Monthly Report Form

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Report for the month of	:
Name Of The Club	:
CLUB SERVICE
No. of members as on 1st of this month	:
Male	:
Female	:
Attendance of previous month in percentage	:
No. of meetings held	:
No. of bulletin published last month	:
Do you publish E-bulletin?	:	Yes No
No. of charter members	:
Did you carry out orientation for new members ?	:	Yes No
Reason for cancellation of meeting	:
Have you sponsored a ROTARY CLUB/ROTARACT/INETRACT/RCC?	:
Have you participated in any dist event last month?	:	Yes No
If YES: Name of event	:
No. of participants	:
No. of Designated Participants
Have you participated in public relation programme?		Yes No

COMMUNITY SERVICE
Have you carried out sapling plantation	:	Yes No
How many?	:

NOTEBOOK PROJECT
No. of Notesbook distributed	:

BLOOD DONATION
No. of units of Blood collected	:

"WOMEN WELFARE/AIDS AWARENESS/ LITERACY/DRUG ABUSE"
Details	:
Medical Camp by your club	:
Monthly projects participated	:

FOUNDATION
Amount donated in last month $	:
No. of PHF in your club	:
No. of members yet to donate any time for TRF	:
No. of TRF alumni	:
Did you participate in Polio workshop?	:	Yes No
Did you participate in NID?	:	Yes No

INTERNATIONAL SERVICE
Do you propose to sponsor IYE student?	:	Yes No
How many?	:
Do you propose to host IYE student?	:	Yes No
Do you intend to participate in GSE programme?	:	Yes No
Do you propose to host GSE student?	:	Yes No
Would your club particcipate in friendship exchange?	:	Yes No
Would your club participate in hosting friendship exchange?	:	Yes No
Any member attending INTL. convention?	:	Yes No
Sponsoring Peace Scholar /Ambassadorial Scholar	:
Hosting orientaion program for GSE/IYE	:
Have you registered for Rotary volunteers?	:	Yes No
Do you propose to organize carrer guidence seminar?	:	Yes No

VOCATIONAL SERVICE
Project for propagation of 4 way test	:
Vocational awards given	:
Youth service Projects	:
Any other Projects	:
Your Email address (Where you wish to receive copy of this form)	:
Attach Club photo (To send multiple club photos, please upload zip file here.)	:

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