POs,pls send your monthly report FOR Dec 2015 ( Nov 15-Dec 15 ) to PAC soon

1.Sl.No.:

2.Name of Programme Officers:

3.Name of School:

4.Aided/SFU:

5.Phone Number :

6.Date of Joining:

7.Trained/ Untrained :

8.Advisory Committee Meeting Regulary conducted:      (Yes/NO)

9..Adopted Village ; Address

a.Details of the Achievements on the following areas during the Month

Projects	No.of Units/Saplings/ Children Immunised/ Structures/ Roads/Water bodies/Camps	/ No. of Volunteers involved/	Monetary value	Remark 1
1 Blood Donation
2 Plantation
3 Pulse polio Immunisation
4 Rain water harvesting Structures(RWHs)
5 Repairs & Laying Roads
6 Desilting of Ponds
7 Construction of Toilets
8 Medical Camps
9 Veterinary Camps
10 Durable Asset creation
11 Any other(specify)

b.House Construction details

Place where the house is built	Number of Houses	Monetary Value	Year

c. Special Achievements (if any) during the month:

Name of Programme Officer -                                                           Signature