Instructions: Keep following registers at the time of filling the form:-
1) Enrolment Register. 2) Account 3) Bank Account Pass book. 4) Cooking cost details etc.

2. School Details

Month- Year		UDISE Code		School Name
Type	Government Local Body NCLP Madras / Maqtab
Category	Primary Upper Primary
State / UT:		District-		Block/NP.		Village/Ward-
Kitchen Type-		NGO- SHG-		Enrolment-

2. Meals Availed Status

	Bal Vatika	Primary	Upper Primary
Number of School days during month
Actual number of days Mid Day Meal served
Total Meals served during the month

3. Fund Details (in Rs.)

Component	Opening Balance	Received during the Month	Expenditure during the Month	Closing Balance
Cooking Cost - Bal Vatika
Cooking Cost - Primary
Cooking Cost - Upper Primary
Cook Cum Helper
School Expenses : MME Expenses
Whether the Sum of above Closing Balance matches with Bank Account Closing Balance.			Yes	No

4. Cook Cum Helper Payment Details

S.No.	Cook Name	Gender (M/F)	Category (SC/ST/OBC/GEN)	Payment Mode (Cash/Bank)	Amount Received during month (In Rs.)
1
2
3
4