Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 Form-B Details about school and director or chairmanFill in block letter every column is mandatory. 1. Name of school-............................................................................................................ 2. Address – At-............................................,PO-............................................,PS.................................................... DIST-............................................................................,State-............................................................ Land mark........................................, pin codePhone no/landline no-..............................................., Mobile no-.................................................., Email id-.......................................................@.............................. 3. School’s registration no. (provided by Pragati Schooling Trust)-.............................................. 4. Year of registration-................................. School’s infrastructure detail5. Kind of school-.............................NUR to .............,.(primary ,middle, secondary ,higher secondary) 6. Total area of school(including class rooms, toilet, hostels, playground and other place )......................... 7. If, class rooms are available for each classes write yes or no.......... 8. How many class-rooms are available-.............. 9. Class-room type-.............. 10. Furniture is available for each student-....................(yes/no) 11. Is teachers are available for 40 children per 1 teacher-................(yes/no) 12. Toilets are available...................... (yes/no) 13. Hostel for boys student...................... (yes/no) 14. Bed available for each boy- ...................... .(yes/no) 15. Hostel for girls student...................... (yes/no) 16. Bed available for each girl- ...................... (yes/no) 17. How many times meals are given to each child-.................times (write in number) 18. School’s mauja no.-.................. 19. school’s khesra no-.......................... 20. Direction’s of schoolIn east-....................................................... In west-...................................................... In north-.................................................... In south-.................................................... 21. Total rakwa-............................................... 1 Seal of school- Seal of pragati schooling trust Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 Fill the detail about authorizer/director/chairman22. Name of authorizer/director/chairman-................................................................................ 23. Nationality(Indian /foreigner) 24. gender(male/female) 25. age26. highest qualification-.......................................year of....................(qualifying year) 27. Residing address of director or chairmanAt-...........................................,PO-.............................................,PS-.................................................... DIST-.................................................................................,State-........................................................ Landmark-........................................, pin codeContact no-......................................., Alternate no-.........................................., Email id-........................................................@............................... 28. Correspondence address of director or chairmanAt-...........................................,PO-.............................................,PS-.................................................... DIST-.................................................................................,State-........................................................ Landmark-........................................, pin codeContact no-......................................., Alternate no-.........................................., Email id-........................................................@............................... I (name of director/chairman).......................................................as a chairman/director of the (school’s name)............................................................. and address is-at................................., PO-.....................................................,PS......................................,DIST......................................, State.................................................,i declare that all provided information are true best of my knowledge. Signature of chairman/director with seal Place:Date:- 2 Seal of school- Seal of pragati schooling trust Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 Form-B 1 Detail of Principle and teacher(use only block letter)1. Name of school-.................................................................................... AddressAt-...............................................,PO........................................PS...................................... DIST..............................................,State-....................................... Pin code2. 3. 4. 5. sl no Total teacher............. Quantity of Male teacher............. Quantity of female teacher- ............. detail of each teacherNAME OF TEACHER GENDER AGE HIGHEST QUALIFICATION PASSING YEAR TEACHING EXPERIENCE Total no of male teacherTotal no of female teacher- 3 Seal of school- Seal of pragati schooling trust Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 6. if ,any B.ED teacher available fill detail of teachersl no NAME OF TEACHER GENDER AGE HIGHEST QUALIFICATION PASSING YEAR TEACHING EXPERIENCE Total no of B.ED male teacherTotal no of B.ED female teacher7. fill the detail about principle Name of principle-............................................................................................. Age-............years old Gender-............... Highest qualification-.................................. Passing year-............................................... Experience-................................................. I am (name of principle).........................................................................................................,of the (school’s name)..........................................................................................................................,at...........................................,PO-............................................. ,PS.............................................., DIST-................................................. ,State-..................................i hereby declare that above information provided by me are true best of my knowledge. Signature of principle with seal 4 Seal of school- Seal of pragati schooling trust Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 Form B 2 (Please fill all sheet gender, cast and class vies and use only block letter) Detail of studentClass-............., Sl no 5 cast-.........................................(SC/ST/OBC,General/minority) name of student Seal of school- father’s name address gender- ............. age Seal of pragati schooling trust Pragati schooling trust 814,jagat trade centre, frazer road patna-1,www.psteducation.org,0612-3193300,email [email protected] Date......./........./2015 Form c (This form has to fill per class vies) School’s name -............................................................................................................................................... AddressAt.....................................................,PO-.......................................................,PS............................................... DIST...................................................,State-.......................................... Contact no-............................................ Director/chairman name-.................................................................... Director’s contact no-.......................................................................... Principle’s name-................................................................................... Principle’s contact no-.......................................................................... Class ................. Class teacher name-........................................... male student female student Total no of SC students-................. Total no of SC student-................ Total no of ST student-................... Total no of ST student-................. Total no of OBC student-................ Total no of OBC student-............... Total no of general student-........... Total no of general student-......... Total of minority student-............... Total no of minority student-........ Total no of BPL student-.................. Total no of BPL student-................ Total no of student in class .................=.................. Signature of class teacher 6 Seal of school- signature of principle signature of S.D.E of PST Seal of pragati schooling trust
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