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d)  Available Transportation means:
                      …………………………………………………………………………………


                      ………………………………………………………………………………

                   e)  Housing:


                      o Most of the dwellings are

                               Modern


                               Old


                               Have fissures and cracks

                               Others




                      o Does house hold have electricity?


                               Yes                …………. Percentage ………….


                               No                 …………. Percentage ………….

                      o Does household have natural Gas?


                               Yes                …………. Percentage ………….


                               No                 …………. Percentage ………….


               B. Biological and chemical Environment:

                   a) What are the main sources of drinking water for the village?

                                Piped water


                                Hand pump


                                Motorized pumping /Tube well


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