FOR
ACCREDITATION OF QUALITY
SCHOOL GOVERNANCE
Issue No. 05
General Instructions
1. All columns must be filled up in legible handwriting or by printing.
2. Copies of all the relevant documents should be submitted with the application
form.
5.
6 (a)
Year of Establishment
__________
Number of Students
Below Class 1
Classes 1-5
Classes 6-8
Classes 9-10
Classes 11- 12
8 (a). The school admits
Only Boys
8 (b)
Only Girls
Is Co-educational
Issue No. 05
Yes/ No
Issue Date : May 2011
Page 2
9.
Hindi
Any Other
(please specify) ..
10.
Does school have its own hostel facilities? Please tick appropriate box.
Day Boarding School
Government
Pvt. owner
b)
Trust
Society
12.
13.
14.
15.
16.
YES / NO
Issue No. 05
18.
_______________________________________________
19.
D)
20.
21.
Physical Size
a) Area of school Campus (in sq mtrs.) __________________________
b) Built up Area in (in sq. mtrs.) ________________________________
c) Playground area (in sq. mtrs)________________________________
Issue No. 05
Item
1.
Class Rooms
Staff Rooms
3.
Physics Lab
4.
Chemistry Lab
5.
Biology Lab
6.
Maths Lab
7.
8.
9.
Library
10.
Auditorium
11.
Number of rooms
TOTAL
23.
Staff
1.
Principal
2.
3.
4.
5.
6.
Untrained Teachers
Librarian Teacher
Permanent
Teachers
On
Contract
Total
TOTAL
Issue No. 05
24 Does the school have teachers with competencies to handle students with special
needs?
Yes/ No
25. Administrative support staff.
(Enclose list of staff indicating qualification, experience in Annexure -5)
S. No
Staff
1.
Office Managers
2.
Clerks
3.
Lab Attendants
4.
Accountant
5.
Peons
6.
Others
Permanent
Temporarily /
Part-Time
Total
For Boys
For Girls
For Staff
drinking water
health and sanitary conditions
fire safety
Yes / No
Yes / No
Yes / No
Issue No. 05
Available
Not Available
27.
Library Facilities
a). Total no. of Books ____________
b). No. of Magazine ______________
c). No. of Dailies (newspapers) ____________
d) Separate Library for Primary Section
28.
Dance Room
Music Room
29.
Yes/ No
Gymnasium
VCR/VCP
Tape Recorder
Multimedia Computer
Does the school receive any grant from Govt. of India / State Government / Union
Territory or any other source? Y / N
(Attach Annexure -10: Details of grants received in last 3 years;
Annexure 11: Audited Financial reports of last 3 years)
Issue No. 05
Season :
(From Date to
Date)
From Time
To time
Remarks if any
32.
Class
No of
sections
Total No. of
Boys
Total No. of
Girls
Total No of
students
1.
2.
3.
4.
33
34.
Names and details of any Resource person/ Organization used for developing
Accreditation Manual, and Training.
_______________________________________________________________
35.
I hereby declare the above information is true and correct as per my knowledge.
Authorised Signatory
Name: ___________________________________
Designation: ______________________________
Date:
Place:
Issue No. 05
List of Annexure
Enclosed
1. Registration Certificate of Trust/ Society
Yes / No
Yes/ No
Yes/ No
Yes/ No
Yes/ No
8. Fire Safety
Yes/ No
9. School Brochure
Yes / No
Yes/ No
Yes/ No
Yes/ No
Yes/ No
Issue No. 05
Particulars
___________________________________________
Date Completed
Name of Examiner
- Application Review
- Document Review
- Readiness Visit
- Final Assessment
- NABET Decision
- Accreditation
Issue No. 05