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Tribal Development Department Jeevika Project Name of NGO ...

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<strong>Name</strong> <strong>of</strong> <strong>NGO</strong><strong>Name</strong> <strong>of</strong> Field WorkerVillageTaluka<strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>F-1Statement for the month <strong>of</strong>…………12345678910111213141516171819202122232425Farmer’s nameTotal farmersPrincipalamountTotal loansanctionedDate <strong>of</strong>recoveryPage summaryAmountrecoveredLoan recoveredin the monthBalanceamountTick ifdefaulterNo. <strong>of</strong> defaulters


<strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Field worker’s loan register<strong>Name</strong> <strong>of</strong> farmer….Village…..BPL no.DateLoansanctionedLoanrepaidInterestchargedBalance


<strong>Name</strong> <strong>of</strong> farmer….Village…..Survey No.BPL no.Cash receipt no.<strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Field Worker’s <strong>Project</strong> Control RegisterDetails <strong>of</strong> plantation …………………………Requirement <strong>of</strong> seeds & kg (i) (ii) (iii)Requirement <strong>of</strong> saplings & numbers (i)(iii)Source <strong>of</strong> irrigation & location(iv)(ii)Details <strong>of</strong> inputs provided to the farmerDate saplings seeds fertilizers Other inputs


Page-2 contd..Yield & Income GeneratedDate Produce Kg Price Remarks


<strong>Name</strong> <strong>of</strong> <strong>NGO</strong><strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Taluka Level Irrigation Works StatusTaluka F-2Statement for the month <strong>of</strong>…………1234567891011121314151617181920Full name <strong>of</strong>workVillageSurveyno.locationEstimatedcostTS dateStatus<strong>of</strong>workAmountspentSummary <strong>of</strong> expenditure during the monthExpenditureunder NREGSExp. fromTDD fundsLoan funds Other sources Total


<strong>Name</strong> <strong>of</strong> <strong>NGO</strong>TalukaVillage<strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Taluka Level Irrigation Sources Register1234567891011121314151617181920<strong>Name</strong>source<strong>of</strong>Surveyno.locationCommandareaWhetherelectrified<strong>Project</strong>exp.Annual verificationY-2 Y-3 Y-4


<strong>Name</strong> <strong>of</strong> <strong>NGO</strong><strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Taluka Level NREGS Progress statementTaluka F-3Progress report for the month <strong>of</strong>…………………………..1234567891011121314151617181920<strong>Name</strong><strong>of</strong>work<strong>Name</strong> <strong>of</strong>beneficiarySurveyno.Startingdatemandays expenditure Categorywage material <strong>of</strong> workABCDEFGSummary <strong>of</strong> works done during the monthCategory Mandays ExpenditurewagematerialLand levelingSMCKhet talavadiWadi/ vegetablesGroup wellsCD repairingNew CD


<strong>Name</strong> <strong>of</strong> <strong>NGO</strong>Taluka<strong>Name</strong> <strong>of</strong> inputDateQty.Received<strong>Tribal</strong> <strong>Development</strong> <strong>Department</strong><strong>Jeevika</strong> <strong>Project</strong>Taluka Level Godown Register<strong>Name</strong>farmer<strong>of</strong>Qty.distributedReceipt no.SignatureDaily Summary Statement1 <strong>Name</strong> <strong>of</strong> input2 Quantity received3 Quantity distributed4 No. <strong>of</strong> farmers covered5 Balance quantity available

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