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# of years in Thane 2 3 4 5+ O O O O O

# of years in Thane 2 3 4 5+ O O O O O. # of years in this slum 2 3 4 5+ O O O O O. Name on electoral role Yes No O O.

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# of years in Thane 2 3 4 5+ O O O O O

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  1. # of years in Thane • 2 3 4 5+ • O O O O O • # of years in this slum • 2 3 4 5+ • O O O O O Name on electoral role Yes No O O Ration card Card No dd/mm/yy Yes No O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Orange Yellow O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Voter ID card Yes No O O Mother tongue Marathi Hindi Kannada Other Home Kaccha Own house Semi-pukka Rent Pakka Rent amount/month House Vehicle None 2-Wh Bike Other O O O O O O O O O O O O O O Electricity Own meter Borrowed No elec Water Own Public Toilet Disposal Own Soak pit Public Septic Other Sewage Garbage Bin Open Other O O O O O O O O O O O O O O Comforts Cable Tele Fan Mixer Fridge TV Newspaper First name: Last name: Address: O O O O O O O

  2. # of years in Thane • 2 3 4 5+ • O O O O O • # of years in this slum • 2 3 4 5+ • O O O O O Name on electoral role Yes No O O Ration card Card No dd/mm/yy Yes No O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Orange Yellow O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Voter ID card Yes No O O Mother tongue Marathi Hindi Kannada Other Home Kaccha Own house Semi-pukka Rent Pakka Rent amount/month House Vehicle None 2-Wh Bike Other O O O O O O O O O O O O O O Electricity Own meter Borrowed No elec Water Own Public Toilet Disposal Own Soak pit Public Septic Other Sewage Garbage Bin Open Other O O O O O O O O O O O O O O Comforts Cable Tele Fan Mixer Fridge TV Newspaper First name: Last name: Address: O O O O O O O

  3. # of years in Thane • 2 3 4 5+ • O O O O O • # of years in this slum • 2 3 4 5+ • O O O O O Name on electoral role Yes No O O Ration card Card No dd/mm/yy Yes No O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Orange Yellow O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Voter ID card Yes No O O Mother tongue Marathi Hindi Kannada Other Home Kaccha Own house Semi-pukka Rent Pakka Rent amount/month House Vehicle None 2-Wh Bike Other O O O O O O O O O O O O O O Electricity Own meter Borrowed No elec Water Own Public Toilet Disposal Own Soak pit Public Septic Other Sewage Garbage Bin Open Other O O O O O O O O O O O O O O Comforts Cable Tele Fan Mixer Fridge TV Newspaper First name: Last name: Address: O O O O O O O

  4. # of years in Thane • 2 3 4 5+ • O ● O O O • # of years in this slum • 2 3 4 5+ • ● O O O O Name on electoral role Yes No O ● Ration card Card No dd/mm/yy Yes No O O ● O O O O O O O O O O O O O O O ● O O O O O O O O O O O O O O O O O Orange Yellow O ● O O O O ● O O O O O O O O O O O O O O O ● O O O O O O O O O O O O O ● O O O O O O O O O O O O O O O O O O O O ●● O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O O Voter ID card Yes No O ● Mother tongue Marathi Hindi Kannada Other Home Kaccha Own house Semi-pukka Rent Pakka Rent amount/month House Vehicle None 2-Wh Bike Other ● O O O O ● O O O ● O ● O O 1232 Electricity Own meter Borrowed No elec Water Own Public Toilet Disposal Own Soak pit Public Septic Other Sewage Garbage Bin Open Other O O O O O O O O O O O O O O Comforts Cable Tele Fan Mixer Fridge TV Newspaper O O O O O O O

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