FIELD VERIFICATION FORMAT

1 Name of the Mandal :

2 Name of the School :
3 UDISE Code :
Completed / Not Completed
Sanctioned Works (Y / N) (Basing on Check List)

4 Toilet
5 Major & Minor Repairs
6 Electrification
7 Drinking Water
8 Compound Wall Urban
9 Total Estimation of above works (In lakhs)
10 Revolving Fund received (In Lakhs)
11 Expenditure (Material+Labour+PC Charges) (In Lakhs)
12 Total number of Cement Bags Received
13 Total Expenditure of Cement (In Lakhs) @235/-
14 Expenditure of Cement booked ( Y / N)
15 Quantity of Sand (In Metric tonnes) received
16 Expenditure on Sand incurred (In Lakhs)
17 Expenditure of Sand booked ( Y/N)
18 Total Expenditure (11+13+16) (In Lakhs)
19 Balance = (9 - 18) (In lakhs)
20 Approximate expected expenditure (In Lakhs)

21 Estimation is Sufficient / Not Sufficient / Excess

22 If Not Sufficient / Excess mention in Lakhs
23 Projected week of completion of all above works (III / IV)
Issues if any:

Signature of Head Master Signature of Member Teacher Signature of Team Head

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