APPLICATION FORM For submitting the Expression of Interest for "The Establishment of Schools in Partnership with Institutions in Civil Society Scheme, 2007." Application No.____ To The Director Public Instruction (Schools), Chandigarh Administration. Subject:-Application under "The Establishment of Schools in Partnership with Institutions in Civil Society Scheme, 2007." ***** Sir I/We __________________________the authorized signatory of ___________________________(Institution/School/ Society/Trust) hereby submit our offer/application for the establishment of a_________________________School (of Pre-Primary/Primary/ Middle/High/Sr.Secondary School category), preferably in Sector(s)__________(preference to be given) as per terms of the "The Establishment of Schools in Partnership with Institutions in Civil Society Scheme, 2007." I am enclosing herewith a Demand Draft No._________ dated _______________payable in favour of the District Education Officer, UT Chandigarh issued by the Bank _______________________(city/country) being the earnest money of Rs.____________ for _______category of builtup school sites in pursuance of the Public Notice published in ________________Newspaper dated ____________. We are enclosing herewith an affidavit duly attested by the Executive Magistrate/Oath Commissioner certifying: 1. That our institution/school/society owns ____________ School Sites in Sector _______, Chandigarh, and/or______________(name of the City to be given) OR does not own any land in Chandigarh for establishment of the above said school (strike out whichever not applicable). 2. That the applicant society/institution has ________years of experience of providing excellent education at ______level and running _______number of recognized/affiliated educational institutions (School(s) on the date of notice inviting applications for the above purpose. 3. Original copy of Bank Certificate issued by____________________________________Bank/City __________________showing the actual balance as on _________ at the credit and resolution of the society/school/institution is enclosed. 4. That the society/school has the requisite financial capacity, experience and expertise/skills for the establishment of "Schools of Excellence" in partnership with the Chandigarh Administration as per the above Rules. (Documentary evidence/attested copies of documents in support of such claim should be attached with the application). 5. That school/institution run by our society has excelled in the ______________examinations conducted by the CBSE/ICSE or other such examination body along with other proficiency in the field of Sports, Games, Music and other cultural activities as the case may be. (Documentary evidence/attested copies of documents in support of such claim should be attached with the application). 6. That I/We shall abide the terms of agreement and shall not alienate or transfer our interest in the above arrangement for the establishment of "Schools of Excellence" in partnership with the Chandigarh Administration in any manner under any circumstances to any individual/society/trust or school/institution. In view of the above, it is requested that our case may kindly be considered for entering into partnership with the Chandigarh Administration for the "The Establishment of Schools in Partnership with Institutions in Civil Society Scheme, 2007" as per the following preferences: Sr. No Category of School (Sr. Secondary/High/Middle /Primary or Pre-Primary) Sector Remarks 1. 2. 3. Note: We are/are not (strike out whichever is not applicable) willing to be considered for Government owned built-up school site other than the categories and sectors mentioned in the table above. Thanking you, Yours faithfully, Dated: (Signatures and name in Block Letters of the authorized signatory alongwith seal/stamp of the school/society) List of documents enclosed: 1. Complete organizational Profile. 2. Statements in support of financial soundness. 3. Statement in support of para 5 above. 4. Affidavit about para 6 above duly attested by Executive Magistrate/Oath Commissioner 5._______________________________ 6.________________________________ 7. Copy of the resolution of the society.