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    Data Capture Format

    Academic Year : Date of Reference : 30 Sep. 20132013-14

    32010700603

    671349

    GLPS MAITHANI

    School Code

    School Category

    Village Panchayat Name

    Cluster Name

    PIN Code

    TRIKARPURVillage Name

    CHERUVATHUREducational Block Name

    CHERUVATHURRevenue Block Name

    District Name

    School Name

    KASARAGOD

    GLPS MAITHANI

    Distr ict Information System for Education (DISE)

    Printed u sing U-DISE software, designed and developed by NUEPA, New Delhi

    School Report Cards available on www.schoolreportcards.in

    Website : www.dise.in

    TRAIKARIPUR

    City Name

    Constituency Name

    Municipality Name

    Habitation Name

    TRIKARIPUR

    Primary

    Higher Secondary stage

    Secondary stage

    Elementary stage Co-Educational

    Not Applicable

    Not Applicable

    Type of School

    Higher Secondary stage

    Secondary stage

    99 - Not Applicable

    School Management

    99 - Not Applicable

    Elementary stage 1 - Department of Education

    School :32010700603 - SchPage 1

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    A. Schoo l Particulars Academic Year : 2013-14

    District Information System for Education32010700603School Code :

    6. Village Panchyat name

    7. Name of Cluster Resource Centre (CRC)/URC

    8. Revenue Block / Mandal / Taluk Name

    9. Educational Block / Mandal / Taluk Name

    10. Assembly Constituency name

    #

    @

    #

    11. Municipality name

    12. City name

    #

    Primary only (1-5)=1, Primary with Upper Primary(1-8)=2, Primary with upper primary and secondary and higher secondary(1-12) =3, Upper Primary only(6-8) =4,

    Upper Primary with secondary and higher secondary(6-12) =5, Primary wi th upper primary and secondary(1-10) =6, Upper Primary with secondary(6-10) =7,

    Secondary only(9 & 10) = 8, Secondary with Hr. Secondary(9-12)= 10, Hr. Secondary only/Jr. College(11 & 12) = 11

    14. School Category

    17. Type of School [Boys=1/Girls=2/Co-educational=3]

    18. Managed by (School Management)

    Landline No.STD Code Mobile Number (11 digits)

    (i) Office / Head of School 04672 2301102 9847151987

    04985 261786 9497601327

    1 - Primary

    TRIKARIPUR

    GLPS MAITHANICHERUVATHUR

    CHERUVATHUR

    TRAIKARIPUR

    3201003

    3201

    16. Highest class 4

    2. School located in Rural area or Urban area [Rural = 1/Urban=2]

    32013. Habitation name

    TRIKARPUR4. Village name/Ward no.

    1 - Rural

    GLPS MAITHANI

    13. Phone / Mobile Number / Email and Website address

    suharayousaf10"gmail.com

    (ii) Respondent

    E-mail address

    Website address

    Exactly 6 digits6713495. Pincode

    1. School name

    29. Geographical Information, if available

    Mizo (25) / Bhutia (26) / Lepcha (27) / Limboo (28) / French (29) / None (98) / Others (99)

    Assamese (01) / Bengali (02) / Gujarati (03) / Hindi (04) / Kannada (05) / Kashmiri (06) / Konkani (07) / Malayalam (08) / Manipuri (09) / Marathi (10) / Nepali (11) /

    Oriya (12) / Punjabi (13) / Sanskrit (14) / Sindhi (15) / Tamil (16) / Telugu (17) / Urdu (18) / English (19) / Bodo (20) / Mising (21) / Dogri (22) / Khasi (23) / Garo (24) /

    like (K.V.S., Novodaya Vidalaya, Military schools (7) / Un-recognised (8) / Madarsa recognized (by Wakf board/Madarsa Board)=97, Madarsa unrecognized=98

    Department of Education (1) / Tribal/Social Welfare Department (2) / Local body (3) / Pvt. Aided (4) / Pvt. Unaided (5) / Others (6) / Central Govt. schools

    Elementary

    3 - Co-Education

    1 - Department of Education

    27. Medium of instruction a) 98 - None 98 - None 98 - Noned)c)b)

    #

    [Ashram (Govt.) =1, Non-Ashram type (Govt.) =2, Private=3, Others =4, Not Applicable=5, Kasturba Gandhi Balika Vidhyalaya (KGBV) =6, Model School=7]

    [Yes=1/No=2]Primary Stage

    20. Whether school is approachable by all weather roads?

    21. Year of establishment

    22. Year of recognition of school, if recognized

    24. Whether this is a Special school for CWSN?

    25. Is the school a shift school [Yes=1, No=2]

    Up. Primary Stage [Yes=1/No=2]

    4 digits ex. 19871946

    1946

    2 - No

    2 - No

    [Yes=1/No=2]

    [Yes=1/No=2]

    Elementary Stage

    [Yes=1/No=2]

    19. Distance in Kms.

    26. Residential school 2 - No 9 - No Response

    08 - Malayalam

    Elementary

    1Lowest class15. Class in the school

    1 - Yes

    a) From primary to nearest Govt./Govt. Aided upper primary school

    b) From upper primary to nearest Govt./Govt. Aided secondary school 0

    0

    If yes: a) Type of residential school 5 - Not Applicable

    23. Year of upgradation (if applicable) Primary to Upper Primary 1946

    Enter 999 if the nearest Govt./Govt Aided school is in same campus

    a) Latitude b) Longitude0 0 0 0 0 0

    School :32010700603 - SchPage 2

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    Academic Year : 2013-14School Code : 32010700603 A (I) Schoo l Particulars

    School Informtion Schedule

    1. Pre-primary section (other than Anganwadi) attached to school ?

    0

    2

    5000 5000

    75007500

    2000 2000

    Max. 4 digits

    Max. 2 digits

    2. Anganwadi Centre in or adjacent to school ? 2 - No

    Max. 4 digits

    Max. 2 digits

    (2012-13)3. Last academic year details

    a) Number of academic inspection Max. 2 digits

    Max. 2 digitsb) Number of visits by CRC coordinator

    c) Number of visits by BRC coordinator Max. 2 digits

    4. School funds (last completed financial year) not to be filled by unaided schools

    a) School Development Grant (under SSA) Max. 8 digits

    Max. 8 digitsb) School Maintenance Grant (under SSA)

    c) TLM/Teachers Grant (under SSA) Max. 6 digits

    5. Teaching staff details

    Number In-Position

    Primary Upper PrimaryUp. Primary

    No. of Sanctioned posts (if applicable)

    Primary

    Teaching staff (Regular Teachers) 4 4 4 0

    Contract teachers 0 0 0 0

    Part-time instructor 0

    Expenditure (Rs.)Receipt (Rs.)

    1

    2 - No

    a) Total students in Pre-Primary section

    b) Total Teachers in Pre-Primary section

    [Yes = 1 / No = 2]

    a) Total students in Anganwadi Centre

    b) Total Teachers/Anganwadi workers

    Max. 6 digits

    Max. 8 digits

    Max. 6 digits

    [Yes = 1 / No = 2]

    If yes:

    If yes:

    0

    0

    0

    0

    School :32010700603 - SchPage 3

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    A (ii ) Schoo l Particulars2013-14School Code : 32010700603 Academic Year :

    If Yes, a) Are pupil cumulative records of CCE being maintained?

    b) Are pupil cumulative records of CCE shared with parents?

    Upper PrimaryPrimary

    Whether TLE available for each grade

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [NA = 0,Yes=1 / No=2]

    Whether complete set of text books received

    Whether play material, games & sports equipment available for each grade

    [Yes=1 / No=2]

    [Yes=1 / No=2]

    7. Availability of Text Books, Teaching Learnin g Equipment (TLE) and play material stage-wise (in current academic year)

    0 0

    [Yes=1 / No=2]2. Is Continuous and Comprehensive Evaluation being implemented in the school at elementary level?

    1 - Yes

    1 - Yes

    3.1 Only for Private unaided schools

    a) Number of Children enrolled at entry level (Under 25% quota as per RTE) in current academic year

    b) Number of Students continuing who got admission under 25% quota in previous years

    If Yes,

    d) Number of meetings held by SMC during the previous academic year

    c) Number of representatives/ nominee from local authority

    b) Number of Parents/Guardians members

    a) Total number of Members in SMC

    e) Whether SMC Prepare the School Development Plan [Yes=1 / No=2]

    g) W hether separate bank account for SMC is being maintained [Yes=1 / No=2]

    If Yes,

    8 9

    67

    0 1

    01 - Yes

    FemaleMale

    1 - Yes

    1. Details of instructional days and schoo l hours

    b) Number of hours children stay in school (Current Year)

    c) Number of hours teachers stay in school (Current Year)

    a) Number of instructional days (previous academic year)

    Primary Upper Primary

    Bank name

    A/c No.

    Account Name

    IFSC Code

    NMG BANK

    1739

    5. When does the academic session s tarts

    when was the text books received in the current academic yearIf Yes,

    Month

    Month

    6. Whether any text book received in current academic year (upto 30th September)

    [Yes=1 / No=2]If 'Yes',

    d) Who conducts the special training?

    c) Number of children completed special training during previous academic year

    b) No. of children enrolled for special training in previous academic year

    a) Number of children provided/being provided Special Training in current year (upto 30 Sep.)

    NGO=4, Others=5, None=6]

    [Not Applicable=0, School teachers=1, Specially Engaged Teachers=2, Both 1 & 2 = 3,

    e) Where is the Special Training being conducted?

    [Not Applicable=0, School premises=1, Other than school premises=2, Both 1 & 2=3]

    [Not Applicable = 0, Residential=1, non-residential=2, Both=3]f) Type of training conducted

    4. Whether any child enrolled in school attending Special Training

    Q. 4 is only for Government schools

    Year

    00

    0 0

    00

    0 - Not Applicable

    0 - Not Applicable

    0 - Not Applicable

    1 - Yes

    Bank branch TRIKARPUR

    0 0

    0

    0

    0

    1 - Yes[Yes=1 / No=2]3.2 i) Whether School Management Committee (SMC) has been constituted?

    0

    1 - Yes

    Boys Girls

    6 - June

    [Yes=1 / No=2]

    School :32010700603 - SchPage 4

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    B. Physical facilities and equipmentSchool Code : Academic Year :32010700603 2013-14

    1. Status of school building

    1 - For All

    [for All=1, for Some = 2, for None=3]

    Availability of Furniture for Students2. Details of classrooms and furniture Total Classroomsunder constructionTotal classrooms

    Classes 1 to 8

    Grades

    04

    Private (1) / Rented (2) / Government (3) / Government school in a rent f ree building (4) / No Building (5)/Dilapidated (6)/Under Construction(7)

    3 - Government

    Total other rooms

    classes

    Elementary

    Classrooms by condition

    c. Kuccha

    0

    b. Partially Pucca 0

    0

    Good condition

    0

    0

    0

    0

    Need minor repair

    0

    0

    0

    0

    Need major repair

    0d. Tent

    4a. Pucca

    Total

    7

    7

    2

    3

    [Yes = 1 / No = 2]

    No. of toilets having water for flusing and cleaning

    No. of urinals available

    Boys

    3

    1

    13. Does the school have Computer Aided Learning (CAL) Lab

    Ramps(for disabled children)

    14. Medical check-up of students conducted last year

    15. Ramp for disabled children needed to access classrooms

    a. Total books in school library 1251

    6. Main source of drinking water facility

    3. Land available for expansion of school facilities

    4. Separate room for Head Teacher/ Principal available

    5. Total Toilet (other than urinals) Units constructed / Available

    Computers available12. Details of Computers (For teaching and learning)

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]11. Playground

    If no, land is available for developing playground [Yes = 1 / No = 2]

    b. does the school have a full-time librarian? [Yes=1, No=2]

    10. Does the school subscribe for magazine/news paper

    Computers Functional

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2 / Yes but not functional = 3]

    2 - No

    2 - No

    2 - No

    2 - No

    2 - No

    4

    3

    2 - No

    2 - No

    1 - Yes

    1 - Yes

    1 - Yes

    [Not Applicable=0, Pucca=1, Pucca but broken=2, barbed wire fencing=3, Hedges=4, None=5, others=6, Partial=7,Under Construction=8]

    [Yes = 1 / No = 2 / Yes but not functional = 3]7. Electricity in school

    a. Source of drinking water Functional ( Yes = 1 / No = 2 )

    [Hand pump=1,Well=2,Tap water=3,others=4,none=5]

    No. of units/seats Functional

    No. of units/seats Constructed / Available

    [Yes = 1 / No = 2]

    if Yes, whether Hand-rails for ramp is available [Not Applicable=0, Yes=1, No=2]

    1

    2 - No

    0

    3

    2 - No

    1 - Yes

    Girls

    4

    4

    1

    2

    7 - Partial

    2 - Well

    1 - Yes

    1 - Yes

    a. Is the hand washing facility available near the toilet/urinals? [Yes = 1, No = 2]

    b. Is there any toilet that is friendly to Children with Special Needs (CWSN)?

    8. Type of Boundary wall

    9. W hether school has Library/Book Bank/Reading corner

    23. Variable22. Variable21. Variable20. Variable28. Variable27. Variable26. Variable25. Variable24. Variable29. Variable

    (Only for Govt. / Aided Schools)

    M i d D a y M e a l I n f o r m a t i o n

    School Code : 32010700603 Academic Year : 2013-14

    a) Give status of Kitchen Shed

    Not applicable=0, Not provided=1, provided & prepared in school premises=2, provided but not prepared in school premises=3

    (i) If 'Provided and prepared in school premises',

    (Not Applicable =0, Available=1, Not Available=2, Under Construction=3, Excess Classroom used as kitchen shed=4)

    (ii) If 'Provided but not prepared in school premises',

    Provide source of MDM 0

    1 - Available

    2 - Provided && prepared in school premises1. Status of Mid-Day Meal

    (From nearby school - 1 / NGO - 2 / Self Help Group - 3 / PTA/MTA - 4 / Others - 5) / (Gram Panchayat - 6 / Central Kitchen - 7)

    School :32010700603 - SchPage 5

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    Variable 8Variable 10Variable 4Variable 9000

    Variable 2

    C. Teaching staff details

    Variable 7Variable 1Variable 5Variable 3Variable 6

    Gender BRC CRC DIETAcad. Prof.

    Dateof Birth

    Eng. S.S.TMaths

    Total days of in-servicetraining received inlast academic year

    HighestQualification

    Subjectsstudied

    upto

    Sl.No. OTHER

    School : 32010700603 Year : 2013-14

    1 Teacher name: SUHARA.O.T

    2 03/10/1965 4 1 1 1987 2 1 1 1 1 0 0 2 2 7 2010 1 2

    AADHAAR ID:

    2 Teacher name: SAKEENATH T.

    2 25/05/1968 4 3 1 1992 2 1 1 1 1 0 0 2 2 7 1993 1 2

    AADHAAR ID:

    3 Teacher name: RADHAMANI A.

    2 05/09/1959 1 3 1 1993 4 3 1 1 1 0 0 2 4 7 2002 1 2

    AADHAAR ID:

    4 Teacher name: A.V. CHANDRAN

    1 14/05/1960 6 3 1 2001 3 1 1 1 1 0 0 2 3 7 2003 1 2

    AADHAAR ID:

    900 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    901 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    902 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    Category:

    Gender:

    Head teacher (1) / Acting head teacher (2) / Teacher (3) / Para Teacher (4) / Instructor positioned as per RTE (5) / Principal (6) / Vice-Principal (7) / Lecturer (8)

    Male (1) / Female (2) Caste: General (1) / SC (2) / ST (3) / OBC (4) / ORC (5) / Others (6)

    / M. Ed. or equivalent (4) / Others (5) / None (6), Diploma/degree in special education=7

    Prof. Qual.:

    Below Secondary (1) / Secondary (2) / Higher Secondary (3) / Graduate (4) / Post Graduate (5) / M. Phil. or Ph. D. (6) / Other (7)Acad. Qual :

    Diploma or certificate in basic teachers' training of a duration not less than two years=1, Bachelor of Elementary Education (B.El. Ed.) =2, B.Ed. or equivalent (3)

    Not Applicable (1) / Ortho (2) / Visual (3) / Others (4)Type of Disability

    Business Studies=12, Chemistry=13, Computer Science=14, Economics=15, Engineering Drawing=16, Fine Arts=17, Geography=18, History=19,

    Subjects: All subjects=1, Language=2, Mathematics=3, Environment studies=4, Sports=5, Music=6, Science=7, Social studies=8, Accountancy=10, Biology=11,

    Classes Taught:

    Nature of appointment: Regular=1, Contract=2, Part-Time=3Secondary and Hr. Secondary (8)

    Primary only (1) / Upper primary only (2) / Primary and Upper primary (3) / Secondary Only (5) / Hr. Secondary only (6) / Upper primary and Secondary (7) /

    Home Science=20, Philosophy=21, Physics=22, Political Science=23, Psychology=24, Foreign Language=25, Botany=26, Zoology=27, Art education=91,

    Health & physical education=92, Work education=93, other=0]

    School :32010700603 - SchPage 6

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    6 7 > 7

    Total childrenadmitted in grade 1 Another school (out of Total in grade 1)

    Same school(out of Total in grade 1)

    Anganwadi/ECCE centre(out of Total in grade 1)

    Boys

    A g e ( in years ) Number of children with pre-school experience in

    Girls

    Total

    < 5 5

    GirlsClass II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys GirlsClass V Class VIClass III

    Boys GirlsClass I

    Girls BoysPre-PrimaryBoys

    Sections

    Girls Boys

    E. Enrolment in current academic session (by social category / caste)

    D. New admissions in Grade I in current academic year 2013-14

    Enrolment by Caste

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Total

    Minority Enrolment out of Total Enrolment

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    School :32010700603 - Tch/Enr Page 1

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    F. Enrolment in current academic session (By Age Grade)

    2013-14Academic Year :

    Class I Class II Class III Class IV Class V Class VI Class VII Class VIII

    ALL STUDENTS

    GirlsBoysGirlsBoysGirlsBoysGirlsBoys GirlsBoysGirlsBoysGirlsBoys Boys GirlsAge

    Age 16

    Age 15

    Age 14

    Age 13

    Age 12

    Age 11

    Age 10

    Age 9

    Age 8

    Age 7

    Age 6

    Age 5

    < 5

    > 16

    Total

    School :32010700603 - Tch/Enr Page 2

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    Girls Boys Girls Boys Girls

    Class I

    Boys

    Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass IIIRepeaters by Caste

    H. Repeaters in current academic session (by social category) 2013-14Academic Year :

    Repeaters by Caste / Social Category

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Repeaters by caste ( out of Total )

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    G. Enrolment in current academic session (By Medium of Instruction)

    Girls Boys Girls Boys Girls Boys Girls Boys GirlsBoys Girls Boys Girls

    Class I Class II Class III Class V Class VI Class VII Class VIIIClass IV

    Boys Girls BoysMedium of Instruction

    2013-14Academic Year :

    08 - Malayalam

    98 - None

    98 - None

    98 - None

    (2012-13)

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysType of Incentives

    ( U p p p e r p r i m a r y c l a s s e s )J. Facilities provided to children

    1 - Free Text Books

    3 - Free Uniforms

    Type of Incentives

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoys

    I. Facili ties provided to children (2012-13)( P r i m a r y c l a s s e s )

    1 - Free Text Books

    3 - Free Uniforms

    School :32010700603 - Tch/Enr Page 3

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    Boys Girls

    Class I Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass III

    2013-14

    Type of Disability

    K. Chi ldren with Special Needs in current academic session Year :

    Boys Girls Boys Girls

    1 - Visual Imparement (Blindness)

    2 - Visual Imparement (Low-vision)

    3 - Hearing Imparement

    4 - Speech Imparement/Problem

    5 - Physically Handicapped/Locomotor Imparement

    6 - Mental Retardation

    7 - Learning disability

    8 - Cerebral Palsy

    9 - Autism

    10 - Multiple disability

    Total Enrolment

    Elementary Sections

    Girls TotalBoys

    L. Facilities provided to CWSN (Last academic year)

    Type of facility

    1 - Brail Books 000

    2 - Brail Kit 000

    3 - Low Vision Kit 000

    4 - Hearing Aid 000

    5 - Braces 000

    6 - Crutches 000

    7 - Wheel chair 000

    8 - Tri-cycle 000

    9 - Caliper 000

    School :32010700603 - Tch/Enr Page 4

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    School Code and Name :32010700603 GLPS MAITHANI

    District Information System for Education (DISE)Academic Year : 2013-14

    The Information g iven in the DCF, is as per the school record and cor rect to the best of my Knowledge.

    Verification by Principal / Head Master / Head Mistress

    Date ............................................................................................... Office Seal

    Date

    Signature

    Date

    Ver if icat ion by CRCC / CRP / School Respondent Ver if icat ion by BRCC / BRP / B lock Coordinator

    Name Name

    ........................................................................................................................................................

    ........................................................................................................................................................

    ........................................................................................................................................................

    Signature

    Office Seal Office Seal

    Date

    Verification by BRG / BPO / Block Nodal Officer

    Office Seal

    ...............................................................................................

    ...............................................................................................

    ...............................................................................................

    Name

    Signature

    Office Seal

    .........................................................

    .........................................................

    .........................................................

    Name

    Signature

    Date

    Verification by DRG / BEEO / Block/District MIS Coordinator

    ...............................................................................................

    ...............................................................................................

    Signature

    Name

    School :32010700603 - Tch/Enr Page 5

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    Data Capture Format

    Academic Year : Date of Reference : 30 Sep. 20132013-14

    32010700609

    671310

    GLPS MAITHANI

    School Code

    School Category

    Village Panchayat Name

    Cluster Name

    PIN Code

    TRIKARPURVillage Name

    CHERUVATHUREducational Block Name

    CHERUVATHURRevenue Block Name

    District Name

    School Name

    KASARAGOD

    ALPS THANKAYAM

    Distr ict Information System for Education (DISE)

    Printed u sing U-DISE software, designed and developed by NUEPA, New Delhi

    School Report Cards available on www.schoolreportcards.in

    Website : www.dise.in

    TRAIKARIPUR

    City Name

    Constituency Name

    Municipality Name

    Habitation Name THANKAYAM

    TRIKARIPUR

    Primary

    Higher Secondary stage

    Secondary stage

    Elementary stage Co-Educational

    Not Applicable

    Not Applicable

    Type of School

    Higher Secondary stage

    Secondary stage

    99 - Not Applicable

    School Management

    99 - Not Applicable

    Elementary stage 4 - Pvt. Aided

    School :32010700609 - SchPage 1

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    A. Schoo l Particulars Academic Year : 2013-14

    District Information System for Education

    32010700609School Code :

    6. Village Panchyat name

    7. Name of Cluster Resource Centre (CRC)/URC

    8. Revenue Block / Mandal / Taluk Name

    9. Educational Block / Mandal / Taluk Name

    10. Assembly Constituency name

    #

    @

    #

    11. Municipality name

    12. City name

    #

    Primary only (1-5)=1, Primary with Upper Primary(1-8)=2, Primary with upper primary and secondary and higher secondary(1-12) =3, Upper Primary only(6-8) =4,

    Upper Primary with secondary and higher secondary(6-12) =5, Primary wi th upper primary and secondary(1-10) =6, Upper Primary with secondary(6-10) =7,

    Secondary only(9 & 10) = 8, Secondary with Hr. Secondary(9-12)= 10, Hr. Secondary only/Jr. College(11 & 12) = 11

    14. School Category

    17. Type of School [Boys=1/Girls=2/Co-educational=3]

    18. Managed by (School Management)

    Landline No.STD Code Mobile Number (11 digits)

    (i) Office / Head of School 046722 10685 9744594007

    1 - Primary

    TRIKARIPUR

    GLPS MAITHANICHERUVATHUR

    CHERUVATHUR

    TRAIKARIPUR

    3201003

    3201

    16. Highest class 4

    2. School located in Rural area or Urban area [Rural = 1/Urban=2]

    THANKAYAM3. Habitation name

    TRIKARPUR4. Village name/Ward no.

    1 - Rural

    ALPS THANKAYAM

    13. Phone / Mobile Number / Email and Website address

    [email protected]

    (ii) Respondent

    E-mail address

    Website address

    Exactly 6 digits6713105. Pincode

    1. School name

    29. Geographical Information, if available

    Mizo (25) / Bhutia (26) / Lepcha (27) / Limboo (28) / French (29) / None (98) / Others (99)

    Assamese (01) / Bengali (02) / Gujarati (03) / Hindi (04) / Kannada (05) / Kashmiri (06) / Konkani (07) / Malayalam (08) / Manipuri (09) / Marathi (10) / Nepali (11) /

    Oriya (12) / Punjabi (13) / Sanskrit (14) / Sindhi (15) / Tamil (16) / Telugu (17) / Urdu (18) / English (19) / Bodo (20) / Mising (21) / Dogri (22) / Khasi (23) / Garo (24) /

    like (K.V.S., Novodaya Vidalaya, Military schools (7) / Un-recognised (8) / Madarsa recognized (by Wakf board/Madarsa Board)=97, Madarsa unrecognized=98

    Department of Education (1) / Tribal/Social Welfare Department (2) / Local body (3) / Pvt. Aided (4) / Pvt. Unaided (5) / Others (6) / Central Govt. schools

    Elementary

    3 - Co-Education

    4 - Pvt. Aided

    27. Medium of instruction a) 98 - None 98 - None 98 - Noned)c)b)

    #

    [Ashram (Govt.) =1, Non-Ashram type (Govt.) =2, Private=3, Others =4, Not Applicable=5, Kasturba Gandhi Balika Vidhyalaya (KGBV) =6, Model School=7]

    [Yes=1/No=2]Primary Stage

    20. Whether school is approachable by all weather roads?

    21. Year of establishment

    22. Year of recognition of school, if recognized

    24. Whether this is a Special school for CWSN?

    25. Is the school a shift school [Yes=1, No=2]

    Up. Primary Stage [Yes=1/No=2]

    4 digits ex. 19871928

    1928

    2 - No

    2 - No

    [Yes=1/No=2]

    [Yes=1/No=2]

    Elementary Stage

    [Yes=1/No=2]

    19. Distance in Kms.

    26. Residential school 2 - No 9 - No Response

    08 - Malayalam

    Elementary

    1Lowest class15. Class in the school

    1 - Yes

    a) From primary to nearest Govt./Govt. Aided upper primary school

    b) From upper primary to nearest Govt./Govt. Aided secondary school 0

    0

    If yes: a) Type of residential school 5 - Not Applicable

    23. Year of upgradation (if applicable) Primary to Upper Primary 1928

    Enter 999 if the nearest Govt./Govt Aided school is in same campus

    a) Latitude b) Longitude0 0 0 0 0 0

    School :32010700609 - SchPage 2

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    Academic Year : 2013-14School Code : 32010700609 A (I) Schoo l Particulars

    School Informtion Schedule

    1. Pre-primary section (other than Anganwadi) attached to school ?

    0

    3

    5000 5000

    00

    2500 2500

    Max. 4 digits

    Max. 2 digits

    2. Anganwadi Centre in or adjacent to school ? 2 - No

    Max. 4 digits

    Max. 2 digits

    (2012-13)3. Last academic year detailsa) Number of academic inspection Max. 2 digits

    Max. 2 digitsb) Number of visits by CRC coordinator

    c) Number of visits by BRC coordinator Max. 2 digits

    4. School funds (last completed financial year) not to be filled by unaided schools

    a) School Development Grant (under SSA) Max. 8 digits

    Max. 8 digitsb) School Maintenance Grant (under SSA)

    c) TLM/Teachers Grant (under SSA) Max. 6 digits

    5. Teaching staff details

    Number In-Position

    Primary Upper PrimaryUp. Primary

    No. of Sanctioned posts (if applicable)

    Primary

    Teaching staff (Regular Teachers) 0 5 5 0

    Contract teachers 0 0 0 0

    Part-time instructor 0

    Expenditure (Rs.)Receipt (Rs.)

    1

    1 - Yes

    a) Total students in Pre-Primary section

    b) Total Teachers in Pre-Primary section

    [Yes = 1 / No = 2]

    a) Total students in Anganwadi Centre

    b) Total Teachers/Anganwadi workers

    Max. 6 digits

    Max. 8 digits

    Max. 6 digits

    [Yes = 1 / No = 2]

    If yes:

    If yes:

    0

    0

    4

    122

    School :32010700609 - SchPage 3

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    A (ii ) Schoo l Particulars2013-14School Code : 32010700609 Academic Year :

    If Yes, a) Are pupil cumulative records of CCE being maintained?

    b) Are pupil cumulative records of CCE shared with parents?

    Upper PrimaryPrimary

    Whether TLE available for each grade

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [NA = 0,Yes=1 / No=2]

    Whether complete set of text books received

    Whether play material, games & sports equipment available for each grade

    [Yes=1 / No=2]

    [Yes=1 / No=2]

    7. Availability of Text Books, Teaching Learnin g Equipment (TLE) and play material stage-wise (in current academic year)

    0 0

    [Yes=1 / No=2]2. Is Continuous and Comprehensive Evaluation being implemented in the school at elementary level?

    1 - Yes

    1 - Yes

    3.1 Only for Private unaided schools

    a) Number of Children enrolled at entry level (Under 25% quota as per RTE) in current academic year

    b) Number of Students continuing who got admission under 25% quota in previous years

    If Yes,

    d) Number of meetings held by SMC during the previous academic year

    c) Number of representatives/ nominee from local authority

    b) Number of Parents/Guardians members

    a) Total number of Members in SMC

    e) Whether SMC Prepare the School Development Plan [Yes=1 / No=2]

    g) Whether separate bank account for SMC is being maintained [Yes=1 / No=2]

    If Yes,

    0 0

    00

    0 0

    00 - Not Applicable

    FemaleMale

    1 - Yes

    1. Details of instructional days and schoo l hours

    b) Number of hours children stay in school (Current Year)

    c) Number of hours teachers stay in school (Current Year)

    a) Number of instructional days (previous academic year)

    Primary Upper Primary

    Bank name

    A/c No.

    Account Name

    IFSC Code

    5. When does the academic session s tarts

    when was the text books received in the current academic yearIf Yes,

    Month

    Month

    6. Whether any text book received in current academic year (upto 30th September)

    [Yes=1 / No=2]If 'Yes',

    d) Who conducts the special training?

    c) Number of children completed special training during previous academic year

    b) No. of children enrolled for special training in previous academic year

    a) Number of children provided/being provided Special Training in current year (upto 30 Sep.)

    NGO=4, Others=5, None=6]

    [Not Applicable=0, School teachers=1, Specially Engaged Teachers=2, Both 1 & 2 = 3,

    e) Where is the Special Training being conducted?

    [Not Applicable=0, School premises=1, Other than school premises=2, Both 1 & 2=3]

    [Not Applicable = 0, Residential=1, non-residential=2, Both=3]f) Type of training conducted

    4. Whether any child enrolled in school attending Special Training

    Q. 4 is only for Government schools

    Year

    00

    0 0

    00

    0 - Not Applicable

    0 - Not Applicable

    0 - Not Applicable

    0

    Bank branch

    0 0

    0

    0

    0

    0 - Not Applicable[Yes=1 / No=2]3.2 i) Whether School Management Committee (SMC) has been constituted?

    0

    1 - Yes

    Boys Girls

    6 - June

    [Yes=1 / No=2]

    School :32010700609 - SchPage 4

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    B. Physical facilities and equipmentSchool Code : Academic Year :32010700609 2013-14

    1. Status of school building

    1 - For All

    [for All=1, for Some = 2, for None=3]

    Availability of Furniture for Students2. Details of classrooms and furniture Total Classroomsunder constructionTotal classrooms

    Classes 1 to 8

    Grades

    45

    Private (1) / Rented (2) / Government (3) / Government school in a rent free building (4) / No Building (5)/Dilapidated (6)/Under Construction(7)

    1 - Private

    Total other rooms

    classes

    Elementary

    Classrooms by condition

    c. Kuccha

    0

    b. Partially Pucca 0

    0

    Good condition

    0

    0

    0

    0

    Need minor repair

    0

    0

    0

    0

    Need major repair

    0d. Tent

    5a. Pucca

    Total

    5

    5

    2

    2

    [Yes = 1 / No = 2]

    No. of toilets having water for flusing and cleaning

    No. of urinals available

    Boys

    3

    1

    13. Does the school have Computer Aided Learning (CAL) Lab

    Ramps(for disabled children)

    14. Medical check-up of students conducted last year

    15. Ramp for disabled children needed to access classrooms

    a. Total books in school library 688

    6. Main source of drinking water facility

    3. Land available for expansion of school facilities

    4. Separate room for Head Teacher/ Principal available

    5. Total Toilet (other than urinals) Units constructed / Available

    Computers available12. Details of Computers (For teaching and learning)

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]11. Playground

    If no, land is available for developing playground [Yes = 1 / No = 2]

    b. does the school have a full-time librarian? [Yes=1, No=2]

    10. Does the school subscribe for magazine/news paper

    Computers Functional

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2 / Yes but not functional = 3]

    1 - Yes

    2 - No

    2 - No

    2 - No

    2 - No

    1

    1

    2 - No

    1 - Yes

    2 - No

    2 - No

    1 - Yes

    [Not Applicable=0, Pucca=1, Pucca but broken=2, barbed wire fencing=3, Hedges=4, None=5, others=6, Partial=7,Under Construction=8]

    [Yes = 1 / No = 2 / Yes but not functional = 3]7. Electricity in school

    a. Source of drinking water Functional ( Yes = 1 / No = 2 )

    [Hand pump=1,Well=2,Tap water=3,others=4,none=5]

    No. of units/seats Functional

    No. of units/seats Constructed / Available

    [Yes = 1 / No = 2]

    if Yes, whether Hand-rails for ramp is available [Not Applicable=0, Yes=1, No=2]

    1

    2 - No

    0

    3

    1 - Yes

    1 - Yes

    Girls

    2

    2

    1

    1

    2 - Pucca but Broken

    2 - Well

    1 - Yes

    1 - Yes

    a. Is the hand washing facility available near the toilet/urinals? [Yes = 1, No = 2]

    b. Is there any toilet that is friendly to Children with Special Needs (CWSN)?

    8. Type of Boundary wall

    9. Whether school has Library/Book Bank/Reading corner

    23. Variable22. Variable21. Variable20. Variable28. Variable27. Variable26. Variable25. Variable24. Variable29. Variable

    (Only for Govt. / Aided Schools)

    M i d D a y M e a l I n f o r m a t i o n

    School Code : 32010700609 Academic Year : 2013-14

    a) Give status of Kitchen Shed

    Not applicable=0, Not provided=1, provided & prepared in school premises=2, provided but not prepared in school premises=3

    (i) If 'Provided and prepared in school premises',

    (Not Applicable =0, Available=1, Not Available=2, Under Construction=3, Excess Classroom used as kitchen shed=4)

    (ii) If 'Provided but not prepared in school premises',

    Provide source of MDM 0

    1 - Available

    2 - Provided && prepared in school premises1. Status of Mid-Day Meal

    (From nearby school - 1 / NGO - 2 / Self Help Group - 3 / PTA/MTA - 4 / Others - 5) / (Gram Panchayat - 6 / Central Kitchen - 7)

    School :32010700609 - SchPage 5

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    Variable 8Variable 10Variable 4Variable 9000

    Variable 2

    C. Teaching staff details

    Variable 7Variable 1Variable 5Variable 3Variable 6

    Gender BRC CRC DIETAcad. Prof.

    Dateof Birth

    Eng. S.S.TMaths

    Total days of in-servicetraining received inlast academic year

    HighestQualification

    Subjectsstudied

    upto

    Sl.No. OTHER

    School : 32010700609 Year : 2013-14

    1 Teacher name: REVI MADIYAN

    1 20/05/1964 1 1 1 1984 2 2 1 1 1 1 0 2 2 7 2010 1 2

    AADHAAR ID:

    2 Teacher name: DHANYA KAMAL

    2 20/05/1987 4 3 1 2011 3 7 1 1 1 0 0 2 2 2 2011 1 2

    AADHAAR ID:

    3 Teacher name: K.P. MEENA

    2 28/05/1967 1 3 1 1989 3 2 1 1 1 1 0 2 2 7 2011 1 2

    AADHAAR ID:

    4 Teacher name: K.K. PRAMEELA

    2 11/05/1971 1 3 1 1998 2 2 1 1 1 1 0 2 2 7 2011 1 2

    AADHAAR ID:

    5 Teacher name: M.K. FATHIMA

    2 23/01/1979 4 7 1 1999 3 5 1 1 2 2 0 2 2 7 2011 1 2

    AADHAAR ID:

    900 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    901 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    902 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    Category:

    Gender:

    Head teacher (1) / Acting head teacher (2) / Teacher (3) / Para Teacher (4) / Instructor positioned as per RTE (5) / Principal (6) / Vice-Principal (7) / Lecturer (8)

    Male (1) / Female (2) Caste: General (1) / SC (2) / ST (3) / OBC (4) / ORC (5) / Others (6)

    / M. Ed. or equivalent (4) / Others (5) / None (6), Diploma/degree in special education=7

    Prof. Qual.:

    Below Secondary (1) / Secondary (2) / Higher Secondary (3) / Graduate (4) / Post Graduate (5) / M. Phil. or Ph. D. (6) / Other (7)Acad. Qual :

    Diploma or certificate in basic teachers' training of a duration not less than two years=1, Bachelor of Elementary Education (B.El. Ed.) =2, B.Ed. or equivalent (3)

    Not Applicable (1) / Ortho (2) / Visual (3) / Others (4)Type of Disability

    Business Studies=12, Chemistry=13, Computer Science=14, Economics=15, Engineering Drawing=16, Fine Arts=17, Geography=18, History=19,

    Subjects: All subjects=1, Language=2, Mathematics=3, Environment studies=4, Sports=5, Music=6, Science=7, Social studies=8, Accountancy=10, Biology=11,

    Classes Taught:

    Nature of appointment: Regular=1, Contract=2, Part-Time=3Secondary and Hr. Secondary (8)

    Primary only (1) / Upper primary only (2) / Primary and Upper primary (3) / Secondary Only (5) / Hr. Secondary only (6) / Upper primary and Secondary (7) /

    Home Science=20, Philosophy=21, Physics=22, Political Science=23, Psychology=24, Foreign Language=25, Botany=26, Zoology=27, Art education=91,

    Health & physical education=92, Work education=93, other=0]

    School :32010700609 - SchPage 6

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    6 7 > 7

    Total childrenadmitted in grade 1 Another school (out of Total in grade 1)

    Same school(out of Total in grade 1)

    Anganwadi/ECCE centre(out of Total in grade 1)

    Boys

    A g e ( in years ) Number of children with pre-school experience in

    Girls

    Total

    < 5 5

    GirlsClass II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys GirlsClass V Class VIClass III

    Boys GirlsClass I

    Girls BoysPre-PrimaryBoys

    Sections

    Girls Boys

    E. Enrolment in current academic session (by social category / caste)

    D. New admissions in Grade I in current academic year 2013-14

    Enrolment by Caste

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Total

    Minority Enrolment out of Total Enrolment

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    School :32010700609 - Tch/Enr Page 1

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    F. Enrolment in current academic session (By Age Grade)

    2013-14Academic Year :

    Class I Class II Class III Class IV Class V Class VI Class VII Class VIII

    ALL STUDENTS

    GirlsBoysGirlsBoysGirlsBoysGirlsBoys GirlsBoysGirlsBoysGirlsBoys Boys GirlsAge

    Age 16

    Age 15

    Age 14

    Age 13

    Age 12

    Age 11

    Age 10

    Age 9

    Age 8

    Age 7

    Age 6

    Age 5

    < 5

    > 16

    Total

    School :32010700609 - Tch/Enr Page 2

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    Girls Boys Girls Boys Girls

    Class I

    Boys

    Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass IIIRepeaters by Caste

    H. Repeaters in current academic session (by social category) 2013-14Academic Year :

    Repeaters by Caste / Social Category

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Repeaters by caste ( out of Total )

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    G. Enrolment in current academic session (By Medium of Instruction)

    Girls Boys Girls Boys Girls Boys Girls Boys GirlsBoys Girls Boys Girls

    Class I Class II Class III Class V Class VI Class VII Class VIIIClass IV

    Boys Girls BoysMedium of Instruction

    2013-14Academic Year :

    08 - Malayalam

    98 - None

    98 - None

    98 - None

    (2012-13)

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysType of Incentives

    ( U p p p e r p r i m a r y c l a s s e s )J. Facilities provided to children

    1 - Free Text Books

    3 - Free Uniforms

    Type of Incentives

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoys

    I. Facili ties provided to children (2012-13)( P r i m a r y c l a s s e s )

    1 - Free Text Books

    3 - Free Uniforms

    School :32010700609 - Tch/Enr Page 3

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    Boys Girls

    Class I Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass III

    2013-14

    Type of Disability

    K. Chi ldren with Special Needs in current academic session Year :

    Boys Girls Boys Girls

    1 - Visual Imparement (Blindness)

    2 - Visual Imparement (Low-vision)

    3 - Hearing Imparement

    4 - Speech Imparement/Problem

    5 - Physically Handicapped/Locomotor Imparement

    6 - Mental Retardation

    7 - Learning disability

    8 - Cerebral Palsy

    9 - Autism

    10 - Multiple disability

    Total Enrolment

    Elementary Sections

    Girls TotalBoys

    L. Facilities provided to CWSN (Last academic year)

    Type of facility

    1 - Brail Books 000

    2 - Brail Kit 000

    3 - Low Vision Kit 000

    4 - Hearing Aid 000

    5 - Braces 000

    6 - Crutches 000

    7 - Wheel chair 000

    8 - Tri-cycle 000

    9 - Caliper 000

    School :32010700609 - Tch/Enr Page 4

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    School Code and Name :32010700609 ALPS THANKAYAM

    District Information System for Education (DISE)Academic Year : 2013-14

    The Information g iven in the DCF, is as per the school record and cor rect to the best of my Knowledge.

    Verification by Principal / Head Master / Head Mistress

    Date ............................................................................................... Office Seal

    Date

    Signature

    Date

    Ver if icat ion by CRCC / CRP / School Respondent Ver if icat ion by BRCC / BRP / B lock Coordinator

    Name Name

    ........................................................................................................................................................

    ........................................................................................................................................................

    ........................................................................................................................................................

    Signature

    Office Seal Office Seal

    Date

    Verification by BRG / BPO / Block Nodal Officer

    Office Seal

    ...............................................................................................

    ...............................................................................................

    ...............................................................................................

    Name

    Signature

    Office Seal

    .........................................................

    .........................................................

    .........................................................

    Name

    Signature

    Date

    Verification by DRG / BEEO / Block/District MIS Coordinator

    ...............................................................................................

    ...............................................................................................

    Signature

    Name

    School :32010700609 - Tch/Enr Page 5

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    Data Capture Format

    Academic Year : Date of Reference : 30 Sep. 20132013-14

    32010700621

    671310

    GLPS MAITHANI

    School Code

    School Category

    Village Panchayat Name

    Cluster Name

    PIN Code

    TRIKARPURVillage Name

    CHERUVATHUREducational Block Name

    CHERUVATHURRevenue Block Name

    District Name

    School Name

    KASARAGOD

    SREE NARAYANA ENG MED SCHL TANKAYAM

    Distr ict Information System for Education (DISE)

    Printed u sing U-DISE software, designed and developed by NUEPA, New Delhi

    School Report Cards available on www.schoolreportcards.in

    Website : www.dise.in

    HOSDURG

    City Name

    Constituency Name

    Municipality Name

    Habitation Name THANKAYAM

    TRIKARIPUR

    Primary

    Higher Secondary stage

    Secondary stage

    Elementary stage Co-Educational

    Not Applicable

    Not Applicable

    Type of School

    Higher Secondary stage

    Secondary stage

    99 - Not Applicable

    School Management

    99 - Not Applicable

    Elementary stage 8 - Un-Recognised

    School :32010700621 - SchPage 1

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    A. Schoo l Particulars Academic Year : 2013-14

    District Information System for Education32010700621School Code :

    6. Village Panchyat name

    7. Name of Cluster Resource Centre (CRC)/URC

    8. Revenue Block / Mandal / Taluk Name

    9. Educational Block / Mandal / Taluk Name

    10. Assembly Constituency name

    #

    @

    #

    11. Municipality name

    12. City name

    #

    Primary only (1-5)=1, Primary with Upper Primary(1-8)=2, Primary with upper primary and secondary and higher secondary(1-12) =3, Upper Primary only(6-8) =4,

    Upper Primary with secondary and higher secondary(6-12) =5, Primary wi th upper primary and secondary(1-10) =6, Upper Primary with secondary(6-10) =7,

    Secondary only(9 & 10) = 8, Secondary with Hr. Secondary(9-12)= 10, Hr. Secondary only/Jr. College(11 & 12) = 11

    14. School Category

    17. Type of School [Boys=1/Girls=2/Co-educational=3]

    18. Managed by (School Management)

    Landline No.STD Code Mobile Number (11 digits)

    (i) Office / Head of School 04672 215055 9447365611

    1 - Primary

    TRIKARIPUR

    GLPS MAITHANICHERUVATHUR

    CHERUVATHUR

    HOSDURG

    3201003

    3201

    16. Highest class 4

    2. School located in Rural area or Urban area [Rural = 1/Urban=2]

    THANKAYAM3. Habitation name

    TRIKARPUR4. Village name/Ward no.

    1 - Rural

    SREE NARAYANA ENG MED SCHL TANKAYAM

    13. Phone / Mobile Number / Email and Website address

    (ii) Respondent

    E-mail address

    Website address

    Exactly 6 digits6713105. Pincode

    1. School name

    29. Geographical Information, if available

    Mizo (25) / Bhutia (26) / Lepcha (27) / Limboo (28) / French (29) / None (98) / Others (99)

    Assamese (01) / Bengali (02) / Gujarati (03) / Hindi (04) / Kannada (05) / Kashmiri (06) / Konkani (07) / Malayalam (08) / Manipuri (09) / Marathi (10) / Nepali (11) /

    Oriya (12) / Punjabi (13) / Sanskrit (14) / Sindhi (15) / Tamil (16) / Telugu (17) / Urdu (18) / English (19) / Bodo (20) / Mising (21) / Dogri (22) / Khasi (23) / Garo (24) /

    like (K.V.S., Novodaya Vidalaya, Military schools (7) / Un-recognised (8) / Madarsa recognized (by Wakf board/Madarsa Board)=97, Madarsa unrecognized=98

    Department of Education (1) / Tribal/Social Welfare Department (2) / Local body (3) / Pvt. Aided (4) / Pvt. Unaided (5) / Others (6) / Central Govt. schools

    Elementary

    3 - Co-Education

    8 - Un-Recognised

    27. Medium of instruction a) 98 - None 98 - None 98 - Noned)c)b)

    #

    [Ashram (Govt.) =1, Non-Ashram type (Govt.) =2, Private=3, Others =4, Not Applicable=5, Kasturba Gandhi Balika Vidhyalaya (KGBV) =6, Model School=7]

    [Yes=1/No=2]Primary Stage

    20. Whether school is approachable by all weather roads?

    21. Year of establishment

    22. Year of recognition of school, if recognized

    24. Whether this is a Special school for CWSN?

    25. Is the school a shift school [Yes=1, No=2]

    Up. Primary Stage [Yes=1/No=2]

    4 digits ex. 19872004

    2004

    2 - No

    2 - No

    [Yes=1/No=2]

    [Yes=1/No=2]

    Elementary Stage

    [Yes=1/No=2]

    19. Distance in Kms.

    26. Residential school 2 - No 9 - No Response

    19 - English

    Elementary

    1Lowest class15. Class in the school

    1 - Yes

    a) From primary to nearest Govt./Govt. Aided upper primary school

    b) From upper primary to nearest Govt./Govt. Aided secondary school 0

    0

    If yes: a) Type of residential school 5 - Not Applicable

    23. Year of upgradation (if applicable) Primary to Upper Primary 2004

    Enter 999 if the nearest Govt./Govt Aided school is in same campus

    a) Latitude b) Longitude0 0 0 0 0 0

    School :32010700621 - SchPage 2

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    Academic Year : 2013-14School Code : 32010700621 A (I) Schoo l Particulars

    School Informtion Schedule

    1. Pre-primary section (other than Anganwadi) attached to school ?

    0

    0

    0 0

    00

    0 0

    Max. 4 digits

    Max. 2 digits

    2. Anganwadi Centre in or adjacent to school ? 2 - No

    Max. 4 digits

    Max. 2 digits

    (2012-13)3. Last academic year details

    a) Number of academic inspection Max. 2 digits

    Max. 2 digitsb) Number of visits by CRC coordinator

    c) Number of visits by BRC coordinator Max. 2 digits

    4. School funds (last completed financial year) not to be filled by unaided schools

    a) School Development Grant (under SSA) Max. 8 digits

    Max. 8 digitsb) School Maintenance Grant (under SSA)

    c) TLM/Teachers Grant (under SSA) Max. 6 digits

    5. Teaching staff details

    Number In-Position

    Primary Upper PrimaryUp. Primary

    No. of Sanctioned posts (if applicable)

    Primary

    Teaching staff (Regular Teachers) 4 0 4 0

    Contract teachers 0 0 0 0

    Part-time instructor 0

    Expenditure (Rs.)Receipt (Rs.)

    0

    1 - Yes

    a) Total students in Pre-Primary section

    b) Total Teachers in Pre-Primary section

    [Yes = 1 / No = 2]

    a) Total students in Anganwadi Centre

    b) Total Teachers/Anganwadi workers

    Max. 6 digits

    Max. 8 digits

    Max. 6 digits

    [Yes = 1 / No = 2]

    If yes:

    If yes:

    0

    0

    1

    18

    School :32010700621 - SchPage 3

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    A (ii ) Schoo l Particulars2013-14School Code : 32010700621 Academic Year :

    If Yes, a) Are pupil cumulative records of CCE being maintained?

    b) Are pupil cumulative records of CCE shared with parents?

    Upper PrimaryPrimary

    Whether TLE available for each grade

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [Not Applicable = 0, Yes = 1 / No = 2 ]

    [NA = 0,Yes=1 / No=2]

    Whether complete set of text books received

    Whether play material, games & sports equipment available for each grade

    [Yes=1 / No=2]

    [Yes=1 / No=2]

    7. Availability of Text Books, Teaching Learnin g Equipment (TLE) and play material stage-wise (in current academic year)

    0 0

    [Yes=1 / No=2]2. Is Continuous and Comprehensive Evaluation being implemented in the school at elementary level?

    1 - Yes

    1 - Yes

    3.1 Only for Private unaided schools

    a) Number of Children enrolled at entry level (Under 25% quota as per RTE) in current academic year

    b) Number of Students continuing who got admission under 25% quota in previous years

    If Yes,

    d) Number of meetings held by SMC during the previous academic year

    c) Number of representatives/ nominee from local authority

    b) Number of Parents/Guardians members

    a) Total number of Members in SMC

    e) Whether SMC Prepare the School Development Plan [Yes=1 / No=2]

    g) W hether separate bank account for SMC is being maintained [Yes=1 / No=2]

    If Yes,

    0 0

    00

    0 0

    00 - Not Applicable

    FemaleMale

    0 - Not Applicable

    1. Details of instructional days and schoo l hours

    b) Number of hours children stay in school (Current Year)

    c) Number of hours teachers stay in school (Current Year)

    a) Number of instructional days (previous academic year)

    Primary Upper Primary

    Bank name

    A/c No.

    Account Name

    IFSC Code

    5. When does the academic session s tarts

    when was the text books received in the current academic yearIf Yes,

    Month

    Month

    6. Whether any text book received in current academic year (upto 30th September)

    [Yes=1 / No=2]If 'Yes',

    d) Who conducts the special training?

    c) Number of children completed special training during previous academic year

    b) No. of children enrolled for special training in previous academic year

    a) Number of children provided/being provided Special Training in current year (upto 30 Sep.)

    NGO=4, Others=5, None=6]

    [Not Applicable=0, School teachers=1, Specially Engaged Teachers=2, Both 1 & 2 = 3,

    e) Where is the Special Training being conducted?

    [Not Applicable=0, School premises=1, Other than school premises=2, Both 1 & 2=3]

    [Not Applicable = 0, Residential=1, non-residential=2, Both=3]f) Type of training conducted

    4. Whether any child enrolled in school attending Special Training

    Q. 4 is only for Government schools

    Year

    00

    0 0

    00

    0 - Not Applicable

    0 - Not Applicable

    0 - Not Applicable

    0

    Bank branch

    0 0

    0

    0

    0

    0 - Not Applicable[Yes=1 / No=2]3.2 i) Whether School Management Committee (SMC) has been constituted?

    0

    1 - Yes

    Boys Girls

    6 - June

    [Yes=1 / No=2]

    School :32010700621 - SchPage 4

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    B. Physical facilities and equipmentSchool Code : Academic Year :32010700621 2013-14

    1. Status of school building

    1 - For All

    [for All=1, for Some = 2, for None=3]

    Availability of Furniture for Students2. Details of classrooms and furniture Total Classroomsunder constructionTotal classrooms

    Classes 1 to 8

    Grades

    06

    Private (1) / Rented (2) / Government (3) / Government school in a rent f ree building (4) / No Building (5)/Dilapidated (6)/Under Construction(7)

    2 - Rented

    Total other rooms

    classes

    Elementary

    Classrooms by condition

    c. Kuccha

    0

    b. Partially Pucca 3

    0

    Good condition

    0

    0

    0

    0

    Need minor repair

    0

    0

    0

    0

    Need major repair

    0d. Tent

    3a. Pucca

    Total

    2

    2

    2

    2

    [Yes = 1 / No = 2]

    No. of toilets having water for flusing and cleaning

    No. of urinals available

    Boys

    1

    1

    13. Does the school have Computer Aided Learning (CAL) Lab

    Ramps(for disabled children)

    14. Medical check-up of students conducted last year

    15. Ramp for disabled children needed to access classrooms

    a. Total books in school library 50

    6. Main source of drinking water facility

    3. Land available for expansion of school facilities

    4. Separate room for Head Teacher/ Principal available

    5. Total Toilet (other than urinals) Units constructed / Available

    Computers available12. Details of Computers (For teaching and learning)

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]11. Playground

    If no, land is available for developing playground [Yes = 1 / No = 2]

    b. does the school have a full-time librarian? [Yes=1, No=2]

    10. Does the school subscribe for magazine/news paper

    Computers Functional

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2]

    [Yes = 1 / No = 2 / Yes but not functional = 3]

    1 - Yes

    2 - No

    2 - No

    2 - No

    2 - No

    0

    0

    3

    1 - Yes

    2 - No

    2 - No

    2 - No

    [Not Applicable=0, Pucca=1, Pucca but broken=2, barbed wire fencing=3, Hedges=4, None=5, others=6, Partial=7,Under Construction=8]

    [Yes = 1 / No = 2 / Yes but not functional = 3]7. Electricity in school

    a. Source of drinking water Functional ( Yes = 1 / No = 2 )

    [Hand pump=1,Well=2,Tap water=3,others=4,none=5]

    No. of units/seats Functional

    No. of units/seats Constructed / Available

    [Yes = 1 / No = 2]

    if Yes, whether Hand-rails for ramp is available [Not Applicable=0, Yes=1, No=2]

    1

    2 - No

    0

    1

    1 - Yes

    2 - No

    Girls

    1

    1

    1

    1

    2 - Pucca but Broken

    3 - Tap Water

    1 - Yes

    2 - No

    a. Is the hand washing facility available near the toilet/urinals? [Yes = 1, No = 2]

    b. Is there any toilet that is friendly to Children with Special Needs (CWSN)?

    8. Type of Boundary wall

    9. W hether school has Library/Book Bank/Reading corner

    23. Variable22. Variable21. Variable20. Variable28. Variable27. Variable26. Variable25. Variable24. Variable29. Variable

    (Only for Govt. / Aided Schools)

    M i d D a y M e a l I n f o r m a t i o n

    School Code : 32010700621 Academic Year : 2013-14

    a) Give status of Kitchen Shed

    Not applicable=0, Not provided=1, provided & prepared in school premises=2, provided but not prepared in school premises=3

    (i) If 'Provided and prepared in school premises',

    (Not Applicable =0, Available=1, Not Available=2, Under Construction=3, Excess Classroom used as kitchen shed=4)

    (ii) If 'Provided but not prepared in school premises',

    Provide source of MDM 0

    2 - Not Available

    1 - Not provided1. Status of Mid-Day Meal

    (From nearby school - 1 / NGO - 2 / Self Help Group - 3 / PTA/MTA - 4 / Others - 5) / (Gram Panchayat - 6 / Central Kitchen - 7)

    School :32010700621 - SchPage 5

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    Variable 8Variable 10Variable 4Variable 9000

    Variable 2

    C. Teaching staff details

    Variable 7Variable 1Variable 5Variable 3Variable 6

    Gender BRC CRC DIETAcad. Prof.

    Dateof Birth

    Eng. S.S.TMaths

    Total days of in-servicetraining received inlast academic year

    HighestQualification

    Subjectsstudied

    upto

    Sl.No. OTHER

    School : 32010700621 Year : 2013-14

    1 Teacher name: GIRIJA K

    2 01/05/1965 1 3 1 2004 2 6 2 1 2 2 0 3 2 2 2004 1 2

    AADHAAR ID:

    2 Teacher name: BINDU P

    2 25/05/1972 1 2 1 2004 2 2 2 1 2 2 0 2 2 2 2004 1 2

    AADHAAR ID:

    3 Teacher name: SHIJINA P

    2 12/11/1990 1 3 1 2010 2 2 2 1 2 2 0 2 2 2 2010 1 2

    AADHAAR ID:

    4 Teacher name: BABY

    2 13/06/1982 1 3 1 2012 2 2 2 1 2 2 0 2 2 2 2012 1 2

    AADHAAR ID:

    900 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    901 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    902 Teacher name:

    9 9 9 9 9 9 9 9 9 9 0 9 9 9 0 9

    AADHAAR ID:

    Category:

    Gender:

    Head teacher (1) / Acting head teacher (2) / Teacher (3) / Para Teacher (4) / Instructor positioned as per RTE (5) / Principal (6) / Vice-Principal (7) / Lecturer (8)

    Male (1) / Female (2) Caste: General (1) / SC (2) / ST (3) / OBC (4) / ORC (5) / Others (6)

    / M. Ed. or equivalent (4) / Others (5) / None (6), Diploma/degree in special education=7

    Prof. Qual.:

    Below Secondary (1) / Secondary (2) / Higher Secondary (3) / Graduate (4) / Post Graduate (5) / M. Phil. or Ph. D. (6) / Other (7)Acad. Qual :

    Diploma or certificate in basic teachers' training of a duration not less than two years=1, Bachelor of Elementary Education (B.El. Ed.) =2, B.Ed. or equivalent (3)

    Not Applicable (1) / Ortho (2) / Visual (3) / Others (4)Type of Disability

    Business Studies=12, Chemistry=13, Computer Science=14, Economics=15, Engineering Drawing=16, Fine Arts=17, Geography=18, History=19,

    Subjects: All subjects=1, Language=2, Mathematics=3, Environment studies=4, Sports=5, Music=6, Science=7, Social studies=8, Accountancy=10, Biology=11,

    Classes Taught:

    Nature of appointment: Regular=1, Contract=2, Part-Time=3Secondary and Hr. Secondary (8)

    Primary only (1) / Upper primary only (2) / Primary and Upper primary (3) / Secondary Only (5) / Hr. Secondary only (6) / Upper primary and Secondary (7) /

    Home Science=20, Philosophy=21, Physics=22, Political Science=23, Psychology=24, Foreign Language=25, Botany=26, Zoology=27, Art education=91,

    Health & physical education=92, Work education=93, other=0]

    School :32010700621 - SchPage 6

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    6 7 > 7

    Total childrenadmitted in grade 1 Another school (out of Total in grade 1)

    Same school(out of Total in grade 1)

    Anganwadi/ECCE centre(out of Total in grade 1)

    Boys

    A g e ( in years ) Number of children with pre-school experience in

    Girls

    Total

    < 5 5

    GirlsClass II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys GirlsClass V Class VIClass III

    Boys GirlsClass I

    Girls BoysPre-PrimaryBoys

    Sections

    Girls Boys

    E. Enrolment in current academic session (by social category / caste)

    D. New admissions in Grade I in current academic year 2013-14

    Enrolment by Caste

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Total

    Minority Enrolment out of Total Enrolment

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    School :32010700621 - Tch/Enr Page 1

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    F. Enrolment in current academic session (By Age Grade)

    2013-14Academic Year :

    Class I Class II Class III Class IV Class V Class VI Class VII Class VIII

    ALL STUDENTS

    GirlsBoysGirlsBoysGirlsBoysGirlsBoys GirlsBoysGirlsBoysGirlsBoys Boys GirlsAge

    Age 16

    Age 15

    Age 14

    Age 13

    Age 12

    Age 11

    Age 10

    Age 9

    Age 8

    Age 7

    Age 6

    Age 5

    < 5

    > 16

    Total

    School :32010700621 - Tch/Enr Page 2

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    Girls Boys Girls Boys Girls

    Class I

    Boys

    Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass IIIRepeaters by Caste

    H. Repeaters in current academic session (by social category) 2013-14Academic Year :

    Repeaters by Caste / Social Category

    1 - General

    2 - SC

    3 - ST

    4 - OBC

    Repeaters by caste ( out of Total )

    5 - Muslim Minority

    6 - Christians

    7 - Sikhs

    8 - Buddhist

    9 - Parsi

    10 - Jain

    11 - Others

    G. Enrolment in current academic session (By Medium of Instruction)

    Girls Boys Girls Boys Girls Boys Girls Boys GirlsBoys Girls Boys Girls

    Class I Class II Class III Class V Class VI Class VII Class VIIIClass IV

    Boys Girls BoysMedium of Instruction

    2013-14Academic Year :

    19 - English

    98 - None

    98 - None

    98 - None

    (2012-13)

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysType of Incentives

    ( U p p p e r p r i m a r y c l a s s e s )J. Facilities provided to children

    1 - Free Text Books

    3 - Free Uniforms

    Type of Incentives

    General Students SC Students ST Students OBC Students Total Students Muslim Students

    GirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoysGirlsBoys

    I. Facili ties provided to children (2012-13)( P r i m a r y c l a s s e s )

    1 - Free Text Books

    3 - Free Uniforms

    School :32010700621 - Tch/Enr Page 3

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    Boys Girls

    Class I Class II Class VII Class VIIIClass IV

    Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

    Class V Class VIClass III

    2013-14

    Type of Disability

    K. Chi ldren with Special Needs in current academic session Year :

    Boys Girls Boys Girls

    1 - Visual Imparement (Blindness)

    2 - Visual Imparement (Low-vision)

    3 - Hearing Imparement

    4 - Speech Imparement/Problem

    5 - Physically Handicapped/Locomotor Imparement

    6 - Mental Retardation

    7 - Learning disability

    8 - Cerebral Palsy

    9 - Autism

    10 - Multiple disability

    Total Enrolment

    Elementary Sections

    Girls TotalBoys

    L. Facilities provided to CWSN (Last academic year)

    Type of facility

    1 - Brail Books 000

    2 - Brail Kit 000

    3 - Low Vision Kit 000

    4 - Hearing Aid 000

    5 - Braces 000

    6 - Crutches 000

    7 - Wheel chair 000

    8 - Tri-cycle 000

    9 - Caliper 000

    School :32010700621 - Tch/Enr Page 4

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    School Code and Name :32010700621 SREE NARAYANA ENG MED SCHL TANKAYAM

    District Information System for Education (DISE)Academic Year : 2013-14

    The Information g iven in the DCF, is as per the school record and cor rect to the best of my Knowledge.

    Verification by Principal / Head Master / Head Mistress

    Date ............................................................................................... Office Seal

    Date

    Signature

    Date

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