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State of Tamilnadu - Section
Section 21 in Tamil Nadu Right of Children to free and Compulsory Education Rules, 2011
21. Award of completion certificate.
- The certificate of completion of elementary education shall be awarded in Form-Ill within a month of the completion of elementary education. The said certificate shall be accompanied by the Pupil Cumulative Record.AppendixForm ISelf Declaration Cum Application for Grant of Recognition of School(See sub-rule (1) of rule 12)ToThe ............................................(Competent authority)(Name of District)Sir,I forward herewith a self declaration regarding compliance with the norms and standards prescribed in the Schedule to the Right of Children to Free and Compulsory Education Act, 2009 (Central Act 35 of 2009) and an application in the prescribed proforma for the grant of recognition to .......................... (Name of the School) with effect from the commencement of the academic year 20.......Yours faithfully,Enclosure:Place:Date:Secretary / CorrespondentA. School Details:-| 1 | Name of School | |
| 2 | Academic Session | |
| 3 | District | |
| 4 | Postal Address | |
| 5 | Village/City | |
| 6 | Taluk | |
| 7 | Pincode | |
| 8 | Phone No with STD Code | |
| 9 | Fax No. | |
| 10 | E-mail address, if any | |
| 11 | Nearest Police Station |
| 1 | Year of Foundation | |||
| 2 | Date of First Opening of School | |||
| 3 | Name of Trust / Society/Managing Committee | |||
| 4 | Whether Trust / Society/Managing Committee isregistered | |||
| 5 | Period until which Registration of Trust /Society/Managing Committee is valid | |||
| 6 | Whether there is a proof of non-profitablecharacter of the Trust / Society / Managing Committee supportedby the list of members with their address on an affidavit in copy | |||
| 7 | Name/official address of the Manager/ President/ Chairman of the school | |||
| Name | ||||
| Designation | ||||
| Address | ||||
| Phone | (O)(R) | |||
| 8 | Total Income & Expenditure during last 3years surplus /deficit | |||
| Year | Income | Expenditure | Surplus/deficit | |
| 1 | Medium of Instruction | |
| 2 | Whether Tamil is taught as a language for allstudents? | |
| 3 | Type of School (Specify entry & exitclasses) | |
| 4 | If aided, the name of agency and percentage ofaid | |
| 5 | If School Recognised | |
| 6 | If so, by which authority * Recognition number | |
| 7 | Does the school has its own building or is itrunning in a rented building? If it is on the rented buildingwhether the lease deed is registered? (Please attach copythereof). | |
| 8 | Whether the school buildings or other structuresor the grounds are used only for the purpose of education andskill development? | |
| 9 | Total land area of the School (in square feet). | |
| 10 | Total built in area of the school (in squarefeet). |
| Sl. No | Class | No. of Section | No. of Students | ||
| Boys | Girls | Total | |||
| 1 | Pre K.G | ||||
| 2 | L.K.G | ||||
| 3 | U.K.G | ||||
| 4 | I | ||||
| 5 | II | ||||
| 6 | III | ||||
| 7 | IV | ||||
| 8 | V | ||||
| 9 | VI | ||||
| 10 | VII | ||||
| 11 | VIII |
| SI. No | Room | Numbers | Average Size (in square feet). |
| 1 | Classroom | ||
| 2 | Office room-cum-store room-cum-Headmaster Room | ||
| 3 | Kitchen-cum-Store |
| 1 | Whether all facilities have barrier free access | |
| 2 | Teaching Learning Material (attach list) | |
| 3 | Sports & Play equipments (attach list) | |
| 4 | Facility books inLibrary• Books (Numberof books)• Periodical / Newspapers / Journals | |
| 5 | Type and number of drinking water facility | |
| 6 | Sanitary Conditions | |
| (i) Type of western closets & urinals | ||
| (ii) Number of urinals/lavatories separately forBoys | ||
| (iii) Number of urinals/lavatories separatelyfor Girls |