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Norms & Guidelines for establishment of Examinmation centre and ...

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Annexure I<br />

PROFORMA<br />

Report <strong>of</strong> School <strong>for</strong> Fixation <strong>of</strong> Examination Centre <strong>for</strong> National<br />

Institute <strong>of</strong> Open Schooling (Revised)<br />

1. Name <strong>and</strong> Address <strong>of</strong> the School/ Institution<br />

(Name)<br />

(Village/Place)<br />

(Taluk/Block)<br />

(District)<br />

(State)<br />

(Pin code)<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

____________________________________________________________<br />

2. Name <strong>of</strong> the Principal ________________________________________________________<br />

Tel. No. With STD Code ____________________ (O) _____________________________<br />

(R) _____________________ (Fax)______________________(Mob.)__________________<br />

(e‐mail)_____________________________________________________________________<br />

3. Name <strong>and</strong> Designation <strong>of</strong> the Centre Superintendent (Principal/Vice principal/Senior Most<br />

Teacher _____________________________________________________________________<br />

4. Affiliated to (Board/ University/Other affiliating authority) ____________________________<br />

5. Status <strong>of</strong> affiliation (Temporary/Permanent) _______________________________________<br />

6. Level <strong>of</strong> Affiliation __________________________________________________<br />

7. Affiliation No. __________________________________________________<br />

8. Validity <strong>of</strong> Affiliation __________________________________________________<br />

9. School Banker Name, (I) _____________________________________________<br />

10. Bank IFSC Code No (II) _____________________________________________<br />

11. Bank Account No. <strong>of</strong> the School (III) _____________________________________________<br />

12. Number <strong>of</strong> Rooms/Halls available in the School with size <strong>of</strong> the Rooms<br />

S.No No. <strong>of</strong> Rooms/Halls Size <strong>of</strong> Rooms<br />

4

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