Child Welfare Committee

Information on Home Visit

Date :

Name of the CCI :

Registration Number :
Name of the contact person :
Mobile Number :

Address :

Year of establishment :

Category of the children :

Children above 18 years of age :
Capacity of the CCI :

Present occupation :

Facilities available :

Do all children are with

CWC orders ? : Short Stay : Institution Orders :

Living conditions at CCI :

Requirements at CCI :

Violations observed :

Suggestions :
Status of Complaint Box :

Remarks :

Members visited :