.)
1 2 2
1 2 2 5 Noon meal facility in this school
1 2 2 6 Perceived prestige associated with the school
2 2 2 7 Medium of instruction of the desired choice
2 2 2 8 Presence of religious instructions
2 2 2 9 Other students are of similar and comparable caste
9.1 : SCHOOLS
Household-16
Household ID
1 6
Response
Criteria
5-1* 6-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6*
ge (Easy access) 1 1
y (primary; secondary; higher) 2 2
2 2
2 2
his school 2 2
ociated with the school 2 2
of the desired choice 2 2
nstructions 2 2
similar and comparable caste and/or religion 2 2
1 1
9.1 : SCHOOLS
Household-17
Household ID
Sl. Respons
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
SECTION-9 : ED
9.1 : SCHO

Household
Household
1 7
Response Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS

Household-18
Household ID
1 8
Response Sl.
9-1* Child ID-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6* No.
1 1 School within the village (Ea
higher) 1 2 School of right category (pr
3 etc.)
1
1 4 Lavatory etc)
2 5 Noon meal facility in this sc
2 6 Perceived prestige associate
2 7 Medium of instruction of th
2 8 Presence of religious instru
caste and/or religion 2 9 Other students are of simila
2 10 Affordability
9.1 : SCHOOLS
Household-19
Household ID
Response
Criteria
5-1* Child ID-2* Child ID-3* Child ID-4*
School within the village (Easy access) 1
School of right category (primary; secondary; higher) 2
etc.) 1
Lavatory etc) 1
Noon meal facility in this school 2
Perceived prestige associated with the school 2
Medium of instruction of the desired choice 2
Presence of religious instructions 2
Other students are of similar and comparable caste and/or religion 2
Affordability 1
9.1 : SCHOOLS

Household-20
Household ID
1 9
ponse Sl.
No. Criteria
3 etc.)
4 Lavatory etc)
10 Affordability
EDUCATION
CHOOLS

hold-20
ehold ID
Response Sl.
No. Criteria
3 etc.)

4 Lavatory etc)
10 Affordability
9.1 : SCHOOLS
Household-21
Household ID
Response
Criteria
10-1* Child ID-2* Child ID-3* Child ID-4* Child ID-5* Child ID-6*
ge (Easy access) 1
y (primary; secondary; higher) 1
1
2
his school 1
ociated with the school 1
of the desired choice 2
nstructions 2
similar and comparable caste and/or religion 2
1
9.1 : SCHOOLS
9.1.2: Performance of Schools (To be canvassed from

Household-1
Household ID
How often in a Does the school

School id (from Class in How do you reach No. of month are the have noon meal
Child Village which this school (Mode teachers who teachers program
ID currently of transport)
Schedule) studying [Use Code-1] teaches you absent from [Yes=1,
your class No=2]
1
2
3
4
5
ON-9 : EDUCATION
9.1 : SCHOOLS
ools (To be canvassed from children)

Household-1
Household ID
ectly from Introduction/Cover Sheet]
0 1
Is there Are there
adequate separate rooms How do you sit Is there black board
No. of space for you for each in the class room in your class room
students to sit. standard. [1=on bench & [Yes=1, Child
ID
in the class [Yes=1, [Yes=1, chairs; 2=sit on the ground, No=2]
No=2] No=2] 3=sitting under the tree]
1
2
3
4
5
9.1 : SCHOOLS
9.1.2: Performance of Schools (To be canvassed from children)

Household-2
Household ID
How do How often Does the Is there Are there

separate How do you sit
you reach No. of in a month school adequate
School id Class in this school teachers are the have noon No. of space for rooms for in the class room
(from which (Mode of who teachers meal students you to sit. each [1=on bench &
Village currently standard. chairs; 2=sit on the
transport) teaches
Schedule) studying [Use absent program in the class [Yes=1, [Yes=1, ground, 3=sitting
Code- you from your [Yes=1, No=2]
1] class No=2] No=2] under the tree]
2 7 8 1 1 1 2
SECTION-9 : EDUCATIO
9.1 : SCHOOLS
ren) 9.1.2: Performance of Schools (To be canvasse

Household-3
Household ID
0 2
How do you sit How do How often Does the

Is there black board you reach No. of in a month school
in the class room in your class room School id Class in this school teachers are the have noon
[1=on bench & [Yes=1, Child (from which (Mode of who teachers meal
chairs; 2=sit on the ID Village currently
ground, 3=sitting No=2] transport) teaches
Schedule) studying [Use absent program
Code- you from your [Yes=1,
under the tree] 1] class No=2]
2 1 1 1 6 8
2 2 5 8 4 0 1
3 2 3 8 2 0 1
4
5
TION-9 : EDUCATION
9.1 : SCHOOLS
chools (To be canvassed from children) 9.1.2: P

Household-3
Household ID
0 3
Is there Are there
adequate Is there black board
No. of space for rooms for in the class room in your class room School id Class in
students you to sit. each [1=on bench & [Yes=1, Child (from which
standard. chairs; 2=sit on the ID Village currently
in the class [Yes=1, [Yes=1, ground, 3=sitting No=2] Schedule) studying
No=2]
No=2] under the tree]
1
35 1 1 2 1 2
1 1 2 1 3
4
5
9.1 : SCHOOLS

Household-4
Household ID
0
you reach No. of in a month school adequate Is there black board
this school teachers are the have noon No. of space for rooms for in the class room in your class room
(Mode of who teachers meal students you to sit. each [1=on bench & [Yes=1,
standard. chairs; 2=sit on the
transport) teaches absent program in the class [Yes=1, [Yes=1, ground, 3=sitting No=2]
[Use Code- you from your [Yes=1, No=2]
9.1 : SCHOOLS

Household-5
Household ID
4
How do How often Does the Is there
Is there black board you reach No. of in a month school adequate
in your class room School id Class in this school teachers are the have noon No. of space for
[Yes=1, Child (from which (Mode of who teachers meal students you to sit.
ID Village currently
No=2] transport) teaches
Schedule) studying [Use absent program in the class [Yes=1,
1] class No=2]
1
2
3
4
5
ATION SECTION
9
assed from children) 9.1.2: Performance of Schoo
H
0 5
Are there How do
Is there black board you reach No. of
rooms for in the class room in your class room School id Class in this school teachers
each [1=on bench & [Yes=1, Child (from which (Mode of who
[Yes=1, ground, 3=sitting No=2] transport)
Schedule) studying [Use Code- teaches
you
No=2] under the tree] 1]
1 1 12 8 16
2
3
4
5
9.1 : SCHOOLS
.2: Performance of Schools (To be canvassed from children)

Household-6
Household ID
0 6
How often Does the Is there Are there
in a month school adequate Is there black board
are the have noon No. of space for rooms for in the class room in your class room
teachers meal students you to sit. each [1=on bench & [Yes=1, Child
standard. chairs; 2=sit on the ID
absent program in the class [Yes=1, [Yes=1, ground, 3=sitting No=2]
from your [Yes=1, No=2]
class No=2] No=2] under the tree]
0 1 38 1 1 1 1 1
2
3
4
5
9.1 : SCHOOLS

Household-7
Household ID

transport) teaches
9.1 : SCHOOLS

Household-8
Household ID
0 7

1 1 6 8 6 3 1
2 1 3 8 4 2 1
3 1 2 8 4 2 1
4
5
TION-9 : EDUCATION
9.1 : SCHOOLS

Household-8
Household ID
0 8
Is there Are there
No=2]
40 1 1 1 1 1
30 1 1 1 1 2
30 1 1 1 1 3
4
5
9.1 : SCHOOLS

Household-9
Household ID
0
9.1 : SCHOOLS

Household-10
Household ID
9
1] class No=2]
1
2
3
4
5
ATION SECTION
9
H
1 0
Are there How do
you
1 2 7 8
2 2 7 8
3 2 4 8
4
5
9.1 : SCHOOLS

Household-11
Household ID
1 1
1 1 1 2 1 1
1 1 1 2 1 2
1 1 1 2 1 3
4
5
9.1 : SCHOOLS

Household-12
Household ID

transport) teaches
9.1 : SCHOOLS

Household-13
Household ID
1 2

1 8 0 8 2 1
2
3
4
5
TION-9 : EDUCATION
9.1 : SCHOOLS

Household-13
Household ID
1 3
Is there Are there
No=2]
20 1 1 1 1 1 1 3
2
3
4
5
9.1 : SCHOOLS

Household-14
Household ID
1
8 6 4 1 25 1 1 1 1
9.1 : SCHOOLS

Household-15
Household ID
4
1] class No=2]
1 1 1 10 8 6 2 1 25 1
2 1 9 8 6 2 1 25 1
3 2 5 8 7 1 1 35 1
4
5
ATION SECTION
9
H
1 5
Are there How do
you
1 1 1 1 1 10 8 8
1 2 1 2 1 11 8 6
1 2 1 3
4
5
9.1 : SCHOOLS

Household-16
Household ID
1 6
2 1 30 1 1 1 1 1
2 1 25 1 1 1 1 2
3
4
5
9.1 : SCHOOLS

Household-17
Household ID

transport) teaches
9.1 : SCHOOLS

Household-18
Household ID
1 7

1 1 11 8 6 3 1
2
3
4
5
TION-9 : EDUCATION
9.1 : SCHOOLS

Household-18
Household ID
1 8
Is there Are there
No=2]
25 1 1 1 1 1 1 9
2
3
4
5
9.1 : SCHOOLS

Household-19
Household ID
1
8 6 3 1 42 1 1 1 1
9.1 : SCHOOLS

Household-20
Household ID
9
1] class No=2]
1 1
2
3
4
5
ATION SECTION
9
H
2 0
Are there How do
you
1 8 6 8 7
2
3
4
5
9.1 : SCHOOLS

Household-21
Household ID
2 1
teachers meal students you to sit. each [1=on bench & [Yes=1,
2 1 40 1 1 1 1
9.1 : SCHOOLS
9.1.2: Performance of Schools (To be canvassed from chi

Household-1
Household ID
Do the teachers take time Do the teachers get upset if

Child School id to explain? you ask question?
ID (from Village Schedule) [Yes=1, No=2] [Yes=1, No=2]
1
2
3
4
5
DUCATION
OOLS
e canvassed from children) 9.1

old-1
old ID
0 1
Toilets
Is there
drinking Proficiency Test Score in
Is there a water facility Arithmetic
Do they playground? (Can Do Division-4,
Are toilets [Yes=1, in your Can Do Subtraction-3, Child
available? function school ID
properly? No=2] [Yes=1, Can Recognize Numbers-2,
[Yes=1, [Yes=1, Cannot Recognize
No=2] No=2] Number-1)
No=2]
1
2
3
4
5
9.1 : SCHOOLS

Household-2
Household ID
Toilets Is there
Is there a drinking
Do the teachers take Do the teachers get water
playgroun facility
School id upset if you ask Do they in
(from Village time to explain? question? Are toilets d? your
[Yes=1, No=2] function
available? properly? [Yes=1,
Schedule) [Yes=1, No=2] No=2] school
[Yes=1, [Yes=1, [Yes=1,
No=2] No=2] No=2]
2 1 2 1 1 1 1
9.1 : SCHOOLS

Household-3
Household ID
0 2
Proficiency Test Score

in Arithmetic
(Can Do Division-4, Do the teachers take Do the teachers get
School id upset if you ask
Can Do Subtraction-3, Child (from Village time to explain? question?
Can Recognize ID Schedule) [Yes=1, No=2] [Yes=1, No=2]
Numbers-2, Cannot
Recognize
Number-1)
1 1 1
2 2 1 2
3 2 1 2
4
5
EDUCATION
CHOOLS
be canvassed from children) 9.1.2: Performanc

ehold-3
ehold ID
0 3
Toilets Is there Proficiency Test Score
Is there a drinking in Arithmetic
water
playgroun facility (Can Do Division-4,
in School id
Are toilets Do they d? your Can Do Subtraction-3, Child (from Village
function
available? properly? [Yes=1, Can Recognize ID
No=2] school Numbers-2, Cannot Schedule)
[Yes=1, [Yes=1, [Yes=1,
No=2] No=2] Recognize
No=2] Number-1)
1
1 1 1 1 3 2
1 1 1 1 1 3
4
5
9.1 : SCHOOLS

Household-4
Household ID
0 4
upset if you ask in
time to explain? question? Are toilets Do they d? your Can Do Subtraction-3,
available? properly? [Yes=1, Can Recognize
[Yes=1, No=2] No=2] school Numbers-2, Cannot
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
9.1 : SCHOOLS

Household-5
Household ID
Toilets
Do the teachers take Do the teachers get

Child (from Village time to explain? question? Are toilets Do they
ID [Yes=1, No=2] function
available? properly?
Schedule) [Yes=1, No=2]
[Yes=1, [Yes=1,
No=2] No=2]
1
2
3
4
5
SECTION-9 : ED
9.1 : SCHO
om children) 9.1.2: Performance of Schools (To be

Household
Household
0 5
Is there Proficiency Test Score

water
playgroun facility (Can Do Division-4, Do the teachers take
in School id
d? your Can Do Subtraction-3, Child (from Village time to explain?
[Yes=1, school Can Recognize ID Schedule) [Yes=1, No=2]
No=2] Numbers-2, Cannot
[Yes=1, Recognize
No=2]
Number-1)
1 1 1
2
3
4
5
9.1 : SCHOOLS
mance of Schools (To be canvassed from children)

Household-6
Household ID
0 6
Do the teachers get water
upset if you ask in
question? Are toilets Do they d? your Can Do Subtraction-3, Child
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
2 1 1 1 1 4 1
2
3
4
5
9.1 : SCHOOLS

Household-7
Household ID
Toilets Is there
Is there a drinking
playgroun facility
[Yes=1, [Yes=1, [Yes=1,
No=2] No=2] No=2]
9.1 : SCHOOLS

Household-8
Household ID
0 7

in Arithmetic
Numbers-2, Cannot
Recognize
Number-1)
1 1 1 2
2 1 1 2
3 1 1 2
4
5
EDUCATION
CHOOLS

ehold-8
ehold ID
0 8
water
in School id
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
1 1 1 1 3 1
1 1 1 1 1 2
1 1 1 1 1 3
4
5
9.1 : SCHOOLS

Household-9
Household ID
0 9
upset if you ask in
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
9.1 : SCHOOLS

Household-10
Household ID
Toilets

[Yes=1, [Yes=1,
No=2] No=2]
1
2
3
4
5
SECTION-9 : ED
9.1 : SCHO

Household
Household
1 0

water
in School id
[Yes=1, Recognize
No=2]
Number-1)
1 2 1
2 2 1
3 2 1
4
5
9.1 : SCHOOLS

Household-11
Household ID
1 1
upset if you ask in
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
2 1 1 1 1 4 1
2 1 1 1 1 4 2
2 1 1 1 1 2 3
4
5
9.1 : SCHOOLS

Household-12
Household ID
Toilets Is there
Is there a drinking
playgroun facility
[Yes=1, [Yes=1, [Yes=1,
No=2] No=2] No=2]
9.1 : SCHOOLS

Household-13
Household ID
1 2

in Arithmetic
Numbers-2, Cannot
Recognize
Number-1)
1 8 1 2
2
3
4
5
EDUCATION
CHOOLS

hold-13
ehold ID
1 3
water
in School id
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
1 1 2 1 1 1
2
3
4
5
9.1 : SCHOOLS

Household-14
Household ID
1 4
upset if you ask in
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
1 2 1 1 1 1 1
9.1 : SCHOOLS

Household-15
Household ID
Toilets

[Yes=1, [Yes=1,
No=2] No=2]
1 1 1 2 1 1
2 1 1 2 1 1
3 2 1 2 1 1
4
5
SECTION-9 : ED
9.1 : SCHO

Household
Household
1 5

water
in School id
[Yes=1, Recognize
No=2]
Number-1)
2 1 4 1 1 1
2 1 4 2 1 1
2 1 3 3
4
5
9.1 : SCHOOLS

Household-16
Household ID
1 6
upset if you ask in
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
2 1 2 1 1 4 1
2 1 2 1 1 4 2
3
4
5
9.1 : SCHOOLS

Household-17
Household ID
Toilets Is there
Is there a drinking
playgroun facility
[Yes=1, [Yes=1, [Yes=1,
No=2] No=2] No=2]
9.1 : SCHOOLS

Household-18
Household ID
1 7

in Arithmetic
Numbers-2, Cannot
Recognize
Number-1)
1 1 1 2
2
3
4
5
EDUCATION
CHOOLS

hold-18
ehold ID
1 8
water
in School id
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
1 1 1 1 4 1 1
2
3
4
5
9.1 : SCHOOLS

Household-19
Household ID
1 9
upset if you ask in
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
1 2 1 1 1 1
9.1 : SCHOOLS

Household-20
Household ID
Toilets

[Yes=1, [Yes=1,
No=2] No=2]
1
2
3
4
5
SECTION-9 : ED
9.1 : SCHO

Household
Household

water
in School id
[Yes=1, Recognize
No=2]
Number-1)
1 8 1
2
3
4
5
9.1 : SCHOOLS

Household-21
Household ID

upset if you ask in
question? Are toilets Do they d? your Can Do Subtraction-3,
function
[Yes=1, [Yes=1, [Yes=1,
No=2] Number-1)
2 2 2 2 1 2
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
Member
Whether
Physically
1=Yes 2=No
Challenged?
2
2
2
2
2
2
2
2
If working age, then how many days was the
person in column 1 unable to go to work on
farm or off-farm job due to sickness in the
last 12 months?
180
30
60
0
0
0
0
0
Did the person (in Column-1) seek external
medical help? /seek any kind of hospital/
clinic/ doctor/paramedic/ midwife/
traditional healer? (2015-16)
(1=Yes; 2=No)
Health Event 1 [(Use Code -1]
17
1
6 Person/Institution Approached for
Treatment in last year
[Use Code-2]
1
1
1
Why? (Use Code-3)

6
5
6
Event-1
Household ID
10.1:
[to be copied correctly from Introduction

SECTION-10 : HEALTHCARE
10.1: Health Events, Treatment and Expenditure (Last 12 Months)
Household-1
Household ID
0
Event-1 Event-2
Person/Institution Approached for

Why? (Use Code-3)

% of Medical
[Use Code-2]
Expenses
Total Amount Spent (indicated in Total Amount Spent
(Rs.) previous Col.) (Rs.)
that was
financed
through Debt
5000 0
45000 100
0 0
*****************************************************
1
Event-3
% of Contribution to
Medical
Why? (Use Code-3)
% of Medical medical schemes/

Expenses insurance (like
[Use Code-2]
Expenses Member
(indicated in (indicated Employee State
Total Amount Spent in previous ID
previous Col.) Insurance)
that was (Rs.) Col.) that (Rs.)
was
financed financed
through Debt through
Debt
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
?
2=No
1=Yes
Whether
Physically
Challenged
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
last 12 months?
0
0
0
0
0
0
0
0
0
(1=Yes; 2=No)
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
1
[Use Code-2]
1
Why? (Use Code-3)
0
Event-1
(Rs.)
Household ID
Total Amount Spent
0
was
% of
Debt
Medical
through
financed
Col.) that
Expenses
(indicated
in previous
10.1: Health Events, Treatmen
SECTION-10
Hou
Health Events, Treatment and Expenditure (Last 12 Months)
Household-2
on/Cover Sheet] ************************************

0 2
Event-2 Event-3


% of

Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses
[Use Code-2]
[Use Code-2]
(indicated
in previous
Total Amount Spent (Rs.) Col.) that
was
financed
through
Debt
******************************************* [to be copied


Event-3

% of Whether
last 12 months?
Contribution to medical
(1=Yes; 2=No)
Medical Physically
Expenses schemes/
(indicated insurance (like Employee Member Challenged
?
Total in previous State Insurance) ID
Amount Col.) that (Rs.) 1=Yes
Spent (Rs.) 2=No
was
financed
through
Debt
1 2 0 2
2 2 0 1
3 2 2
4 2 1
5 2 1
6
7
8
9
10
11
12
13
14
15
Household-3
Household ID
Event-1 Event-2


% of

Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses
[Use Code-2]
[Use Code-2]
(indicated
in previous
Total Amount Spent (Rs.) Col.) that
was
financed
through
Debt
15 2 2 1000 0 29 2 2
10 2 2 1000 0
10 2 2 1000 0
ARE
e (Last 12 Months)
*****************************************************
0 3
Event-2 Event-3
% of % of
Medical Medical Contribution to medical

Why? (Use Code-3)
Expenses Expenses schemes/
[Use Code-2]
(indicated (indicated insurance (like Employee

Total in previous Total in previous State Insurance)
Amount Col.) that Amount Col.) that (Rs.)
Spent (Rs.) Spent (Rs.)
was was
financed financed
through through
Debt Debt
500 0
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
Member Challenged
2
2
2
2
2
2
2
last 12 months?
21
0
0
0
0
0
0
(1=Yes; 2=No)
1
2
[Use Code-2]
1
Why? (Use Code-3)
1
Event-1
Household ID
Total
Spent (Rs.)
25000
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
0
H
10.1: Health Events, Treatm
SECTION-1
Household-4
n/Cover Sheet] *******************************************

0 4
Event-2 Event-3


% of

Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses
[Use Code-2]
[Use Code-2]
Total (indicated
in previous
Amount Col.) that Total Amount Spent (Rs.)
Spent (Rs.)
was
financed
through
Debt
was
% of
Debt
Medical
through
financed
Col.) that
Expenses
(indicated
in previous
*****************************
(Rs.)
schemes/
State Insurance)
Contribution to medical
insurance (like Employee
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
Member
Whether
Physically
1=Yes 2=No
Challenged?
1
2
2
2
last 12 months?
30
(1=Yes; 2=No)
1

10
[to be copied correctl
H
Household-5
Household ID
0 5
Event-1 Event-2

% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
Total (indicated (indicated in
in previous Total Amount Spent previous
Amount Col.) that (Rs.) Col.) that
Spent (Rs.)
was was
financed financed
through through
Debt Debt
1 1 5000 100
*****************************************************

Event-3

Contributi
on to
% of medical Whether
last 12 months?
Medical
Why? (Use Code-3)
schemes/ Physically
Expenses insurance Member Challenged
[Use Code-2]
(indicated (like ?
Total Amount Spent in previous ID
Employee 1=Yes
(Rs.) Col.) that State 2=No
was Insurance)
financed (Rs.)
through
Debt
1 2 0
2 2 0
3 2 0
4 2 0
5 2 0
6 2 0
7
8
9
10
11
12
13
14
15
1
(1=Yes; 2=No)
21
[Use Code-2]
2
Why? (Use Code-3)
2
Event-1
(Rs.)
Household ID
Total Amount Spent
18000
was
% of
Debt
Medical
through
financed
Col.) that
Expenses
(indicated
in previous


[Use Code-2]
Household-6
Why? (Use Code-3)

Event-2
10.1: Health Events, Treatment and Expenditure (Last 12 Mon
ALTHCARE
Expenditure (Last 12 Months)
-6
*****************************************************
0 6
Event-2 Event-3

% of % of Contribution to medical

Medical Medical
Why? (Use Code-3)

schemes/
Expenses Expenses insurance (like
[Use Code-2]
(indicated Total (indicated Employee State
Total Amount Spent in previous in previous Insurance)
(Rs.) Col.) that Amount Col.) that
Spent (Rs.) (Rs.)
was was
financed financed
through through
Debt Debt
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
Member Challenged
2
2
2
2
2
2
last 12 months?

(1=Yes; 2=No)

[Use Code-2]
Why? (Use Code-3)

Household ID
Event-1
(Rs.)
Total Amount Spent
SECTION-10
10.1: Health Events, Treatment
Hous
Health Events, Treatment and Expenditure (Last 12 Months)
Household-7
ction/Cover Sheet] *******************************************

0 7
Event-2 Event-3


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
(indicated Total (indicated
in previous in previous
Col.) that Amount Col.) that
Spent (Rs.)
was was
financed financed
through through
Debt Debt
Event-3
(Rs.)
was
% of
Debt
Medical
through
financed
Col.) that
Expenses
(indicated
Total Amount Spent in previous
****************************************
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
insurance Member
2=No
1=Yes,
Whether
Physically
Challenged?
2
2
2
2
2
2
2
last 12 months?

(1=Yes; 2=No)
1

21
[to be copied correctly f
Hou
Household-8
Household ID
0 8
Event-1 Event-2

% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
(indicated Total (indicated
Total Amount in previous in previous
Spent (Rs.) Col.) that Amount Col.) that
Spent (Rs.)
was was
financed financed
through through
Debt Debt
1 1 5000 100

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
insurance Member Challenged
2
2
2

last 12 months?
1

1
(1=Yes; 2=No)
[to be copie
Household-9
Household ID
0 9
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
Total (indicated Total (indicated
Amount Col.) that Amount Col.) that
was was
financed financed
through through
Debt Debt
29 2 2 1500 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
1
2

last 12 months?
1
(1=Yes; 2=No)
[to be copie
Household-10
Household ID
1 0
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
21 1 1 7000 100
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2
2

last 12 months?
(1=Yes; 2=No)
[to be copie
Household-11
Household ID
1 1
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
1

last 12 months?
0
0
0
0
0

1
(1=Yes; 2=No)
[to be copie
Household-12
Household ID
1 2
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
30 2 4 12000 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2
2
2
2

last 12 months?
0
0

1
1
(1=Yes; 2=No)
[to be copie
Household-13
Household ID
1 3
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
9 2 2 50000 0 25 2 2 4000 0
15 2 2 1500 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2
2
2
2
2
2

last 12 months?
0
0

1
1
(1=Yes; 2=No)
[to be copie
Household-14
Household ID
1 4
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
9 1 1 2000 0
9 1 1 1500 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2

last 12 months?
(1=Yes; 2=No)
[to be copie
Household-15
Household ID
1 5
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2

last 12 months?
0

1
(1=Yes; 2=No)
[to be copie
Household-16
Household ID
1 6
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
21 1 1 8000 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2

last 12 months?
0
0

1
1
(1=Yes; 2=No)
[to be copie
Household-17
Household ID
1 7
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
21 1 1 2000 0 9 1 1 1000 0
25 1 1 2000 0 9 1 1 1000 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2
2
2
2
2
2

last 12 months?
10

1
(1=Yes; 2=No)
[to be copie
Household-18
Household ID
1 8
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
2 2 2 15000 0
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2

last 12 months?
0

1
(1=Yes; 2=No)
[to be copie
Household-19
Household ID
1 9
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
2 1 1 50000 100
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2

last 12 months?
0
0
0
0
0
0
0
0

2
2
2
2
2
2
2
2
(1=Yes; 2=No)
[to be copie
Household-20
Household ID
Event-1 Event-2


% of % of

Medical Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses Expenses
[Use Code-2]
[Use Code-2]
was was
financed financed
through through
Debt Debt
s)

[Use Code-2]
Why? (Use Code-3)
Event-3
*
Total
Spent (Rs.)
was
% of
Debt
Medical
through
financed
Amount Col.) that
Expenses
(indicated
in previous
(like
(Rs.)
State
on to
medical
schemes/
Employee
Contributi
Insurance)
****************************************************
7
4
1
9
8
6
5
3
2
ID
13
10
15
14
12
11
?
2=No
1=Yes
Whether
Physically
2
2
2
2
2
2
2
2
2
2

last 12 months?
0
0
0
0
0
0
0

1
1
(1=Yes; 2=No)
[to be co
Household-21
Household ID
Event-1 Event-2


% of

Medical
Why? (Use Code-3)
Why? (Use Code-3)

Expenses
[Use Code-2]
[Use Code-2]
Total (indicated
in previous Total Amount Spent
Amount Col.) that (Rs.)
Spent (Rs.)
was
financed
through
Debt
12 1 1 15000 0 25 1 1 10000
9 1 1 7000 0 30 1 1 10000
CARE
ure (Last 12 Months)
*****************************************************
Event-3
% of % of
Medical Medical Contribution to medical

Why? (Use Code-3)
Expenses Expenses schemes/

[Use Code-2]
(indicated (indicated insurance (like Employee

in previous Total Amount in previous State Insurance)
Col.) that Spent (Rs.) Col.) that (Rs.)
was was
financed financed
through through
Debt Debt

Household ID Household No

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Rajasthan Champalal Purohit 1

Rajasthan Kadar Pathan 1

Rajasthan Harun Khan 1

Rajasthan Jethi Devi 1

Rajasthan Surjaram Meghwal 1

Rajasthan Daulal purohit 2

Rajasthan Sahiram Ji Nayak 1

Rajasthan Pemaram Nayak 1

Rajasthan Rajuram Meghwal 2

Rajasthan Sukhi Devi Meghwal 2

Rajasthan Sattudas Sadh 1

Rajasthan Amrat Sen Purohit 2

Rajasthan Girdhari Singh 1

Rajasthan Jagdish Godara 1

Rajasthan Bhanwar Ram Suthar 2

Rajasthan Hari Ram Acharaya 0

Rajasthan Sameer Khan 0

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

8 101 479 18 69841 69841

Ward No. 6 Champalal Purohit

Ward No. 2 Kadar Pathan

Ward No. 2 Harun Khan