CONSOLIDATED REPORT FORM FOR REGION

REGION:

Address:

Month : Year:

Age Groups of Devotees

(a) Number of members (ages 6 to 17) in your Region:

(b) Number of Young Adult members (ages 18 to 35) in your Region:

(c) Number of members (36 years and older) in your Region:

GENERAL ACTIVITIES BY CENTRES, GROUPS & R. Coord. Committee SN Activities Total number Attendance Remarks (consolidated) Poor/Average/Good* 1 Executive Board meetings

2 Regional Coordinating Committee Meetings Conference Retreat Public meeting Seminar &W/shop

DEVOTION WING SN Activities Total number Attendance Remarks (consolidated) Poor/Average/Good* 1 Thursday Kirtan Pravachan & Meditation 2 Kirtan & Pravachan* on other days 3 Home Kirtan 4 Study Circle 5 Suprabhatam & meditation 6 Nagarsankirtan 7 Bhajan Training

1 8. Others(please specify):

EDUCATION WING No. of Trained Bal Vikas Total Number of Bal Vikas Class Age Remarks Gurus for each group Children on roll Group (consolidated for each Group) 1 Group 1 2 Group 2 3 Group 3 4 Group 4 SN Activities Total Number Attendance Remarks (Consolidated) Poor/Average/Good* 1 No. of Bal Vikas Class Age Group 1: 2 No. of Bal Vikas Class Age Group 2: 3 No. of Bal Vikas Class Age Group 3: 4 No. of Bal Vikas Class Age Group 4: 5. Parents meeting 6. SSE Workshops for teachers and parents 7. Others (please specity)

SERVICE WING S.N Activities( please specify) Total Attendance Remarks number Poor/Average/Good* 1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

2 LADIES FORUM SN Activities( please specify) Dates Attendance Remarks Poor/Average/Good* 1

2

3

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YOUNG – ADULT Activities S.N Activities( please specify) Dates Attendance Remarks Poor/Average/Good* 1.

2.

3.

4.

* Please denote as follows: Poor: for an attendance of less than 40% Average: for an attendance of 40% - 70% Good: for an attendance of 70% -100%

Special events and celebrations:

1. Date: Attendance (Figure).

2. Date: Attendance (Figure).

Summary Significant challenges in the areas of devotion, education, service, etc.? Please briefly describe the challenges and how they were met.

Achievements/Awards Any significant program carried out, that would serve as inspiration to others? Did any Centre/Group receive any recognition, honours or awards? If so, please briefly describe:

Signature of President Signature of Secretary

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Date: ………….. Date: …………..

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