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1

Block
2

SI.no
3

Name of Panchayat
4

Code no. of Habitation in the block


5

Name of the Habitation


6

Total Population
7

SC Population
8

ST Population
Population (50)

Weightage (Max 50)


10

Degree College (10)

Pre-University (PUC)/10+2
11

institute, HSC (7)


12

ITI (8)
13

High School (5)


14

Middle School (3)


Educatonal Facilities (10)

15

Primary School (2)


16

Weightage (Max 10)

CHC/Beded Hospital Referral


17

for PHC Patients (7)


18

PHC (4)
19

Sub center/ANM Center (2)


Medical Facilities (7)

20

Weightage (Max 7)
21

veterinary Hospital (3)


(3)

22

Weightage (Max 3)
Facilities
Veterinari

23

Bus Stand (3)


24

Railway Station (4)


25

Notify Tourist Centres (2)


One Diesel/Petrol authorised
26
FORMAT -I

Outlet (1)

Additional Authorized outlet


27

(1)

Post -Telegraph
28

Office/PCO/Bank/Seasonal
Rural Banks (2)

Electricity Sub Station 11 KVA


29

(1)

Electricity Sub Station Above


30

11 KVA (1)
Transport and Communication Infra Structure (15)

31

Weightage (Max 15)

Mandi (Based on Turn Over)


32

(7)
33

Ware house/Cold Storage (3)

Retail shops selling agricultural


34

inputs and items of daily


consumption (2)
Market Facilities (12)

35

Weightage (Max 12)


36

Panchayat HQ (1)
37

Sub Tehsil (2)


38

Tehsil/Block head quarter (3)


Category) (3)

39

Weightage (Max 3)
(Score of the Highest
Administrative Centres

40

Total Weightage (Max 100)


41

Name of MLA Constituency


42

Name of MP Constituency

List of Roads Connecting the Habitations


43

(Give code)
44

Type of the Road (AWR/FWR)


SI.no

Code :
Name of the Road

and Code :
Name of District
Road No (e.g. ODR 5, VR 20, L021, T01 etc)
Name of Block and

Category of Road (ODR/RR/VP/Others)

Length (Km)

Predominent Soil Type

Terrain Type

Road Land Width

Formation Width
Width (M)

Carriageway Width

BT
Start

in Kms Chainag
Length and End
PCI

WBM/Metal
age
Lengt and
Start

Kms Chain
h in End PCI
Length
in Kms
ge

Gravel
and
End
Start
Length (Km) with Surface Type

Chaina
h in PCI
Kms
Lengt

Earthen
Start

Chainag
and End
PCI

All-Weather Road (AWR) or Fair-Weather Road (FWR)


Format - II - Road Inventory

Average PCI

Year of construction

Year of last periodic renewal

Number

Type

Total Length
Exisiting CD Works

(Waterway Span) Width (M)

Habitation code
List of

the Road

Name of Habitation
Habitations on

Owner of the road

Whether Sanctioned/constructed under PMGSY

Road score
Format -III-Record of Primary and Secondary Roads
State : Code: District: Code:

Kilometer Block : Code:


Identification
code
SI.no Name of the Road (NH/SH/MDR) Carriage Surface Type Remarks
(eg NH43 or Starting Ending Length in
way width (BT / WBM / (AWR /
MDR11) (eg 24.50) (eg 65.00) KM
(m) Gravel / Earth) FWR)

1 2 3 4 5 6 7 8 9
Candidate Road List for PMGSY-II
Name of the District :
Habitation Served

value in col 18 for a road)


Road Score (Total of the
Name of through route /
Present Surface Type Details

Road code (starts with

(Col.No.19/Col.No.8)
Year of Contruction
Directly

Carriage way width


Category of Road
(ODR/RR/VR)
DRRP road no

Road Length

Utility value
Population (as per
T/MRL/L)

Habitation Code

2011 Census)

AADT
Surface Type
Block

S.

Date of PCI
MRL

PCU
Weightage
Start Km

End Km
no.

Name
PCI
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Note:
1. List of Roads should be arranged in descending order of Utility Value.
2. Only T-routes (except NH/SH/MDR roads) and MRLs should be listed in this format.
3. Road Score is the summation of weightages Directly benefitted Habitations.
4. Utility Value = Road Score/Road Length
Comprehensive Upgradation cum Consolidation Priority Lists (CUCPL)

District :

Name of the MLA Constituency


Name of the MP Constituency Indirectly

Average PCI and year of PCI


Year of last periodic renewal
Directly benefitted Total
Present surface Details benefitted
Habitations Populatio

Year of construction
Habitations
Name of the Block

Average

Length (in Km)


n of the
per km

Utility Value
Road Score
Name of habitation
T route Road maintena
Sl. through s served
no / code in nce
No route / by the

Growth Score
Surface Type
MRL No DRRP expenditu

Name of the
Name of the

Population

Population
Habitation

Habitation
MRL road

Start Km

End Km
re In last
directly

PCI
3 years
and
indirectly

Note:

Only the Candidate roads whose PCI value is 1 or 2 (or) portion of the Candidate roads whose PCI value is 1 or 2 should be listed in this format.
Abstract of DRRP roads

Details of roads in Details of roads in Details of roads as


Sl Name of Name of Format II Candidate road list per CUCPL
No District Block
No of roads Length in No of Length in No of Length
Kms roads Kms roads in Kms

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