New School Application Form

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Application No : GSEB/G/13/329 Application Date : 04/04/2013 School Start Year : June - 2013

Trust/Body Information
Type of Applicant : Registered Trust

Whether the educational purpose is mentioned in trust deed or not? Yes Trust/Body Registered The Bombay Public Trust Act, 1950 Under: Trust/Body Registration No. : Trust/Body Type :

Trust/Body Level : National Level Trust/Body Registration Date :

F/5483/B.K. Public AASHTHA EDUCATIONAL AND CHERITABLE TRUST, PALANPUR 6, VRUNDAVAN SOCIETY, GANESHPURA, PALANPUR BANASKANTHA PALANPUR 385001

13/01/2012

Trust/Body Name : Trust/Body Address : District : City / Village : Pincode :

State : Gujarat Tal/Mun/Corp : PALANPUR MUNICIPALITY

Phone No : Trust/Body's E-mail :

STD Code : Phone No : 2742 259119 hardikjoshi9119@gmail.com

Details of Trustees/Members of Trust/Body

Sr. No. Name of Trustee/Member Designation in Trust/Body Mobile No Occupation (If employee, name & address of Organization with Designation) Member in Other Trust/Body

Mr. Hardik Joshi

President

Principal 9429088890 SARASWATI SCHOOL OF SCIENCE, PALANPUR

( Note : If the applicant is Registered Trust, then Name of Trustees must be as per the status in the Office of Charity Commissioner as on Application Date. )

Details of the correspondent authorized by Trust/Body

correspondent Name : correspondent's Address : District : City / Village : Pincode : Landline No : correspondent's Email :

HARDIK JOSHI 1, SANSKRUT BANGLOWS, OPP. INCOME TAX OFFICE, ABU HIGHWAY, PALANPUR BANASKANTHA PALANPUR 385001 STD Code : Phone No : 2742 259119 hardikjoshi9119@gmail.com

Designation : PRESIDENT State : Gujarat PALANPUR MUNICIPALITY

Tal/Mun/Corp :

Mobile : 9429088890

( Note : All communication with the Trust/Body will be done on the name and address of the Person mentioned above. If there is any change in these details, please inform to Gujarat Secondary & Higer Secondary Education board otherwise Trust/Body will be resposible for misscommunication.)

Details of other Education Institutes owned by Trust/Body :

No Trust Other Education Institutes Detail Available

Proposed School Information

School Name : DIVINE TOUCH INTERNATIONAL SCHOOL

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School Address :

PATIDAR SOCIETY, NR. SARJAN HALL, ABU HIGHWAY, PALANPUR

District : BANASKANTHA

Tal/Mun/Corp : Medium : Type of School Type 1 : Both Type 2 : General

PALANPUR MUNICIPALITY

City / Village : PALANPUR

Pincode : 385001

Gujarati

Type of School Area Type 1 : Nagar Palika Type 2 : Non Tribal Area

Phone No : Population (City/Village): School's E-mail :

STD Code : Phone No : 0 0 122000 hardikjoshi9119@gmail.com

( Note : All communication with the School will be done on the address mentioned above. If there is any change in these details, please inform to

Gujarat Secondary & Higher Secondary Board, otherwise School will be resposible for miss-communication.)

Proposed School Land Detail

Total Land Area in Sq.meter : Survey/Block No : T P Scheme No. : Final Plot No. : Is Land Non-Agriculture? Total Built-up Area : Non Built-up Area : Area used for Proposed School : Area Of Margin Space : Area of Play Ground : 1,2 2396.00 629/1-2-3, 631/5

Plot No : 1,2 T P Scheme Name : PATIDAR SOCIETY

Sub Plot No. : 3,4

No 1406.00 Sq.meter(On the same Land mentioned above) 1133.00 Sq.meter(On the same Land mentioned above) 1167.00 Sq.meter(Out of Total Built-up Area) 239.00 Sq.meter(Out of Total Built-up Area) 1233.00 Sq.meter (excluding Area of Margin Space and any kind of constructed area) Yes

Is Play Ground situated within School Campus?

Proposed School Building Information

Owner of Land and School Building : Mr. Swetanshu Loh School Purpose of Building Usage :

Is Layout / Building Plan of School Building sanctioned by competent authority? No

Is School Building Usage Permission taken by authority? No

Electricity Connection School issued to: Electricity Registration No : 73049/16851/0

Electricity Provider :

UGVCL

Is Fire Safety facility available? Yes No of 4 Extinguishers :

Other Details :

Is ELCB / MCB facility available in Proposed School Building? YES Company Name : L&T Capacity Of ELCB / MCB in KW :

15

Is School Building / Play Ground at Safe Distance from harmful elements like Oil/Gas Pipeline, Electricity (High Tension) lines? Yes Give Details :

Do Students/Beneficieries face problems because of geographical situation? No

Is there any shopping center in the proposed school building? No

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Is school building being owned or rented?

Owned

Is there any Educational or Non-Educational institutes/activities running in proposed school building by trust itself or other trust? No

Proposed School Building Facilities

Sr. No.

Type Of Facilities

No Of Rooms

Minimum Area per Room (Sq. Meter)

Floor

1 2 3 4 5

Principle Room Staff Room Class Room Laboratory Computer Room

1 1 11 3 1

25.00 25.00 40.00 60.00 29.00

Ground Ground Second Ground Ground

Floor Floor Floor Floor Floor

Proposed School Health Facilities

Source of Drinking Water : OWN BORE WELL No Of Water Rooms : 1 No Of Water Tapes : 15 Is Water Purification facility available ? : YES
Type For Boys

Area Of Water Rooms in Sq. Meter : 2.32

For Girls

For Employees

No Of Latrines No Of Toilets

4 10

3 7

2 4

Details of Expected Number of Students

Does the Trust have Upper Primary School? No
Details of nearby Upper Primary Schools where there is no Secondary School No Nearby Schools Detail Available Details of nearby Secondary Schools No Nearby Schools Detail Available

Uploaded School Image:

Trust/Body Account Detail

Sr. No. Name Of Bank Branch Name Account No Type Of Account Balance as on Application Date Proof of Account GSEB-G-13-32932189347870.jpg

STATE BANK OF INDIA, 621900

PALANPUR 32189347870 Current

621900

Total Balance of Trust/Body :

List Of Attachments (All Attachements should have size lesser than 2MB)
Sr. No.

Attachment

Available ?

View Attachment View Attachment View Attachment View Attachment View Attachment View Attachment

comments (if any)

1 2 3 4 5

Copy of Trust Registration Certificate registered in the Charity Commissioner Office (.jpg or .pdf) Copy of Trust Deed (.jpg or .pdf) (.jpg or .pdf)

Yes Yes Yes Yes Yes

No No No No No

Latest Copy of Public Trust Register(PTR)

Copy of Resolution passed by Trust/ Body to start an Educational Institute (.jpg or .pdf) Copy of Documents of the Ownership of Land & Building (.pdf)

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6 7 8 9 10 11 12 13 14 15

Copy of School Building Map, sanctioned by Competent Authority (.jpg or .pdf) Copy of Structural Stability Certificate as per performa given in instruction section (.pdf) Recently taken Photograph of Schools Front-side (.jpg) Recently taken Photograph of Schools Back-side (.jpg) Recently taken Photograph of Schools Left-side Recently taken Photograph of Schools Right-side (.jpg) (.jpg)

Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

No No No No No No No No No No

View Attachment

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Recently taken Photograph covering entire School Building along with Compound Wall and Gate of School (.jpg) Recently taken Photograph of Schools Play-ground (.jpg) Copy of Affidavit as per performa given in instruction section (.pdf) Copy of Resolution passed by Trust/ Body to appoint an authorised person for Correspondence with GS&HSEB (.jpg or .pdf)

View Attachment

New School Application Fees Detail

Bank Name : DD Number : DD Date :

STATE BANK OF INDIA 434637 28/03/2013

Bank Branch Name : Amount :

PALANPUR 5000

Self Declaration
. , . .

Copyright 2010. Gujarat Secondary and Higher Secondary Education Board. All Rights Reserved by Guj Info Petro Limited.

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