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UPLIFTING FORM — Before / After

District: ... • ...

SCHOOL NAME

SEMIS CODE

SCHOOL TYPE

LOCATION / TALUKA

DATE OF UPLIFTING

SSB AMOUNT (RS.)

PRINCIPAL / HEAD NAME

CONTACT NO.

STATUS

SCHOOL CATEGORY / LEVEL

01 • OUTSIDE

Outside Photo (Before)

02 • INSIDE

Inside Photo (Before)

DETAILS / NATURE OF UPLIFT WORK (BEFORE)

03 • CLASSROOM 1

Classroom 1 Photo (Before)

04 • CLASSROOM 2

Classroom 2 Photo (Before)

DETAILS / NATURE OF UPLIFT WORK (BEFORE)

01 • OUTSIDE

Outside Photo (After)

02 • INSIDE

Inside Photo (After)

DETAILS / NATURE OF UPLIFT WORK (AFTER)

03 • CLASSROOM 1

Classroom 1 Photo (After)

04 • CLASSROOM 2

Classroom 2 Photo (After)

DETAILS / NATURE OF UPLIFT WORK (AFTER)