State of Madhya Pradesh - Act
The M.P. Juvenile Justice (Care and Protection of Children) Rules, 2003
MADHYA PRADESH
India
India
The M.P. Juvenile Justice (Care and Protection of Children) Rules, 2003
Rule THE-M-P-JUVENILE-JUSTICE-CARE-AND-PROTECTION-OF-CHILDREN-RULES-2003 of 2003
- Published on 14 July 2003
- Commenced on 14 July 2003
- [This is the version of this document from 14 July 2003.]
- [Note: The original publication document is not available and this content could not be verified.]
Chapter I
Preliminary
1. Short title and commencement.
2. Definitions.
- In these rules, unless the context otherwise requires,-Chapter II
Juvenile in Conflict With Law
3. Juvenile Justice Board.
4. Selection of the members of Juvenile Justice Board.
5. Qualifications of Social Worker.
6. Term of the Member of the Board.
- The term of the member of the Board shall be five years from the date of his appointment provided that a social worker member of the Board shall be eligible for appointment for a maximum of two terms one shall not be more than 65 years of age.7. Time and place of sitting of the Juvenile Justice Board.
8. Honorarium.
- The social worker members of the Juvenile Board shall be paid a honorarium as the State Government may determine from time to time.9. Procedure through which a child may be produced before the Board.
10. Procedure to be followed by a Juvenile Justice Board in holding inquiries.
11. Procedure in respect of Sections 23, 24, 25 and 26 of the Act.
- The offences against the juvenile or child specified in Sections 23, 24, 25 and 26 shall be either bailable or non-bailable besides being cognizable under the provisions of the Code of Criminal Procedure, 1973 (2 of 1974) and the provisions of bail or otherwise, shall apply on the police, the Board and the concerned accordingly.Chapter III
Child in Need of Care and Protection
12. Child Welfare Committee.
13. Selection of the Chairperson and Members of Child Welfare Committee.
14. Qualifications of Chairperson and Members of Child Welfare Committee.
15. Tenure of the Committee.
- The tenure of the Chairperson and the members of the Committee shall be five years provided a member of the Committee shall be eligible for appointment for a maximum of two terms and shall not be more than 65 years.16. Time and place of sitting of the Child Welfare Committee.
17. Honorarium.
- Members of the committee shall be paid honorarium as the State Government may determine from time to time.18. Procedure of the Child Welfare Committee.
19. Persons through whom a child may be produced before the Committee.
- Any child in need of care and protection shall be produced before the committee by the following persons,-20. Procedure for detailed inquiry after producing the child before the Committee.
Chapter IV
Establishment of Institutions Under the Act
21. Observation Home.
22. Objective of the Observation Home.
23. Management of Observation Home.
- Management of Observation Home shall be maintained by an Officer-in-charge specifically appointed to hold office as superintendent of the institution, who is under the control and supervision of the Commissioner/Director of Social Welfare. The custody of children in conflict with law in the Observation Home shall be judicial custody.24. Admission of a Child.
25. Special Homes.
26. Objectives of Special Home.
- The objectives of the Special Homes shall be,-27. Management of Special Home.
- Management of Special Home shall be maintained by an Officer-in-charge specifically appointed to hold office as superintendent of the institution, who is under the control and supervision of the Commissioner/Director of Social Welfare.28. Admission of child.
29. Children Homes.
30. Objectives of the Children Home.
- The objectives of the Children Home shall be,-31. Management of Children Homes.
- Management of Children Home shall be maintained by an officer-in-charge specifically appointed to hold office as superintendent of the institution, who is under the control and supervision of the Commissioner/Director of Social Welfare.32. Admission of child.
33. Reception Unit.
34. Disposition of children from Reception Unit.
- Children in the Reception Unit shall be discharged from the Reception Unit on the orders of the Child Welfare Committee. The Child Welfare Committee may order that,-35. Transfer/Escorts.
36. After Care Homes.
37. Shelter Homes.
38. Objectives of the Shelter Home.
39. Children affected by displacement, disaster and conflict.
- Children affected by displacement, disaster and conflict shall be dealt with as children in need of care and protection under these Rules. However, certain additional principles and Rules to provide for special care shall be observed as stated below:-40. Referral services for children with special needs.
Chapter V
Juvenile Police Unit
41. Special Juvenile Police Unit.
Chapter VI
Recognition and Certification of Institutions
42. Recognition of fit person or fit institution.
43. Certification/recognition and transfer of Institutions.
44. Joint Management.
45. Grant-in-aid to certified or recognized organization.
Chapter VII
Institutional Management
46. Protection of the rights of the more vulnerable children within institutions.
47. Maintenance of Registers.
48. Participation of children.
49. Identify.
- No child who is received into the institution shall have his or her name changed by the personnel. The authorities shall respect each child's religious, cultural and social identity.50. Daily activities.
51. Nutrition.
| Article | Recommended Dietary Allowance |
| Flour | 300 gms. per head per day |
| Rice | 300 gms. per head per day |
| Vegetables | 250 gms. per head/day |
| Pulses | 125 gms. per head per day |
| Sugar | 40 gms. per head per day |
| Vegetables oil/fats | 40 gms. per head per day |
| Milk/curd | 300 gms. per head per day without adding water |
| Break fast | 50 gms. per head per day |
| (Ground nuts, chana, Poha) | |
| Tea leaves | 4 gms. per head per day |
| Fruits | 45 gms. per head per day (Three limes a week) |
| Spices | 10 gms. per head per day mixed as per regional requirements |
| Salt | 15 gms. per head per day |
| Other Items | |
| Tooth Powder | 50 gms. per month |
| Hair oil | 100 gms. per month |
| Bath Soap | 1 per month |
| Soap (for washing clothes) | 2 No. per month |
52. Clothing, bedding and other articles.
| Article | Norms (per resident) | |
| Non school-going children | Mentally challenged children | |
| Shirts | 3 Terricot/cotton shirts per year | 5 Terricot/cotton shirts per year |
| Nickers/Pyjaina/Skirt | 3 Terricot/cotton half pant per year upto 12 years | 5 Terricot/cotton half pants per year |
| 3 Terricot/cotton trousers per year above 12 years | ||
| 2 cotton Pyjama per year. | ||
| Kachha | 4 per year | 6 per year |
| Banian | 4 per year | 4 per year |
| Brassieres for girls above 13 years | 4 per year | 4 per year |
| Towels | 2 per year | 2 per year |
| Scarf/Chunni for girls only above 12 years of age | 2 per year | 2 per year |
| Leather Shoes | 1 per year | 1 canvas shoes per year |
| Chappal to girls | 1 per year | 1 per year |
| Handkerchiefs | - | |
| Canvas PT shoes | 1 per years | |
| Half sleeves sweater | 1 in 2 years | 1 per year |
| Woollen Jersey | 1 in 2 years | 1 in per year |
| Sanitary pads for girls above 13 years | as needed | as needed |
| Socks Nylon | 2 per year | 2 per year |
| Durries cotton | 1 in 3 years | 1 in 2 years |
| Bed sheets | 2 per year | 4 per year |
| Khes | 1 in 3 years | 1 in 1 year |
| Blankets | 3 in 3 years | 4 in 2 years |
| Rajais | - | - |
| Pillows | 1 per head | - |
| Pillow covers | 2 per head | |
| Gadda | - | - |
53. Services, which conform to requirements of the health and dignity of the child.
54. Education and vocational training.
55. Medical Care.
56. Mode of Dealing with child suffering from contagious diseases or mental complaint.
57. Recreation.
58. Religion.
- Every child shall be allowed to satisfy the needs of his or her religious and spiritual life, by performing/attending the services or prayers provided in the institution or by conducting his or her own prayers, and having possession of the necessary books or items of religious observance and instruction of his or her religion.59. Visits and outside communications.
60. Privacy.
61. Leave of the child.
62. Procedure for sending a child outside the jurisdiction of the competent authority.
63. Transfer.
64. Release.
65. Escape.
- The Officer-in-Charge shall immediately send the guards in search of the child at places like Railway Stations, bus stand and other places where the child is likely to go.66. Disciplinary procedures.
67. Procedure on the death of a child.
- On the occurrence of any case of death or suicide the following procedure shall be adopted :-68. Procedure in the case of custodial rape or sexual abuse.
69. Monitoring and Evaluation Committee.
| Officer-in-Charge/Superintendent | Chairperson |
| Probation Officer/Psychologist | Member/Secretary |
| Medical Officer | Member |
| House Master/Matron | Member |
| Instructor/Vocational Teacher | Member |
| Counselor if any | Member |
| Representative of the children residing in the institution | Member |
| Representative of Neighbourhood Committee if any | Member |
Chapter VIII
Functionaries Under the Act
70. General duties of functionaries.
71. Duties of the Superintendent.
- The Superintendent shall be responsible for the following-(1) The general duties, functions and responsibilities of the officer-in-charge will be as follows :-(a)Ensuring that the rights of the child are protected and the procedures laid down in the Rules are complied with;(b)Providing homely atmosphere of love, affection, care development and welfare of children;(c)Planning implementation and co-ordinating all institutional activities; programmes and operations;(d)Handling discipline problems keeping in mind the rights of the child as well as the procedures laid down;(e)Maintaining minimum standards in the Home;(f)Monitoring of children, training and treatment programmes and correctional activities;(g)Allocation of duties to functionaries;(h)Attending to functionaries welfare and staff discipline;(i)Preparation of budget and control over financial matters;(j)Proper storage and inspection of food stuff;(k)Stand by arrangement for water storage, emergency lighting etc.;(l)Careful handling of plant and equipment;(m)Accidental and fire prevention measures;(n)Supervision over office administration;(o)Monthly office inspection and maintaining of order book. This book shall record and display order of the Superintendent as well as any follow up details;(p)Daily inspections and round of institution;(q)Inspecting and tasting food prepared for child from the main vessel in the kitchen itself and managing the menu to ensure that the basic principles of good nutrition such as colour, texture, taste, smell and variety are complied with;(r)Taking prompt action to meet emergencies;(s)Taking appropriate rehabilitation measures;(t)Conducting staff meetings every month during which he/she shall elicit and respond to problems relating to staff, children and other matters relating to the institution. A minute book shall be maintained for this purpose and every resolution or discussion shall be given due consideration and process.72. Duties of the Probation Officer.
73. Duties of the Case Worker.
- The general duties, functions and responsibilities of case worker or Child Welfare Officer shall be as follows :74. Key duties of House Master/Matron.
- The general duties, functions and responsibilities of the House Master/Matron shall be as follows75. Recognition of Honorary Probation Officers.
- The State Government shall recognize the services of a panel of trained voluntary personnel who may be also attached to a recognized voluntary organization to serve as honorary Probation Officers, in addition to the list of honorary Probation Officers. This procedure may be undertaken to reduce the number of inquiries of each case.76. Training of functionaries.
- The Directorate of Panchayat and Social Welfare shall provide for training of functionaries of each of category of staff in keeping with their statutory' responsibilities and specific jobs requirements.The training programme shall include :-77. Organization of functionaries.
| S.No. | Designation | No. of post |
| 1. | Superintendent | 1 |
| 2. | Counselor | 2 |
| 3. | Case Worker/Probation Officer | 3 |
| 4. | House Master/Matron | 4 |
| 5. | Educator | 2 |
| 6. | Vocational Instructor | 1 |
| 7. | Doctor | 1 (part-time) |
| 8. | Paramedical staff | 1 |
| 9. | Store Keeper-cum-Accountant | 1 |
| 10. | Driver 1 | |
| 11. | Cook | 2 |
| 12. | Helper | 2 |
| 13. | Sweeper | 2 |
| 14. | Art and Craft-cum-Music Teacher | 1 (part-time) |
| 15. | Gardener | 1 (part-time) |
| Total | 25 |
Chapter IX
Rehabilitation and Social Reintegration
78. Adoption.
- As the family is the best option to provide care and protection for children, adoption shall be the first alternative for rehabilitation and social reintegration of children who are orphaned, abandoned, neglected and abused.79. Foster Care.
80. Short term/temporary foster care.
81. Sponsorship.
Chapter X
Monitoring of Juvenile Justice System
82. Inspection.
83. Reporting.
84. Follow up action.
- The findings of the inspection and the suggestion of the children shall be taken into consideration by all concerned authorities.85. Openness and transparency.
86. Social Auditing.
- The State Government shall maintain professional research based social audit to monitor and evaluate the functioning of the Homes and programmes/schemes under the Act on the annual basis. This shall be done with the help of leading organizations working with the children, besides autonomous bodies like National Institute of Public Cooperation and Child Development, Indian Council for Child Welfare, Indian Council for Social Welfare, Indian Social Institute, Childline India Foundation, National Institute of Social Defence, Central and State level Social Welfare Boards, School of Social Work etc.87. Monitoring and evaluation.
| (1) | District Collector | Chairperson |
| (2) | Superintendent/Commissioner of Police | Member |
| (3) | Vice-Chancellor, Principal or Professor or Reader of anacademic institution specialized in Psychology, Criminology,Social Work, Home Sciences, Rural Development etc. | Two Members |
| (4) | Media personnel | Two Members |
| (5) | Non-Governmental Organisations | Three Members |
| (6) | Corporate personnel | Three Members |
| (7) | Joint Director/Deputy Director, Panchayat and Social Welfare | Members |
88. State Advisory Board.
| Minister, Social Welfare | Chairman |
| Secretary, Social Welfare | Member |
| Secretary, Education | Member |
| Secretary, Health | Member |
| Secretary, Home | Member |
| Secretary, Law/Judicial | Member |
| Secretary, Labour and Employment | Member |
| Secretary, Collage and Small Scale Industries | Member |
| Secretary, Technical Education | Member |
| Secretary, Industries | Member |
| Secretary, Finance | Member |
| Director General Police | Member |
| A representative of UNICEF | Member |
| An Industrialist | Member |
| A Journalist | Member |
| A representative of Press Council | Member |
| Two Social Workers/representatives of Voluntary Organisations | Member |
| Commissioner/Director, Social Welfare | Member-Secretary |
89. District Advisory Board.
| 1. | Collector | Chairperson |
| 2. | Superintendent of Police | Member |
| 3. | Representative of Zila Panchayat | Member |
| 4. | Chief Medical Officer | Member |
| 5. | Deputy Director, Education | Member |
| 6. | Secretary, Red Cross | Member |
| 7. | Chairperson, Rotary/Lions club | Member |
| 8. | Two Social Workers | Member |
| 9. | Two members of Neighbourhood Committee | Member |
| 10. | Businessman | Member |
| 11. | Two Donors | Member |
| 12. | Deputy Director, Panchayat and Social Welfare | Member-Secretary' |
| 13. | Superintendent of concerning Home | Member |
Chapter XI
Miscellaneous
90. Juvenile Justice Fund.
91. Disposal of records/documents.
- The records/documents in respect of children should be kept in a safe place for a period of 7 years and thereafter be destroyed by the order of Juvenile Justice Board/Child Welfare Committee.92. Data Bases.
93. Repeal and Saving.
- The Madhya Pradesh Juvenile Justice Rules, 1988 shall stand repealed immediately after the commencement of these Rules :-Provided that any action taken, order, made under the provisions of the Rules so repealed shall be deemed to have been taken or made under the corresponding provisions of the Rules.Form I[See sub-rule (10) of Rule 10 and sub-rule (2) of Rule 20]Order For Social Investigation ReportTo,Probation Officer/Person-in-ChargeVoluntary Organisation/Social Worker/Case Worker,Whereas (1) a report/complaint under Section.....................of the Juvenile Justice (Care and Protection of Children) Act, 2000 has been received from........ in respect of (name of the child) son/daughter of..............residing at..........1. That the child along with the copies of the order and the bond executed by the said........ will be produced before the probation officer/case worker named therein..............
2. That the child will be submitted to the supervision of the Probation Officer.
3. That the child resides at for a period of..............
4. That the child will not be allowed to quit the district jurisdiction of. without the permission of the probation officer/case worker.
5. That the child will not be allowed to associate with bad characters.
6. That the child will live honestly and peacefully, and will go to school regularly/endeavour to earn an honest livelihood.
7. That the child will attend the attendance centre regularly.
8. That the person under whose care the child is placed will arrange for the proper care, education and welfare of the child.
9. That preventive measures will be taken by the person under whose care the child is placed to see that the child does not commit any offence punishable by any law in force in India.
10. The child will be prevented from taking narcotic drugs or psychotropic substances or any other intoxicants.
11. That the directions given by the probation officer/case worker from time to time, for the due observance of the conditions mentioned above, will be carried out.
Dated this................. day of............20.......2.
| Dated........... | Signature and Designation of Releasing |
| place........... | Ordering Authority |
| Name of the Juvenile | ............................... |
| Age | ............................... |
| Son/Daughter of | ............................... |
| Residing at | ............................... |
| Under the care of | ............................... |
| Date and time of arrest | ............................... |
| Place of arrest | ............................... |
| Section under which arrested | ............................... |
| Brief history of the case | ............................... |
| Whether kept in the Observation | ............................... |
| Home and if so name of theObservation Home? |
| Introductory Information | Probation Department |
| Profile No. | Profile No. |
| Under section |
Part I – Name of the Probation Officer/Case Worker
For the month ofRegister No.Competent AuthorityProfile No.Name of the ChildDate of Supervision OrderAddress of the ChildPeriod of SupervisionPart II – {|
|-| Places of interview| Dates|-| .....................| .....................|-| .....................| .....................|-| .....................| .....................|}1. Where the child is residing?
2. Progress made in any educational/training course
3. What work he/she is doing and his/her monthly average earning, if employed
4. Savings kept in the Post Office
5. Savings Bank Account in his/her name
6. Remarks on his/her general conduct and progress
7. Whether properly cared for?
Part III – 8. Any proceedings before the competent authority of or
(a)Variation of conditions of bond(b)Change of residence(c)Other matters.9. Period of supervision completed on..........
10. Result of supervision with remarks (if any)
11. Name and addresses of the parent or guardian or fit person under whose care the child is to live after the supervision is over.
Date of reportSignature of the ProbationOfficer/Case WorkerForm XIII[See sub-rule (1) of Rule 18]Report of Producing Agent on First Stage of ProductionReport of the person/agency who produced the child in need of care and protection before any authority. (Points to be taken care of while tilling the form).1. As far as possible the child/juvenile should not be coerced into providing information for this report.
2. This form shall be filled as soon as possible at the time of receiving the child/juvenile at the time of being found.
3. Any changes in the information provided by the child/juvenile should be mentioned in this report-
1. Name of the person/agency referring the juvenile/child :
2. Address:
3. Phone/fax/E-mail
4. Name of the nearest police station
5. Date and time the child/juvenile was found
6. Name of the authority before whom the child/juvenile was produced.
Details of the child/juvenile when found :Name and alias of the child/juvenile as and if given by the child/juvenileApproximate age of the child/juvenileName and address of the school if given by the child/juvenileName of place of work if the child/juvenile was employedName and details of relatives or agencies known to the child/juvenileDetails of any personal belonging found on his/her person at the timeDetails of any family as given by the child at the timeReasons for the present circumstances as given by the child/juvenile- what was the predisposing factor in terms of what incident provoked the child/juvenile to leave his/her previous residence and come to be in the present circumstances.- Push factors Le. reasons why the child/juvenile was forced to leave, such as whether he/she complains of abuse/violence within the home/previous residence.- Pull factors Le. reasons why child/juvenile was attracted out of the home by outside influences.Place where the child/juvenile was found giving details of atleast three nearest landmarks.Condition in which the child/juvenile was found with specific remarks about- Emergency : whether there was any serious injury/abuse requiring medical attention.- Description of the activity the child was engaged in at the time of being found- Dress : the colour and type of dress worn at the time, condition in which the clothes were- Physical condition : Hygiene, general health, hunger, injuries, any observable disability- Emotional condition : whether the child was distressed, appeared lost, asking for help, whether he/she was willing to share information readily.- Attitude towards parents/family as expressed by the child/ juvenile (fear, affection, whether he/she was willing to go back home or is seeking alternate shelter)- Any outstanding observations (any out of the ordinary remarks, behaviour, whether the details given by the child seem to the genuine, etc.)- Any opinion or specific request expressed by the child at the time :Note. - Information for this report should be taken from documents maintained by the previous institution and Xerox copies of the same should be enclosed. In case the child/juvenile has been referred from an organisation which uses Form (A-l) pertaining to the producing agent, the Xerox form may be used for this Section A of Form C.Form XIV[See sub-rule (1) of Rule 69]Review Sheet1. Identifying information such as background information of the foster parent/parents including identifying information, education, family history, medical history, employment history, residence and facilities, lifestyle, parenting/child care experience and the motivation to take child in foster care, duration of foster care offered, supported by necessary documents such as certificates of proof of age, proof of marriage, general health certificate, income statement, letters of reference, consent of persons residing in the family, photographs of the couple, photos of child. Case study of the child.
2. Antcendents of the prospective foster family including :
Their own childhood experiences, upbringing and interpersonal relationships.Information on other members of the familyAttitude of the children and relatives of the foster family towards the foster care planSocial, ethno-cultural, linguistic and religious identity of the prospective foster familySanctions against any charges of criminal offence and child abuse.3. Recent photograph of the family.
4. Physical, intellectual, emotional and educational status of prospective foster family.
5. Medical report on the family's health status and health history.
6. Employment and financial assets.
7. Accommodation and community environment.
8. Motivation.
9. Ability to provide nurturing care and supervision in an atmosphere of affection and moral and material security.
10. Statement of positive reference and emotional support from relatives, friends, community.
11. Assessment by a multidisciplinary support team of professionals (as far as possible) stating :
Their reasons for approving the prospective foster parent/s Details of the child (age, sex, acceptance of siblings, special needs child etc.) they would prefer to adopt and are capable of parenting.Form XVIII[See sub-clause (a) of clause (A) of sub-rule (4) of Rule 80]Application Format For Foster CareName of the Applicant......................................................Married/Single.................................Age.........................Address....................................................................Tel. No....................................................................Number of children.....................................Age.......................Employment of Applicant....................................................Employment of Husband......................................................Employment of Wife .......................................................Other Sources of Income....................................................Have you ever fostered a child before? (If so give particulars)Name of the Child Age Period of Foster Care................ ................ ................................ ................ ................Reasons to Foster :..............................................................Are you willing to undertake short-term foster care?Yes NoIf Yes, specify the Period....................................References (Name and Address of two persons)Age, Sex and other specifications of child you desire to foster :Date........Form XIX[See sub-rule (1) of Rule 43]Application For Certificate| Taluk | Town/Village | ||
| District: | |||
| 1. | Name of the institution. | ................... | |
| 2. | Date of establishment. | .................. | |
| 3. | Please furnish the details under which Act, the registrationis made with No., Date, place of registration etc. | ................... | |
| 4. | Sources of funds with details. | ................... | |
| 5. | Names of members of governing body and their addresses. | .................. | |
| 6. | Activities of the organisation. ................... | ||
| 7. | If financial assistance is received for anyactivities/programmes from State/Central Quasi Government/otherfunding agencies including foreign grant the details may befurnished. | ................... | |
| 8. | Infrastructure available. | ................... | |
| (a) | Total area of the campus | ............... | |
| (b) | Plinth area of each floor of the building and number offloors. | ............... | |
| (c) | Play grounds | ............... | |
| (d) | Details of buildings for academic programmes cubical areas ofeach Class room. | ............... | |
| (e) | Details of vocational inputs and the Plinth area forVocational centre. Cubical areas as each trade. | ............... | |
| (f) | Kitchen, dormitories, prayer hall etc. | ............... | |
| (g) | Facilities for Primary education, Secondary education, HigherSecondary Education. | ............... | |
| (h) | If no school section is attached the distance of outsideschool from the campus. | ............... | |
| (i) | Details of library, indoor games, science lab etc. (ifavailable) | ................ | |
| Nearest hospital (Government) address and distance. | .................. | ||
| 9. | Sanitary conditions in the institutions | ............... | |
| 10. | Water resources whether adequate or not should be spelledout. | ............... | |
| 11. | Address for communication including grams, Fax, E-mail etc. | ................... | |
| 12. | Name and address of the contact persons. | ................... | |
| 13. | Details of staff in their existing programmes. | ................... | |
| 14. | Any other relevant information. | ................... | |
| 15. | Resolution of the governing body. | ................... |
| 1. | Serial number | .............................. |
| 2. | Name of the pupil discharged on licence | .............................. |
| 3. | Sex, Age, Religion | .............................. |
| 4. | Address of the child | .............................. |
| 5. | Name of the institution and child's admission number | .............................. |
| 6. | Order No. and date of Competent Authority | .............................. |
| Who orders the placement | .............................. | |
| 7. | Period of placement and Actual date of discharge | .............................. |
| 8. | Date of Discharge on Community based Programme | .............................. |
| 9. | Educational standard in the Institution | .............................. |
| 10. | Vocational Training (if any) undergone in the Institution | .............................. |
| 11. | Number and Date of release on Community Based Programme | .............................. |
| 12. | Whether discharged on Community based under Programme underFamily Assistance Scheme | .............................. |
| Date of admission in the Main Unit | Recommendation of the ClassificationCommittee | Reason for admission Details of the causticfactors for admission |
| 1. | Name | Male/Female |
| (Tick the appropriate category) | ||
| 2. | (a) Age at the time of admission | |
| (b) Present age | ||
| 3. | Religion | Hindu-O.C./B.C./M.B.C./S.C./S.T |
| Muslim | ||
| Christian | ||
| Others (Please specify) | ||
| 4. | Location of Residence | Urban/Sub-urban/Rural/Slum/Industrial/Others (Pleasespecify) |
5. Native District and State
6. Description of the Housing
7. By whom the Juvenile was brought before the Child Welfare Committee
8. Reasons for leaving the family
9. Types of abuse met by the child
10. Types of ill-treatment met by the child
11. Exploitation faced by the child
12. Health Status of the child before admission
| (i) | Respiratory disorders | Present/Not known/Absent |
| (ii) | Hearing impairment | Present/Not known/Absent |
| (iii) | Eye diseases | Present/Not known/Absent |
| (iv) | Dental | Present/Not known/Absent |
| (v) | Cardiac diseases | Present/Not known/Absent |
| (vi) | Skin diseases | Present/Not known/Absent |
| (vii) | Sexually transmitted diseases | Present/Not known/Absent |
| (viii) | Mental handicap | Present/Not known/Absent |
| (ix) | Physical handicap | Present/Not known/Absent |
| (x) | Others (PI. specify) | Present/Not known/Absent |
13. With whom the child was staying prior to admission
| 14. | Visit of the parents to meet the child prior toinstitutionalisation After institutionalisation | Frequently/ Occasionally/ Rarely/Never Frequently/Occasionally/ Rarely/Never |
| 15. | Visit of the child to his family prior to institutionalisation | Frequently/Occasionally/ Rarely/during festival times/duringsummer holidays/whenever fallen sick/never |
| After institutionalisation | Frequently/Occasionally/ Rarely/during festival times/duringsummer holidays/whenever fallen sick/never | |
| 16. | Correspondence with parents prior to institutionalisation | Frequently/Occasionally/ Rarely/during festival times/duringsummer holidays/whenever fallen sick/never |
| After institutionalisation | Frequently/Occasionally/ Rarely/during festival times/ duringsummer holidays/ whenever fallen sick/never |
17. Diet of Mother during pregnancy
18. Health during pregnancy
19. Birth details
20. Details of immunisation provided
21. Details of handicap
| (i) | Hearing impairment | By Birth/After accident/diseases |
| (ii) | Speech impairment | By Birth/After accident/diseases |
| (iii) | Physical handicap | By Birth/After accident/diseases |
| (iv) | Mental handicap | By Birth/After accident/diseases |
| (v) | Others (PI. specify) |
22. Household composition
| S. No. | Relationship | Age | Sex | Education | Occupation | Income | Health | History of Mental illness | Handicaps | Habit | Socialisation |
23. Type of family
Nuclear family/Extended family/Joint family/Broken family24. Relationship among the family members Cordial/Not cordial/Not known
| (i) | Father and mother | Cordial/Not cordial/Not known |
| (ii) | Father and child | Cordial/Not cordial/Not known |
| (iii) | Mother and child | Cordial/Not cordial/Not known |
| (iv) | Father and siblings | Cordial/Not cordial/Not known |
| (v) | Mother and siblings | Cordial/Not cordial/Not known |
| (vi) | Juvenile and siblings | Cordial/Not cordial/Not known |
25. History of crime committed by family members.
| S.No. | Relationship | Nature of Crime | Arrest if any made | Period of commencement | Punishment awarded |
| 1. | Father |
| 2. | Step-Father |
| 3. | Mother |
| 4. | Step-Mother |
| 5. | Brother |
| (i) | |
| (ii) | |
| (iii) | |
| (iv) | |
| 6. | Sister |
| (i) | |
| (ii) | |
| (iii) | |
| (iv) | |
| 7. | Child |
| 8. | Others (uncle/aunty/grandmother) |
26. Properties owned by the family (I) Landed properties (PI. specify the area) Hosuehold articles Cows/Cattle/Bull/others (iii) vehicle two wheeler/ Four wheeler/(lorry/bus/car/tracker/jeep) (iv) Other (PI. specify)
27. Marriage details of family members
| (i) | Parents | Arranged/Special Marriage/Local Union |
| (ii) | Brothers | Arranged/Special Marriage/Local Union |
| Arranged/Special Marriage/Local Union | ||
| Arranged/Special Marriage/Local Union | ||
| (iii) | Sisters | Arranged/Special Marriage/Local Union |
| Arranged/Special Marriage/Local Union | ||
| Arranged/Special Marriage/Local Union | ||
| Arranged/Special Marriage/Local Union |
28. Social activities of family members
29. Parental care towards Juvenile before admission
30. Puberty
EarlyMiddle ageLate31. Details of delinquent behaviour if any
32. Reason for delinquent Behaviour
33. Habits
| A | B | ||||
| (i) | Smoking | (i) | Watching T.V. | ||
| (ii) | Drinking | (ii) | Go to movie | ||
| (iii) | Drug abuse (specify) | (iii) | Reading books | ||
| (iv) | Gambling | (iv) | Religious activities | ||
| (v) | Prostitution | (v) | None of the above | ||
| (vi) | None of the above |
34. Employment details
Employment details of the Juvenile prior to entry into Juvenile Home.| SI. No. | Details of Employment | Duration | Wage earned |
| (i) | Cooly | |
| (ii) | Rag picking | |
| (iii) | Mechanic | |
| (iv) | Hotel Work | |
| (v) | Tea Shop Work | |
| (vi) | Cycle Shop work | |
| (vii) | Shoe Polish | |
| (viii) | House hold works | |
| (ix) | Others (PI. specify) |