FORM -I (AS PER RULE-4) APPLICATION FOR GRANT OF PERMISSION FOR ESTABLISHMENT OF NEW SCHOOLS/ FOR UPGRADATION OF EXISTING SCHOOLS ********* 01. Details of the amounts deposited as : required under relevant rules a. Details of Treasury challan through : which application fee/ inspection fee has been deposited (counter-foil of the challan have to be deposited) b. Details of public contribution fund/ : endowment fund deposited (documentary evidence to be enclosed) c. Documentary evidence to indicate the : financial soundness of the educational agency (in the shape of bank balance/ securities etc.) 02. Details of the Educational Agency a. Name and address of the educational : agency b. In case of private management i.Is the educational agency is a : registered body. If so, the details along with the assets and liabilities shall be furnished ii.Aims and objects of the : educational agency (copy of the Constitution and Bye-laws as registered with the society shall be enclosed iii.In respect of educational : agencies claiming minority status for their schools shall also produce the following iv.Documentary evidence in support : of their claim v.Undertaking to the effect that : it will comply with the criteria prescribed for becoming eligible to get minority status if permission is accorded and that it will not claim the privileges of minority institution in case of failure to obtain a certificate to that effect from the competent authority within the stipulated period (PTO) P#2 03. In case of local body managements a. Whether the local body has fulfilled : all the conditions prescribed b. Whether the local body has provided : necessary buildings for locating the proposed school and land for the use of play ground c. If the remarks for (b) is "NO" : whether the local body is prepared to deposit the endowment fund in lieu of own building 04. In case of public education committee sponsoring the establishment of the school a. Whether the proposed school will : have to function under the Govt. or Local Body b. List of the Office Bearers of the : Committee (copy to be enclosed) c. Whether the committee is a : registered body, if so its aims and objects d. Details of statement about how for : the condition prescribed have been fulfilled. 05. Details of the proposed school a. Name and address of the School : b. Whether the proposal is for the : establishment of the new school or for the up-gradation of the existing school c. Details of the classes and the : sections proposed to be started in the current academic year if permission is accorded d. Medium of instruction proposed to be : adopted in the school 06. Details of the various facilities already provided if any a. Details of land provided for use as : play ground and garden (PTO) P#3 b. Details of the accommodation : provided and whether the accommodation provided is adequate enough to locate the proposed school and additional classes c. Furniture provided : d. Equipment (including audiovisual) : e. Library facilities : f. Laboratory and workshop facilities : g. Any other facilities provided : 07. Whether the place where the proposed school is to be established lies in a. Educationally backward locality/ : tribal area/ other than these two. b. City/ Town/ Village : c. District headquarter/ Mandal : headquarter/ Village Panchayat d. Rural area not coming under any of : the above categories 08. a. Number and names of similar category : of schools already functioning in the locality b. Whether establishment of the : proposed school in any way adversely effects the liability of the school area existing in the locality c. Distance of the proposed school from : the nearest already existing school in the locality 09. Whether the educational agency has made : application for the purpose in the earlier years also, if so, references thereon 10. Details of accommodation provided a. Whether the building is own/ rental/ : rent free b. Whether the building is pucca/ : semi-pucca/ thatched/ tiled c. Extent of area available for each : class room d. Is the building ready for occupation : (PTO) P#4 e. A rough sketch plan of the building : in which the school to be established to be enclosed f. If the school is proposed to be : located in rented accommodation, documentary evidence to show the applicants ownership or has right to be in exclusive possession of the site and the building at least for a period of ten years 11. Whether the educational agency is : prepared to fulfill the conditions prescribed for according of provisional recognition within the given time if, permission for establishment of new school/ up-gradation of the existing school has been accorded 12. If the educational agency (private : management) is already running any other educational institution(s) the details thereon shall be given. Signature of the Headmaster Mandal Parishad Upper Primary School, (with official stamp) DECLARATION I, __________________________________ Son of __________________________ representing the educational agency hereby declare that the particulars furnished in the application above are correct to the best of my knowledge and belief. I also hereby declare that the educational agency to whom I represent shall abide by the rules and regulations made by the competent authorities from time-to-time, if our request for the permission is agreed to. Station: Dated : Signature Of the Signature of the Mandal Educational Officer, Mandal Parishad Dev.Officer, Mandal Parishad, Mandal Parishad, (Official Seal) (Official Seal)
