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APCFSS

Form 1

YSR NAVASAKAM
ACKNOWLEDGEMENT FOR RECEIPT OF FIELD DATA FROM VOLUNTEER TO VILLAGE/ WARD SECRETARY

Mandal/ULB: Village/Ward Secretary Name:

Name of the Volunteer: Date:

S.No Survey on Schemes Conducted by Volunteers Pre Fresh Total


Populated Applications
data Surveyed
surveyed
1 Rice Card

2 Arogyasree card

3 YSR Pension Kanuka

4 Jagananna Vidya Deevena(RTF)& Jagananna


Vasati Deevena(MTF)

5 YSR Amma vodi

6 YSR Kapu Nestham

7 Financial Assistance to Tailors

8 Financial Assistance to Rajakas

9 Financial Assistance to Nayee Brahmins

10 Honorarium for Pastors

Received the above formats for


computerisation and record

Signature of the Volunteer

Signature of Village/Ward Secretariat in-Charge


APCFSS

Form 2

YSR NAVASAKAM
ACKNOWLEDGEMENT FOR FIELD DATA FROM Village/Ward Secretariat in-Charge

Mandal/ULB: Name of the Gram Panchayat/ULB:

Name of the Village/Ward Secretariat: Date:

S.No Survey on Schemes Conducted by Volunteers Pre Fresh Total


Populated Applications
data Surveyed
surveyed
1 Rice Card

2 Arogyasree card

3 YSR Pension Kanuka

4 Jagananna Vidya Deevena(RTF)& Jagananna


Vasati Deevena(MTF)

5 YSR Amma vodi

6 YSR Kapu Nestham

7 Financial Assistance to Tailors

8 Financial Assistance to Rajakas

9 Financial Assistance to Nayee Brahmins

10 Honorarium for Pastors

Received the above formats for


computerisation and record

Signature of Village/Ward Secretariat in-Charge

Signature of GP Secretary/ULB in-Charge


APCFSS

Form 3

YSR NAVASAKAM
ACKNOWLEDGEMENT FOR RECEIPT OF FIELD DATA FROM GP Secretary to MANDAL

Mandal/ULB: Village/Ward Secretary Name:

Name of the Mandal: Date:

S.No Survey on Schemes Conducted by Volunteers Pre Fresh Total


Populated Applications
data Surveyed
surveyed
1 Rice Card

2 Arogyasree card

3 YSR Pension Kanuka

4 Jagananna Vidya Deevena(RTF)& Jagananna


Vasati Deevena(MTF)

5 YSR Amma vodi

6 YSR Kapu Nestham

7 Financial Assistance to Tailors

8 Financial Assistance to Rajakas

9 Financial Assistance to Nayee Brahmins

10 Honorarium for Pastors

Received the above formats for


computerisation and record

Signature of GP Secretary

Signature of Mandal in-Charge

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