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ANNEXURE - III

REPORT ON RURAL EXTENSION EDUCATION PROGRAMME

To
The Regional Manager, Regional
Office,
................................
1.
2.
3.
4.
5.

Branch
:
Type of extension programme :
Programme conducted on (date):
Describe the objectives of the programme :
Brief Description of the programme
(Give details about content of programme
experts/specialists who participated, etc.) :
Important Institutions/Individuals associated
in the programme and their contribution :
No. of participants
:
Banks clients
:
Others
:
Benefits of the programme to the participants :
Financial Aspects
:

6.
7.

8.
9.

EXPENDITURE
Particulars

Sl.
No.
1

Amount
(Rs.)

at: village)

RESOURCES
Particulars

Sl. No.
1

Contribution by participants:

Other local contributions :

Reimbursement sought from


Regional Office out of
extension programme budget*:

Total

Amount
(Rs.)

total

*Enclose the vouchers for all the expenditure incurred and the Dr.IBA for the amount for
which reimbursement is sought from the Regional Office.
Date:
Place:

AM/Manager(RD)

SR/BRANCH MANAGER

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