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**Public Library Survey**
		All fields marked with * are mandatory. At least one of the fields marked with * needs to be entered
Name of the Library/Organisation *
Library Address
Primeses No./Street/Locality		Village/Town Name *
Post Office *		PIN *
State *		District *
Email *		Mobile *

Nearest Rail Station		Nearest Bus Stop
Land Mark

Library is Located At	Urban(Municipal/Corporation area)Rural(Panchayat area)
Status Of Library	Any Other (Please Specify)
Management of Library	Any Other (Please Specify)

Year of Establishment		Total No. of Registered Member *
Average no. of readers per Day(footfall)		Total Staff *

Total No. of Books *		Total no. of Manuscripts
Total no. of Rare Books		Any other materials
Whether Library is Automated	YesNo	If automated, software used

Name of the Librarian/Officer In-Charge *
Designation *
Date