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3 Number of Children (Segregated by Age and Gender) GIRLS GIRLS GIRLS GIRLS GIRLS GIRLS BOYS BOYS BOYS BOYS BOYS BOYS GRAND TOTAL
Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs More than 18 TOTAL 'A' Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs
More than 18 yrs TOTAL 'B' A +B
B NEW ADMISSIONS IN CHILDREN'S HOME DURING GIRLS GIRLS GIRLS GIRLS GIRLS GIRLS BOYS BOYS BOYS BOYS BOYS BOYS GRAND TOTAL
4 THE QUARTER REPORTED ON Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs More than 18 TOTAL 'A' Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs
More than 18 yrs TOTAL 'B' A +B
Within the State
Direct Referral from CWC
Transferred from Shelter Homes
Transferred from Open Shelter
Transferred from Observation Home
Transferred from any another home
Transferred from SAA
Transferred from another state
Any Other (Please Specify)
TOTAL
C CHILDREN WHO HAVE MOVED OUT OF THE CHILDREN'S GIRLS GIRLS GIRLS GIRLS GIRLS GIRLS BOYS BOYS BOYS BOYS BOYS BOYS GRAND TOTAL
5 HOME DURING THE QUARTER REPORTED ON Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs More than 18 TOTAL 'A' Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs
More than 18 yrs TOTAL 'B' A +B
Within the State
Transferred to another Home
Transferred to After Care Homes
Transferred to Residential Schools
Restored to family
Restored to family with sponsorship support
Sent for foster care
Transferred to another State- Children's Home
Transferred to other States - Family reunification
Runaway/Missing
Death
Any Other (Please Specify)
TOTAL
D TOTAL NUMBER OF CHILDREN ON LAST DAY OF GIRLS GIRLS GIRLS GIRLS GIRLS GIRLS BOYS BOYS BOYS BOYS BOYS BOYS GRAND TOTAL
6 REPORTING QTR 3 + 4 -5 = Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs More than 18 TOTAL 'A' Less than 6 yrs 6 yrs upto 10 yrs 10 yrs upto 14 yrs 14 yrs upto 18 yrs
More than 18 yrs TOTAL 'B' A +B
….contd
MONITORING FOR THE QUARTER----------
F SIBLING INFORMATION
8
No of children with 1 Sibling in CH
No of children with 2 siblings in CH
No of children with more than 2 siblings in CH