Academic Year 2023-24 UDISE CODE: 10191502601

Unified District Information System for Education Plus

(UDISE+)

Data Capture Format

for

Academic Year 2023-24

School Name: U.M.S KHOKSA

School Category: 2 - Primary with Upper Primary

School Management: 1 - Department of Education

Department of School Education and Literacy

Ministry of Education
Government of India

Sections Details

SCHOOL PROFILE AND OTHER DETAILS

Section 1A School Profile Details

Section 1B School Safety and Other Indicators

Section 1C Receipts and Expenditure

SCHOOL FACILITY

Section 2 Physical Facilities, Equipment, Computer and Digital initiatives

NOTE: All fields are mandatory (if not specifically mentioned Optional). Hence mandatory fields should
not be left blank.

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Academic Year 2023-24 UDISE CODE: 10191502601

Section 1A- Basic School Profile

UDISE Code: 1 0 1 9 1 5 0 2 6 0 1

1.1 School Name (In capital letters): U.M.S KHOKSA

1.2 Name of the District: 1019-SAMASTIPUR

1.3 Name of the UDISE+ Block: 101915 DALSINGHSARAI

1.4 School Location Type: (1-Rural, 2-Urban) 1-Rural

IF 1-RURAL Then

(a) Revenue Block /CD Block (As Per LGD): 2041 DALSINGHSARAI

(b) Village Name (As Per LGD): 237033 Khoksa

(c) Name of Gram Panchayat (As Per LGD): 100159 AJNAUL

If 2-URBAN then

(d) Urban Local bodies (As per LGD):

(Municipalities / Nagar Panchayat etc.)

(e) Ward Name (As Per LGD):

1.5 School Address: UMS KHOKSA DALSINGHSARAI

1.6 Pincode : 848114

1.7-Name of the Cluster Resource Centre (CRC): 1019150010 U.MS. LOKNATHPUR GANJ

1.8(a) Name of the Assembly Constituency: 1019008 BIBHUTIPUR

(b) Name of the Parliamentary Constituency:

1.9 Geographical Location (In Degree and Decimal for Ex-78.962883)

(a) Latitude: 2 5 . 6 5 2 3 3 6

(b) Longitude: 8 5 . 8 6 9 1 9 9

1.10 School Contact Details:

(a) STD Code: (b) Landline Number:

(c) Mobile Number: 9708764294 (d) Email:

(e) Website of the School:

1.11 Head of the School (HoS) / In-Charge Details

(a) HoS / In-Charge Type: 1- Head Master/Principal

(1- Head Master/Principal, 2- Asst. Head Master/Vice Principal, 3-Acting Head Teacher, 4- In-Charge from Other School, 5- In-Charge

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Academic Year 2023-24 UDISE CODE: 10191502601

from Block/District, 6- Others)

(b) HoS /In-Charge Name: MAHENDRA SINGH

(c) Mobile Number: 9708764294

(d) HoS Email:

1.12 (a) Management Group of the School: A-State Government

(A- State Government, B - Govt. Aided, C- Private Unaided, D- Central Government, E- Others)

(b) Management Code of School: 1 - Department of Education (Choose According to Management Group)

Details of Management Code Group Details of Management Code Group

Department of Education 1 Kendriya Vidyalaya 92

Tribal Welfare Department 2 Jawahar Navodaya Vidyalaya 93

Local Body 3 Sainik School 94

D
Other State Govt. Managed 6 A Railway School 95

Minority Affairs Dept. 89 Central Tibetan School 96

Social Welfare Department 90 Other Central Govt./PSU Schools 101

Ministry of Labour 91 Unrecognized 8

Government Aided 4 Madarsa Private and Aided (Recognized) 97

B
Partially Govt. Aided 7 Madrasa Aided (Recognized) 99 E

Private Unaided (Recognized) 5 C Madarsa Unrecognized 98

Sanskrit Schools/Gurukuls/Pathashalas (Aided/Unaided) 102

(c) **For Management Code 101 mention Nodal Ministry/Dept.

Administration Type

(1-Autonomous body under Ministry/Dept, 2-PSU under Ministry/Dept., 3- Society under Ministry/Dept)

1.13 School Category (code) 2 - Primary with Upper Primary

Details of Category Code Broad Category

Primary only with grades 1 to 5 (PRY) 1 Primary School

Upper Primary with grades 1 to 8 (PRY-UPR) 2 Upper primary School

Higher Secondary with grades 1 to 12 (PRY-UPR-SEC-HSEC) 3 Higher Secondary School

Upper Primary only with grades 6 to 8 (UPR) 4 Upper Primary School

Higher Secondary with grades 6 to 12 (UPR-SEC-HSEC) 5 Higher Secondary School

Secondary with grades 1 to 10 (PRY-UPR-SEC) 6 Secondary School

Secondary with grades 6 to 10 (UPR-SEC) 7 Secondary School

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Academic Year 2023-24 UDISE CODE: 10191502601

Secondary only with grades 9 & 10 (SEC) 8 Secondary School

Higher Secondary with grades 9 to 12 (SEC-HSEC) 10 Higher Secondary School

Hr. Sec. /Jr. College only with grades 11 & 12 (HSEC) 11 Higher Secondary School

Pre-Primary only 12 Pre-Primary

PRY - Primary, UPR - Upper Primary, SEC - Secondary, HSEC - Higher Secondary

1.14 Classes and Streams available in School :

(a) Lowest and Highest Class in School (e.g. 1 to 5) 1 to 8

(b) Whether Pre-Primary section (other than Anganwadis) attached to school? 2-No (1-Yes, 2-No)

If 1-YES the Number of Classes/Grades in Pre-Primary Section 9

(For Example, mention 3 if Class Nursery, LKG and UKG are available)

Note : In UDISE+ 3(three) Classes can be Defined for Pre-Primary Sections

Sl No UDISE Symbol Type-1 Combination Type-2 Combination Description

1 PP1(-1) UKG/KG-2/KG-B/Sr. KG Pre-Primary/KG Class Just Below Grade/Class-1

2 PP2(-2) LKG/KG-1/KG-A/Jr. KG Pre-School/Nursery Class Just Below Class PP1 (2nd class below Class-1)

3 PP3(-3) Nursery Not Applicable Class Just Below Class PP2 (3rd class below Class-1)

1.15 Type of the School 3-Co-educational (1-Boys, 2-Girls, 3-Co-Educational)

1.18 Respondent Details (*Respondent = Person actually Responsible for filling this form)

(a) Respondent Type: 1- Head of the School/In-Charge

(1- Head of the School/In-Charge, 2-Teacher, 3-School Administration Staff/Official/Clerk, 4- In-Charge from Block/District/Cluster, 5-In-
Charge from Other School)

(b) Respondent Name: MAHENDRA SINGH

(c) Mobile Number: 9708764294

(d) Respondent Email:

1.19 When does the academic session Start and End Date? 01/04/2023 to 30/03/2024

(e.g. 5th July to be mentioned as 05/07)

1.20 Year of Establishment of school: 1957

1.21 Year of Recognition (For Govt. Aided/Pvt. Unaided/Others Management Group Schools)

(a) Primary (b) Upper Primary

1.23 Medium of instruction(s) in the School [Mention Mediums (if more than one) according to Number of Students taught in
any particular Medium in descending order. Largest Medium should come first.]
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Academic Year 2023-24 UDISE CODE: 10191502601

(a) Medium-1 04-Hindi (b) Medium-2 19-English

(c) Medium-3 18-Urdu (d) Medium-4

(01-Assamese, 02-Bengali, 03-Gujarati, 04-Hindi, 05-Kannada, 06-Kashmiri, 07-Konkani, 08-Malayalam, 09-Manipuri, 10-Marathi, 11-
Nepali, 12-Odia, 13-Punjabi, 14-Sanskrit, 15-Sindhi, 16-Tamil, 17-Telugu, 18-Urdu, 19-English, 20-Bodo, 22-Dogri, 23-Khasi, 24-Garo, 25-
Mizo, 26-Bhutia, 27-Lepcha, 28-Limboo, 29-French, 30-Hmar, 31-Bishnupriya Manipuri, 32-Karbi, 39-Santhali, 49-Bhodi (Ladakhi), 51-
Maithali, 71-Balti, 72-Purgi, 97-Foreign Medium, 99-Other Indian Medium)

1.24 Language(s) taught as a subject [Mention Maximum 3(three) Languages]

Name (s) of Languages taught as Classes in which Language(s) Students taking the Language

a subject are taught Boys Girls Transgender

51-Maithli 1,2,3,4,5,6,7,8 0 0 0

19-English 1,2,3,4,5,6,7,8 139 162 0

04-Hindi 1,2,3,4,5,6,7,8 139 162 0

(01-Assamese, 02-Bengali, 03-Gujarati, 04-Hindi, 05-Kannada, 06-Kashmiri, 07-Konkani, 08-Malayalam, 09-Manipuri, 10-Marathi, 11-
Nepali, 12-Odia, 13-Punjabi, 14-Sanskrit, 15-Sindhi, 16-Tamil, 17-Telugu, 18-Urdu, 19-English, 20-Bodo, 22-Dogri, 23-Khasi, 24-Garo, 25-
Mizo, 26-Bhutia, 27-Lepcha, 28-Limboo, 29-French, 30-Hmar, 31-Bishnupriya Manipuri, 32-Karbi, 39-Santhali, 41-Angami, 42-Ao, 43-
Arabic, 44- Bhoti, 45-Bodhi, 46-German, 47-Kakbarak, 48-Konyak, 49-Laddakhi, 50-Lotha, 51-Maithili, 52-Nicobaree, 53-Odia(lower), 54-
Persian, 55-Portuguese, 56-Rajasthani, 57-Russian, 58-Sema, 59-Spanish, 60-Tibetan, 61-Zeliang, 62-Mundari, 63-Khadia, 64-Kuruk, 65-
Ho, 71-Balti, 72-Purgi, 97-Other Foreign language, 99- Other Indian language)

1.25 Is this a Special School for CWSN? 2-No (1-Yes, 2-No)

If 1-Yes then mention TYPE of Special School

(1-Visual impairments, 2-Hearing impairments, 3-Motor impairments, 4-Cognitive impairments, 5-All Types, 6-Others)

1.26 Is this a Shift School? 2-No (1-Yes, 2-No)

(Shift School: School runs in more than One Shift. For Example: Morning and Afternoon Shifts)

1.27 Is this a Residential 3-Non-Residential

School?

(1-Completely Residential, 2-Partially Residential, 3-Non-Residential)

If 1-Completely Residential, 2-Partially Residential then

(a) Type of Residential school

(Options For Govt Schools :1-Ashram (Govt.), 2- Non-Ashram (Govt.), 3- Private, 4-Others, 6-KGBV, 7- Model School, 8- Eklavya Model
Residential School, 10 - Jawahar Navodaya Vidyalaya, 11- Netaji Subhash Residential School)

(Options For Non- Govt Schools : 3- Private, 4-Others )

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

(Applicable only for Govt. Aided / Pvt. Unaided / Others Management Group Schools)

If 1-Yes, Type of Minority Community managing the school

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

1.29 Are majority of the pupils taught through their mother tongue at the Primary level? 1-Yes

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(1-Yes/2-No)

1.30 Does the school offer any pre-vocational exposure at Upper-Primary stage? 2-No (1-Yes/2-No)

1.31 Does the school run any skill training centre after school hours? 2-No (1-Yes, 2-No)

1.32 Distance* of the school (in km.) from the nearest Govt./ Govt. Aided school ( for example2.6)

(a) From Primary School/Section 1.5

(b) From Upper primary School/Section 3.5

(c) From Secondary School/Section 3.5

(d) From Higher Secondary School/Junior college 3.5

*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.

1.33 Whether School is Approachable by All-Weather Roads? 1-Yes (1-Yes, 2-No)

1.34 Number of instructional days (previous academic year): 230

1.35 Is Continuous and Comprehensive Evaluation (CCE) being implemented in School? 1-Yes (1-Yes, 2-No)

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Question No 1.37 to 1.54 is Only for Government and Government Aided Schools

1.37 Whether Anganwadi Centre(s) is/are located inside the school premises? 1-Yes (1-Yes, 2-No)

If 1-YES then

Code/Name of Children in Whether Anganwadi has adequate

Is the Anganwadi Worker trained in early
Sl.No Anganwadi Anganwadi Centre(s) educational toys/ puppets/ games/ board
childhood education? (1-Yes, 2-No)
Centre(s) Boys Girls games, etc.? (1-Yes, 2-No)

(i) 104 24 16 1-Yes 1-Yes

(ii) 0 0 0 2-No 2-No

(iii) 0 0 0 2-No 2-No

1.38 Whether Balavatika is started in the Co- located Anganwadi/school? 1-Yes (1-Yes, 2-No)

1.39 Whether any Out of School Children enrolled in the school? 2-No (1-Yes, 2-No)

If 1- Yes, whether enrolled Out of School Children attending Special training in school or not?

(1-Yes, 2-No)

1.40 Number of students attending Remedial Teaching in current year: 0

1.41 Number of students attending Learning Enhancement classes 0

1.42 Details of visits to the school during the previous academic year

(a) Number of Academic inspections 24

(b) Number of visits by CRC Coordinator 12

(c) Number of visits by Block level officer(BRC/BEO) 10

(d) Number of visits by District/State level officers 2

1.43 (a) Whether School Management Committee (SMC) has been constituted as per RTE 1-Yes (1-Yes, 2-No)
norms?

(b) Whether School Development and Management Committee have (1-Yes, 2-No, 3- Same as SMC)
been Constituted as per Samagra Shiksha guidelines?

If (a) or/and (b) is 1-Yes,

(c) Number of SMC/SDMC Meetings Conducted in Previous Academic year 12

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

If 1-Yes, mention the year 2021

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1.44 (a) Whether the School Building Committee (SBC) has been constituted? 2-No (1-Yes, 2-No)

(b) Whether the School has constituted its Academic Committee (AC)? 1-Yes (1-Yes, 2-No)

(c) Whether the School has constituted its Parent-Teacher Association (PTA)? 1-Yes (1-Yes, 2-No)

If 1-Yes, Number of PTA meetings held during the Previous Academic Year 12

1.45 Is the school registered under Public Financial Management System (PFMS)? 1-Yes (1-Yes, 2-No)

1.46 Whether the school has multi-class units? 2-No (1-Yes, 2-No)

If 1-Yes, Classes Taught Together in a Single Classroom

[Use',' (comma) in between classes. For Example 1,2,3,4]

Sl.No Classes Taught Together

1.47 Is the school part of a School Complex? 1-Yes (1-Yes, 2-No)

1.48 Is the school a Hub School for the school complex? 2-No (1-Yes, 2-No)

If 1-Yes, Number of schools in the school complex

Pre-Primary Primary Upper Primary Secondary Higher Secondary

0 0 0 0 0

1.49 Whether the school has undertaken any activity under "Ek 2-No (1-Yes, 2-No)
Bharat Shreshtha Bharat" (EBSB)?

1.50 Is the School certified as Fit India School? 2-No (1-Yes, 2-No)

1.51 Is the school providing Holistic Report Card for every learner 2-No (1-Yes, 2-No)
based on peer / self / teacher assessment?

1.52 Number of days Miday Meal served under PM-POSHAN (in Last Academic year)

(a) Total Days 218

(b) Days per week 6

(c) Days per Month 24

1.53 Availability of free text books, Teaching Learning Material (TLM), Play material (in current academic year) and Grade
Supplementary Material (for previous academic year)

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Upper
Sl.No Indicators Primary
Primary

1.53.1 Whether complete set of free textbooks received? 1-Yes 1-Yes

1.53.1.1 When were the textbooks received in the current academic year ? (May should be written as 5-May 5-May
05- May)

1.53.2 Whether TLM available for each grade? 1-Yes 1-Yes

1.53.2.1 If Yes, Number of children provided core TLM for Language 100 150

1.53.2.2 If Yes, number of children provided core TLM for Mathematics 100 150

1.53.3 Whether the school has received Graded Supplementary Material in previous academic year ? 1-Yes 1-Yes

1.53.3.1 If Yes, Number of children provided Graded Supplementary Material 100 150

1.53.3.2 Number of children having access to Supplementary graded material in school 50 50

1.53.4 Number of parental communications by the school (through teachers of that grade) of 10 15
regarding learning outcomes to be achieved by their child in the given year

1.53.5 Whether parents/ volunteers are actively involved in supporting the school to achieve 1-Yes 1-Yes
Functional Literacy and Numeracy (FLN)

1.53.6 Whether the school has introduced peer learning? 1-Yes 1-Yes

1.53.7 Whether play material, games and sports equipment available for each grade? 1-Yes 1-Yes

1.53.8 Whether the school has provided free uniform to the students? 2-No 2-No

1.53.8.1 If Yes, Mention the month in which the uniforms were provided to students in the current
academic year ? (May should be written as 05-May)

1.54 Key Performing Indicators (KPI) on teaching, learning (in Previous Academic Year), materials etc.

SI.No 1 2 3 4 5 6 7 8

Number of learning outcome based assessment

1.54.1 0 0 0 0 0 0 0 0
items created in total

Number of criterion-referenced items created in

1.54.2 0 0 0 0 0 0 0 0
Previous Academic Year

1.54.3 Whether school teachers of this school created

1- 1- 1-
teaching aids/tools for teaching and learning? (1- 1-Yes 1-Yes 1-Yes 1-Yes 1-Yes
Yes Yes Yes
YES / 2-NO)

1.54.4 Whether the school actively undertakes academic

enrichment activities, such as Project/Group work,
1- 1- 1-
portfolio, virtual labs, class performances, 1-Yes 1-Yes 1-Yes 1-Yes 1-Yes
Yes Yes Yes
quizzes/debates, creative writing, etc? (1-YES / 2-
NO)

1.54.5 Total Number of Hard Spots identified in Learning

0 0 0 0 0 0 0 0
outcomes
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SI.No 1 2 3 4 5 6 7 8

1.54.6 Number of students received orientation on cyber

0 0 0 0 0 0 0 0
safety

1.54.7 Number of students received training on psycho-

0 0 0 0 0 0 0 0
social aspects

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Section 1B : School Safety and Other Parameters

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

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

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

1.55.4 Whether CCTV Cameras are available in school? (1-Yes, 2-No) 2-No

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

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

1.55.7 Whether students and teachers undergo regular training in school safety and disaster 1-Yes

preparedness? (1-Yes, 2-No)

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

1.55.9 Whether school has received grant for Self Defense Training for Girls? (1-Yes, 2-No) 2-No

1.55.9(a) Mention Number of Girls Student provided Self Defense training (provide actual number of 0

student trained)?

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

1.55.11 Whether the school has appointed any teacher as a first level counsellor? (1-Yes, 2-No) 1-Yes

1.55.12 Frequency of safety and security audit of schools for ensuring child safety by involving all 1-Once

stakeholders(SMC, Parents, Senior Students, senior girl Students)(1-Once, 2-Twice, 3-Three

times, 4-Four times, 5-More than four times a year,6-None)

1.55.13 Is the school displaying photographs of all teachers in a school? (1-Yes, 2-No) 1-Yes

1.55.14 Has the school adopted/initiated Vidya Parvesh Module? (1-Yes, 2-No) 1-Yes

1.55.15 1- Attendance
Students’ attendance captured? (1- Attendance Register, 2- Electronically, 3- Biometric)
Register

1.55.16 1- Attendance
Teachers’ attendance captured? (1- Attendance Register, 2- Electronically, 3- Biometric)
Register

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

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

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

1.55.20 State School Standard Authority (SSSA) self-certification obtained? (1-Yes, 2-No) 2-No

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Section 1C- Receipts and Expenditure

1.56 Grant received by the school & expenditure made during the financial year 2022-2023 ( For Govt. and Govt. Aided
Schools)

Sl.No Grants under Samagra Shiksha Receipt (In Rs.) Expenditure (In Rs.)

1.56.1 Composite School Grant 75000.0 75000.0

1.56.2 Library Grant

1.56.3 Grant for Major Repair

1.56.4 Grant for Sports and Physical Education

1.56.5 Grant for Media and Community Mobilization

1.56.6 Grant for Training of SMC/SMDC

1.56.7 Grant for support at Preschool Level (Only for primary

schools/sections)

1.57 Financial Assistance received by the school (In Last Academic year)

Sl.No From Is Assistance If Assistance Received Mention Following

Received? (1-Yes, 2- Name Amount (In Rs.)
No)

1.57.1 Non-Govt. Organization (NGO) 2-No

1.57.2 Public Sector Undertaking (PSU) 2-No

1.57.3 Community 2-No

1.57.4 Other 2-No

1.58 Whether school is maintaining Inventory Register for the following?(In Last Academic year)

Sl.No Details Availability (1-Yes, 2-No)

1.58.1 Inventory Register on ICT Iteams 2-No

1.58.2 Inventory Register on Sports Equipment 2-No

1.58.3 Inventory Register on Library Books 2-No

1.59 Total annual expenditure of school on account of following (In last Academic year)

Sl.No Details Expenditure (In Rs.)

1.59.1 Maintenance/ Housekeeping 75000.0

1.59.2 Teachers 0

1.59.3 Construction Work 0

1.59.4 Others 0

Total Expenditure Incurred 75000.0

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Section 2-Physical Facilities, Equipment, Computer and Digital initiatives

PART A:Physical Facilities

2.1 Status of Present School Building 3-Government Owned

(1-Private Owned, 2-Rented, 3-Government Owned, 4-Government School in a Rent free building, 5-NO Building(Running in Open Place),
6-School Running in other Department Building)

2.2 Type of School Building

Sl.No Description Count

I Total Number of Active* building blocks of the school 3

Out of the total number of building blocks mentioned above, number of

Pucca building 1

Partially Pucca building (with Pucca walls and floor without concrete roof) 2

Kuchcha building 0

Tent 0

II Dilapidated** Building 0

III Building Under Construction 0

*Active Building Blocks = Building Blocks Currently used for instructional and Administrative Purpose

**Dilapidated = In a state of bad condition or damage as a result of age or neglect (Certified by Authority)

2.3 Type of Boundary Wall 7-Partial

(1-Pucca, 2-Pucca but broken, 3-Barbed wire fencing, 4-Hedges, 5-No boundary walls, 6-Others, 7-Partial, 8-Under Construction)

2.4 (a) Details of Classrooms available in the school (Laboratory rooms NOT to be included)

Mention Number of Classrooms for each categories

Pre-Primary 0 Primary 6 Upper Primary 3

Secondary 0 Higher Secondary 0 Currently Not in Use 0

(i) Total Number of Classrooms used for instructional Purposes 9

(ii) Number of classrooms under construction 0

(iii) Number of Classrooms in dilapidated condition 0

(b) Details of Classrooms by Condition: (out of classrooms used for instructional purposes
mentioned in Serial No 2.4(a)(i))

Number of Classrooms by Condition

Type of Classrooms Good Condition Need Minor repair Need Major Repair

Pucca 5 4 0

Partially Pucca 0 0 0

Kuchcha 0 0 0
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Tent 0 0 0

2.5 (a) Whether electricity connection is available in the school? 1-Yes

(1-Yes, 2-No, 3-Yes, but not Functional)

If Electricity is available in School then,

Description Count

(i) Number of Classrooms having Fans 7

(ii) Number of Classrooms having ACs 0

(iii) Number of Classrooms having Heaters/Blowers 0

(b) Whether solar panel is available in school? 2-No

(1-Yes, 2-No, 3-Yes, but not Functional)

2.6 Details of Rooms other than Classrooms (excluding toilets):

(a)Number of Total Other Rooms (excluding Classrooms): 2

(b) Mark Available Rooms:[Out of other rooms mentioned in 2.6(a)]

Sl.No Particulars Availability

(i) Separate room for Head of the School/Head Teacher/ Principal? 1-Yes

(ii) Separate room for Library 2-No

(iii) Separate room for Assistant Head Teacher/Vice Principal? 2-No

(iv) Separate Common room for girls 2-No

(v) Staffroom for teachers 2-No

(vi) Co-curricular activity room/arts and crafts room 2-No

(vii) Number of Laboratory Rooms including Computer Labs

2.7 Does the School have Toilet(s)? 1-Yes (1-Yes, 2-No)

If 1-Yes then fill following Details

(a) Details of Toilets/Urinals (Func. = Functional)

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Details of Toilets

Boys Girls Total

Sl.No Description Total Func** Total Func Total Func**

(i) Number of toilet seats available

1 1 1 1 2 2
excluding CWSN friendly Toilets

(ii) Number of CWSN friendly toilet seats 1 1 1 1 2 2

Total Number of toilet seats including

2 2 2 2 4 4
CWSN friendly toilets

Details of Urinals

(iii) Total number of urinals available 1 1 1 1 2 2

(b) Out of the total number of functional toilets/urinals given in Table 2.5(a), how many have running water available in the
toilet/urinals for flushing and cleaning?

Boys Girls

Toilets 1 1

Urinals 1 1

**Definition of Functional Toilet : Water Available in the Toilet, Minimum Foul Smell, Unbroken seats, Regularly Cleaned,
Working drainage System, Accessible to users, Closable doors.

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

(d)Location of the Toilet facility available? 2-Outside the Schools Building but in the
School Premises

(1-Inside the School Building, 2-Outside the Schools Building but in the School Premises)

(e) Whether incinerator is available in Girl’s toilet? 2-No (1-Yes, 2-No, 3-Yes, but not Functional)

(f) Whether the school has Sanitary Pad vending machine available? 2-No

(1- Yes, 2- No, 3- Yes, but not functional, 4- NO, Pads available with Class Teachers)

2.8 Whether hand washing facility with soap available for washing hands before 1-Yes
and after meal?(1-Yes, 2-No)

If 1-Yes, number of wash points 5

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

If 1-Yes then fill following details

(a) Main Source of Drinking Water

Source Availability (1-Yes, 2-No) Functional (1-Yes, 2-No)

Hand pumps/Bore well 1-Yes 1-Yes

Protected Well 2-No

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Unprotected Well 2-No

Tap water 1-Yes 1-Yes

Packaged/Bottled Water 2-No

Others - 2-No

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

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

2.10 Does the school have provision for rain water harvesting? 2-No

(1-Yes, 2-No, 3-Yes, but not Functional)

2.11(a) Whether the school has Library facility/Book Bank/Reading Corner?

Facilities Availability (1-Yes, 2-No) Total numbers of books

Library 1-Yes 100

Book Bank 2-No 0

Reading Corner 2-No 0

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

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

(d) Number of times Library books have been borrowed /read by children

2.12 (a) Whether land is available for expansion of school facilities? 1-Yes (1-Yes, 2-No)

(b) Number of Additional Classrooms and Other Rooms required 3

2.13 Whether Playground facility is available in the School? 1-Yes (1-Yes, 2-No)

If 2-No, whether school has made adequate arrangements for children to play outdoor (1-Yes, 2-No)
games and other physical activities in an adjoining playground/municipal park etc.

2.14 (a) Whether Health check-up of students was conducted in last academic year? 1-Yes (1-Yes, 2-No)

If 1-YES

(i) Total number of Health check-ups conducted in the school during last Session 1

(ii) Health check-up parameters carried out (1-Yes, 2-No)

Height Weight Eyes Dental Throat

1-Yes 1-Yes 1-Yes 1-Yes 1-Yes

(b) De-worming tablets given to children (1-Complete (two doses)

(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 (1-Yes, 2-No)

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(d) Whether school maintains Annual health records? 1-Yes (1-Yes, 2-No)

(e) Is thermal scanner available in the school? 1-Yes (1-Yes, 2-No)

(f) Is First Aid facility available? 1-Yes (1-Yes, 2-No)

(g) Is Essential medicines available? 1-Yes (1-Yes, 2-No)

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

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

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

2.17(a) Whether Kitchen Garden is available in 1-Yes (1-Yes, 2-No)

school?

(b) Whether Kitchen shed is available in school? 2-No (1-Yes, 2-No)

2.18 Does the school have dustbins for collection of waste?

(a) Each Classroom 1-Yes for all (1-Yes for all, 2-No, 3-Yes for some)

(b) Toilets 2-No (1-Yes for all, 2-No, 3-Yes for some)

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

2.19 Does the school have furniture for students? 2-Partial

(1-Yes for all, 2-Partial, 3-No Furniture Available)

If 1-Yes for all or 2-Partial then

Number of students for whom furniture is available? 40

2.21 Whether Boarding/Hostel/Residential facilities are available for the following Stage/Level ?

No of Available Seats
Sl.No Stage / levels Boarding/Hostel/Residential facilities Availability?(1-Yes, 2-No)
Boys Girls

(i) Primary 2-No 0 0

(ii) Upper Primary 2-No 0 0

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2.23 Does the school have the following equipment(s)

Sl.No Equipment/Facility Availability (1-Yes, 2-No, 3-Yes but not functional)

(a) Audio/Visual/Public Address System 2-No

(b) Science Kit* 1-Yes

(c) Math’s Kit 1-Yes

(d) Biometric device 2-No

* Availability of general items, chemicals, glassware, microscope, electroscope, multimeter, resistance boxes, kerosene,
burner, electricity and magnetism kit, optics kit, spring balance etc.

** Availability of cubes, cutouts of various shapes, an innovative geoboard, abacus, Trigonometric Circle Board, Pythagoras
Theorem Square, algebraic tiles etc.

PART B Computers and Digital Initiatives

2.24 Computer or Digital Equipment Status

Number of Functional Units

Total Number of units
Sl.No Items for pedagogical purpose
available
(Out of Total)

(a) Desktop/PCs 0 0

(b) Laptop/Notebook 0 0

(c) Tablets 0 0

(d) PCs with Integrated Teaching Learning Devices 0 0

(e) Digital Boards with Content Management Systems and solutions (CMS)/
0 0
Learning Management System

(f) Projector 0 0

(g) Printer 0 0

(h) Scanner 0 0

(i) Server 0 0

(J) Web Camera 0 0

(k) Smart TV 0 0

(l) Smart Class rooms used for teaching with digital boards/ smart boards/ virtual
0 0
classrooms/ smart TV

(m) Mobile phone used for teaching 0 0

(n) Generator/Invertors/Power Backup/Big UPS (above 1 KVA) 0 0

2.25 Does the School have Internet Facility? (1-Yes, 2- 2-No

No)

(a) Type of internet facility available in the school

(1-Broadband/Leased Line, 2-USB Modem/dongle/Portable Hotspot, 3-Telephone line with modem, 4-Mobile phone Internet, 5-Any Other
type of connection, 6-VSAT)

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(b) Is access to internet facility used for pedagogical purpose? (1-Yes, 2-No)

2.26 Is Computer/ICT Lab available in school? 2-No (1-Yes, 2-No)

If 2.26 is 1-YES then

(a)Number of ICT Labs Available: 0

2.26 (b) IS ONLY FOR GOVT. AND GOVT. AIDED SCHOOL

(b)Is the ICT Lab available in the school under Samagra Siksha? If 2-No (1-Yes, 2-No)
1-YES,

(i) Year of implementation 0

(ii) Whether the ICT Lab is functional or not? (1-Yes, 2-No)

(iii) Which model is implemented in the school

(1-BOOT Model, 2-BOO Model, 3-Others)

(iv) Type of the ICT Instructor in the school

(1-Full Time, 2-Part Time, 3-Not Available)

2.27 Does the school have the following facilities?

Sl.No Equipment/Facility Availability (1-Yes, 2-No)

(a) Whether ICT based tools are being used for teaching? 2-No

(b) Access to e-Contents/Digital Contents/resources at school 2-No

(c) Assistive tech-based solutions for CWSN 2-No

(d) Access to DTH/TV channels 2-No

2.28 Does the School have Digital Library? If 1-YES 2-No (1-Yes, 2-No)

Number of e-Books/e-Contents available 0

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