PROFORMA-XV- DETAILS OF THE CAMP SITE

(To be submitted in duplicated on or before 8th October, for Camps to be held in

Diwali Vacation or 20th December for the Camps to be held in X’ Mass Vacation OR 10
days before the Camps to be held)
1. Name of the College: ___________________________________________________
2. Name of the Programme Officer/s: ________________________________________
_________________________________________
_________________________________________
(on every 50 students one programme officer should accompany and in co-camp, where
Male & Female volunteers participating, at least one Male & one Female Programme
Officer must be part of Camp)
3. Dates of the Camp: from______________________ to ________________________
4. Duration of the Camp: __________________________________________________
5. Number of Students participating in the Camp: ______________________________
6. Name of the Village adopted for Camp: ____________________________________
(Accommodation at - __________________________________________________ )
Post : _______________Taluka : _______________ District : __________________
Contact/ Person Name & Address: ________________________________________
____________________________________________________________________
Contact Tel. No. (if any) ________________________________________________
7. Nearest Railway Station / Bus Route: _____________________________________

8. The nearby well - known Town and Distance from it : _________________________

9. Other Information (if necessary) for visiting the Camp: _______________________

10. Map of the Area (necessary to be attached with this proforma) : _________________

____________________________ _________________________
Signature of the Programme Officer / s Signature of the Principal

(Rubber Stamp of the College)