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Registration No. S0019350 of 2021-2022 under the West Bengal Societies Act XXVI of 1961
21-C, Top Floor, Old Super Market, Darjeeling - 734101
abnscc@gmail.com
98320 66111
8170033891
श्रीवत्स
पुण्डरिक
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Survey
1
Step 1
Step description
2
Step 2
Step description
3
Step 3
Step description
0%
Full Name (Head of the Family)
Age
Gender
Option 1
Option 2
Option 3
Religion
Father’s Name
Mother’s Name
Address (Enter Location and Ward)
Gram Panchayat Unit
District
Education Qualification
Occupation
In Occupation, mention category
Category
Option 1
Option 2
Option 3
Aadhar Number
Relevant identification document
Option 1
Option 2
Option 3
Parcha Kathyan number
Total Land Holding (in Acres )
Type of Lands
Sukha Bari (Dry Land)
Khet Bari ( Paddy Land )
Orchards
Cardamom Fields
Barren Land
Others
Immovable Property
Land
Buildings
Houses
Apartments/Flats
Commercial Property
Agricultural Land
Industrial Property
Forests
Mineral Rights
Infrastructure
House type
Rented
Own
Indebtedness
Vehicle Loan
Property Loan
House loan
Educational Loan
NA
Is electricity available at your house?
Yes
No
Communication facilities available (Mobile Phone/Internet etc)
Yes
No
Name of Kul Puja you perform in house
Bhimsen
Diwali
Digu Puja (worship of the clan deity)
Mha Puja (worship of the self or soul, often celebrated during New Year)
Nakin Puja (worship of the lineage deity)
Pitri Puja (ancestral worship)
Bhway Puja (feast and worship in honor of the family deity)
Dyah Lha Puja (worship of protective family deities)
Kija Puja (specific rituals performed during special family occasions)
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Details of the Family Memebrs
Text
Text
Text
Text
Text
Text
Add Member
Remove Member
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Availability of Other Infrastructure Facilities
Select
Option 1
Option 2
Option 3
Post Office
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Bank
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Weekly Market
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Daily Market
Very Unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Name the person involved in filling up of this survey form (enumerator)
Contact number of the enumerator
Submit
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