27
Jan
2026
H NO.2-89-90,Kitta Basavakalyan, Bidar, Bidar, Karnataka
akashmolkeri@punarvaibhavam.org
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News
About Us
Projects
Projects
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Upload Project Reports
More
Careers
Events
Gallery
Organizational Overview
Goals & Objectives
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Contact Us
Home
Donations
News
About Us
Projects
Projects
Baseline Survey
Upload Project Reports
More
Careers
Events
Gallery
Organizational Overview
Goals & Objectives
Volunteer Registration
Contact Us
Contacts
H NO.2-89-90,Kitta Basavakalyan, Bidar, Bidar, Karnataka
akashmolkeri@punarvaibhavam.org
+(944) 886-0874
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Baseline Survey
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Baseline Survey
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Name
*
Age
*
Gender
*
Male
Female
Other
Father’s/ Mother’s name
*
Spouse Name
Number of Children
1
2
3
4
5
Children Going to School
Yes
No
Number of People in the House
*
Number of People in the Family Earns
*
BPL/APL card holder
*
1
2
3
4
5
6
7
8
9
10
Kuchha House / Puccka House
*
Kuchha house
puccka house
Access to Health and Sanitation Services
Yes
No
Education
*
Land(in acres)
*
Irrigated/Non Irrigated
Irrigated
Non irrigated
Type of Crops Grown
*
Livestock
*
Caste
*
Income per Month/Annum
*
Main source of Income
Agriculture
Livestock
Self-employment
Other
Any Subsidies Availed so Far
*
Have You Ever Taken Loan
*
Participation in Local Community Activities
*
Irrigated/Non Age of
Membership in Self-Help Groups
*
Submit
