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HH No. HH Head Name:
Caste: Ethnicity
Gender
HH Origin
Age under 6 Age Between 6-14
Age Between 15-59 Age above 60
Total Total Female
Total Male Gender Total
Disabled Female Disabled Male
Illitrate Informal
Below 6 6-10
SLC and Above Total
Land Measurement Own Maze Field
Own Paddy Field Own Grass land
Others Maize Field Others Paddy Field
Others Grass Land Cow/Ox
Buffalo Goat
Pig Birds
Animal Horse House structure
Farming Income Service Income
Business Income Wage Income
Specify Others Others Income
Total Income Food Sufficiency
Mothertongue Dailyused
Mortality < 5 Mortality Maternity
Affiliation Ethnic Org Affiliation Ethnic Org
Affiliation Local Body Affilation Local Body Position