ANNEXURE B-1 DETAILS NEEDED FOR …

1 85 ANNEXURE BANNEXURE B-1 DETAILS NEEDED FOR APPLICATION FOR registration under of NameAgeSexi)ii)iii) of of Gram of ST/IAY/LR. Beneficiary I/We certify that the particulars given above are correct_____Specimen Signature/ Thumbimpression of adult Memberswilling to work. Photograph of Adultmembers willingto No. (to be assigned by Gram Panchayat)86 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 ANNEXURE B-2 PROFORMA SUGGESTED FOR JOB CARDP roforma for Job Card(COVER PAGE) registration /Job Card CARD-CUM- JOB CARD OF THE HOUSEHOLDSEEKING WAGE EMPLOYMENT under NREGAVALID FOR FIVE YEARSFROM ..TO ..(State Code/District Code/Block Code/ registration No.)(ii)87 ANNEXURE B1.

2 registration Number of the Household:StateCode/DistrictCode/Block Code/Village/Family Member2. Name of the Applicant3. SC/ST/IAY/LR beneficiary4. DETAILS of the applicants of the Household willing to s/Husband s NameMale/Age on Date A/c CodeFemaleRegistration(if any)4. Address5. Date of registration :Signature/ThumbSeal & Signature ofimpressions of applicantsRegistering AuthorityJob Card B-2 PARTICULARS(ii)Photograph(s) of members ofHousehold willing to work, dulyattested by Sarpanch andPanchayat Secretary88 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 JOB/EMPLOYMENT RECORDD emand for work RecordDate from whichemployment of submissionof application forseeking employmentNo.

3 OfdaysJob Card B-2(iii)Note:1. No Row will be left blank in any Monthwise totals will be done at the end of Month for number of days of employment DETAILS will be entered separately for separate family Accordingly when wage employment of 100 days have been provided to the household, it has to be entered in the next row in red The entries of the next month should immediately start from the next row giving total of previous There should be 20 rows available for entries on one page. There must be at least 5 such pages having 20 rows for making entries during the 5 of Employment ProvidedS. NoName of FamilyMember towhomEmploymentProvidedMonth & YearNo. of Days and Date forwhich EmploymentProvidedDetails of Workon whichEmploymentProvidedMuster RollNumber bywhich wagespaidSignature ofAuthorisedOfficerDateToNo.

4 Of DaysFrom89 ANNEXURE BDETAILS OF UNEMPLOYMENT ALLOWANCE GIVENJob Card B-2(iv)S. NoName of FamilyMember towhomUnmploymentAllowancegivenDate, Month& YearNo. of Days and Dates forwhich UnmploymentAllowance ProvidedRate at whichUnmploymentAllowancegivenTotal amountpaidSignature ofAuthorisedOfficerDateToNo. of DaysFrom90 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 ANNEXURE B-3 Name of work:Financial Approval Number: ..Date: ..Period of Attendence: ..Month: ..Date: ..Sl No. of Muster Roll(Every Muster Roll musthave distinct Number) ,Name of Father/Husband, Due Rs.. ( words )Actural Amount paid Rs.. ( words )DatedApproved bySarpanch/Programme officer/Authorised officer12345678910 Total no.

5 Of:WorkersWomen:MenSC/STOBCO thersDaily TotalSignature ofperson takingattendenceSignature ofInspectingAuthority123456 7891011121314151617181920212223242526272 8293031 SUGGESTED PROFORMA FOR MUSTER BANNEXURE B-4 Muster Roll Issue Register to be Maintained by the Issuing Authority Programme Officer at the Block of work forwhich issuedFinancial Sanction Numberand Date of WorkDate of Issue ofMuster RollName of Agency towhom Muster RollIssuedName, Designation andSignature of the Officialreceiving Muster RollAmount(in Rs.)Date1234 5 NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 ANNEXURE B-5 MUSTER ROLL RECEIPT REGISTER TO BE MAINTAINED BY GRAM PANCHAYATSS. NoName of workfor whichissuedMuster SanctionNumber and Date ofWorkFor Muster Rolls of Worksfor which Gram Panchayatis the Executing AgencyFor Muster Rolls of Works forwhich Executing Agencies areother than the Gram Panchayat13246 8579 Amount(in Rs.)

6 Date of Issueof MusterRoll byProgrammeOfficerName,DesignationandSig nature ofthe OfficialreceivingMuster RollDate onwhich copyof the paidMuster Rollgiven to theGramPanchayatDate &Signature BANNEUXRE-B-6 Muster Roll Receipt Register to be Maintained by each Implementing Agency other than Gram PanchayatsS. NoName ofwork forwhich issuedMuster Sanction Numberand Date of WorkDate of Issue/reciept ofMuster RollDate on whichcopy of thepaid MusterRoll given tothe GramPanchayat forrecord1324796810 Name,Designationand Signatureof the OfficialreceivingMuster RollDate &Signature ofthe receivingGramPanchayatOfficialS. NoAmount(in Rs.) NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 ANNEXURE -B-7 PROFORMA FOR registration APPLICATION of applicantDate of receipt of application/Request for registrationNo.

7 And date of jobcard issuedReasons, if job card notissued and any other remarks95 ANNEXURE BANNEUXRE-B-8 INDEX OF JOB CARD Card of Registered personsin the householdPage OF JOB CARD REGISTER(i)96 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 Page No. : ..PROFORMA OF PAGES IN THE JOB CARD REGISTER1. registration Number of the Household:2. Name(s) of the Applicant3. SC/ST/IAY/LR beneficiary4. DETAILS of the applicants of the Household willing to work4. Address5. Date of registration :Signature/Thumbimpressions of applicantsSeal & Signature ofRegistering AuthorityJoint Photograph ofHousehold duly attestedby Sarpanch andPanchayat s/Husband s NameMale/FemaleAge on Date A/c No.

8 (if any) Code(ii)B-897 ANNEXURE BPROFORMA OF PAGESPage No. : .. Number of the Household period of employment3. Period and work on which employment offered4. Period and work on which employment givenANNEXURE-B-9 EMPLOYMENT REGISTER AT GRAM PANCHAYAT LEVELINDEXM onth and date from whichemployment availedNo. of daysName of workSl. of applicantMuster roll No. videwhich Card of Registered personsin the householdPage of applicantMonth and date from whichEmployment OfferedNo. of daysName of workSl. of applicantMonth and date from whichEmployment RequestedNo. of daysPreference for place98 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 ANNEXURE -B-10 PROFORMA FOR ASSET of workDate of StartPage BPROFORMA FOR ASSET REGISTER (PAGES)1.

9 Name of Work2. Nature of work3. Scope of work4. Location of workVillageGram PanchayatBlockDistrict5. No. and date of sanction6. Whether included in five year Perspective PlanYes/No7. Whether work approved in Annual Plan by DPYes/No8. Estimated cost Rs..9. Estimated completion time10. Expenditure incurred (in Rs.)Total No. of personsgiven workPersondaysNo. of persons onworkHighestLowestUnskilledSemiskilledS killed12. Distinct Numbers of muster rolls used13. Date of start of work14. Date of completion15. Whether local vigilance committee Employment generatedTotalLabour unskilledLaboursemi-skilledLabour skilledMaterialContingencyPage (ii)100 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, 2005 COMPLAINT REGISTER TO BE MAINTAINED AT BLOCK AND DISTRICT and address ofcomplainantName of Gram Panchayatand blockAction takenDate of finaldisposal101 ANNEXURE - PART-IMONITORING FORMATS FOR MONTHLY PROGRESS REPORT UNDERNATIONAL RURAL EMPLOYMENT GUARANTEE ACT (NREGA)MONTHLY PROGRESS REPORTE mployment Generation under NREGA During the Year.

10 Up to the Monthof ..NAME OF THE STATE :No. of persons at workin the monthEmployment Generated ( In Lakh Mandays)(Cummulative for the year)Out of ofregisteredhouse-holds(cummul-ative forthe dis-trict)No. ofapplicantsfor work inthe (7+8+9)WomenLandReform/ IAYbeneficiaryOthers12 34567891011121312345678 of registered households should be cummulative since the should be number of persons who have requested for work to be made available during the Give number of persons actually on work as per muster Give employment generated in persondays cummulative for the financial year.(i)102 THE NATIONAL RURAL EMPLOYMENT GUARANTEE ACT, -PART-IIFinancial Performance under NREGA During The upto The month of.