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Name of Student...................................................................Roll No.............................................. Programme of Study: MA Economics (4th Semester) Adviser................................................ Date of Survey....................................................... Name of the Respondent: __________________________ Mobile No. _____________ Village: ___________________ Tehsil: _______________________ Category: Income Category: Religion: (1=General; 2=SC; 3=ST; 4=OBC) (1=APL; 2=BPL) [1= Hinduism; 2=Islam; 3= Sikhism; 4=Christianity; 5=Buddhism; 6=Jainism; 7=Others (specify)_____________] Distance of crop land from road head (km): _____________________
Age (years)
General ***
Technical ****
Subsidiary
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
***General Education: 1= Illiterate; 2= Can read and write; 3= below Primary; 4= Primary; 4=Middle; 5 =
Matriculation; 6 = +2; 7= diploma/ certificate course; 8= Graduation; 9 = Post Graduation and above.
## If Vocational Training/Technical Education was helpful: 1=was helpful in taking up selfemployment activity, 2=was helpful in taking up wage/salaried employment; 3=was not helpful, 4=not applicable.
###Occupation: 1=Cultivator; 2=Agriculture labour; 3= regular salaried worker; 5= contract labour; 6= daily wage labour; 7= piece rate labour; 8= Self employed; 10=Rentiers/Pensioner/ remittance receiver; 11=Student; 12= House wife; 13=unemployed and seeking work; 14=unemployed but not seeking
work; 15= do not work due to old Age; 16= do not work due to sickness or other physical problem; 17=others..
#### Migration status: 1=non-migrant; 2= seasonal migrant within state; 3= seasonal migrant to other
states; 4=permanent migrant within state; 5=permanent migrant to other states; 6= migrated to other countries.
Subsidiary
Sex **
Main
Main
I. Sr. No. 1. 2. 3.
LAND INVENTORY Particulars Irrigated Total owned land Operational holding Mode* Leased-in land Leasedout land Total cultivated land (2+3-4) Orchards Pastures Forests Cultivable Wasteland Uncultivated wasteland Current fallows Other fallows Others
Source of irrigation
Remarks**
Note: * Mode of Payment: 1=Fixed Rent tenancy; 2=Crop Sharing; 3=Input sharing
**Mention rent amount per ha in the remarks column
II. INVENTORY OF FARM BUILDINGS, IMPLEMENTS AND MACHINERY Particulars Inherited/Constructed/Purchased Present Value (Rs.) No. Year Cost (Rs.) 1. Buildings -Farm buildings -Cattle shed -Store -Others 2. Implements and Machinery a. Minor
Remarks
-Wooden plough -Iron plough -Sickles, Spades, Hand rake etc Tractors Thresher b. Others
No.
Cows (local) In milk Dry Cows (Jersey) In milk Cows (Cross-bred) In milk Cows (Local) in milk Dry Buffaloes In milk Dry Young stock cows i. Male ii. Female
10. Young stock (Buffalo) i. Male ii. Female 11. Bullocks 12. Sheep 13. Goats In milk 14. Dry 15. Horses/Ponies/mules etc. 16. Poultry 4
CROPPING PATTERN AND DISPOSAL OF FARM PRODUCE Crop Areas (Ha) Total produce Home Kept (Qtls) consu for mptio seed Irr. Unirr n (kg) . Main By (Qtls.) Prod product 1. 2. 3. 4. 5. 6. 7. 8. 9. Maize (L) HYV a. Paddy (L) HYV a. Other cereals Pulses Potato Vegetabl es Oilseeds Fodder Wheat HYV 10. Barley (L) HYV 11. 12. Note: L = Local; HYV = High yielding varieties
V. INPUT USE IN IMPORTANT CROPS Sr. Particular/ Name of Crop............ Crop................ Crop.............. Crop.............. No. Crop Qty/No. Value Qty/No. Value Qty/No. Value Qty/No. Value 1. Seed/Seedlings 2. FYM 3. Fertilizers 4. IFFCO 5. -Urea 6. -SSP* 7. -CAN** 8. -DAP*** 5
9. -Any other 10. Plant Protection 11. Irrigation 12. Staking Material 13. Minor repairs 14. 15. 16. Note: Quantity is to be mentioned as per actual use in Qt. * Single Super Phosphate; **Calcium Ammonium Nitrate; *** Diammonium phosphate Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. VI. Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. Particular/ Name of Crop Seed/Seedlings FYM Fertilizers IFFCO -Urea -SSP -CAN -DAP -Any other Plant Protection Irrigation Staking Material Minor repairs Crop............ Crop................ Crop.............. Crop.............. Qty/No. Value Qty/No. Value Qty/No. Value Qty/No. Value
LABOUR USE IN CROP PRODUCTION Crop Human Labour Used (Man days= 8 hrs ) Total Male Female Children F H F H F H F H Animal /Hrs F H
Maize (Local) HYV Paddy (L) HYV Other cereals Pulses Potato Vegetables Oilseeds 6
HYV 15. 16. Note: F= Family labour; H= Hired labour. VIIII CONSUMER DURABLES Sr. No. Items 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. TV Washing Machine Sofa set Cooking gas Cots Refrigerator Cars Commercial Vehicle Transport Vehicle Motorcycle Scooter Table Chairs Telephone (land line) Computer AC Mobiles Others (specify)
No
Remarks
IX.CONSUMPTION OF CEREALS, VEGETABLES AND OTHER ITEMS Sr. No. Particulars Kgs. / Month Approx. Expenditure / month/annum (Rs.) 1. Wheat 2. 4. 5. 6. 7. 8. 9. Rice Pulses Milk, butter, ghee etc Fresh fruits Green Vegetables Dry fruits, nuts etc Meat
Remarks
Eggs Oils Education Clothing and Shoes Beverages Health Electricity Communication Other (specify)
Amount (Rs.)
Collateral (Rs.)
Paid (Rs.)
1 2. 3. 4. 5. 6. 7. 8. 9.
Commercial banks Cooperative Society /bank Government Money-lender Landlord Relative Friend Input dealer Others (specify) Note: *Purpose: 1= Improvement of Land; 2= Installation of Tubewell; 3=Investment in agricultural
Machinery; 4= Purchase of agricultural Inputs; 5= Any other investment; 6= Marriage of daughter/son or health expenditure; 7= Any other type of consumption expenditure.
XI PRODUCTION PROBLEMS/CONSTRAINTS IN AGRICULTURE i. Lack of timely availability of Seeds; ii. Lack of timely availability of fertilisers; iii. Lack of credit; iv. Lack of technical knowhow; v. Lack of irrigation vi. Others (specify) XII MARKETING PROBLEMS/CONSTRAINTS IN AGRICULTURE i. Lack of roads; ii. Lack of transport facility; iii. Low price; iv. Lack of market; 8
v. Lack of procurement agency/system vi. Lack of market intelligence; vii. Others (specify) XIII SOURCES OF INFORMATION FOR NEW TECHNOLOGY (i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix) (x) Agricultural development officer; Krishi Vigyan Kendras; Agricultural Univ; Leading farmers; Relatives; Village pardhan; Newspaper; Radio/TV; Input dealers; Others (specify)
Sr. No. * Occupation 1 # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Occupation 2 # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Previous Occupation # Type of industry ## Type of Organization ### Mode of Payment $ Place of work Man days of work Annual Income Detail of Occupations of Household Members Present Occupation Previous occupation (if any) Reason for Leaving$$ Whether MGNREGA worker (1=Yes; 2=No) If yes, Days of work Annual Income 10 XIV Employment
Note: *Sr. No. of the member should be same as in the demography table. ###Occupation: 2 digit code as per National Classification of Occupations (NCO)- 2004. Place of work: 1=within village; 2=within district; 3= outside of district but within state; 4= outside of state but within India; 5=outside India. ##Type of Industry: 2/3 digit code as per National Industrial Classification (NIC) - 2004 ###Type of Organisation: 1= Agricultural farm; 2= Small Business; 3=Government/public sector; 4=Public/Private limited company, 5=Co-operative societies/trust/other non profit institutions, 6=employers households (i.e., private households employing maid servant, watchman, cook, etc.), 9=others. $Mode of Payment: 1=salary; 2=daily wage in cash; 3=daily wage in kind; 4= daily wage in cash and kind; 5=piece payment in cash; 6=piece payment in kind; 6= piece payment in cash and kind; 7=others. $$ Reason for Leaving Previous Occupation: 1=work was not remunerative enough, 2=unpleasant environment, 3=employer harsh, 4=health hazard, 5=to avail benefits of voluntary retirement; 6= layoff without pay, 7=unit has closed down, 8=lack of work in the enterprise (for self-employed persons), 9=lack of work in the area (for casual labour); 10= for better opportunity; 11=others.
Sources of Income
S. Nr. 1 Source of Income Agriculture and Allied activities i Food Crops Ii Horticulture crops Iii Dairy iv Fishery/poultry v Other allied activities Non-Agricultural Income (Self Employed) Agricultural Labour Non-agriculture Labour Employment in MGNREGA Salaried Job Pension Total Number of Household members employed Annual Income
2 3 4 5 6 7 8
11