APPENDICES : 1. VILLAGE INFORMATION FORM
Instructions for filling the form 1. An educational survey is being conducted to collect data regarding the habitations-their size and distribution, the schooling facilities available and the areas without schooling facilities. Your cooperation is requested for giving infor- mation in respect of your village, the schools in your village and something about other villages as required in the form. Please fill in the form for your village according to the instructions given below.
2. In case of a village with a school this form is to be filled in by the headmaster of the school in consultation with the village officer. The form has to be signed by the village school headmaster. In case of a village without a school the head-master of the nearest school will fill this form with the help of the patwari.
3. All information is to be given as on 30-9-1978.
4. Items 1 to 6 have been filled in by office.
5. In item 7 estimated population of the village is to be given. If the present actual figures are available from the data recently collected/birth registers available with the village officer/patwari/any other competent authority, these should be given in place of estimates.
6. Regarding item 8, it should be checked whether the esti- mated population of the village differs widely from the expected normal increase or decrease in the population as given in 1971 Census. If it does, give reasons for the same.
7. In item 9, estimated child population in the village in different age-groups is to be given. If the present actual figures are available, these should be given in place of estimates.
8. (i) In item 10, information has to be provided in respect of habitations of your village. A habitation is a distinct cluster of continuous houses with a local name. A village may comprise one or more habitations, one of which may have its name as the name of the village itself.
(ii) Habitations with population less than 25 in thickly populated areas and less than 10 in sparsely (hilly and desert) populated areas are not to be identified sepa- rately. These habitations should be treated as parts of the nearest habitation and their population be included in that of the latter.
(iii) In case a habitation has one or more than one school. all these schools will be entered in cols. 4, 5 and 6, but categorywise according to classes taught. If there are three schools in a habitation one with classes I to X and the other two with classes I to V, these will be entered as
Col. 4 Col. 5 Col. 6
I V 2
I X 1
(iv) In respect of columns 7 to 14, only recognised schools are to be taken into account. Recognised schools include government schools, municipal schools, pan- chayat samiti schools and private schools that have been recognised by competent authority.
(v) In columns 15 and 16, put a tick mark ( ) against habitations which are populated predominantly by Scheduled Castes and Scheduled Tribes respectively. In the case of remaining habitations, a cross (x) mark may be put in that column.
9. In item 12, information about the villages on the boundaries of your village has been given. The habitations of your village are not to be included.
10. In the map in item 13, show all habitations of your village mentioned in item 10 besides the villages on the boundaries mentioned in item 12.
FOURTH ALL-INDIA EDUCATIONAL SURVEY
VILLAGE INFORMATION FORM
1. (a) Name of the village
(b) Former name of the village, if any
2. Village serial number (according to 1971 Census)
3. Block/Tahsil/Taluk
4. District 5. State/Union Territory
6. Population (according to 1971 Census)
Population Male Female Total
(1) (2) (3) (4)
All communities
Scheduled Castes
Scheduled Tribes
(Portion up to this is to be filled in advance by the Office.)
7. Give estimated population of your village as on 30-9-1978
8. If the population of the village has increased or decreased substantially, give reasons for the same
APPENDICES 961
9. Give estimated child population of your village as on 30-9-1978 for the following age-groups:
Estimated child population
Age in Years Boys Girls Total
(1) (2) (3) (4)
4 to below 6
6 to below 11
11 to below 14
14 to below 15
15 to below 16
16 to below 17
17 to below 18
10. Habitationwise schooling facilities (See page 962)
11. If there is any facility for non-formal education in your village, give information in the table below :
Age in years No. of Participants
centres Male Female Total
(2) (3) (4) (5)
6-14
14+to 35
Above 35
12. Villages on the boundary of your Village (See page 963)
13. Provide a rough map of your village with the following details :
(a) Its habitations and schools
(b) Adjoining villages ; and
(c) Natural obstructions like perennial streams, hillocks, forests, marshy land, etc.
NORTH
WEST Your EAST
Village
SOUTH
Date : Signature of the Headmaster
962 FOURTH ALL-INDIA EDUCATIONAL SURVEY
Item 10
Sl. Name of the Estimated Schools in the Habitation Nearest Habitation where the schooling Put a Put a
No. Habitation population with classes facility is Available tick tick
of the Habi- mark mark
tation From To Number of Primary Middle Secondary Higher if the if the
class class schools stage stage stage Secondary/ Habi- Habi-
PUC/ tation is tation is
Inter/ predo- predo-
Junior minantly minantly
College popu- popu-
lated by lated by
S.C. S.T.
Name of the Habitation
and village
Distance in kms
Name of the Habitation and village
Distance in kms
Name of the Habitation and village
Distance in kms
Name of the Habitation and village
Distance in kms
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15*) (16*)
If the population of a habitation includes 50% or more people belonging to either Scheduled Castes or Scheduled Tribes then
the habitation is said to be predominantly populated by Scheduled Castes or predominantly populated by Scheduled Tribes.
APPENDICES 963
Item 12.
Sl. Name of village Its distance* Its direction Number of schools
No. from your from your Any obstruc- Hr/Sec/
village village (in km) tion in between Primary Middle Secondary Inter/
JC/PUC
(1) (2) (3) (4) (5) (6) (7) (8) (9)
*The distance is to be provided from the main habitation of Your village to the main habitation of the neighbouring village.