Child Welfare Survey | Minal Yuva Sangathan

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Member Volunteer

Rural Youth Self-Employment Rural Self employment Rural Healthcare Rural Education For Children

Media Documents Contact

DONATE NOW

Rural Child Welfare Survey (Age 3–10 Years)

Minal Yuva Sangathan

Purpose: This survey is conducted by Minal Yuva Sangathan to assess education, health, nutrition, and living conditions of children aged 3–10 years in rural areas. The data will be used only for social welfare and government coordination.

Volunteer Verification Required

Please verify your Volunteer ID to access this form.

A. Location Details

Village

Block / Tehsil

District

State

Survey Date

B. Volunteer Details

Volunteer Name

Volunteer ID

Signature (Type Name)

C. Child Details

Child Name

Age (Years)

3 4 5 6 7 8 9 10

Gender

Male Female

Aadhaar (Last 4 digits, if any)

D. Parent / Family Details

Father/Mother Name

Mobile Number

Family Occupation

Agriculture Labour Self-Employed Other

E. Health & Education

Health Status

Good Average Poor

Immunization

Yes No

School/Anganwadi Enrollment

Yes No

F. Government Scheme Benefit

Receiving any scheme benefit?

Yes No

If YES, Select Benefits:

Anganwadi Mid-Day Meal Free Books/Uniform

G. Observation / Need

Child needs support in:

Education Health Nutrition Financial

Remarks

Declaration

Information given is true and shared voluntarily for welfare purposes.

Parent / Guardian Signature / Thumb Impression (Type Name)

Date

Dedicate to uplifting the poor and needy through food, education, and healthcare initiatives.

Programs

Food Distribution
Medical Camps
Child Education
Women Empowerment

Contact Info

Minal Yuva Sangathan N block Hargovind Enclave Rajpur Khurd new delhi 110074
8839016148
info@minalyuvasangathan.org

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