Name of the Panchyat Name of the village Name of the Mandal

: : : Level of Education Caste Marital Status Household Category No of Adults APL BPL Children No of Educational Level of Earning Members in the Primary Secondary Family Illiterate (1-5th (5th-10th Class) Class) Household Members Core Business Technical In No.s Education Additional Source of business Capital (if any) Amount (in Rs.)

Sl.No

Name of the Household

Sex

Age Illiterate Primary Secondary HS SC ST OBC Others Specify Married Unmarried Divorcee

No of members in the family

College (Inter, Degree)

Transactions (in Rs.)

Income (in Rs.)

Total

Expenses Raw Transporta Any others material tion (please consumpti charges specify) on

Total

Daily Monthly Yearly Daily Monthly Yearly

Any strategies Which season Accessibility followed by of the year towards Procuremen you for Competitiors you sell govt. t of goods improving the more? schemes business?

Rent (in Rs.) Source of Loan Amount (in Rs.) Insurance Date of establishment

Electricity Charges (in Rs.)

Monthly

Yearly

Monthly

Yearly