Application for Registration under section 6 of the Assam Non-Govt. Educational Institutions (Regulation and Management) Act, 2006 and rule 4 of the Assam Non-Govt. Educational Institutions (Regulation and Management) Rules, 2007

Fees Details

(i) For Primary stage : Rs. 1,000/-

(ii) For Middle stage : Rs. 1,500/-

(iii) For Secondary stage: Rs. 2,000/-

(iv) For Higher Secondary stage: Rs. 3,000/-

Offline:

The amount shall be deposited in the form of a Demand Draft in favour of Director of Higher Education, Assam, payable at the State Bank of India, Kahilipara Branch.

Business Details

Unique Business Identification Number (UBIN) *

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Name of the Institution *

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Name of the individual/Association of individuals/ Society/Trust establishing the institution *

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Name of the Manager with Address and Contact Telephone No.

Name

Street Name 1 *

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Street Name 2

Village/Town

Country *

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State *

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District

Pincode *

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Mobile Number

E-Mail

Full Address with Pin Code

Street Name 1 *

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Street Name 2

Village/Town

Country *

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State *

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District

Pincode *

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Mobile Number

E-Mail

Other Details

Name Of Company/Companies Whose Product is Being Trade

NAME OF SUPPLIER AND ADDRESS IN FULL:

Name of Supplier

Supplier Address in Full

Affiliating body(SEBA/AHSEC/CBSE/ICSE/Others)

SEBA

AHSEC

CBSE

ICSE

Others

Medium of instruction

Whether existing on the day of commencement of the Act? (If yes, please furnish documentary evidence such as purchase of land/ building permission/ electricity bill/ opening of Bank Account/ Fixed Deposit Certificate in the name of the institution)

Yes

No

Whether the institution is established with prior permission from Director after commencement of the Act?

Yes

No

If yes, please furnish No. and Date of such permission (a copy ofpermission letter to be enclosed) :

No.

Date

No. and date of Recognition from Govt./ Affiliating Body (copy of document to be enclosed where applicable) :

No. of Recognition from Govt./ Affiliating Body

Date of Recognition from Govt./ Affiliating Body

Section

Level of education imparted(Primary / Middle / Secondary /Higher Secondary Level) *

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Primary

Middle

Secondary

Higher Secondary

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Classes Opened

Total Fees *

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Measurement of the plot of land where the institution is located with Dag No. & Patta No. (a copy enclosed):

Dag No.

Patta No.

Status of the land (If lease hold, copy of the lease document to be attached)

Myadi

Annual Patta

Lease hold

Whether scheme of management as required under section 14 of the Act has been prepared? (If so, please attach a copy of the same)

Yes

No

Section

What is the intake capacity of the institution (class-wise)

Class

Intake capacity

Class

Intake capacity

No. of students enrolled class-wise during last 3 years

Year

Class

No. of students

Year

Class

No. of students

Section

Results of Board Examination for last 3 years

Year

Total No. of students appeared

Total no. of students passed with division

Percentage of pass

Year

Total No. of students appeared

Total no. of students passed with division

Percentage of pass

Results of Final Examination for last 3 years

Year

Class

Total No. of students appeared

Total no. of students passed with division

Percentage of pass

Year

Class

Total No. of students appeared

Total no. of students passed with division

Percentage of pass

Section

Total built up area indicating No. & size of classrooms, office room, common room, Library room, Science laboratory, store room,etc

Sl. No.

Name

Total built up area indicating No.

Size

Sl. No.

Name

Total built up area indicating No.

Size

Section

Furniture and equipment available in the institution

Sanitation & Drinking water facilities

Section

Students fee structure (accomodation fee, tuition fee, games & sports fee, library fee, development fee, festival fee, etc.) class-wise

Sl. No.

Class

Particulars

Fees

Sl. No.

Class

Particulars

Fees

Section

Constitution of the Managing Committee

Playgrounds and play materials

Teaching aids available in the institution

Laboratory facility

No. of Library books (Textbooks,reference books, other books,journals, news paper, etc.)

Fire safety measures available in the institution

Facilities for co-curricular activities

Section

Whether the institution isresidential/semi residential/ non-residential?

Residential

Semi Residential

Non-residential

If residential, what is the hostel capacity

Whether the institution on commercial basis for profit to any individual or association of individuals?

Whether admission is open for students irrespective of caste, race,religion and place of birth?

Details of Teaching and Non-teaching Staff

Details of Teaching Staff

Sl. No.

Name

Date of Birth

Academic Qualification

Date of Appointment

Present Salary

Whether whole time or part time

Sl. No.

Name

Date of Birth

Academic Qualification

Date of Appointment

Present Salary

Whether whole time or part time

Details of Non-teaching Staff

Sl. No.

Name

Date of Birth

Academic Qualification

Date of Appointment

Present Salary

Whether whole time or part time

Sl. No.

Name

Date of Birth

Academic Qualification

Date of Appointment

Present Salary

Whether whole time or part time

Section

Any other information