JANA MYTHRI PROFORMA

(Village Proforma)

  1. Village/ Division No/ corporation.

MainVillage
Hamlet
Mandal
Revenue Division
GPS Location

(ii)Village Boundaries:

North
East
West
South

(iii)Village Map

(iv)Village History :

2.Police:

Police Station
Circle
Sub Division

3.Census:

Male / Female / Youth
Population
Voters
Literacy

(a)Village Trades / Caste Professions (Barbers/Blacksmith/Goldsmith/Toddy toppers/Dobhi/Potters/Weavers/Carpenter etc.,)

Sl / Trade Type / Name / Phone
1
2
3
4
5
  1. Public representatives:

Sl / Post / Name / Party affiliate / Phone
1
2
3
4
5
  1. Local Administration:

Sl / Post / Name / Department / Phone
1
2
3
4
5
  1. Local Media:

Sl / Name Of The Reporter / Agency
(Print / Electronic Media) / Phone
1
2
3
  1. Nature Of Soil/Land:

Sl / Nature Of Land / Land In Acrs.
1 / Dry Land
2 / WetLand / 20 Acrs.
  1. Type Of Water Facilities:

Sl / Water Facilities (Irrigation / Drinking) / Details If Any / Deficiencies
1
2
3
4
  1. Health:

Sl / Unit
(PHC / Govt. Dispensary / RMP /PMP) / Facilities Avaliable
(Beds / X-ray & ECG etc.,) / Phone
1
2
3
4

ii)Doctors:

Sl / Name Of The Doctors / Specialization
(RMP/PMP/MBBS/Surgeon/ MD)
1
2
3
4
5

10.Educational Institutions(Schools/Colleges/ITI/Polytechnic)

Sl / Name Of The Institution / No of Rooms / Other Facilities / Phone
1
2
3
4
5
  1. Economic Activity:
  1. Industries (Vital installations/Cell towers/Resorts/Important Jewellery Shops / Wine Shops/ Cotton/Sugar Mills etc.,)

Sl / Name Of The Industry / Specialization / Owner / Phone
1
2
3
4
5

ii)Other Business activity: (Rice Mills / Brick kilns / Coconuts / Sarees / Aqua culture etc.,)

Sl / Name of the Economic activity
1
2
3
4
5
  1. Social:

i) Association/ caste groups and elders / Religious heads etc.,

Sl / Name of the association/group / Lead by / Phone
1
2
3
4
5

ii)Women groups(DWCRA etc.,)

Sl / Name of the group / Group Leader / Phone
1
2
3
4
5

iii)Establishment ( Cinema/ Function halls/ others)

Sl / Name of the Establishment / Owner / Phone
1
2
3
4
5

iv)Religious places (Temples / Churches / Mosques etc. ,)

Sl / Nmae of the religious place / Priest / Phone
1
2
3
4
5

v)Fairs and Festivals ( Fairs / Festivals / Jathara etc . ,)

Sl / Name of the fair / festival / Celebration (date / month / year) / Approximate gathering / Organizer / Phone
1
2
3
4
5
  1. Crime:

i) Recent crime incident (for last three years)

Sl / Crime reported with Cr . No . and Section of Law / Present stage of the case
1
2
3
4
5

ii) Un – reported Crime:

Sl / Crime details / Remarks
1
2
3
4
5

iii) Social evils:

Sl / Social evil / Persons involved
1 / Gambling / Betting
2 / Cock Fighting
3 / Prostitution
4 / Recording Dances
5 / IMFL belt shops
6 / I.D. Arrack
7 / Piracy video shops
8 / Bogus Gulf Agents
9 / Counterfeit currency
10 / Women Traffickers
11 / Cheating (Money Laundering, Chain- link system etc . ,)
12 / Hunting
13 / Match-Fixing

iv) Anti social elements : ( History sheeted persons / Trouble Mongers/ EX- convicts / Vagabonds / strangers etc .,)

Sl / Name / Type of sheet / Residence / Current doings
1
2
3
4
5

v) Explosives / Manufacturing of Crackers License holders:

Sl / Name / License validity / Phone
1
2
3
4
5

vi)Gun License Holders:

Sl / Name of license holder / Weapon validity / Phone
1
2
3
4
5

vii)Jail Releases: (Parole / Furlough / Bail etc .,)

Sl / Name / Jail / Release Type / Phone
1
2
3
4
5

13(A)Traffic

a)Road Accidents:

Sl / Date / Accident location / Cr. No.
1
2
3
4

b)Traffic congestions:

Sl / Location / Nature of congestion
1
2
3
4
5

14. Extremism:

i)U.G.Cadre:

Sl / Name / Status
1
2
3
4
5

ii) Open Cadre

(Frontal organization i.e., APCLC, PDSU ,POW, CMS , PWD etc.,)

Sl / Name / Status
1
2
3
4
5

iii) Militants

Sl / Name / Activity
1
2
3
4
5

iii)Ex-Cadre ( Surrendered , Arrested etc., )

Sl / Name / Status
1
2
3
4
5

iv)Targets (Politician , Police , Civilian etc.,)

Sl / Name of the target / Type of target
1
2
3
4
5

v)Extremist offences

Sl / Offence / Date / Cr.No.
1
2
3
4
5

vi)Extremist Movement

Sl / Date / Visit Details
(1. No of person with names 2) Purpose)
1
2
3
4
5

vii)Victims of Extremist violence

Sl / Name / Type
(1. Police / official , 2. Politician , 3. Civilian) / Phone
1
2
3
4

viii)Rehabilitation (Surrendered , Victims and others)

Sl / Surrendered / Male / Female
1 / Police
2 / Civilians
3 / Politicians
  1. Disaster Management:

i) Cyclone Shelters:

Sl / Location / Capacity / Shelter In-Charge / Phone
1
2
3
4

ii)Swimmers:

Sl / Name of the swimmer / Phone
1
2
3
4

iii)Boats:

Sl / Name of the owner / Type of Boat / Seating Capacity / Phone
1
2
3
4
5

iv)Vehicles: (Lorries / Buses/ Tractors / Prociainers / Cranes etc.,)

Sl / Name of the owner / No. of vehicles / Type of vehicle / Phone
1
2
3
4
5

v)Generator:

Sl / Name of the owner / Phone
1
2
3
4
5

vi)Public Address system

Sl / Name of the holder / Phone
1
2
3
4
5
  1. Miscellaneous:

i) Dignitaries/ Prominent / Wealthy Persons:(Service officers / Retd. IAS / IPS / IFS / Actors Writers / Police Officers And Others)

Sl / Name / Service / Phone
1
2
3
4
5

ii)Farm House / Guest Houses:

Sl / Farm/ Guest House Name / Owner Name / Type & extent / Phone
1
2
3
4
5

iii)NGO’s:

Sl / Name / Organiser / Phone
1
2
3
4
5

iv)Ex-Service Men (Police / Army / Navy / Air force / Forest / Fire Service / Excise etc . ,)

Sl / Name / Organisation / Phone
1
2
3
4
5

v)Statues (Huge / Madium/ Small / Bust size)

Sl / Location / Statue Name / Size / Committee in- Charge / Phone
1
2
3
4
5

vi)Cell Network: (availability of network ie., Cell one, Airtel, Idea, RIM, Vodafone, Tata, Aircel, Uninor etc., & cell towersetc.,)

Sl / Type of Network coverage / Location of Towers
1
2
3
4
5

vii)Community Policing:

Sl / Date / Officers attended / Programme details
1
2
3
4
5

viii)Officer’s Visit:

Sl / Date / Name & Rank / Purpose
1
2
3
4
5

ix)Land Disputes:

Sl / Date / Nature of Dispute / Persons involved
(Political / Caste) / Location of Land & SurveyNos. / If registration of case, mention the Cr.No. & Section of law etc.)
1
2
3
4
5

x)Family Disputes / Civil disputes :

Sl / Family / Civil Dispute / Nature / Particulars whether counseling conducted or not / Persons involved / If registration of case, mention the Cr.No. & Section of law etc.)
1
2
3
4
5

xi)Caste / community Disputes :

Sl / Date / Nature of dispute / Persons involved
(Political / Caste) / Location & cates involved / If registration of case, mention the Cr.No. & Section of law etc.)
1
2
3
4
5

xii)Irregularities in any Govt. welfare and development schemes:

Sl / Type of Govt. Scheme / Details of Irregularity / Department / If registration of case / initiation of departmental action-mention details/ Cr.No. & Section of law etc.)
1
2
3
4
5

xiii) Atrocities against women and weaker section:

Sl / Woman / Weaker Section / Place of atrocity / Person involved ( Political / Caste) / Any rehabilitation / compensation, / If registration of case , mention the Cr. No. & Section of law etc.)
1
2
3
4
5

xiv)Electricity / Roads problems:

Sl / Place / Description of problem / Type of intervention required to rectify / Persons / Officials requested to attend the requirements
1
2
3
4
5

xv)Deficiency in services provided by the Govt. Departments:

Sl / Place / Details of deficiency in which service / Concerned Department / Persons /Officials requested to attened / recently
1
2
3
4
5

xvi)Details of video / Beauty Parlors & CD Shops:

Sl / Name & Location / Owner & Phone No. / If registration of case, mention the Cr.No. & Section of law etc.)
1
2
3
4
5

xvii)Any other miscellaneous points: