11

Directorate of School Education /ftitati 1489 111.1

rifi:.-ier firii<ri Education, Culture and Development

GOVERNMENT OF HARYANA / 8R011711

UCATION DEPANTMENIT:.,,

PrTfrrt.Office of Director School Education, Haryana three Trr "ITfaltFTFI

From Darkness lead me to Light?ow itur dhoti Tel: 91(0172)-2560246 Fax: 91(0172)-2560253

Off.: Plot No. 18, Shiksha Sadan, Sector 5, Panchkula, Haryana 134109 (India) -91 (0172) 2560246 tail: 91 (0172) 2560253

Tf1Ifff11: leiie 90 it. RIM iT69, Arrit.)1 5 1COotrif-134109 tiTIO) VTR

e-mail: edusecondaryhry@gmail.com - site: www.schooleducationharyana.gov.in

Inspection Performa for Inspection of Private Schools for recognition, under RTE Rules 2011.

(Note: - (4) tick mark the circle for appropriate information)

_L 1 11(Lo is 1District/Sub Division A I /Z a

Date of Inspection 8 1 2- 2

1. Details of Schools: A. General G- 1-Ipiity 11 0 R t Z.1. Name of School

L 1- L- C 13 ff Ci_wfoqt 11` Stage for which recognition applied for 0 Primary • Middle

i. Permission to establishment or up- 0 Director 0 DEO • cue6 gradation of school granted by

Nnte: The schools running in the State before 31.03.2007 as -S'iRCLIK 3-C 1 Date ifif;1 iyi ei fNo. 511 recognized or deemed recognized or temporarily recognized or unrecognized shall be deemed to have been permitted under this rule for the purpose of recognition or up gradation.

If already recognized mention stage along with 0 Primary • Middle . order no. and date

Iv

Date 1_No. 1 1 B. Locational Details of School:

Plot No I T L Sector /Mohalla

in City/Town/Village /id_ U H iv HUM/Municipal Council/ Committee/ i+fAt I'-.I1

Panchayat L v. CD Block 1/0 [Kr -- 1 [ __I vi. Assembly Constituency e ,c1Z_ 17 7 1

v11. District I. e I A Ig t.I I I L__ L I viii. Telephone No. with STD code aif Z 7 1 trill I

u. Fax No..

Email address f)1.1.-eI/ I2-ID c if /-11417.X.

2, Details of Authority to run the school 1. Name

Individual or association of individuals or trust H' V A 0 It/1? if a

created under the Indian Trust Act, 1882 (2 of 1982), (u A L- A' IC ji 107 17 iY or society registered under Societies Act, 1860 or company registered under Companies Act, 1956 (1 r 17. 6f:(-43-j of 19561.

MC/Sarpanchu tens cow -WSPED:0-Mahar (Rewari)

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Directorate of School Education /1.001HZ1 1ibitat(

2. Registration Details Scheme of Management (under Rule 32)

a) Registration Number & Date

b) Registration Authority

iii. Number of members of managing committee

iv. Composition of managing committee

v Copy of bye-laws attached

C. Type of School/Curriculum: i. Type of school

Approximate number of students

iii. Affiliating Board

iv Curriculum:- a) For 1-8 Class

v Medium of instructions

A. Area Details: School New schools

established after cotmnencement of Haman* School Educetion Rules, 2003 i.e. after 30,04.2003

Rural/Urban/ Controlled areas

Pitman 05 Acre

?fiddle I 0 Acre

Secondary 2 0 Acre

Senior Seconder, 2.0 Acre t:1 Arts and

Commerce i ill Ansi Commerce

and Science

Existing schools running us recognized or unrecognized before commencement of Haryana School Education Rules, 2003 i.e. before 31.03.2007

Rural/Urban/ Rural/Urban/ Controlled Controlled areas (for single storey (for double

building) storey building) 500 Square meters 350 Square

meters 800 Square meters 600 Square

meters 2000 Square meters 1500 Square

meters

3000 Square meters 2250 Square Meters

4000 Square meters 3000 Square

meters

In case of existing schools i.e. running before June 2011, these schools shall provide or make arrangement for adequate play ground within the radius of 500 meter according to the number of students. These schools may use the playground of Government schools within one Kilometer range or tie up for use of playground of any Aided School, Educational Institution,' Park. Panchayat/Municipal Land, Stadium etc.

B. Owner Details: (i) The Name of individual or Association of individuals or

Trust or Society or Company or school whom ownership vests

(ii) The ownership title documents attached.

C. Leasor's Detail: (i) Name

(ii) Address

D. Lessee Detail:

(I) Name of the lessee (President or Secretary or Manager)

(ii) Whether authorized by the authority running the school

DEE BEO/BEEO

0 Yes 0 No

R v.;I) IP 1 t r 41 f -et 7 Aleig I o; f- , A .12 Pi

0

• Yes 0 No

0 Yes 0 No

0 Boys 0 Girls %Pm.. c1 4 0

• Bose 0 CBSE Bose 0 CBSE

0 Hindi 0 English Land Details:

Total Land Area

e T-e-A (Mu:)0

• Co-Education

0 ICSE 011,cl

0 ICSE u .1)e pt

0 Both Others

Acre I Kanal O Marla I Sqtri

• Yes 0 No

If yes, then Area Distance

kr A 6C U vi_c1Pr T w lc / 1r :Y.

411e,09 (Ree-y-0 Yes 0 No

/-1 A1 A L. 1/4 4/- L 1410!P14'1-owl/`° 6

I) R 1a I I I

LI

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r P g Lie In 1 3 rd I I 1

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MC/Sarpanch r 4

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Directorate of School Education /farlrele ftio

•(iii) Copy of resolution attached or not I Yes 0 No E. Location of land: — .3(8-°) V)-(4"-C),0

(i) Khewat/Khasra No. /Killa No./Plot No. Khewat Khasra I Killa Phi (ii) Whether land is in one patch or more. Number of patch (iii) If more than one patch sizra of land duly I Yes 0 No

countersigned by the Tehsildar be attached)

(iv) Whether pieces of land adjacent and easily 0 Yes 0 Noapproachable and functionally suitable

Building Details:

A. Existing Plan (i) Existing plan of building duly signed by registered 0 Owner/Lessee (President or Manager or Srt vial v) 11 A I t ill Lk',architect and owner or lessee (ii) Covered Area

(a) Ground coverage-(for New Schools: it should be or /02_conforming to Urban Development Department, Town and Country Planning Department, Panchayat and Development Department whichever is applicable

(b) Total covered area (if more than one floor) ca' 9 (c) Percentage of ground coverage

(d) FAR (Floor area ratio) (For New Schools) 1-7 B. Rooms Details: i) Total No. of Rooms 0 /

1i) Number of Class Rooms (one class room for each section) e Size of Class Room

a) for new School - 24.x18'x10' ® 10Sq.ft./ Studentb) for Existing School

Class- @ 9 Sq.ft./Student

Total Area No of TotalType Lentered Room Size (in ft.) ISq.Ft. each Students to No of

room) be adjusted Studen,Class Room • Yes 0 No x 1 f .'.lass Room • Yes 0 No 3 xx /y L lass Room 0 Yes 0 No x x 12— Class Room 0 Yes 0 ../;10, x x Class Room 0 Yes 0 No x x

tal Rooms

Others Room )(rice or Head • Yes 0 No x

R0111 0 Yes 0 No 1 2-0 x

()1lic,xoom 0 Yes 0 No x

Library • Yes 0 No 1 .2-& x 0-e x /2- No. of books available Composited Lab 0 Yes 0 No I 22-. I x x 1 LI-computer/muse)Room • Yes 0 No yC

Story. Room P Yes 0 No 2—e

%Inn 011011f MC/SarpanchWitt assvari L'B.Z. 0.

-614 Nahar (Rewari)

Page 3 of 5

Diroctorato of School Education /DUMB BM' 1)tfriltiffi

,n) Veranda

a) for new School - 8' for single loaded & 10' for double loaded / Ft.

b) for Existing School - 6' for single loaded & 8' for double loaded Ft.

iv) Stair If No, Sizea) for new School - 8ft' width. S Yes 0 No

b) for Existing School- 4'.6"width. Additional stair after linear 0 Yes 0 No If No, Size distance of 100'

V) 1.arpn if No. Sizca) for new School - 6' width. S Yes 0 No

b) for Existing School- 6' width, If the school does provide ramp 0 Yes 0 No If No, Size then it should arrange the classes for the handicapped students at the ground floor.

c‘PS Yes 0 No Mode (i) Drinking water facility (Mode of water supply)

(ii) Toilets and Urinals separate for boys and girls 0 Yes 0 No

(a) Number of toilets for the girls

'0(b) Number of toilets for the boys

Total toilets LLL 5. Pledge Money

Pledge money atleast equal to six months basic pay of the staff but in no case I Yes 0 No If yes. Amount I t ertre)

less than the amount as mentioned below, shall be deposited in the name of Director School Education (by designation), in the shape of fixed depositor bank goats

Stage Class Rs. Primary l.V 50,000 Middle 1-V111 1,00,000

6. Certificates — 1 Ownership or rchsildsr Yes 1) No

2 Construction of District town planner/ municipality/registered architect/ empanelled architect I Yes 0 No

3 Building Safety of. Building Public works Department! Municipality/ Registered Engineer/empanelled • Yes 0 No

Engineer 4 Fire Safety Fire Officer, authorized agency by Central Government or State Government • Yes 0 No 5 hygienic Chief Medical Officer, Senior Medical Officer, empanelled Medical Officer • Yes 0 No 6 No Objection Municipal area municipality/municipal Yes 0 No

Cert i firm e councilnocal authority regarding land use

Out side municipality area like As notified tinder relevant laws. 0 Yes 0 No urban area/ controlled area/rural area

Note: - The schools running in the state before 31.03.2007 as recognized or deemed recognized or temporarily recognized or oil recoii

not require to attach certificate referred Above at Sr No. 6 i.e. no objection certificate regarding land use with application fur

recognition or up gradation.

7. Staff statement • Yes 0 No

8. Rules and Regulations for staff under rule 162 I Yes 0 No

9. Fee structure —

11 class —wise fee and funds (no funds except Red Cross, CWF and Sports Fund) I Yes 0 No

Ili to he displayed on the notice board. I Yes 0 No iii) issue of fee,recetpt. It Yes 0 No iv) fees charged is according to the facilities provided by the school it Yes 0 No

10. School Record (under rule 28) I Yes 0 No

11. General report regarding -1.No business premises in any part of building of schools. 0 Yes P No

2. Furniture and equipment are adequate and suitable for I Yes 0 No institution

3. Salary of teachers and non-teaching staff are paid regularly I Yes 0 No as notified y the school.

DEE BEO/BEEO MC/Sarpanch B.E.F 0. 2

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Difactorato of School Education /NMI %Cif f11:111Zi2k

4. No business premises in any part of building of schools. 0 Yes 0 No 5 Furniture and equipment are adequate and suitable for • Yes 0 No

institution 6 Salary of teachers and non-teaching staff are paid regularly I Yes 0 No

as notified by the school, 7. School building or other structure or ground are not used 0 Yes No

during day or night for commercial or residential purpose (except separate residence for employees of school) or communal, political or non-education activity of any kind,

8. There is no thoroughfare or public passage through any part 0 Yes 0 No of school premises.

9. Sanitary arrangements at school are adequate and kept in 0 Yes 0 No good order.

10. Drinking water arrangement adequate. 0 Yes 0 No

11. Provisions of electricity fitting and electric fans in each 0 Yes 0 No class rooms.

12. No teacher or student is completed to attend a class or 0 Yes 0 No religious instruction (except in minority school)

13. No complain/inquiry pending against school building I Yes 0 No management committee seeking recognition. An undertaking in this effect that land building in this effect that land building is free from litigation be submitted. 12. Audit Report (as per rule 30) 0 Yes 0 No

13. Processing Fee + Form Fee I Yes 0 No

(For 5th Rs. 1000/-, for 8th Rs. 2500/-, plus Rs. 500/- fee of the form)

14.Recommendations: -o] .,‘ •We the members of the Inspection Committee. have satisfied ourselves that the school fulfills all condition,of

down in Haryana School Education Rules, 2003/RTE Rules 2011 amended from time to time and guideline:, ',sited hs

therefore. recommend that the school be granted recognition/upgradation from Class to Class....,9.

OR We find that school is not fit for recognition/ up gradation and has the following deficiencies / discrepancies: -

• ND '1-11Bi•titos--r2 ("real &LAS_

3.

4.

6. We, therel. ste recommend rejection of the request for recognition/up gradation applied for Class to Class

. 131344Wiet Ilawatt:,tt BEO/BEEO MC/Sarpanch B.E.E.O.

• 4Nahar (Rewari) 4.. i

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