ANNUAL WORK PLAN (FY ) Date: / /

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ANNUAL WORK PLAN (FY 2013-14) Date: / / FORMAT 5 Name of the school : Classes: Current Enrolment In School: Number of Classrooms: Teachers Appointed: Sl. No. What? RTE Norm 1 Teachers Please see Reference sheet 2 Building All- weather building with barrier-free access 3 Classrooms One classroom for every teacher 4 Other Room Office-cum-store-cum-head teacher room 5 Toilet Separate toilet for boys and girls 6 Drinking Water Safe and adequate drinking water facility 7 Kitchen Shed For cooking mid-day meal 8 play ground Play ground for children 9 Teaching- Learning To be provided to each class as Equipment required 10 Library To be stocked with newspapers, magazines and books on all subjects, including storybooks (except textbooks) 11 Play materials, To be provided to each class as games and sports required equipment 12 Boundary Wall and Fencing To secure the school premises Does school How much/many have? do you need? What action is needed, if any? Approx. cost (yearly/ onetime) Number the activities in order of priority (For example, for Activities 1-10, 1 will be highest priority, 10 will be least)

PLANNING ACTIVITY - 2 : FY 2013-14 DATE: / / S. No. Proposed Activity FORMAT 4 UNSPENT AMOUNT FOR THIS SCHOOL AS OF DEC 1, 2013 IS Rs. Is it a Recurring Activity? Quantity/ Number of Units required Cost per unit (Rs) Total Cost (Rs) When will the activity begin? (MM/YYYY) When will activity end? (MM/YYYY) Date activity is proposed (DD/MM/YYYY) How many SMC members approve of this activity?

GRANT RECIEPT AND EXPENDITURE: FY 2013-14 DATE: / / Grant Type Balance amount in school account as Total Amount Received April to Dec 2013 Activity FORMAT 3 Expenditure on activity conducted Amount Remarks Total Expenditure from April 2013 till date Balance available from April 2013 till date Total Balance Available (2012/13 + 2013/14) on April 1, 1 2 3 4 5 6 7 8 (2+8) School Development Grant School Maintenance Grant TLM Community Contribution Any other TOTAL Note: THIS SHEET MUST BE FILLED OUT IN SMC MEETING AFTER DISCUSSION AMONG SMC MEMBERS

PLANNING ACTIVITY - 1 : FY 2013-14 DATE: / / S. No. Proposed Activity Is SMC resolution sufficient? If SMC resolution is sufficient, write name of person of who will implement activity Is any additional approval needed? If additional approval is needed, from whom? Designation of authority FOMRAT 2 If additional approval is needed, how long will authorization take? (days/ weeks/ months/ years) If additional approval is needed, who get the approval? What documents and other things will be needed for the activity? Can activity be conducted using school grants? Number the activities in order of priority (For example, for Activities 1-10, 1 will be highest priority, 10 will be least)

SCHOOL INFORMATION SHEET (FY 2013-14) Date: / / FORMAT 1 (PART 1) Meet Head Master (In absence of the HM, meet the senior most teacher of the school). Documents required: Enrolment/ Attendance register. If a standard Name of the Type of School From which std. to which Medium of Date of observation I. Children's Enrollment & Rooms Chidren's Enrollment (Take from register) Chidren's Attendance (Take from register) Is this std. sitting with other std.? If yes then write the Does this std. have a room just for Std.1 Std.2 Std.3 Std.4 Std.5 Std.6 Std.7 Std.8 III. Mid-Day Meal (Observation) Tick where relevant Is mid-day meal served in the school every schoolday? Was mid-day meal served in the school today? (Ask Did you see the meal beeing served to the children today? Did you see any other evidence of the mid-day meal in the school? (e.g., dirty utensils or meal brought from outside) Is there a kitchen in the school where the mid-day meal is cooked? Yes No IV. Facilities in the school (Observation) Tick where relevant Yes Is there a play ground in the school? Is there drinking water in the school? Is there a boundary wall/fencing? Is there a library in the school? Number of pucca rooms in the school Number of rooms being used for teaching No

SCHOOL INFORMATION SHEET (FY 2013-14) Date: / / FORMAT 1 (PART 2) Other School Information Respondent (tick whichever is applicable): Headmaster Teacher Parateacher School timings on date of observation Start: Close: Is the school building taken on rent? (yes/no) Tick whichever is applicable Yes No If yes, how much is the rent per month? (Rs.) II. Teachers & Staff Head Master/ Mistress (HM) Regular Govt. Teacher (doesn't include HM) Para-Teachers Cook Total No. appointed No. present at time of II.A For Stds. 6-8: Appointment of Subject-Wise Teachers Subject No. of Full-Time Teachers No. of Part-Time Teachers Science Maths Social Studies Language Art Education Health & Physical Training Vocational Education Total Tick relevent box Is there a toilet? Is it unlocked? Is it usable? V. Toilet Facility in School (Observation ) Common toilet Girls' toilet Boys' toilet Teachers' toilet Yes No Yes No Yes No Yes No VI. क य स क ल म ड स पल ब र ड ह ज स पर 2013-14 क ज नक र दर श ई गई ह? क य ब र ड अन द न क ज नक र ह नह ह स र वजन क नह ल ग नह श क षक उपस थ त ह नह ह नह ल ग नह मध य न ह भ जन म न ह नह ह नह ल ग नह मध य न ह भ जन ख न व ल बच च क स ख य ह नह ह नह ल ग नह