Progress report for the month of -----------, 200-

1. Basic Information

a. Micro- watershed name:

Micro- watershed code no.:
Block name:
District name:

b. Scheme:

c. Project period: from to

Date of sanction:

d. Total project outlay:

Total expenditure till date:
Unutilized balance:

e. Watershed details:

name and code no. No. of name of total geographical total treatable area population households
of MWS villages villages area (Ha) (Ha) male female total SC ST others total BPL

f. User groups details:

no. of members
no. of groups
male female total

g. self help groups details:

no. of groups no. of members
functional defunct new total male female total
WORKS DETAILS:

A. TREE- PLANTATION

Name of land area covered(ha) No. of saplings planted

village community community
private total private total
forest nonforest gochar forest nonforest gochar

total

TREE PLANTATION (contd.)

Name of costs incurred (Rs.) contribution to WDF households benefitted employment generated
village till last during the till last during the no. of
total total SC ST others total BPL rupees
month month month month man days
works details (contd.)

B. AREA TREATMENT

Name of SC measures area treated (Ha) area benefitted (Ha)

village created (no.s) community community
private total private total
forest nonforest gochar forest nonforest gochar

Name of costs incurred (Rs.) contribution to WDF households benefitted employment generated
village till last during the till last during the no. of
total total SC ST others total BPL rupees
month month month month man days
works details (contd.)

C. DRAINAGE LINE TREATMENT

Name of area benefitted (Ha) costs incurred (Rs.)

village activity/treatment No.s private community total till last during the
total
forest nonforest gochar month month

Name of contribution to WDF households benefitted employment generated

village till last during the total SC ST others total BPL no. of
rupees
month month man days
works details (contd.)

D. IRRIGATION INFRASTRUCTURE

Name of land area covered (Ha) costs incurred (Rs.)

irrigation potential
village Nature of structure till last during the
private community total total
created (Ha) month month

Name of households benefitted employment generated

village Nature of structure rupees
SC ST others total BPL no. of man days
contract/ daily wage
works details (contd.)

E. LIVESTOCK INTERVENTIONS

Name of costs incurred contribution to WDF households benefitted

village nature of activity till last during the total till last during the proportion
total SC ST others total BPL
month month month month of expense
works details (contd.)

F. AGRICULTURE

Name of costs incurred contribution to WDF

activity quantity area covered (Ha)
village till last during the till last during the proportion
total total
month month month month of expense

Name of households benefitted

village
SC ST others total BPL
proportion
of expense
WDF AND USERS GROUP

WDF contributions during the month WDF WDF as proportion

activities
opening balance rupees closing balance of total expense

USERS GROUPS DETAILS:

NO. till last month during the month total

members enrolled

male female
till last during the till last during the
total total
month month month month
SAVINGS/CREDIT AND SELF HELP GROUPS

SHGs without external assistance

members enrolled
opening balance
male female
sl.no. name of group
till last during the till last during the cash in cash in loans total
total total
month month month month hand bank outstanding balance

SAVINGS/CREDIT AND SELF HELP GROUPS

SHGs without external assistance
deposits
sl.no. name of group
current interest loan interest from other
fine total
savings from bank repaid loanee income

payment closing balance

sl.no. name of group
loan cash in cash in loans total
expenses total
disbursal hand bank outstanding balance
SAVINGS/CREDIT AND SELF HELP GROUPS

SHGs without external assistance

income generating activity

sl.no. name of group proportion of members no. of meetings held
activity nature
involved
SAVINGS/CREDIT AND SELF HELP GROUPS

SHGs with external assistance

members enrolled
opening balance
male female
sl.no. name of group
till last during the till last during the cash in cash in loans outstanding
total total total
month month month month hand bank internal external

deposits
current interest loan interest from loanee revolving loan / grant other
sl.no. name of group fine
savings from bank repaid internal external fund amount source of income total
assistance
SAVINGS/CREDIT AND SELF HELP GROUPS

SHGs with external assistance

payments closing balance

sl.no. name of group revolving fund cash in cash in loan outstanding
external loan repaid loan disbursal expenses total total
repayment hand bank external group

income generating activity

sl.no. name of group proportion of members no. of meetings held
activity nature
involved
TRAININGS DETAILS

FOR BENEFICIARIES / COMMUNITY

no. of participants resource

sl.no. purpose date venue duration remarks
male female persons

FOR STAFF

no. of participants resource

sl.no. purpose date venue duration remarks
male female persons
MEETINGS DETAILS

FOR BENEFICIARIES / COMMUNITY

type/ participants
date venue duration issues discussed decisions taken follow-up actions
committee male female

FOR STAFF

participants
type date venue duration issues discussed decisions taken follow-up actions
male female
TREATMENT DETAILS

name and total area treated total area treated total works expenses
code no. of MWS till last year during the year total till last month during the month total till last month during the month total

FINANCIAL DETAILS

name and current year position

code no. of MWS opening balance funds received expenditure closing balance
with PIA with WC by PIA by WC total by PIA total with PIA with WC total

A. PIA FUNDS:

name and funds received by PIA

code no. of MWS till last during the till last during
cumulative cumulative
year year month month

name and expenses by the PIA till march, last year

code no. of MWS Training CO admin total

name and expenses by the PIA during the year upto this month
code no. of MWS training CO administration total
till last during till last during till last during till last during
cumulative cumulative cumulative cumulative
month month month month month month month month

name and cumulative expenditure by the PIA UC submitted by the PIA

code no. of MWS training CO admin total till last year during this year cumulative
FINANCIAL DETAILS

B. WATERSHED COMMITTEE FUNDS

name and
funds received by WC
code no. of MWS
till last during till last during
cumulative cumulative
year year month month

name and expenses by the WC expenses by the WC during

code no. of MWS upto march, last year year upto this month cumulative expenditure by WC
till last month during the month cumulative

name and UC submitted by WC

code no. of MWS till last year during this year cumulative
EDUCATION DETAILS:

CHILDREN EDUCATION

name of school days enrolled enrolled attendance 0 days attendance 1-9 days attendance 10-15 days attendance 16-20 days attendance >20 days
village type open boys girls boys girls boys girls boys girls boys girls boys girls

ADULT EDUCATION

year, month learning males learning females improving males improving females literate males literate females
HEALTH DETAILS:

GROWTH MONITORING

name of eligible normal average malnourished absent

village male female male female male female male female male female

ILLNESSES

name of Fever Malaria Typhoid Jaundice Diarrhoea other

village checked detected treated checked detected treated checked detected treated checked detected treated checked detected treated checked detected treated

name of Night Blindness Scabies TB

village newly under newly under newly under
checked detected cured checked detected cured checked detected cured
registered treatment registered treatment registered treatment

name of Leprosy Other

village newly under newly under
checked detected cured checked detected cured
registered treatment registered treatment
HEALTH DETAILS:

BIRTH DETAILS:

year parents name live or still

HH code sex
month father mother birth

DEATHS

year
name age sex HH code head of household cause of death
month
HEALTH DETAILS:

IMMUNISATION

name of BCG male BCG female DPT/ OPV1 male DPT/ OPV1 female DPT/OPV2 male DPT/OPV2 female
village eligible benefitted eligible benefitted eligible benefitted eligible benefitted eligible benefitted eligible benefitted

name of DPT/ OPV3 male DPT/ OPV3 female Measles male Measles female Booster male Booster female
village eligible benefitted eligible benefitted eligible benefitted eligible benefitted eligible benefitted eligible benefitted

ANTE- NATAL CARE

name of previous new TT1 TT2 TT TT Iron Calcium

delivered aborted
village total total given given booster not given given given