APPENDIX I
FORM OF SCHEDULE USED IN CONDUCTING
THE ENQUIRY
Serial No	
Name of Head.._	
Caste:	   House =J^i-

Members of the
family

Age

Civil
Condi-
tion

Literacy

Residing

Occupation

Liter-
ate in

Study-
ing

outside at

Princi-
pal

Sub-
sidiary

1. | | | | | | |
2. | | | | | | |
8. | | | | | | |
4. | | | | | | |
5. | | | | | | |
6. | | | | | | |
7. | | | | | | |
8: | | | | | | |

Total annual
income

Land (net)

Animals (net)

Labour (net)

Other
Sources

Skilled | Unskilled |

Total annual
expenditure

Food

Cloth-
ing

Other
neces- I
saries

nterest

Land
revenue

Cash
rent

Repairs
and
renew-
als

Deprecia-
tion of
livestock
and
deadstock

Total indebtedness | Ordinary | Mortgage | Productive | Unproductive
| | Value of | Value of |
Total assets | Value of land | animals | implements | Value of house
Note;   Figures of area to be given in acres*
Figures of value to be given in rupees.