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1. Name of the slum:
2. Duration of its existence:
3. Status:
   Declared    Undeclared
4. LOCALITY
Zone
Division
Sub-Division
Ward
Locality
Pincode
Address/ Land mark
5. POPULATION
Total Population
Male : Female Ratio Male:   Female:
Infant population (below age 6+ Yrs)
Male : Female Ratio Male:   Female:
Family size
6. SOCIAL STRUCTURE OF COMMUNITY
Religion
Caste
Linguistic
Migrated (inter/intra state)
7. HOUSING
Type of house    Kucchha      Pucca
Any scheme for constructing house by Govt    JNNURM      KHB      SC/ST Sub Plan Schemes   Others  
8. BASIC AMENITIES
a. Water and sanitation
Mode of supply of water    Bore wells      Piped water supply

No of street taps
Available quantity of water
Expense occurred to access water
Sanitation    Open      Closed sewerage system  
Toilet facilities    Individual      Community(O&M system of community toilets)  
b. Food
No of people with BPL/APL/AAY cards
c. Health
Health- access to    PHC/UHC      Anganwadi  
d. Education
Literacy rate Availability of schools   
No of school going children    No of school drop outs   
9. ECONOMIC DETAILS
a. Livelihood    Daily waged worker      Govt. employee      Private sector      Skilled Worker  

   Unskilled Worker          Domestic workers   Other  
b. Average monthly income Community    Family   
c. Average number of working members in a family   
10. UPLOAD ANY DOCUMENTS


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