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Sr. No.

Confidential: For research purpose only

Central University of Himachal Pradesh


PO Box: 21, Dharamshala, Himachal Pradesh-176215


Name of Student...................................................................Roll No.............................................. Programme of Study: MA Economics (4th Semester) Adviser................................................ Date of Survey....................................................... Name of the Respondent: __________________________ Mobile No. _____________ Village: ___________________ Tehsil: _______________________ Category: Income Category: Religion: (1=General; 2=SC; 3=ST; 4=OBC) (1=APL; 2=BPL) [1= Hinduism; 2=Islam; 3= Sikhism; 4=Christianity; 5=Buddhism; 6=Jainism; 7=Others (specify)_____________] Distance of crop land from road head (km): _____________________




Vocational Training Relationship with the Head of Household* Migration status #### Sr. No. Education Was Vocational training or Tech. edu. helpful## Occupation### Annual Income (Rs. Per annum) Remarks

Age (years)

General ***

Any vocational training#

Technical ****


1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Note: *Relation: 1= Self; 2= Father/ Mother; 3= Brother/Sister; 4=Grandfather/Grandmother; 5=

Wife/Husband; 6= Brother-in-law/Sister-in-law; 7=Uncle/Aunt; 8=Cousin; 9= Other relatives; 10=servant, employee or any other non-relative. **Sex: Male=1; Female=2

***General Education: 1= Illiterate; 2= Can read and write; 3= below Primary; 4= Primary; 4=Middle; 5 =
Matriculation; 6 = +2; 7= diploma/ certificate course; 8= Graduation; 9 = Post Graduation and above.

****Technical Education: 1=no technical education; 2= technical course in agriculture/ engineering/

technology/ medicine, etc., 3= diploma or certificate (below graduate level) in agriculture, 4= diploma or certificate (below graduate level) in engineering/ technology, 5= diploma or certificate (below graduate level) in medicine, 6= diploma or certificate (below graduate level) in crafts, 7=other subjects; 8= Degree (graduate and above level) in agriculture, 09= Degree (graduate and above level) in engineering/ technology, 10= Degree (graduate and above level) in medicine, 11= Degree (graduate and above level) in crafts, 12= Degree (graduate and above level) in other subjects.

#Vocational Training: 1=receiving formal vocational training; 2=received non-formal/hereditary

vocational training; 4=self-learning, 5=learning on the job; 6=others; 7=did not receive any vocational training.

## If Vocational Training/Technical Education was helpful: 1=was helpful in taking up selfemployment activity, 2=was helpful in taking up wage/salaried employment; 3=was not helpful, 4=not applicable.

###Occupation: 1=Cultivator; 2=Agriculture labour; 3= regular salaried worker; 5= contract labour; 6= daily wage labour; 7= piece rate labour; 8= Self employed; 10=Rentiers/Pensioner/ remittance receiver; 11=Student; 12= House wife; 13=unemployed and seeking work; 14=unemployed but not seeking
work; 15= do not work due to old Age; 16= do not work due to sickness or other physical problem; 17=others..

#### Migration status: 1=non-migrant; 2= seasonal migrant within state; 3= seasonal migrant to other
states; 4=permanent migrant within state; 5=permanent migrant to other states; 6= migrated to other countries.


Sex **



I. Sr. No. 1. 2. 3.

LAND INVENTORY Particulars Irrigated Total owned land Operational holding Mode* Leased-in land Leasedout land Total cultivated land (2+3-4) Orchards Pastures Forests Cultivable Wasteland Uncultivated wasteland Current fallows Other fallows Others

Area (hectare) Un-irrigated Total

Source of irrigation


4. 5. 6. 7. 8. 9. 10. 11. 12. 13.

Note: * Mode of Payment: 1=Fixed Rent tenancy; 2=Crop Sharing; 3=Input sharing
**Mention rent amount per ha in the remarks column

II. INVENTORY OF FARM BUILDINGS, IMPLEMENTS AND MACHINERY Particulars Inherited/Constructed/Purchased Present Value (Rs.) No. Year Cost (Rs.) 1. Buildings -Farm buildings -Cattle shed -Store -Others 2. Implements and Machinery a. Minor


-Wooden plough -Iron plough -Sickles, Spades, Hand rake etc Tractors Thresher b. Others

III. Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9.



Purchased value (Rs.)

Present value (Rs.)

Milk/ Product (Rs. Per annum

Cows (local) In milk Dry Cows (Jersey) In milk Cows (Cross-bred) In milk Cows (Local) in milk Dry Buffaloes In milk Dry Young stock cows i. Male ii. Female

10. Young stock (Buffalo) i. Male ii. Female 11. Bullocks 12. Sheep 13. Goats In milk 14. Dry 15. Horses/Ponies/mules etc. 16. Poultry 4

17. Piggery 18. Rabbitary 19. Horses/ponies 20. Others (specify)

IV. Sr. No.

CROPPING PATTERN AND DISPOSAL OF FARM PRODUCE Crop Areas (Ha) Total produce Home Kept (Qtls) consu for mptio seed Irr. Unirr n (kg) . Main By (Qtls.) Prod product 1. 2. 3. 4. 5. 6. 7. 8. 9. Maize (L) HYV a. Paddy (L) HYV a. Other cereals Pulses Potato Vegetabl es Oilseeds Fodder Wheat HYV 10. Barley (L) HYV 11. 12. Note: L = Local; HYV = High yielding varieties

Qty. Availabl e for sale (Qtls.)

Qty sold (Qtls)

Price per Qtls (Rs.)

V. INPUT USE IN IMPORTANT CROPS Sr. Particular/ Name of Crop............ Crop................ Crop.............. Crop.............. No. Crop Qty/No. Value Qty/No. Value Qty/No. Value Qty/No. Value 1. Seed/Seedlings 2. FYM 3. Fertilizers 4. IFFCO 5. -Urea 6. -SSP* 7. -CAN** 8. -DAP*** 5

9. -Any other 10. Plant Protection 11. Irrigation 12. Staking Material 13. Minor repairs 14. 15. 16. Note: Quantity is to be mentioned as per actual use in Qt. * Single Super Phosphate; **Calcium Ammonium Nitrate; *** Diammonium phosphate Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. VI. Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. Particular/ Name of Crop Seed/Seedlings FYM Fertilizers IFFCO -Urea -SSP -CAN -DAP -Any other Plant Protection Irrigation Staking Material Minor repairs Crop............ Crop................ Crop.............. Crop.............. Qty/No. Value Qty/No. Value Qty/No. Value Qty/No. Value

LABOUR USE IN CROP PRODUCTION Crop Human Labour Used (Man days= 8 hrs ) Total Male Female Children F H F H F H F H Animal /Hrs F H

Maize (Local) HYV Paddy (L) HYV Other cereals Pulses Potato Vegetables Oilseeds 6

10. 11. 12. 13. 14.

Fodder Wheat (Local) HYV Barley (Local)

HYV 15. 16. Note: F= Family labour; H= Hired labour. VIIII CONSUMER DURABLES Sr. No. Items 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. TV Washing Machine Sofa set Cooking gas Cots Refrigerator Cars Commercial Vehicle Transport Vehicle Motorcycle Scooter Table Chairs Telephone (land line) Computer AC Mobiles Others (specify)


Purchase Price (Rs.)

Present Value (Rs.)


IX.CONSUMPTION OF CEREALS, VEGETABLES AND OTHER ITEMS Sr. No. Particulars Kgs. / Month Approx. Expenditure / month/annum (Rs.) 1. Wheat 2. 4. 5. 6. 7. 8. 9. Rice Pulses Milk, butter, ghee etc Fresh fruits Green Vegetables Dry fruits, nuts etc Meat


10. 11. 12. 13. 14. 15. 16. 17. 18.

Eggs Oils Education Clothing and Shoes Beverages Health Electricity Communication Other (specify)


Amount (Rs.)

Rate of Interest (% per Annum)

Collateral (Rs.)

Instalm ent (Rs. PM/PA)

Paid (Rs.)

Outsta -nding (Rs.)

1 2. 3. 4. 5. 6. 7. 8. 9.

Commercial banks Cooperative Society /bank Government Money-lender Landlord Relative Friend Input dealer Others (specify) Note: *Purpose: 1= Improvement of Land; 2= Installation of Tubewell; 3=Investment in agricultural
Machinery; 4= Purchase of agricultural Inputs; 5= Any other investment; 6= Marriage of daughter/son or health expenditure; 7= Any other type of consumption expenditure.

XI PRODUCTION PROBLEMS/CONSTRAINTS IN AGRICULTURE i. Lack of timely availability of Seeds; ii. Lack of timely availability of fertilisers; iii. Lack of credit; iv. Lack of technical knowhow; v. Lack of irrigation vi. Others (specify) XII MARKETING PROBLEMS/CONSTRAINTS IN AGRICULTURE i. Lack of roads; ii. Lack of transport facility; iii. Low price; iv. Lack of market; 8

v. Lack of procurement agency/system vi. Lack of market intelligence; vii. Others (specify) XIII SOURCES OF INFORMATION FOR NEW TECHNOLOGY (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) Agricultural development officer; Krishi Vigyan Kendras; Agricultural Univ; Leading farmers; Relatives; Village pardhan; Newspaper; Radio/TV; Input dealers; Others (specify)

Sr. No. * Occupation 1 # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Occupation 2 # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Previous Occupation # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Detail of Occupations of Household Members Present Occupation Previous occupation (if any) Reason for Leaving$$ Whether MGNREGA worker (1=Yes; 2=No) If yes, Days of work Annual Income 10 XIV Employment

Note: *Sr. No. of the member should be same as in the demography table. ###Occupation: 2 digit code as per National Classification of Occupations (NCO)- 2004. Place of work: 1=within village; 2=within district; 3= outside of district but within state; 4= outside of state but within India; 5=outside India. ##Type of Industry: 2/3 digit code as per National Industrial Classification (NIC) - 2004 ###Type of Organisation: 1= Agricultural farm; 2= Small Business; 3=Government/public sector; 4=Public/Private limited company, 5=Co-operative societies/trust/other non profit institutions, 6=employers households (i.e., private households employing maid servant, watchman, cook, etc.), 9=others. $Mode of Payment: 1=salary; 2=daily wage in cash; 3=daily wage in kind; 4= daily wage in cash and kind; 5=piece payment in cash; 6=piece payment in kind; 6= piece payment in cash and kind; 7=others. $$ Reason for Leaving Previous Occupation: 1=work was not remunerative enough, 2=unpleasant environment, 3=employer harsh, 4=health hazard, 5=to avail benefits of voluntary retirement; 6= layoff without pay, 7=unit has closed down, 8=lack of work in the enterprise (for self-employed persons), 9=lack of work in the area (for casual labour); 10= for better opportunity; 11=others.

Sources of Income
S. Nr. 1 Source of Income Agriculture and Allied activities i Food Crops Ii Horticulture crops Iii Dairy iv Fishery/poultry v Other allied activities Non-Agricultural Income (Self Employed) Agricultural Labour Non-agriculture Labour Employment in MGNREGA Salaried Job Pension Total Number of Household members employed Annual Income

2 3 4 5 6 7 8