Needs Assessment Proforma For Productive Asset Distribution to Ultra-Poor Households

(Please fill all the columns carefully)

Section A: Household Identification

Full Name of Respondent:

Father's / Husband's Name:

CNIC Number:

Contact Number:

Gender:

Male Female Other

Age:

Marital Status:

Single Married Widowed Divorced

District:

Tehsil:

Union Council:

Village / Mohalla:

Section E: Declaration and Verification

Are you Willing to participate in Short business or asset-use training?

Yes No

Declaration by Applicant:

I declare that the information provided above is true to the best of my knowledge and I am willing to use any support/productive asset received responsibly to improve my livelihood.

I agree to the above declaration

Needs Assessment Proforma For Productive Asset Distribution to Ultra-Poor Households

Section A: Household Identification

Section B: Socio-Economic Profile

Section C: Vulnerability and Special Status

Section D: Interest and Aptitude for Productive Asset

Section E: Declaration and Verification

Declaration by Applicant: