Form B - psteducation.org

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