DEPARTMENT OF SOCIAL DEFENCE FORM NO-I {See Sub-rule (i) of rule 5} Application for Certification Taluk : District : 1.Name of Home : 2.Date of Establishment : 3.Society, Association, Person or Persons owning the school: 4.Sources of funds -with details where possible: 5.Names of members of Governing body and their addresses: 6.Superintendent : 7.Standard upto which general education is to be given: 8.Heads of vocational training and education to be given: 9.Staff : Name of teacher. Designation. Full salary assigned to the post or proposed to be assigned. Age. Standard and Subjects taught in the school. Total service In other approved or Recognized schools with Names and periods in Each place. a. General Education Highest General edn. test and year with full Particulars Highest grade of trained teachers certificate and year Highest grade of untrained Teachers certificate and year and subject. b. Vocational Training Highest technical exam. Passed and year and Subject. If more than One please state. Highest grade of technical Teachers certificate and Year and subject. Remarks by the School Management. 10. Accommodation and Sanitation Total area of (a) School bldgs. Incldg Workshop. (b) Offices (c) Play ground Number of class rooms or workshops and the superficial and cubical area of each room with maximum number of pupils likely to be taught or trained in each. Sanitation, latrine and Water supply. 11. Furniture, apparatus and Appliances.(Infomation Separately for each Standard and kind of Vocational training to be Given). 12. Whether a library is Provided. 13. The Registers maintained DECLARATION On behalf of the management of the school, I hereby declare that the school fulfils all the conditions specified in the Juvenile Justice Act, 1986 and the rules relating thereto and I promise to comply with all the conditions laid down for certificate of schools dealt with by the Juvenile Justice Act, 1986, as laid down by the said Act and rules relating thereto and to furnish such returns as may be required by the Director of Social Defence. Superintendent/Manager/Correspondent /Honorary Secretary
