Jagananna Arogya Suraksha Training Grama Volunteers

Attendance Sheet

Date: _ _ / _ _ / _ _ _ _

MLO Name: MLO Signature:

Secretariat Name: Secretariat Code:

Mandal/Municipality: District:

PS/AS Name: PS/AS Signature:

The Following Volunteers are trained by Field Operations Agency (FOA) - MLO on Jagananna Arogya
Suraksha at this VS/WS. Relevant material is shared with all the GV/WVs during the training session.

Volunteers Present for Training Session

Phone Number Cluster ID

S.No Name CFMS ID Signature
(C1, C2..)

10

11

12

13

14

15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
 Volunteers absent for Training Session

S.No Name Phone Number CFMS ID Cluster ID Reason

(C1, C2..)
1

10

11

12

13

14

15