Academic Year : 2020-21 U-DISE Code :09370407101

Data Capture Format

For

Unified District Information System for Education Plus

(UDISE+)
2020-21
Reference Date : 30th September 2020

Department of School Education & Literacy

Ministry of Education
Government of India

DCF for Primary Schools having Grades I-V

Name : PRUY.SCH.BALARGUWAN
Management : 1-Dept. Of education
Sections Information

Section 1 School Profile(Location, Structure, Management and Medium of Instruction)

Section 2 Physical Facilities and Equipments

Section 3 Teaching and Non-Teaching Staff

Section 4 New Admissions, Enrolment and Repeaters

Section 5 Incentives and facilities provided to children

Section 6 Annual Examination Result at Elementary level

Section 8 Receipts and Expenditure

Section 10 PGI and Other Indicators

Section 11 School Safety

Note :-There is 1 Master DCF (for Schools having Grades I – XII). 18 versions for each category of school has been
designed. Questions pertaining to your category of school only will be visible to you. Questions not pertaining to
your school category have been deleted. Hence, question numbers will not be in serial order.
All fields are mandatory for your category of DCF and should not be left blank.
Academic Year : 2020-21 U-DISE Code :09370407101

Section 1- School Profile (Location, Structure, Management and Medium of Instruction)

UDISE Code: 0 9 3 7 0 4 0 7 1 0 1

Geographical Location :(In Degree and Decimal For Ex- 78.962883)

Latitude : 24.5948

Longitude : 78.3633

1.1 School Name (In capital letters) : PRUY.SCH.BALARGUWAN

1.2 School Location :(1-Rural, 2-Urban) 1-Rural

1.3 Village Name (for rural area)/Ward Number (for urban area) : BALARGUWAN

1.4 Name of the Cluster Resource Centre (CRC) : PURAKALAN

1.5 Pin Code : 284126

1.6 Name of Gram Panchayat (for rural area only) : CHAUBARA

1.7 Name of the Community Development (CD) Block/ Mandal/ Taluka : TALBEHAT

1.8 Habitation name (for rural area)/Mohalla or equivalent urban unit for
planning(urban area) :
1.9 Name of the Education Block/ Mandal/ Taluka : TALBEHAT

1.10(a) Name of the Assembly Constituency : 226-LALITPUR

b) Name of the Parliamentary Constituency :

1.11 Name of the Municipality (where applicable) :

1.12 Name of the City (where applicable) : LALITPUR

1.13 Address : Balarguwan, Talbehat, Lalitpur

1.14 Contact Details :

a) Head of School
STD Code : Landline Number :

Mobile Number : 9935200903

b) Respondent Name : RAMESH PRASAD ( In Capital Letters )

c) Respondent Contact No.

STD Code : Landline Number :

Mobile Number : 9935200903

d) Email of School :

e) Website of School :
*Respondent = person actually responsible for filling this form

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1.15 School category (code) : 1 - Primary

( 1 - Primary, 2 - Primary with Upper Primary, 3 - Pr. with Up.Pr. Sec. and H.Sec., 4 - Upper Primary only, 5 - Up. Pr. Secondary
and Higher Sec, 6 - Pr. Up Pr. and Secondary Only, 7 - Upper Pr. and Secondary, 8 - Secondary Only, 10 - Secondary with Higher
Secondary, 11 - Higher Secondary only/Jr. College )

1.16 Lowest and Highest Classes in the School :

(a) Lowest Class in the School : 1 (b) Highest Class in the School : 5

(c) Whether pre-primary section(other than Anganwadi) attached to school ? (1-Yes, 2-No) 2-No

1.17 Type of School: 3-Co-educational (1-Boys, 2-Girls, 3-Co-educational)

1.18 Management of the school (Code) : 1-Dept. Of education

( 1 - Dept. Of education, 2 - Tribal Welfare Department, 3 - Local Body, 4 - Govt. aided, 5 - Pvt. Unaided (Recognized), 6 - Other
Govt. Managed schools, 8 - Unrecognized, 17 - KGBV, 90 - Social Welfare Dept., 91 - Ministry of Labour, 92 - Central School, 93 -
Jawahar Navodaya Vidhyalaya, 94 - Sanik School, 95 - Railway School, 96 - Central Tibetan Schools, 97 - Madarsa Recognized (by
Wakf board/Madarsa Board), 98 - Madarsa Unrecognized, 101 - Other Central Govt. Schools )

1.19 Number of sections by class (if the class is stand alone, has no section then enter 1) :

Classes Pre-Primary I II III IV V

Number Of Sections 0 1 1 1 1 1

1.20 Year of Establishment of school : 1995

1.23 Is this a special school for CWSN ? 2-No (1-Yes, 2-No)

1.24 Is this a shift school ? 2-No (1-Yes, 2-No)

1.25 Is this a residential school ? 2-No (1-Yes, 2-No)

If Yes,
(a)Type of residential school :
(1-Ashram (Govt.), 2-Non-ashram (Govt.), 3-Private, 4-Others, 6-KGBV, 7-Model School, 8-Eklavya Model Residential School)
(b) Whether boarding/residential facilities are available for the following Stage/Level :

(i) Primary : (1-Yes, 2-No)

Number of Girls : Number of Boys :

1.26 Is this a minority managed school?(1-Yes, 2-No) 2-No

(a) If Yes, Type of minority community managing the school :

(Muslim =1, Sikh = 2, Jain = 3, Christian = 4, Parsi = 5, Buddhist = 6, Any Other=7, Linguistic Minority = 8)

1.27 Are majority of the pupils taught through their mother tongue at the 1-Yes

primary level? (1-Yes, 2-No)

1.28 Medium of instruction(s) in the school :

(i) Medium-1: 04-Hindi (ii) Medium-2:

(iii) Medium-3: (iv) Medium-4:

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If other medium of instruction, please specify :

( Hindi=04, Sanskrit=14, Urdu=18, English=19 )

1.29 Language(s) taught as a subject (mention upto three languages below):

(i) Language-1 04-Hindi (ii) Language-2 14-Sanskrit

(iii) Language-3 19-English

( Hindi=04, Sanskrit=14, Urdu=18, English=19 )

1.34 Distance of the school (in km.) from the nearest Govt./ Govt. Aided school: ( for example:2.6)
(a) From Primary School/ Section : 2.0 (b) From Upper primary School 0.01

(c) From Secondary School/ Section : 10.0

(d) From Higher secondary School/Junior college : 30.0

*Distance is defined as walking distance after discounting for all natural and man-made barriers on the way to the
school like highways, train lines, etc.

1.35 Whether school is approachable by all-weather roads ? (1-Yes, 2-No) 1-Yes

Question No. 1.36 ( Only For Government and Government Aided Schools )
1.36 Whether Anganwadi Centre is located inside the school premises ? 2-No

(1-Yes, 2-No)
(a) If yes, Code of the Anganwadi Center :

(b) Total Children in Anganwadi Centre : Boys : Girls :

(c) Is the Anganwadi Worker trained in early childhood education :(1-Yes, 2-No)

1.37 Number of instructional days (previous academic year) :

(a) Primary :

1.38 Average School hours for children (per day)- Number of hours children stay in school
e.g. For five hours and forty minutes write 5.40 :
(a) Primary :

1.39 Average working hours for Teachers (per day)- Number of hours teachers stay in school
e.g. For five hours and forty minutes write 5.40 :
(a) Primary :

1.40 Is CCE being implemented in school? : (1-Yes, 2-No)

(a) Primary : 1-Yes

(a) If Yes, Are cumulative records of pupil being 1-Yes (1-Yes, 2-No)
maintained ?

(b) If Yes, Are cumulative records of pupil being shared 1-Yes (1-Yes, 2-No)
with parents ?

Question No 1.43 to 1.51 (Only for Government and Government Aided Schools )

1.43 Whether any Out of School Children enrolled in the school are attending Special Training ?
(1-Yes, 2-No)

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if yes, details of Special Training :

(a) No. of children enrolled for Special Training in current year :
Number of Boys : Number of Girls :

(b) No. of children enrolled for Special Training in previous academic year :
Number of Boys : Number of Girls :

(c) No. of children completed Special Training in previous academic year :

Number of Boys : Number of Girls :

(d) Who conducts Special Training ?

(School teachers=1, Specially engaged teachers=2, Both 1&2 =3, NGO =4, Others =5)

(e) Where is Special Training conducted ?

(School premises =1, Other than school premises =2, Both 1&2=3)

(f)Type of training being conducted ?

(Residential =1, Non-residential =2, Both =3)

1.44 No. of students attending Remedial Teaching in current year :

1.45 When does the academic session start? Give the month :(e.g. June should be written as `6-June' )

1.46 Whether full set of textbooks received in current academic year ?(1-Yes, 2-No)

If yes, When were the textbooks received in the current academic year ?(Month):

1.47 Whether the School has received graded supplementary material in previous academic year?
(1-Yes, 2-No)
1.48 Availability of free Textbooks, Teaching Learning Material (TLM) and play material (in current academic year) :
(Yes =1, No = 2)

Primary
Whether complete set of free textbooks received
Whether TLM available for each grade
Whether play material, games and sports equipment available for each grade
1.49 Details of visits to the school during the previous academic year :

(a) Number of academic inspections :

(b) Number of visits by CRC Co-ordinator :

(c) Number of visits by Block level officer (BRC/BEO) :

(d) Number of visits by District/State level officers :

1.50 Whether School Management Committee (SMC) has been constituted ? 1-Yes (1-Yes, 2-No)

If yes,
Sl. No. Details of Members/Representatives Male Female
a) Total number of members in SMC 6 9

b) Number of parents / guardians 4 7

Of the numbers in (b) above, provide number of parents belonging to

(i) SC 0

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(ii) ST 0

(iii)EWS 0

(iv) Minority 0

c) Number of Representatives/Nominees from local authority/local government/urban local body 2 2

d) Numbers of teachers 1 0

e) Number of members provided training 4 7

f) Number of meetings held by SMC during the previous academic year 13

(g) Whether SMC has prepared the School Development Plan? (1-Yes, 2-No) 1-Yes

(h) Whether separate bank account for SMC is being maintained? (1-Yes, 2-No) 1-Yes

If Yes,
Bank Name PNB

Branch Name POORAKALAN

Account Number 2940000400072121

Account in the Name of SMC PS BALARGUWAN

IFSC Code PUNB0294000

Section 2- Physical Facilities and Equipments in Schools

Section 2.1 Physical Facilities and Equipments in Schools

2.1.1 Status of the school building ? 3-Government

(1-Private, 2-Rented, 3-Government, 4-Government school in a rent free building, 5-No Building, 7-Building Under Construction, School
running in other Department Building=10)
2.1.2 Type of the school building ?
Out of the total number of building blocks, number of
Total Number of Partially pucca (building with
Pucca Kuchcha Dilapidated Building Under
building blocks of pucca walls and floor without Tent
Building building Building Construction
the school concrete roof)
1 1 0 0 0 0 0

2.1.3 Type of boundary wall : 1-Pucca

( Pucca=1, Pucca but broken=2, Barbed wire fencing=3, Hedges=4, No boundary walls=5, Others=6, Partial=7, Under Construction=8 )
2.1.4 (a) Details of classrooms available in the schools (For classes Pre-primary to XII) :

No. of Classrooms for instructional purposes No. of classrooms under construction Total Classrooms in dilapidated condition
5 0 0

(i) Out of the Total Classrooms used for instructional purposes,the details by stage/Level :
Pre-Primary : 0 Primary : 5

(b) Total number of rooms other than classrooms available in the school : 0

(c) Class rooms by condition :

No. of classrooms by condition

Type of classroom Good condition Need minor repair Need major repair
Pucca 3 0 2

Partially Pucca 0 0 0

Kuchcha 0 0 0

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Tent 0 0 0

2.1.5 Whether land is available for expansion of school facilities : 2-No (1-Yes, 2-No)

2.1.6 Whether separate room for Head Teacher / Principal available : 1-Yes (1-Yes, 2-No)

2.1.7 Does the school have toilet ? 1-Yes (1-Yes, 2-No)

If Yes

(a) Details of toilets

Boys Girls Total
Function Function
Sl. No. Description Total Total Total Function
al al al
(i) Number of toilets seats available excluding CWSN friendly Toilets 1 1 1 1 2 2

(ii) Number of CWSN friendly toilet seats 0 0 0 0 0 0

Total Number of toilet seats including CWSN friendly toilets 1 1 1 1 2 2

Details of Urinals
(iii) Total number of urinals available 0 0 1 1 1 1

(b) Out of the total number of functional toilets/urinals given in Table 2.1.7 (a) , how many have running water
available in the toilet/urinals for flushing and cleaning?

Boys Girls
Toilets 1 1
Urinals 0 1
Note:-* Definition of functional toilet: water available in the toilet, minimal odour(no foul smell), unbroken seat ,
regularly cleaned,dry,with working drainage system ,accessible to users, closable door.

(c) Is hand washing facility with soap available near toilets/urinals block? :(1-Yes, 2-No) 1-Yes

2.1.8 Whether drinking water is available in the school premises ?(1-Yes, 2-No) 1-Yes

If Yes, (a) Main Source of drinking water :

Source Availability (Yes=1,No=2) Functional (Yes=1,No=2)
Hand pumps 1-Yes 1-Yes

Protected Well 2-No

Unprotected Well 2-No

Tap water 2-No

Packaged/Bottled Water 2-No

Others 2-No

(b) Whether water purifier/RO is available in the school :(1-Yes, 2-No, 3-Yes,but not functional) 2-No

(c) Whether water quality is tested from water testing lab ?(1-Yes, 2-No) 2-No

2.1.9 Does the school have provision for rain water harvesting ?(1-Yes, 2-No) 2-No

2.1.10 Whether hand washing facility with soap available for washing hands before and after meal? 1-Yes

(1-Yes, 2-No)

(a) If Yes, number of wash points : 6

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2.1.11(a) Whether electricity connection is available in the school ?(1-Yes, 2-No, 3-Yes, but not functional) 1-Yes

2.1.11(b) Whether solar panel is available in school ?(1-Yes, 2-No, 3-Yes, but not functional) 2-No

2.1.12 Whether the school has Library facility/Book Bank/Reading Corner ?

Total number of books from NCERT,NBT

Facilities Available (1-Yes,2-No) Total numbers of books or any other government publisher
Library 1-Yes 131 131

Book Bank 1-Yes 25 0

Reading Corner 2-No 0

(a) Does the school have a full-time librarian ?(1-Yes, 2-No) 2-No

(b) Does the school subscribe to newspapers/magazines ? (1-Yes, 2-No) 2-No

2.1.13 Whether Playground facility is available ?(1-Yes, 2-No) 2-No

(a) If no, whether school has made adequate arrangements for children to play outdoor 1-Yes
games and other physical activities in an adjoining playground/municipal park etc. :
2.1.14 Whether Medical check-up of students was conducted in last academic year :
(1-Yes, 2-No)
If yes,
(a) Total number of Medical check-ups conducted in the school during last academic year :

(b) De-worming tablets given to children :

(1-Complete (two doses), 2-Partially (one dose), 3-Not given)
(c) Iron and Folic acid tablets given to children as per guidelines of WCD :(1-Yes, 2-No)

2.1.15 Whether ramp for disabled children to access school building exists ?(1-Yes, 2-No) 1-Yes

(a) If yes, whether Hand-rails for ramp is available ?(1-Yes, 2-No) 1-Yes

2.1.16 Whether School has special educator ? (1-Dedicated, 2-At cluster level, 3-No) 3-No

2.1.17 Whether Kitchen Garden is available in school ?(1-Yes, 2-No) 2-No

2.1.18 Does the school have dustbins for collection of waste? :

(a) Each Class Room : 1-Yes and all (b) Toilet : (1-Yes, 2-No) 1-Yes

(Yes and all =1, No=2, Yes but some=3)

(c) Kitchen :(1-Yes, 2-No) 1-Yes

2.1.19 No. of students for whom furniture is available ? 0

Section 2.2 Physical Facilities and Equipments in Schools

2.2.3 Does the school have the following equipment(s)?

Equipment/Facility Availability (Yes=1,No=2,Yes but not functional=3)
Audio/Visual/Public Address System 3-Yes, but not functional

Biometric device 3-Yes, but not functional

Section 2.3 Computers and Digital Initiatives

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2.3.3 Does the school have the following :

Availabl No. of No. of

Items e (Yes=1, units Function
No=2) available al Units
Laptop/Notebook 2-No 0 0

Tablets 2-No 0 0

Desktop 2-No 0 0

PCs with Integrated Teaching Learning Devices 2-No 0 0

Digital Boards with Content Management Systems and solutions (CMS)/ Learning Management System 2-No 0 0

Server 2-No 0 0

Projector 2-No 0 0

LCD/ LED/ Plasma Screen 2-No 0 0

Printer 2-No 0 0

Scanner 2-No 0 0

Web Camera 2-No 0 0

Generator/Invertor/UPS 2-No 0 0

Internet facility 2-No

DTH-TV Antenna 2-No

E Content and Digital Resources 2-No

Assistive tech-based solutions for CWSN 2-No

2.3.4 Whether ICT based tools are being used for teaching ?(Yes=1, No=2) 2-No

(a) If yes, number of hours spent/week : 0

Section 3 : Teaching and Non-Teaching Staff

3.2 Number of Teaching Staff In-position
Teaching Staff in-position Total Number of Teaching Staff

Teaching Staff (Regular Teacher) 1

Teaching Staff (Contract Teacher) 2

Out of total teachers, how many teachers have Aadhar number ? 3

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3.3 Teachers and Instructors(Including Head Master/Mistress)

(3) Male=1, Female=2, Transgender=3

(5) Social Category : ( General=1, SC=2, ST=3, OBC=4, ORC=5, OTHERS=6 )

(6) Type of teacher :( Head Teacher-1, Acting Head Teacher-2, Asistant Teacher-3, Shiksha Mitra-4, Instructor
positioned as per RTE-5, Principal-6, Vice-Principal-7, Lecturer-8 )

(7) Nature of appointment: Regular=1, Contract=2, Part-Time=3

(9, 22 to 26) ( 1 - Below secondary, 2 - Secondary, 3 - Higher Secondary, 4 - Graduate, 5 - Post graduate, 6 - M.Phil.,
7 - Ph.D., 8 - Post Doctoral )

(10) Profesional Qualification: ( 1 - Diploma or certificate in basic teacher training of a duration not less than two
years, 2 - Bachelor of Elementary Education(B.El.Ed.), 3 - B.Ed. or equivalent, 4 - M.Ed. or equivalent, 5 - Others, 6 -
None, 7 - Diploma/degree in speical education, 8 - Pursuing any relevant professional course )

(11) Classes Taught: ( 1 - Primary only, 10 - Pre-Primary only, 11 - Pre- Primary & Primary )

(12, 13 & 14) ( 1-All subjects, 3-Mathematics, 4-Environment studies, 5-Sports, 6-Music, 41-Hindi, 46-English, 47-
Regional Language )

(19 a & b) Training need/received : Subject knowledge =1, Pedagogical issues = 2, ICT Skills = 3, Knowledge and
skills to engage with CWSN =4, Leadership and management skills = 5, Sanitation & Hygiene =6, Others=7, Not
required=8

(27) Disability : Not applicable=1, Loco motor=2,Visual=3, Others=4, Hearing Impaired = 5

(28,29) Yes=1, No=2

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Teacher Profile
(1) Teacher Code(If available) 269652

(2) Name Ramesh Prashad Lalaram Rajak Santoshi Rajak

(3) Gender 1-Male 1-Male 2-Female

(4) Date of Birth (dd/mm/yyyy) 04/06/1974 15/10/1973 12/04/1976

(5) Social Category 4-OBC 2-SC 2-SC

(6) Type of Teacher 3-Asistant Teacher 5-Instructor 5-Instructor

positioned as per RTE positioned as per RTE
(7) Nature of Appointment 1-Regular 2-Contract 2-Contract

(8) Date of Joining in Service (dd/mm/yyyy) : 20/11/2015 20/08/2018 20/08/2018

(9) Highest Academic Qualification 4-Graduate 4-Graduate 4-Graduate

(10) Highest Professional Qualification 3-B.Ed. or equivalent 3-B.Ed. or equivalent 3-B.Ed. or equivalent

(11) Classes Taught 1-Primary only 1-Primary only 1-Primary only

(12) Appointed for Subject 1-All subjects 1-All subjects 1-All subjects

(13) Main Subject Taught 1 1-All subjects 1-All subjects 1-All subjects

(14) Main Subject Taught 2

15-18 :- Total days of in- service training received in last academic year. (Sl No. 15 -18 is only for teachers teaching at elementary level)
(15) BRC (in days)

(16) CRC (in days)

(17) DIET (in days)

(18) Others (in days)

(19)[a] Training Received 1-Subject knowledge 8-Not Required 8-Not Required

(19)[b] Training Needs 1-Subject knowledge 8-Not Required 8-Not Required

(20) No. of working days spent on non-

teaching assignments
(21) Maths studied upto : 2-Secondary 2-Secondary 1-Below secondary

(22) Science studied upto 3-Higher Secondary 2-Secondary 1-Below secondary

(23) English Studied upto 4-Graduate 2-Secondary 2-Secondary

(24) Language(as per Schedule VIII) Studied 1-Below secondary 1-Below secondary 1-Below secondary
upto
(25) Social studies studied upto 4-Graduate 4-Graduate 4-Graduate

(26) Working in Present School Since(Year) 2016 2018 2018

(27) Type of Disability, If any 1-Not Applicable 1-Not Applicable 1-Not Applicable

(28) Trained for teaching CWSN 2-No 2-No 2-No

(29) Trained in use of computer and teaching 2-No 2-No 2-No

through Computer
(30) Mobile Number 9935200903 9452335489 8318137198

(31) E-mail

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Teacher Profile
(1) Teacher Code(If available)

(2) Name

(3) Gender

(4) Date of Birth (dd/mm/yyyy)

(5) Social Category

(6) Type of Teacher

(7) Nature of Appointment

(8) Date of Joining in Service (dd/mm/yyyy) :

(9) Highest Academic Qualification

(10) Highest Professional Qualification

(11) Classes Taught

(12) Appointed for Subject

(13) Main Subject Taught 1

(14) Main Subject Taught 2

15-18 :- Total days of in- service training received in last academic year. (Sl No. 15-18 is only for teachers teaching at elementary level)

(15) BRC (in days)

(16) CRC (in days)

(17) DIET (in days)

(18) Others (in days)

(19)[a] Training Received

(19)[b] Training Needs

(20) No. of working days spent on non-

teaching assignments
(21) Maths studied upto :

(22) Science studied upto

(23) English Studied upto(as per Schedule VIII)

(24) Language(as per Schedule VIII) Studied

upto
(25) Social studies studied upto

(26) Working in Present School Since(Year)

(27) Type of Disability, If any

(28) Trained for teaching CWSN

(29) Trained in use of computer and teaching

through Computer
(30) Mobile Number

(31) E-mail

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Section 4 : New Admission, Enrolment and Repeaters

4.1.1 Total Enrolment in Pre Primary section

LKG UKG

Boys

Girls

4.1.2 New Admissions in Grade I

Age (in completed years) Out of the Total in Grade I Number of Children with Pre-School Experience in
Total Children Admitted in
Grade 1
<5 5 6 7 >7 Same School Another School Anganwadi / ECCE Centre

Boys

Girls

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4.2 Enrolment in current academic session (by Social category)

(a) By Social Category
Pre-Primary I II III IV V
Class
B G B G B G B G B G B G
General

SC

ST

OBC

Total

(b) Out of the total Enrolment, provide details of enrolment belonging to following Minority groups(As defined in Constitution)
Pre-Primary I II III IV V
Class
B G B G B G B G B G B G
Muslim

Christian

Sikh

Buddhist

Parsi

Jain

Other

(c) Out of the total enrolment, provide number of students

Pre-Primary I II III IV V
Class
B G B G B G B G B G B G
Having AADHAAR

BPL

(d) Out Of the total enrolment, provide number of transgender students

Classes Pre-Primary I II III IV V
Transgender

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4.3 Enrolment by grade in the current academic session (by Age in completed years)
Note: Total students (class wise) should match with class wise total students [Total (a) of 4.2 DCF]
By Age
Class I II III IV V
Age Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
<5

10

11

12

13

14

15

16
17
18
19
20
21
22
> 22
Total

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4.4 Enrolment By Grade in the current academic session (By Medium of Instructions)
By Medium of Instruction(*M.O.I - Medium Of Instructions)
I II III IV V
M.O.I
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls

II

III

IV

Total

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4.5 Repeaters by grade in the current academic session (by Social category and Minority Group)

(a) By Social Category

I II III IV V
Class
B G B G B G B G B G
General

SC

ST

OBC

TOTAL

(b) Out of the total Repeaters, provide details of repeaters belonging to following Minority groups(As defined in Constitution)
I II III IV V
Class
B G B G B G B G B G
Muslim

Christian

Sikh

Buddhist

Parsi

Jain

Other

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4.6 Enrolment By Grade for children with special needs

By Type of Impairment
Pre-Primary I II III IV V
Class
B G B G B G B G B G B G
Blindness

Low-Vision

Hearing impairment

Speech and Language

Locomotor Disability

Mental illness

Specific Learning Disabilities

Cerabral palsy

Autism Spectrum Disorder

Multiple Disability including deaf, blindness

Leprosy Cured students

Dwarfism

Intellectual Disability

Muscular Dystrophy

Chronic Neurological conditions

Multiple Sclerosis

Thalassemia

Hemophilia

Sickle Cell disease

Acid Attack victim

Parkinson's disease

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Section 5 : Incentives and facilities provided to children(Only For Government and Government Aided Schools)

5.1 Facilities provided to children (Previous academic year, Primary Grade I-V)
Other Minority
General SC ST OBC Total Muslim Minority
Type of Facility groups
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
Free Textbook

Free Uniform

Transport facility to reach school

Escort

Bicycle

5.3 Facilities provided to CWSN (Previous academic year)

Pre-Primary Primary
Type of Facility
Boys Girls Boys Girls
Braille books

Braille kit

Low vision

Hearing aid

Braces

Crutches

Wheel chair

Tri-cycle

Caliper

Escort

Stipend

Section 6 : Annual Examination Result at Elementary level

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6.1 Annual Examination Result in Previous Year for Grade V

General SC ST OBC Total

Examination Result
Boys Girls Boys Girls Boys Girls Boys Girls Boys Girls
No. of Students Appeared

No. of Students Passed/Qualified

Number of Students Passed with Marks >= 60%

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Section 8 - Receipts and Expenditure

8.1 Grants received by the school & expenditure made during the Previous year (Only For Govt. and Govt. Aided Schools)
Grants under Samagra Shiksha Receipt(In Rs.) Expenditure(In Rs.)
Composite School Grant

Library Grant

Grant for Sports and Physical Education

Grant for Media and Community Mobilization

Grant for Training of SMC/SMDC

Grant for support at Preschool Level (Only for primary schools/sections)

Grant for Major Repair

8.2 Financial Assistance received by the school

(Yes = 1, No = 2) If Yes,

Name Amount (in Rs.)

Non Govt. Organization (NGO)

Public Sector Undertaking (PSU)

Community

Other

8.3 Whether school is maintaining Inventory Register for the following

Availability (Yes = 1, No = 2)
ICT Items

Sports Equipments

Library Books

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Section 10 : PGI and Other Indicators (Only For Government and Government Aided Schools)

10.1 : PGI Indicators

10.1.1 Number of teachers with Aadhar or whose unique ID is seeded in any electronic data base ?

10.1.2 Whether the school has in place a system to capture student attendance electronically? (Yes= 1 No= 2) 2-No

10.1.3 Whether the school has in place a system to capture teacher attendance electronically ? (Yes= 1 No= 2) 2-No

10.1.4 Has school evaluation been completed ? (Yes= 1 No= 2) 1-Yes

10.1.5 Has school made Improvement Plans on the basis of Evaluation ? (Yes= 1 No= 2) 1-Yes

10.1.6 Is the school registered under PFMS ? (Yes= 1 No= 2) 1-Yes

10.2 : Other Indicators

10.2.1 Whether the school has constituted Youth Club? (Yes = 1, No = 2) 2-No

10.2.2 Whether the school has constituted Eco Club? (Yes = 1, No = 2) 2-No

10.2.3 Whether Teacher Identity Cards are issued to all teachers in the school? (Yes = 1, No = 2) 1-Yes

Section 11: School Safety

11.1 Whether the School Disaster Management Plan (SDMP) has been developed ? (Yes = 1, No = 2) 2-No

11.2 Whether Structural Safety Audit has been conducted ? (Yes = 1, No = 2) 2-No

11.3 Whether Non- structural Safety Audit has been conducted ? (Yes = 1, No = 2) 2-No

11.4 Whether CCTV Cameras available in school ? (Yes = 1, No = 2) 2-No

11.5 Whether Fire Extinguishers are installed ? (Yes = 1, No = 2) 1-Yes

11.6 Does the school have a nodal teacher for school safety? (Yes = 1, No = 2) 2-No

11.7 Whether students and teachers undergo regular training in school safety and disaster preparedness ? (Yes = 1, No = 2) 2-No

11.8 Whether disaster management is being taught as part of the curriculum ? (Yes = 1, No = 2) 2-No

11.9 Whether school has received grand for Self Defense Training for Girls ? (Yes = 1, No = 2) 2-No

11.9(a) If yes, Number of Students provided training (provide actual number of student trained)?

11.10 Whether the school has displayed safety guidelines on Display Board? (Yes = 1, No = 2) 2-No

11.11 Whether all teachers have received grant for working as first level counselors?(For Government Schools) (Yes = 1, No = 2) 2-No

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11.11(a) If yes, Whether the school has carried out the following activities ? (Yes = 1, No = 2)

i) Guidance and Counselling (Yes = 1, No = 2)

ii) Sensitization of Parents (Yes = 1, No = 2)

iii) Awareness generation for Students and Community (Yes = 1, No = 2)

iv) Provision for taking feedback of the students (Yes = 1, No = 2)

v) Suggestions/Complaint box in the schools (Yes = 1, No = 2)

vi) Providing copies of safety guidelines to the students (Yes = 1, No = 2)

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School Name :

Declaration By School in Charge (Principal/Vice-Principal/Head Teacher/Senior Most Teacher)

Academic Year: 2020-21

I hereby declare that the information entered in this data Capture Format (DCF) is true and correct to the best of my knowledge. I undertake to inform any changes therein,
immediately.

Place Name

Date Signature

Designation

Office Seal

Verification by CRC

I hereby certify that the data submitted is complete and correct to the best of my knowledge.

Place Name

Date Signature

Designation

Office Seal

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