GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHIDIRECTORATE OF EDUCATION: WELFARE BRANCH

OLD SECRETARIAT, DELHI – 110054INDIRA AWARD – 2011

PROFORMA FOR SCHOOLS(For Zonal/District/State Best School/RPVV/Govt. Aided Schools)

1. Name of the School (In English):

Name of the School (In Hindi):

2. Complete Postal Address: Urban Rural Resettlement Area

JJ Cluster Slum Area

3 (a) School I.D.:

(b) Category Applied for4. Telephone No. of School:

5. Name of Head of School with Designation:

6. No. of Shift:

1st ShiftIInd ShiftSingle Shift

7. a. Total No. of Students in 2010-11:b. Enrolment as on

YEAR 31ST AUGUST 31ST MARCH VARIATION2010-11

8. Streams at Sr. Sec. Stage for the year 2010-11:

STREAM NO. OF STUDENTSSCIENCECOMMERCEHUMANITYVOCATIONAL

State District Zone

9. Result of Class –X for Last 5 Years (Before Compartment) Page no.

YEAR NO. OFSTUDENTSAPPEARED

NO. OFSTUDENTS

PASSED

PASS %

2006-072007-082008-092009-102010-11

Note: - Attach copy of Gazette for 2010-11 result & highlighted with Blue Colour for CGPA 8 and above. For A1Grade highlighted with Yellow Colour.

10. No. of students who earned 8 & above CGPA for class X in 2010-11. Page no.

11. No. of Students who earned A1 Grade for class X in 2010-2011. Page no.

12. Result of Class –XII for Last 5 years (Before Compartment): Page no.

YEAR NO. OFSTUDENTSAPPEARED

NO. OFSTUDENTS

PASSED

PASS%

2006-072007-082008-092009-102010-11

Note: - Attach copy of Gazette for 2010-11 result & highlighted with Blue Colour for above 60 % marks &Yellow Colour for distinction. Mention total number of Distinction.

13. No. of Students of Class –XII securing above 70% marks in the year 2010-11. Page no.

14. Total No. of distinctions earned in the year 2010-11 by students of Class – XII: Page no.

15. Participation and Result of Co-curricular activities for the year 2009-10 & 2010-11. (Cultural /Sports /Yoga//Mental Maths etc. which are the parts of activities in the Directorate of Education).

Page No.(Select that activity only to report in which participation took place at highest level. Only one highest level activityin a particular area to be reported (Attach verified copies)

YEAR NAME OF

ACTIVITY

ZONAL LEVEL DISTT.

LEVEL

STATE LEVEL NATIONAL

LEVEL

2009-10

2010-11

16. Particulars of activities undertaken for the Welfare of the School & Students in the following fieldsduring the Year 2010-11. Page no.

FIELD ACTIVITY PAGE NO.EDUCATION

HEALTH

NATIONAL INTEGRATION

ENVIRONMENT

ANY OTHER

17. School Building & Basic Amenities: (Duly certified by the E.O. & c/s by D.D.E. for each point)(Any six) Page no.

a. Availability of Drinking Water, Water Cooler & Aqua Guard :( If functional)b. Electricity & Sufficient lighting arrangement in Class Rooms, Labs, Corridors, Toilet

& Play Ground:c. Desks in sufficient numbers and well maintained: (No. of desk in good condition)d. Toilets – Maintenance & Cleanliness:e. Boundary Wall & White Wash:f. Ramps & Toilets for Differently abled:g. Rain water harvesting (functional)h. Fire Safety measures.

18. Use of Infrastructure facilities & their maintenance (Any six) Page no.

a. Library: (computerized statement duly certified by E.O. & c/s by D.D.E.)

b. Labs: (certificate by the lab incharge verified by HOS c/s by E.O.)

c. Play Ground & Sports Material: (certificate by P.E.T., verified by S.P.E. & c/s by E.O.)

d. A.V. Aids/Public Address System: (certificate by P.E.T. verified by S.P.E. & c/s by E.O.)

e. Bulletin Boards: (certificate by librarian verified by principal & c/s by E.O)

f. Condemnation of Old Stock during 2010-11:

(Certificate by incharge verified by H.O.S. and c/s by E.O)

g. Any other: (certificate by incharge verified by H.O.S. c/s by E.O)

19. Other extra activities / new project undertaken by the school for the benefits of students other thanmentioned above (any five activities). Page No.

20 Disbursal of Plan Scheme Funds upto 30.09.2010 Page no.

NAME OF SCHEME FUNDALLOCATED

FUNDUTILIZED

FUNDDISBURSED TO

NO. OFSTUDENTS

DISBURSALORDER NO.AND DATE

Free Supply of Text Bookand (Geometry Box)Subsidy for SchoolUniforms to the StudentsWelfare of EducationallyBackward MinoritiesStudentsScholarship to students(Renamed as Lal BahadurShastri Scholarship toMeritorious Students)

21. Are the students of the school getting Indira Award for the last two years continuously?(Mention the number of students year wise).Attach the proof.

22. Mention the status of the following task- MACP cases

- Audit para- Completion of service book- completion of cash book.

(Pending or cleared) Certificate by HOS and verified by EO and counter signed by DDE.

Note: - 1. No. of Students appeared in examination should not be less than 35 in a X & XII separately forwhich result is reported.2. Enclosures should not be more than 40 pages including proforma. If no. of pages exceeds the limit,negative marking will be done.3. Those Schools who have received Indira Award earlier can apply for the same level after a gap of six

years only. May apply for higher level.4. The certificates furnished in support of any point are not verified by competent authority, the marks forthat particular point will not be awarded.

5. Schools must apply for a specific category only. The application will be only considered for thecategory applied.

Dated:Signature of the H.O.S.

Certified that all the above particulars have been verified & found correct. The school is being recommended for

Indira Award – 2011.

Signature of Education Officer.With Rubber Stamp.

Zone ____________________

Recommendation of DDE (District/RPVV)

Recommendation of RDE Concerned

GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHIDIRECTORATE OF EDUCATION: WELFARE BRANCH

OLD SECRETARIAT, DELHI – 110054INDIRA AWARD - 2011

PROFORMA FOR TEACHERS (CATEGORY-A )(ZONAL / DISTRICT/RPVV/ GOVT. AIDED SCHOOL)

(Eligibility criteria- Teacher should have at least 15 years of regularservice with at least 5 years continuous teaching experience in the

Directorate of Education, Delhi.

1. Name of the Teacher with I.D.: (In English)

(In Hindi)

2. Designation with Subject:

3. Name of the School (In English)

(In Hindi)

4. School ID:-

5. Sex:

6. Marital status:-

7. Date of Birth:

8. Date of Appointment in Directorate of Education:

9. Mention the year of State Award / Indira Award, separately if received earlier.

State Award Year -

Indira Award Year -

10. Educational Qualifications:

(A) At the time of Appointment

(B) At present (copy of degree & proof of entry in service book be attached )

Examination Pass Year Page no.

PASTE ATTESTEDRECENT

PASSPORT SIZEPHOTOGRAPH

11. Particulars of Service Record

(During last 5 years):

PERIODwith date and month

S.NO. NAME OF THESCHOOL

DESIGNATION

FROM TO

TOTALYEARS

AREACATEGORY

SIGNATURE OF TEACHER VERIFIED BY HOS FROM SERVICE BOOK

12. Result before Compartment for Class –X & XII. (Attach a copy of gazette) Page no.

S.NO. YEAR SUBJECT NO. OFSTUDENTSAPPEARED

NO. OFSTUDENTSPASSED

PASS%

Result of SummativeAssessment excludingFormative AssessmentResult (for class X in theyear 2010-11)

1 2006-07

2 2007-08

3 2008-09

4 2009-10

5 2010-11

Verified by Examination incharge Signature of HOS C/S by E.O. / D.E.O.With signature

13. Result before Compartment of other than X and XII Classes taught by Teachers. (For

classes 6th to 8th the actual result is to be mentioned as all students promoted under RTE)

Page No

Verified by Examination incharge Signature of HOS C/S by E.O. / D.E.O.With signature

14. Marks secured by the students in class X & XII for TGT & PGT’s during 2010-11. (Attach a copy of

gazette and highlight the grades/ Marks A1/above 90 marks in Blue Colour, A2/ 81 to 90 marks in Yellow

Colour, 71 to 80 marks in Green Colour ,secured by the students.

Total of each category of students should be reported in the abstract of the gazette also.

For class X

No. of students secured Grade in concern

subject

Subject No. of students appeared

A1 A2

SL.NO. Year CLASSESTAUGHT

SUBJECT NO. OFSTUDENTSAPPEARED

PASS %

1 2006-07

2 2007-08

3 2008-09

4 2009-10

5 2010-11

For class XII

No. of students secured Grade in concern

subject

Subject No. of students appeared

71-80 81-90 91-100

15. Particulars of participation of students in co-curricular activities during last two years by personal

efforts of the teacher i.e. 2009-2010 & 2010-2011. Select that activity only to report in which

participation took place at highest level. For a year only one highest level activity be reported. Attested

photocopies of certificate awarded by the competent authority be attached for highest level of participation. Page No.

16. Participation of Teacher in co-curricular activities during the year 2010-11. Page no.(Certificate issued by the Competent Authority must be attached)

17. Steps taken for Upliftment of Gifted & Academically Weak Students. (Brief report of case study of

one students for each category be reported in two pages only). Record from teachers diary &

verification by HOS is required.

Page No.

YEAR NAME OF

ACTIVITY

ZONAL LEVEL DISTT.

LEVEL

STATE LEVEL NATIONAL

LEVEL

2009-10

2010-11

YEAR NAME OF

ACTIVITY

ZONAL LEVEL DISTT.

LEVEL

STATE LEVEL

2010-11

18. Two Innovative Experiments related to subject undertaken by the Teacher to make teaching

more effective, Joyful & meaningful. (Only one page for experiment be enclosed). Page No.

19. Extra Ordinary work done by the teacher during last three years such as worked in preparation of

question Bank & Support material/ As Resource person in CCE Programme etc. (Certificate / Proof

must be attached) Page No.

20. Particulars of activities undertaken for the Welfare of students & School as an incharge in thefollowing fields during 2010-11 (Attach documentary evidence, supported by order of HOS /Certificate). (For any five)a. Education: Page No.

b. Health: Page no.

c. National Integration: Page No

d. Environment Page No.

e. School Magazine: Page No.

f. Annual Day: (Participation of teacher in preparing students for cultural programme Page No.

with evidentary proof.).

g. Any other Charge maintained by the teacher. Page No.

Signature of the Applicant

Certified that all the above particulars have been verified & found correct. The Teacher is beingrecommended for Indira Award, 2011.

Signature of head of the schoolwith rubber stamp

Recommendation of Education officerof the zone concerned

Certified that there is no Complaint /Vigilance Inquiry /Disciplinary Proceeding or Court Case pending

against Sh. /Ms. ________________________________________________. His/Her name is recommended

for Indira Award – 2011. (With 10 line citation).

SIGNATURE OF THE D.D.E. (DISTT. /RPVV)CONCERNED

(SIGNATURE OF R.D.E)

NOTE:-1. Index in the beginning be attached clearly showing point No. & page No.

2. For RPVV Teachers - Bench mark is 70 % and for other teachers it is 60%. 3 The Grading of ACRs of the teacher should be certified by H.O.O. &

C/S by E.O.4 No. of students appeared in Examination in a year should not be less

than 35 for TGT’s & 30 for PGT’s.5. Enclosures should not be more than 40 pages including Proforma. If no. of

pages exceeds the limit negative marking will be done.6 Those Teachers who have already got the State Award / Indira Award can

apply after a gap of six years only. 7. For result :- In case of HOS marking will be calculated on the basis of an

average result of class X & XII separately. 8. Vice- Principal working under HOS the marking will be assessed on the basis

of his/her own subject result.9 If the certificates/documents furnished are not verified by the Competent Authority, the marks for that particular points will not be awarded.10. Attach vigilance clearance showing purpose of Indira Award-201111. In case of Principal & Vice-Principal, Concerned District DDE’s to obtain

vigilance clearance from GOC (HQ).

GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHIDIRECTORATE OF EDUCATION: WELFARE BRANCH

OLD SECRETARIAT, DELHI – 110054INDIRA AWARD - 2011

PROFORMA FOR TEACHERS (CATEGORY B)(ZONAL /DISTRICT / R.P.V.V./GOVT. AIDED)

Eligibility criteria - A Teacher should have at least 15 years ofregular service with at least 5 years continuous teaching experience in

the Directorate of Education.

1. Name of the Teacher with I.D.: (in English)

(in Hindi)

2. Designation with Subject:

3. Name of the School (in English)

(in Hindi)

4. School ID:-

5. Sex:

6. Marital status:-

7. Date of Birth:

8. Date of Appointment in Directorate of Education:

9. Whether Indira Award/ State Award Received (Mention year)

State Award Year -

Indira Award Year -

10. Educational Qualification:

(a) At the time of Appointment

(b) At present (A copy of degree & proof of entry in service book be attached.)

Examination Passed Year Page no.

PASTE ATTESTEDRECENT

PASSPORT SIZEPHOTOGRAPH

11. Particulars of Service Record. Page no.

(During last 5 years):PERIOD

with date & monthS.NO. NAME OF THE

SCHOOLDESIGNATION

From To

TOTALYEARS

AREACATEGORY

SIGNATURE OF TEACHER VERIFIED BY HOS FROM SERVICE BOOK

12. Result before Compartment of highest class taught by the teacher. Page no.

(In case of Principal/Vice-principal, the personal results be only reported if classes aretaught by them).

SL.NO. YEAR SUBJECTS/CLASS NO. OFSTUDENTSAPPEARED

NO. OFSTUDENTSPASSED

PASS %

1 2006-072 2007-083 2008-094. 2009-105. 2010-11

Signature of Exam Incharge Verified by HOS countersigned by E.O./D.E.O.

13. Particulars of participation of students in co-curricular activities during last two years by the personal

efforts of the teacher i.e. 2009- 2010 & 2010-2011. (Select that activity only to report year wise in which

participation of students took place at highest level. For a year only one highest level activity be reported

(Photo copies of certificates awarded by the competent authority must be attached for each activity

reported).

Page No.

YEAR NAME OF

ACTIVITY

ZONAL LEVEL DISTT. LEVEL STATE LEVEL NATIONAL

LEVEL

2009-10

2010-11

14 Participation of Teacher in co-curricular activities during the year 2009-10 & 2010-11

(Select that activity only to report year wise in which participation of students took place at highest

level. For a year only one highest level activity be reported (Photo copies of certificates awarded by the

competent authority must be attached for each activity reported).

Page no.

15. Participation of teacher at school level activities like (Any ten only)? Page no.

a. Population Education.b. Display of Bulletin Board.c. In charges of different Welfare schemes for students/admission

withdrawal/Examination/MDM/PWF/PTA/VKS.d. Yuva Talent Hunt/help line.e. Annual Day (Active participation of teacher/display of programme prepared by the personal effort of

the teacher).f. Magazine (Member of Editorial Board).g. Educational Tours.h. Eco Club & Gardening/Van Mohtsav.i. Career Mela.j. Science Week.k. Activities related to Disaster Management.l. Contribution to maintain School discipline.

(Separate Specific order of incharge ship/certificate should be attached as a proof for work done ineach field)

16. Role of Teacher for the Upliftment of the students Page no.

(Certificate from the incharges verified by the Principal & c/s by the E.O. be attached)

a. Efforts made for special admission of CWSN children in the schoolb. Moral Education during Assembly.c. Celebration of different days like National Festivals/Bal Divas/Cleanliness drive/ Earth Day/

Environment Day/ and others as per the directions of the Directorate of Education.d. Beautification of School building and campus.e. Collection for natural calamities and donations

17. Has any Project been undertaken during the last three years & its significance in the field of Education.

Give brief account and attach abstracts Page no.

YEAR NAME OF

ACTIVITY

ZONAL LEVEL DISTT. LEVEL STATE LEVEL NATIONAL

LEVEL

2009-10

2010-11

18. Why do you think yourself eligible for this prestigious Award ? (Self Assessment/ Appraisal to beattached, explain in about 500 words) Page no.

19. Overall views of H.O.O. Page no.

a. Attitude towards students.b. Relation with colleagues.c. Relation with H.O.S.d. Relation with Parents

Signature of the Applicant

Certified that all the above particulars have been verified & found correct. The Applicant is beingrecommended for Indira Award, 2011.

SIGNATURE OF HEAD OF THESCHOOL/EO. WITH RUBBERSTAMP

RECOMMENDATION OF EDUCATION OFFICEROF THE ZONE CONCERNED

Certified that there is no complaint /Vigilance Inquiry/Disciplinary Proceeding or Court Case pending

against Sh. /Ms. ________________________________________________. His/Her name is

recommended for Indira Award – 2011. (With 10 line citation).

SIGNATURE OF THE D.D.E. (DISTT. /RPVV)CONCERNED

(SIGNATURE OF R.D.E)

NOTE:-1. Index in the beginning be attached clearly showing point No. & page No.

2. For RPVV Teachers - Bench mark is 70 % and for other teachers it is 60%. 3 The Grading of ACRs of the teacher should be certified by H.O.O. &

C/S by E.O.4 No. of students appeared in Examination in a year should not be less than 35 for TGT’s & 30 for PGT’s.5. Enclosures should not be more than 40 pages including Proforma. If no. of pages

exceeds the limit negative marking will be done. 6. Those Teachers who have already got the State Award / Indira Award can apply

after a gap of six years only. 7. For result :- In case of HOS marking will be calculated on the basis of an average

result of class X & XII separately. 8. Vice- Principal working under HOS the marking will be assessed on the basis of

his/her own subject result.9 If the certificates/documents furnished are not verified by the Competent

Authority, the marks for that particular points will not be awarded.10. Attach vigilance clearance showing purpose of Indira Award-201111. In case of Principal & Vice-Principal, Concerned District DDE’s to obtain vigilance

clearance from GOC (HQ).