0 language JavaScript is not enabled. Please enable Javascript for this site before completing the form. ☰ Queue Send Notification History DIGITAL WARD RECORD BOOK-Sample language-Hello!Welcome to the Digitial Ward Record Book Form for Example District in Sample Province. This is the initial form that records all informations from 100 wards and the four local level governments (LLGs) of Sample Disticts in Example Province. The form is updated by the respective Ward Members and the Ward Recorders. Fill each information with full details and submit after you have confirmed that all the details are correct. For more information on how to complete this form or submit etc or if you face technical issues etc contacts us at for more information contact the admin team at Sample District on email:enquiries@sample.com.pg or the admin team on their WhatsApp page at +675 77735353ThanksSample Ward Record Admin User Guide INTRODUCTION Papua New Guinea is Country made up of rugged terrains, vast oceans and culturally diverse people. It is a very challenging for the Government to plan for the effective delivery of basic goods & services to the people. Nearly 80% of the Population of Papua New Guinea lives in rural areas, thus collecting and compiling an accurate database for each and every individual citizen including their economic, social, cultural, religious and political conditions is predominantly challenging for any public policy makers and planners. The Papua New Guinea Ward Record Book is published by the Department of Provincial & Local-Level Government Affairs with the aim to bridge this information gap that prevents the development of comprehensive plans both from the National and Local level. This will lead to sound planning & Policy making, resulting in the effective delivery of basic goods & services to the people, hence, improving their living conditions. The Papua New Guinea Ward Record book will capture data at the Village & Ward Level that can be used to develop Local level Plans which then can be consolidated into District, Provincial and National plans.LEGAL MENDATE OF THE PAPUA NEW GUINEA WARD RECORD BOOK Section 57 (1) of the Local-Level Governments Administration Act, 1997 states that; A local-Level Government shall establish and maintain each ward within the Local-Level Government area a register to be known as the Village Book. The Book shall contain information as to the names, clans, ethnic groups and, where applicable, addresses of all persons within the ward: and the particulars of village officials; and such information on assets, facilities and other matters relating to the ward as the Minister directs. Section 57 (5) of the same Act also states that the Village Book- (a) Is a public document; and (b) Shall be kept within the Ward; and (c) Shall be available for inspection at reasonable times. IMPORTANCE OF MAINTAINING THE WARD RECORD BOOKThe Papua New Guinea Ward Record Book is a register of bio-data for every living and the last record of a dead person in a particular Local-Level Government Ward. Local-Level Governments have an overall responsibility of policy and planning for the projections and implementation of government policies & programs. The Ward Record Book is very vital in the overall planning process as it will contain data that can be used to formulate sound policies and plans for effective service delivery to the community. These LLG plans and policies then can be amalgamated into district plans, provincial plans and onto national plans, utilizing the bottom-up planning process. COLLECTING DATA AND MAINTAINING THE VILLAGE BOOK The Ward Member is responsible for supervising the collection of data and maintaining the Ward Record Book. Section 11 of the Local-Level Government Act, 1997 clearly states that; an elected member shall ensure that the village Book, relative to the Ward which he represents, is maintained. The data shall be collected by a Ward Recorder who shall be appointed among the Ward Development Committee Members.This Collection, compilation and updating of data shall be supervised by respective Ward Members, Ward Development Officers and LLG Managers. The Data should spread over a five (5) year period. The Collection of data and the maintenance of the book shall be reviewed after 5 years by the Department of Provincial & Local-Level Governments. The Department in consultation with key stakeholders is responsible for monitoring and evaluating the Book.TYPE OF DATA TO BE COLLECTED Section 57 (2) of the Local-Level Governments Administration Act, 1997 states that; a village Book shall contain information as to- (a) The names, clans, ethnic groups and where applicable addresses of all persons living in the Ward; and (b) The particulars of village officials; and (c) Such information on assets, facilities and other matters relating to the ward as the Minister directs PENALTY FOR NOT MAINTAINING THE VILLAGE BOOKMaintaining the Ward Record Book is a core responsibility of every elected Ward Member as stated under Section 11 (a) of the Local-Level Governments Administration Act,1997.If a Ward Member is found to have not performed this duty effectively, can be dismissed from office under Section 10 of the same Act. SUMMARY The Papua New Guinea Ward Record Book is a legal document established by an Act of Parliament, specifically to collect data relevant to each local-level governments. The ward Record Book will essentially serve as a database for extracting data for developing sound policies and plans that will lead effective service delivery. Local-Level Government leaders should ensure that the Village Book is effectively maintained. A: Details of Ward Book Recorder Date the Ward Record Book is updated Select the correct local level government (LLG) LLG 1LLG 2LLG 3LLG 4 Name of the ward recorder JohnSamPeterNancyHildaAlbertNastaAnnaAnneBrotherMadaFadaBestyBotoMotoODKSamiiNanciiAnneaBoseaHossMossDossRoseBossNossElsieNesieMessieTommieNonnieBrossKrossieMarthaBevenKenAndJacBarryieElvisiesAlisonDamarmaDauiVinnieSamuelJerryBevenParaDukie Select the correct ward name Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6Ward 7Ward 8Ward 9Ward 10Ward 11Ward 12Ward 13Ward 14Ward 15Ward 16Ward 17Ward 18Ward 19Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6Ward 7Ward 8Ward 9Ward 10Ward 11Ward 12Ward 13Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6Ward 7Ward 8Ward 9Ward 10Ward 11Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6 Select the year of reportSelect the correct report year 20232024202520262027202820292030 Select the reporting quarterAlso select the correct report quarters Quarter 1Quarter 2Quarter 3Quarter 4 Your emailWrite correct email because you will get a copy of your report in pdfPhone numberRecord the location of the wardEnsure you hold the tablets steady or outside of building. Select which of the sectors you would like to update below.Eg, if you would like to update Law and order or Health Information etc, select so you can update and submit. Note, that if you have already updated the ward profiles and ward officials data, skip and go straight to update the populations data or the other sectors by selecting from the choices. Can select more than one :) Section 1: WARD PROFILESection 2: WARD OFFICIALSSection 3.1: POPULATION SCREENERSection 3.2: REGISTER OF POPULATION4.REGISTER OF LAW and ORDER PROBLEMS5. REGISTER OF COMMUNITY PROJECTSSECTION A: EDUCATIONSECTION B: Education Institutions: Study at any of the following institutions.SECTION B: Education Institutions: Who are the Operating Agencies the following institutions?SECTION B: Health FacilitiesSECTION B: Drinking Water FacilitiesSECTION B:Toilet FacilitiesSECTION B:Cemetary FacilitiesSECTION B: Mortality-Main causes of deaths in the villages/wardsSECTION C.TRANSPORT-Land TransportSECTION C: Land Transport-RoadsSECTION C: Water Transport-Outboard MotorsSECTION C: Water Transport-Inboard MotorsSECTION C: Water Transport-Jetty/WarfSECTION C: Water Transport-ShippingSECTION C: Water Transport-ShippingSECTION C: Air Transport-AirportsSECTION D: Communication FacilitiesSECTION D: Government StationSECTION D: Nearest Town or the city.SECTION D: Other Services. Do you have these types of services available in your wardSECTION E: Ward Assets (BuildingsSECTION E: MarketsSECTION E: Business ActivitiesSECTION F: AGRICULTURE: 22. CropsSECTION G: AGRICULTURE: 22.1 Major Cash cropsSECTION G: AGRICULTURE:21.2 Buyers & DealersSECTION G: AGRICULTURE: 21.3 LivestockSECTION G: AGRICULTURE:22.4 Forestry & LoggingSECTION H: FISHERIESSECTION I: TOURISMSECTION J: TOURISM SitesSECTION K: LAW & ORDERSECTION L: SPORTS & RECREATIONSECTION M: CROSS CUTTING ISSUES: 25. GenderSECTION M: CROSS CUTTING ISSUES: 26. MenSECTION M: CROSS CUTTING ISSUES: 25.1 HIV AIDSSECTION M: CROSS CUTTING ISSUES: 25.2 Drug AbuseSECTION M: CROSS CUTTING ISSUES: 25.3 Natural DisasterSECTION M: CROSS CUTTING ISSUES: 25.4 Climate ChangeSECTION M: CROSS CUTTING ISSUES: 26. List Visitors and their comments about the Village/Ward Section 1: WARD PROFILE Name of Village/Hamlets Number of Clans NoneOneTwoThreeMore than 3 Name of main tribes in the ward OmieOnnieOthers Total number of HouseholdsNumber of Permenant HousesNumber of Semi-Permenant HousesNumber of Bush-Material Houses Section 2: WARD OFFICIALS SurnameGiven Name Gender MaleFemale Age...Less than 1 year1.-45-910-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475+ Type of official Ward Member remainWard Recorder remainCommittee health and disasterCommittee economic developmentCommittee educationCommittee social developmentCommittee law and orderCommittee infrastructureCommittee land mobilizationYouth RepWomen’s RepBusiness RepSports RepChurch RepPLWDs Position/Status Section 3.1: POPULATION SCREENERDo not try to ask, can observe ONLY and screen or if not sure, ask in a friendly way to screen the person before entering their details below. YesNo Is the person a child* YesNo Is the person a adult* YesNo Is the person married* YesNo Is the person a resource person in this ward* YesNo Is the person with some forms of specialized skills* YesNo Is the person just move in from somewhere* YesNo Has the person just moveout to somewhere* YesNo Is the person a disabled person* YesNo Is the person a disadvantaged or vulnerable person* YesNo The person has died recently within the last 3 months* YesNo Section 3.2: REGISTER OF POPULATION Given NameFathers NameMothers Name Gender MaleFemale Marital Status ChildSingleEngagedMarriedSeparatedDivorcedDe FactoDeceased Highest Formal education No formal educationPrimarySecondaryTertiary Age...Less than 1 year1.-45-910-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475+Date of Birth Place of Birth General HospitalHealth Center 1Health Center 2Urban Clinic 1Health Center 2Health Center 3Others If born out of Rabaul District, then specify.Clan Tribe OmieOnnieOthers Religion/Denomination AnglicanAssembly of GodBaptistChristian RevivalChurch of ChristCatholicEvengelical Brotherhood ChurchFour SquareLutheranNazarenePNG Bible ChurchReformation Ministries es NetworkRevival of PNGRestoration Fellowship InternationalSeventh Day AdventistUnited ChurchAssembly of Local ChurchesOthers If disabled person, indicate the nature of Disability Impairment in a person's body structure or functionMental functioningLoss of visionMemory lossDifficulty seeingDifficulty hearingDifficulty walkingDifficulty problem solvingOthers If vulnerable person, indicate the nature of Vulnerability? AbuseSorcery related issuesDomestic ViolenceGender ViolenceThreatening Date of Death Cause of Death DiseasesAccidents Date person left the village Place the person moved to Moved within DistrictMoved out of the ProvinceMoved overseas Reason for leaving Work employmentStudiesMarriageRemarriageLand DisputesImprisonmentDisasterAvoid conflictResettlementPersonal SafetyMedical ReasonsOthersMoved within LLG Did the person moved out permenantly or temporary?If moved more then 6 months ago, record as permenant if less, then indicate temporary unless you are fully aware person moved permenantly. TemporaryPermenant Date of Arrival Place the person moved in from Moved within DistrictMoved out of the ProvinceMoved overseas Reason for moving in Resident ReturningNew MarriageFamily Adoption Did the person moved in permenantly or temporary?If moved in more than 6 months ago, record as permenant if less, then indicate temporary unless you are fully aware person moved permenantly. TemporaryPermenant Date of MarriageIf married within the last three months Type of MarriageIf married within the last three months CustomaryReligiousModern Place of MarriageIf married within the last three months Specialized skills TeachingNursingAccountingHealthEngineeringMedicineCommerceBusinessSocial WorksMediaComputing (ICT)Leadership ManagementArtsTrade SkillsOthers Last EmployerYear left Employment Specialized skills TeachingNursingAccountingHealthEngineeringMedicineCommerceBusinessSocial WorksMediaComputing (ICT)Leadership ManagementArtsTrade SkillsOthers Employer Private SectorPublic Sector Year Employed 4.REGISTER OF LAW and ORDER PROBLEMS Type of Cases HomebrewAlcohol Related ViolenceAssaultMurderStealingRapeDrug abuseIncestGender Based ViolenceAbortionAdultryVerbal AbuseArsonCyber BullyingOthers What causes these problems to happen HomebrewAlcohol Related ViolenceAssaultMurderStealingRapeDrug abuseIncestGender Based ViolenceAbortionAdultryVerbal AbuseArsonCyber BullyingOthers Age Group...Less than 1 year1.-45-910-1415-1920-2425-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475+Who causes this problem? Gender MaleFemale How the Problem is addressed?Comments 5. REGISTER OF COMMUNITY PROJECTS Type of Project in the wardCan select more than one InfrastructureHealth CareEducationEnvironmentCommunity DevelopmentEconomic DevelopmentSocial ServicesSafety & SecurityRecreation and SportsAgriculture & Food SecurityTechnology & Digital InclusionDisaster Rick ReductionYouth Life skills SupportContractorsOthersNo Projects Funding Sources DonorGovernmentPrivateOthers Implementing Organizations Church groupWard Start DateFinish date Project Status VehicleNo need to walkEarly Childhood Other SECTION A: EDUCATION Name of school Type of school ElementaryPrimarySecondaryColledgeVocationalOthers Students-MalesStudents-FemalsTeachers-MalesTeachers-FemalesClassroom PermanentClassroom Semi-PermanentClassroom Bush MaterialNumber of Teachers Houses PermanentNumber of Teachers Houses Semi-PermanentTeachers Houses Bush MaterialOthersDistance to schoolTime travelTravel ModeIn/Out of Village SECTION B: Education Institutitions: Study at any of the following institutions. YesNo Universities YesNo Colleges YesNo University Centers YesNo College of Distance Education YesNo Adult Literacy YesNo Community Learning Centers YesNo TAFE YesNo Private Schools YesNo Vocational Centers YesNo Technical Colleges YesNo Others YesNo SECTION B: Education Institutitions: Who are the Operating Agencies the following institutions? NGOGovernmentOthers Universities NGOGovernmentOthers Colleges NGOGovernmentOthers University Centers NGOGovernmentOthers College of Distance Education NGOGovernmentOthers Adult Literacy NGOGovernmentOthers Community Learning Centers NGOGovernmentOthers TAFE NGOGovernmentOthers Private Schools NGOGovernmentOthers Vocational Centers NGOGovernmentOthers Technical Colleges NGOGovernmentOthers Others NGOGovernmentOthers SECTION B: Health Facilities Do you have this type of Health Facility in your ward? Hospitals Urban ClinicHealth Post Medical CentersVCT Family Planning FacilityHealth Centers Community Childbirth FacilityRural HospitalsAid postsMobile ClinicsImmunization FacilityNo.Health facility Location of the Health Fascility Within the wardOut of the ward What are the status of the facilities? OpenClosed What are the operating condictions of the facilities? ExcellentGoodFairRequires Maintenance Number of staff serving NoneOneTwoThreeMore than 3 Number of staff houses NoneOneTwoThreeMore than 3 Operating Agency(Church/Private etc) NGOChurchGovernment Distance to Centre (km) <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM Travel time <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR No of APOs NoneOneTwoThreeMore than 3 No of HEO visits NoneOneTwoThreeMore than 3 Reasons for the visit Medical EmergenciesReferralsReviewsInfectionsChronic Health ConditionsChild BirthSurgeryInjuriesANCImmunizationsOthers SECTION B: Drinking Water Facilities Source of Drinking Water TanksPipedWellsStreamsOthers How is Collected Containers-ManualContainers-MotorizedPiped to Community tankPiped to Community tapPiped to HouseholdsPurchase from Water Cart Availability % (100% if whole year)How many people depend on this?How far is it (km)How long to collect SECTION B:Toilet Facilities Type of Toilet Fascilities Pit ToiletsSeptic ToiletsOpen Defeacations PermenantSemi-PermenantBush MaterialHow is the Toilet used (per family/clan etc)?Others describe how waste are disposed without proper toilets SECTION B:Cemetary Facilities Are there Cemeteries in the Ward (YES/NO) YesNo If Yes are they organized FamilyClanVillage If not how dead bodies are buried In a central placeAs decided by relativesCavesSeaRiversOthers Comments SECTION B: Mortality-Main causes of deaths in the villages/wards Males Diseases CadiovascularCancerRespitatoryHIV/AIDSDiabetesInfectiousKidney DiseaseLiverInjuriesHypensionOthers Males NaturalMales Infant BirthMales Mothers During BirthMales AccidentsMales OthersFemales DiseasesFemales NaturalFemales Infant BirthFemales Mothers During BirthFemales AccidentsFemales Others SECTION C.TRANSPORT-Land Transport Type of Motor Vehicles BusesTroop CarriersCarsTrucksPMVSUtilitiesNo land transport Total NumberHow many are Community Owned?How many are Privately Owned?How many are Government Owned?How many are church owned?How many are Commercially used? SECTION C: Land Transport-Roads Is there a main Highway Nearby? YesNo Name of the Highway How Far (km) to travel to this highway? <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM How long (hrs) to travel to this highway? <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR SECTION C: Water Transport-Outboard Motors Horse Power Capacity of OBM NoneOneTwoThreeMore than 3 Total Number NoneOneTwoThreeMore than 3 How many are community owned? NoneOneTwoThreeMore than 3 How many are privately owned? NoneOneTwoThreeMore than 3 How many are Government Owned? NoneOneTwoThreeMore than 3 How many are Church owned? NoneOneTwoThreeMore than 3 How many are Commercially used? NoneOneTwoThreeMore than 3 How many are in working order NoneOneTwoThreeMore than 3 How many for sea use NoneOneTwoThreeMore than 3 SECTION C: Water Transport-Inboard Motors Horse Power Capacity of IBM Total Number NoneOneTwoThreeMore than 3 How many are community owned? NoneOneTwoThreeMore than 3 How many are privately owned? NoneOneTwoThreeMore than 3 How many are Government Owned? NoneOneTwoThreeMore than 3 How many are Church owned? NoneOneTwoThreeMore than 3 How many are Commercially used? NoneOneTwoThreeMore than 3 How many are in working order NoneOneTwoThreeMore than 3 How many for sea use NoneOneTwoThreeMore than 3 SECTION C: Water Transport-Jetty/Warf Name of Nearest Jetty Sea or River? SeaRivers Who owns it? GovernmentChurchNGOsOthers Who is responsible for Maintenance? GovernmentChurchNGOsOthers How many vessels call each year? How long (hrs) to travel to this port <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR SECTION C: Water Transport-Shipping Vessels Name of Vessel Sea or River? SeaRivers Who owns it. GovernmentChurchNGOsOthers Who is responsible for Maintenance. GovernmentChurchNGOsOthers How many call does it make each year How long (hrs) to travel to the nearest <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR SECTION C: Water Transport-Shipping Name of Vessel Sea or River? SeaRivers Who owns it GovernmentChurchNGOsOthers Who is responsible for Maintenance? GovernmentChurchNGOsOthers How many call does it make each year How long (hrs) to travel to the nearest <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR SECTION C: Air Transport-Airports Nearest AirstripLargest aircraft that lands Who owns it (Gov/Church/Private etc) GovernmentChurchNGOsOthers Who is responsible for Maintenance(Gov/Church/Private etc) GovernmentChurchNGOsOthers How many flights come in per week NoneOneTwoThreeMore than 3 How long (hrs) to travel to reach the airstrip <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR SECTION D: Communication Facilities Type of Communication System WirelessMobileLandlineRadio PhoneVSATTelevisionNewspaper Who owns it GovernmentChurchNGOsOthers Voice,data or both VoiceDataBoth How far (km) to travel to it? <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM How long (hrs) to travel to it <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR How do you travel to it WalkVehicleBoatNo need to walk SECTION D: Government Station Name of Nearest Gov. Station How far (km) to travel to it <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM How long (hrs) to travel to it <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR How do you travel to it WalkVehicleBoatNo need to walk SECTION D: Nearest Town or the city. Name of Nearest Town or City. How far (km) to travel to it <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM How long (hrs) to travel to it <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR How do you travel to it WalkVehicleBoatNo need to walk SECTION D: Other Services. Do you have these types of services available in your ward. YesNo 1 Agriculture & Livestock Services YesNo 2 Church Services YesNo 3 Earthmoving & Construction Service YesNo 4 Forestry Services YesNo 5 LLG Office YesNo 6 Mining Site YesNo 7 NGO Services YesNo 8 Village Court YesNo 9 Ward Office YesNo 10 Post Office YesNo SECTION E: Ward Assets (Buildings NoneOneTwoThreeMore than 3 1. Trade Stores NoneOneTwoThreeMore than 3 2 Churches NoneOneTwoThreeMore than 3 3 Community Centers NoneOneTwoThreeMore than 3 4 Clubs (taverns) NoneOneTwoThreeMore than 3 5 Semi Permanent Houses NoneOneTwoThreeMore than 3 6 Permanent Houses NoneOneTwoThreeMore than 3 7 Resource Centers NoneOneTwoThreeMore than 3 8 Guest Houses NoneOneTwoThreeMore than 3 9 Other Special Purposes Building NoneOneTwoThreeMore than 3 SECTION E: Markets Name of Market Type of Market WalkVehicleBoatNo need to walk How often is Market held MinorMain How long (hrs) to travel to it <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR How do you travel to it WalkVehicleBoatNo need to walk SECTION E: Business Activities Types of Business Activities Cocoa FermentingCocoa Wet bean SalesCoffee PulpingCopra MakingFishing BusinessCash Crop BusinessLiquor OutletsHomemaking BusinessPrivate SchoolsPMV BusinessFood StoreRiver Transport BusinessSea Transport BusinessFuel OutletsTrade StoresFishing Busines Who owns it GovernmentChurchNGOsOthers How many NoneOneTwoThreeMore than 3 SECTION F: AGRICULTURE: 22. Crops Type of crops grown NoneOneTwoThreeMore than 3 Cash or subsistence CashSubsistanceBoth How many families are involved NoneOneTwoThreeMore than 3 Comments/Remarks SECTION G: AGRICULTURE: 22.1 Major Cash cropsPlease indicate the level of engagement of each household in this ward for each major cash crop below. [If this ward is engaged in other cash crops (e.g cardamom, Vanilla, indicate in the top line and fill in the details]. Cocoa-No.of Bearing TreesCocoa-No.of Non-Bearing TreesCocoa-rod. Average No.of bags(wet) Per monthCocoa-Average price per bag(wet) per montCoconut-No.of Bearing TreesCoconut-No.of Non-Bearing TreesCoconut-rod. Average No.of bags(wet) Per monthCoconut-Average price per bag(wet) per montCoffee-No.of Bearing TreesCoffee-No.of Non-Bearing TreesCoffee-rod. Average No.of bags(wet) Per monthCoffee-Average price per bag(wet) per mont SECTION G: AGRICULTURE:21.2 Buyers & DealersList all buyers & dealers and production cash crops below: Name of Buyer/DealerRegistration/License NumberProduction (Tons per month) SECTION G: AGRICULTURE: 21.3 Livestock Type of livestocks SheepFishPrawnPigDuckChickenOthers Cash or subsistence CashSubsistanceBoth How many families are involved NoneOneTwoThreeMore than 3 Comments/Remarks SECTION G: AGRICULTURE:22.4 Forestry & Logging Owner or Company Tree Type planted BalsaPalm OilEagleWoodTeek No of TreesArea planted in sqkmProduction in ton/year or in cubic meter if BalsaProduction in value (k)/Year 22.5 Does anyone in this Ward participate in forestry or logging? YesNo Types of engagement in forestry business Wage EarnersOwn BusinessBoth Explain Any logging companies in the ward? YesNo Company or Sawmill NameDate CommenceCategory (Large-For Company and Small for SawmillArea logged in sqkm SECTION H: FISHERIES Fishing Group Name Registered or Not registered YesNo Where fish Sold Within WardLocal MarketAgent Value in Kina SECTION I: TOURISM Type of Tourism Activities Cultural ShowsTraditional Canoe FestivalsArts & Crafts MarketsMask FestivalsTrekkingDivingSite SeeingBird ViewingOthers How often does it happen? AnnualMonthlyAd hoc Who supports the tourism activity NGOGovernmentCorporatePrivateOthers What kind of benefits do people get from this activity? SECTION J: TOURISM Tourism Sites Name any tourisim sites in the ward. Who owns these sites PrivateCommunityGovernmentOthers SECTION K: LAW & ORDER Type of Service Village Courts & OfficialsPeace OfficersLocal Courts & OfficialsLand MediatorsDistrict Courts & officialsLegal representationAuxaliiary PoliceSpecial ConstableReserve PoliceRural Police Lock upPolice Station How far to travel to access this service? <1 KM2 KM3 KM4 KM5 KM6 KM7 KM8 KM9 KM10 KM>10KM How long does it take to travel to it? <1 HR2 HR3 HR4 HR5 HR6 HR7 HR8 HR9 HR10 HR>10HR How do you travel to it? WalkVehicleBoatNo need to walk How many days in a week is this service available? OneTwoThreeFourFiveSixSeven Where applicable, how many times they meet in a year? AnnualMonthlyAd hoc SECTION L: SPORTS & RECREATION Name of Sport Basket BallSoccerRugby LeagueRugby UnionRugby TouchVolleyballSoftballAthleticsNetballDartOthers Team Sport YesNo If Team Sport, How are teams divided FamilyClansHamlets Is there an existing place here that is used to play this sport? YesNo Competition with other villages in the Ward YesNo Does a team from here play in an urban competition? YesNo Who fund this sport? Government MembersChurchesBusiness HousesOthers SECTION M: CROSS CUTTING ISSUES: 25. Gender Name of Women Group Make up of Women Group ClansHamletsReligion/DenominationSME GroupOthers Are the Group registered YesNo How are Office Bearers Chosen AppointedElected Type of Activities involved CookingSewingCommunity WorkOthers Other Activities Awareness on maternal mortalitySafe MotherhoodNutrition SECTION M: CROSS CUTTING ISSUES: 26. Men Name of Men/Youth Group Make up of Men Group ClansHamletsReligion/DenominationSME GroupOthers Are the Group registered YesNo How are Office Bearers Chosen AppointedElected Type of Activities involved CookingSports GroupSewingCommunity WorkOthers Other Activities Awareness on maternal mortalitySafe MotherhoodNutrition SECTION M: CROSS CUTTING ISSUES: 25.1 HIV AIDS Number of HIV AIDS CasesNumber of Males affectedNumber of Females affectedNumber of Children: Boys affectedNumber of Children: Girls affected How are victims looked after. ClanFamilyCare CentersNGOsOthers SECTION M: CROSS CUTTING ISSUES: 25.2 Drug Abuse Type of Drug abused (marijuana etc) Prescribbed DrugsAlcoholTobaccoMarijuanaCocane/MethOthers Is the drug produced locally Yes/No YesNo If No-Where is the drug brought from? ClanFamilyCare CentersNGOsOthers Number of cases recorded at the Ward NoneOneTwoThreeMore than 3 Number of cases reported to Police NoneOneTwoThreeMore than 3 Outcome of Case reported to Police Investigation ongoingForm 2. MediationArrest MadeCase Closed without actionCase Closed due to lack of evidenceOthers SECTION M: CROSS CUTTING ISSUES: 25.3 Natural Disaster Common Types of Disaster FloodsStrong WindsTsunamiLandslidesDroughtFireOutbreaks-DiseaseWard FightsOthers How many times does it happen in a year NoneOneTwoThreeMore than 3 Who gives help? ChurchGovernmentBusiness housesNGOsOthers How are families affected? Food shortageDamaged housesDisplaced peopleServices inaccessibleOthers Do other Villages help in times of Disasters YesNo Number of Deaths During the Disaster SECTION M: CROSS CUTTING ISSUES: 25.4 Climate Change What are the effects of Climate Change in the ward Sea Level RiseDroughtLandslideFloodOthers How do these changes affect peoples lives Food shortageSicknessIncome lossOthers How are these Issues addressed Are Awareness Programs Conducted YesNo Comments SECTION M: CROSS CUTTING ISSUES: 26. List Visitors and their comments about the Village/Ward SurnameGiven Names Gender MaleFemale OrganizationDate of VisitReasons for VisitDuration of stayComments Acknowledgement & Disclaimer I, Mr. from Ward, hereby certify that the above information are a true record of the activities in the my ward. I will be solely responsible for any errors or any misleading data provided.-Form designed by Albert Arija of Omie Consultants. Follow us on Omie Consultants FB page, PNG Data Tools LinkedIn or webpage at www.omieconsultant.com Submit Save as Draft Powered by
