Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
OF
BAREILLY CLUSTER
QUESTIONNAIRE OF SURVEY
1.
2.
Father/Husbands name
3.
House Serial No
4.
Mohalla
5.
Village/Ward
6.
Block/Municipality
7.
District
8.
SC
ST
OBC
Minority
9.
Ration card:
Antoday
BPL
Page1
Location
IFSC Code
Bank account no
Balance (as
on date)
5
Name
Relation
Sex
with
Head of
family
3
4
Head
Age
(in
yrs)
Education level
Engaged in Engaged in
weaving
preparatory
work
2
3
1
1
Product
2
ZARI & ZARDOZI
CANE &
BAMBOO
WOODEN
FURNITURE
KITE MAKING /
MANJHA
Production
No.
of Value in Rs.
pcs
or
yardage
3
4
Exhibition
Exporter
Others
Page2
TERRACOTTA
6.
GOLDSMITH
CRAFTS
IRON
HANDICRAFTS
OTHERS
7.
8.
Raw material
Design support
Training
Credit
Marketing
Page3
16. Common Infrastructure required at village/community level for value addition in the
production process including finishing
(Please indicate existing facilities and additional requirements for making it functional)
Additional requirements
19. Others
(Signature of Officer)
(Signature of Artisan )
Note:
Take photo of the family as available
Ph 1-1 Handicraft made by Artisan
Ph 1-2 Antoday or BPL Card
Ph 1-3 Certificate of belonging to SC/ST/OBC/Minority
Ph 1-4 Election Photo Identity Card and Aadhar Card
Ph 1-5 Bank Account photo of passbook
Ph 1-5-1 Front page
Ph 1-5-2 Last page
Ph 1-5-3 Cheque
Page4