3.1 Number of industries(in the diameter of 5 km) near the village 3.

2 number of newly built bridges near the village (in the diameter of 5 km) 3.3 numberof business ventures near the village (in the diameter of 5 km) with annual turnover more than 10 crore 3.4 ropit udhyan ?? under the village authority 3.5 ghoshit ?? forest area near the village(in the diameter of 5 km) 3.6 percentage of families getting safe drinking water 3.7 percentage of houses as per the structure (a) kachcha?? (b)half pakka?? (c)pakka?? 3.8 percentage of families having sanitary facilities (a) personal (b)combined SECTION-4 Distance from the nearest facility to be given in kilometers. If the facility is available in the village itself , then write 00 . distances more than 99km to be written as 99 only . 4.1 gram panchayat headquarters 4.2 tehseel headquarters 4.3 bus stop 4.4 metalled?? Road 4.5 all seasons road 4.6* pre-primary school 4.7* primary school 4.8* junior highschool 4.9* secondary school

4.10* higher secondary school 4.11 undergraduate universities 4.12 universities with postgraduate courses 4.13 industrial training institutes 4.14 informal education center 4.15 pashu chikitsa upkendra?? 4.16 government dispensaries 4.17 medical shop 4.18 postoffices 4.19 banks 4.20 uchit mulya ki dukan?? 4.21 weekly market 4.22 insecticides and fertilizers shop 4.23 e-mail facility 4.24 P.C.O. 4.25 special schools for the blind 4.26 special schools for mentally weaks 4.27 business training schools 4.28 organisation for punarvas?? Of physically handicapped people 4.29 railwaystation 4.30 airport 4.31 district headquarter 4.32 state capital 4.33 police station 4.34 aanganbadi mid-day meal center

4.35 sehkari?? Samiti?? 4.36 samudayik ?? center(with/without t.v.) 4.37 recreation centers (clubs,parks,gardens) 4.38 public vachnalaya?? *typesGovernment-1 Ardhasarkari??-2 Private-3

FACILITIES: A(i) with separate toilets for females (ii) same for both males and females (iii) without toilets B(i)with the facility of drinking water (ii)without the facility of drinking water

SECTION-5 Population distribution related soochna??

5.1 population (last month) 5.2 gents Ladies Number of families 5.3 total number of families 5.4 number of families having female-head

5.5 BPL families

SECTION-6

Rog grastata?? Normally occurring major diseases in decresing order

6.1 acute---------diabetes, T.B.,cancer 6.2 chronic--------malaria,typhoid,chickenguinia??

Number of handicapped persons based on the type of handicapped Type of handicapped females males Blind Deaf Dumb Physical Mental

SECTION-7

Medical facilities
Number of swasthya karmic??

Government facilities
Types of vidhi?? 7.1 alopathic?? 7.2ayurvedic?? 7.3 unani??

7.4 sidhdha?? 7.5 homeopathic 7.6 other naturotherapies Non-government facilities Types 7.7 alopathic?? 7.8ayurvedic?? 7.9 unani?? 7.10 sidhdha?? 7.11 homeopathic 7.12 other naturotherapies

SECTION-8 : EDUCATION Literate population(age more than 7 years) 8.1 females 8.2 males Literate population(age 15-24years) 8.3 females 8.4 males A: Primary classes(I-IV) 8.6 enrolled students 8.6 school going students 8.7 new entrants 8.8 number of drop-outs

8.9 reason of drop-out B:junior highschool(VI-VIII) 8.10 number of enrolled students 8.11 number of school goers 8.12 number of school drop-outs 8.13 reason of drop-out from school C: highschool(IX-X) 8.14 number of enrolled students 8.15 number of school goers 8.16 number of school drop-outs 8.17 reason of drop-out from school D:inter school(XI-XII) 8.18 number of enrolled students 8.19 number of school goers 8.20 number of school drop-outs 8.21 reason of drop-out from school 8.22number of children of age group 6-14 who are never enrolled

Reason of drop-out: (i) (ii) Financial-1 Non-financial-2

SECTION-9 land use 9.1 geographical area of rajaswa gram??

9.2 assigned area for land use 9.3 area under afforestation 9.4 oosar?? and krishi ayogya?? Land 9.5 non-agricultural land 9.6 area unavailable for agriculture 9.7 land under vividh vraksha?? 9.8 sthayi charagaah avam anya charai ki bhumi?? 9.9 agricultural non-fertile land 9.10 present parti?? 9.11 anya parti bhumi?? 9.12 recent harvested area 9.13 area harvested more than once 9.14 sakal boya gaya?? area 9.15 land under sthir? Water 9.16 smajik vaniki?? 9.17 marshy land

Sadhanvar sinchit ?? area

9.18 canals 9.19 wells,nalkoop?? 9.20 taalab?? 9.21 laghu sinchai?? 9.22 other sources 9.23 total sinchit bhumi??

Aakar avam varganusar kriyatmak joton ki sankhya??

9.24 seemant?? (less than 1 hectare) 9.25 small (1-2 hectares) 9.26 ardhamadhyam (2-4 hectares) 9.27 medium (4-10 hectares) 9.28 large (10 or more hectares)

Natural resources (annual)

9.29 length of the river (km) 9.30 area of water resources (other than rivers)(hectares) 9.31 number of blocks

SECTION-10: cattle 10.1 goveshiya (including ox, sand?? , yak , mithun?? Etc.) 10.2 buffalo 10.3 sheep 10.4 goats 10.5 horses and tattu?? 10.6 ass 10.7 donkey 10.8 kut?? 10.9 makaar?? 10.10hens 10.11 ducks 10.12 others

SECTION-11: storage and vipadan?? discharging places 11.1 uchit mulya ki dukanen?? 11.2regular market 11.3 11.4 11.5 SECTION-12 : employment status of the villagers(employed-unemployed) Percentage population 12.1 12.2 12.3 12.4 12.5 12.6 12.7 12.8