Front

Page 1

StreetWeek 1 Date

Given

Floor Partial Full

Not given

Sl. no.

House no. Left

House no. Right

Name of person giving cell phone no.

Cell phone no.

Bags at gate

Front

Page 2

Number completed = Full & bags at gateN=Under construction / Vacant / Unoccupied

Front

Page 3

Week 2 Date Week 3 Date Week 4 DateGiven Given Given

Partial Full Partial Full Partial Full

Not given

Not given

Not given

Bags at gate

Bags at gate

Bags at gate

Front

Page 4

Back

Page 5

StreetWeek 1

Floor Cell phone no.

1 477/42 Rahul G 98860 44444

2 1 Manmohan S 93412777773 475 Ground Sonia G 98450888884 First Jacob 99546999995 474 Jagdish H 93412333337 1-1 Ramesh 98860 98671

N

8 473 Suresh 98458 222222 Kalpana 93524 11111

9 472 Angela 98450 6666610 3 Shabir 98866 12345

Percentage completed = ((Full and Bags at gate) / Total occupied homes) x 100 = (6/10) x 100 = 60 %

Sl. no. Do not number 'N' homesHouse no. left Enter only houses on Left hand side of roadHouse no. Right Enter only houses on Right hand side of roadPartial Bags given but segregation is incorrect or bags are interchanged.Full All bags have correct content

15th Main

Not given

Sl. no.

House no. Left

House no. Right

Name of person giving cell phone no.

6th Cross

7th cross

Back

Page 6

Date 26-Sep

GivenPartial Full

Percentage completed = ((Full and Bags at gate) / Total occupied homes) x 100 = (6/10) x 100 = 60 %

Bags given but segregation is incorrect or bags are interchanged.

Bags at gate