Area Zone Region Name of LOM

MRFApril 2019
Management
Organized GB Meeting Organized ZP Official Sent A/C of 2018 to NHQ Award Bid For ASPAC
GB No Visit Date # of E-Awards
Date Date Hosted Any Zone/National Bided in ASPAC
Venue # of Event Delegation for ASPAC
#of Members Members Date # of Delegates
Attended Attended Event name Any Other Program
Organized LGB meeting Participated in NP #Beneficiaries Name of
LGB No Official Visit Participation in AOS Events
Date Date Date Date
# of Members # of Host #Participants
Attended Members #Participants Duration
Venue Attended
Participation In Jr. JC Release of Bulletin
Conference
Volume#
Date
Type
#of Delegates
Name
Hosted by
Monthly Reporting For
Participation In JCRT.
Challenge sent to Editor
Conference
Date Date
#of Delegates
Hosted by

Training
JCI India Official Courses ID Course Organized For Empowering Youth Future Course Organized
Name of Non JCI Members Course Organized Trainer’s
Trainers Name of School Name
Topic Trainers Name Institution
Duration Topic Trainer’s Name
# of Participants Duration Name #Participants
JCI India Suggested Course # of Module Participation in NTTTS
Course Participants # of Application Sent for # of Participants
name JCI Official Course JCI India Speech Craft Any Other Courses
Date Trainer’s Date Organized
Name of Name # Participant Course
Trainers
Topic Participation in JCI India name
Venue
Duration Author # of Participants
JCI Recommended Courses
# of Participants
Course Name
Programs
IMAPACT 2030 Salute to silent worker Safe Drinking Water Project Participation in
Installation Program (Under JCI India JASMINE
Place Name Foundation Scheme) # of
Date # Beneficiaries School Participants
UNSDG # Need Blood Call JCI Name Any Other Program
# of # of Units Address Of Name of
Beneficiaries Collected The School Program
Conducting UNSDGS Program Date One LOM One Needy Duration
One Life Time Project School
Program Name
Date School
Date Name
Project
# of Address Of
name
Beneficiaries
The School
Place
Date
Growth & Development
2019 Annual Mems Subscription 2018 1st half Membership If new LOMs extended JCI Contribution
# of Member Subscription in the year 2019 Title
Posting Date # of Members LOM Type Amount
Penalty for 1st Half 2018 2nd half LOM Name Orientation
2019 1st half Mems Subscription Membership Subscription # of Member conducted in
# of Member # of Members Place Unrepresented
Posting Date 2019 2nd half Date of Area/Town for non
Penalty For 1st Half Membership Subscription Affiliation JCI members
2019 Additional 1st half Membership #of Member Sent Special Status For Date
Subscription Junior Jaycee Wing #
Posting Date
# of Member # of Wing Participants
Penalty
Posting Date Sent Special Status - Trainer's
Penalty For 1st Half 2019 Additional 2nd half
Jcrt. Wing Name
Training in Institutional LOM Membership
Subscription Yes/No? Place
Date I-Smart Training
#of Member Sent Foundation
Topic For I-Smart LOM
Membership Fees ( of
Trainer’s Name Posting Date
Rs. 100/-) Date
 # of Beneficiaries Penalty
Date Topic
LMC Details KUMAR Place
JCI India Foundation
# of Titles Date Contribution # of
Total Amount Host Name of the Participants
Contributed
#Participants Title
# of Members

Business
Organized LOM Level Business Program Skill Development Training For Training Programs
Program Name College Students or Youth Date
Duration Empowerment Seminars Trainer’s
 #Of Participant Date Name
Entrepreneurship Training Program Name of #
Program Name Institution Beneficiaries
Date # of
B2B Meet Beneficiaries
Date
# Beneficiaries

Attach Separate sheet giving following details

S.No. Date Project Area Attendance Man Hrs. Brief Description Amount Spent

Sent before 10th of every Mark copy to

month to NHQ ZP/ZVP/ZD-Mgt.

Date of posting Name of the President Signature of LOM President