FORMAT OF CERTIFICATE TO BE ISSUED BY THE DISTRICT EDUCATIOoN OFFICER IN RESPECT OF SCHOOLS ALREADY AFFILIATED WITH THE BOARD AND SEEKING EXTENSION /UPGRADATION OF AFFLIATION WITH THE CENTRAL BOARD OF SECONDARY EDUCATION (ln accordance with school safety policy,2016 issued by the NDMA, Manual on Safety and Security of Children in Schools developed by NCPCR and the National Building Code) PART-A This part is to be filled -up by the school and to be produced before the District Education Officer along with all supporting documents and certificates in original)

GENERAL INFORMATION

1Affiliation Number allotted by CBSE to the school: 931081

2 Name ofthe School as per affiliation letter of CBSE: TGM VIDYANIKETAN

3 Address of the school Maravanthuruthu P 0, (Dist), -686608 4 Standard /level/class up to which the school is running: From Class 1 to Class 10

Is the name and address of school in CBSE affiliation letter and Yes State NOC/ Recognition /U-DISE same exactly the same

6 U-DISE code allotted to the school: 32101301001

Name and address of the TrustU/Society/Company(under section- Mar Gregorios Academic Trust 8) running the School as on date Thiruvathukkal Maravanthuruthu- 686608 Is the Trust/Society/Company duly registered with the competent Yes registering autherity and the registration is valid as on date? 9 Purpose of present application Extension

10 Location of School Outside the municipal limits of any town/ city

PRINCIPAL TG VIDYANIKETAN PRINCIPAL MARAVANTHURUTHU P O. TGM VIDYANIKETAN KOTTAYAM 686 6008 MARAVANTHURUTHU P. O. VAIKOM, VAIKOM, KOTTAYAM 686 608

(Signature of Principal) (Signature of DEO) MNi. TX District Educetiona Oicar

Kednr"iny Manager TGM Vidyaniketan Maravanthuruthu 10 Has the school obtained Recognition Certificate from the State Yes GOvernment from class I to 8h

Number of Recognition Certiticate from class -I to 8 NS(2)/49260/2018/DPPI And date of issue: 05/04/20019

INFORMATION REGARDING LAND DETAILS AND OWNERSHIP

12 Is the school situated on a single contiguous plot of land Yes bounded on all sides by a Pucca Boundary Wall?

13 Are both the School and the Play Ground Situated in a single Yes compound bounded by a single continuous Boundary wall on allsides? 14 Total area (in square meters) in respect of 12 and 13 above on 8255.88 sq. mtrs. which the school is situated 15 The land is in the possession of the Lease deed school/Trust/Society/Company legally by way of: 16 Name of the Owner /Lessee of the land in respect of point -14 Managing Trustee above Mar Gregorios Academic Trust 17 In case the land is in the possession of the Society/school/by way of lease as per State Government norms, the period of the 25/02/2009 to 24/02/2049 , 40 yrs lease: 18 ls any public road ,canal or thorough -fare ,HT line etc passing No through the land in respect of point -14 above?

INFORMATION REGARDING ESSENTIAL SAFETY REQUIREMENTS

19 Has the school been inspected by the Government engineer Yes and the school building been found structurally safe for running a school 19 a If yes the date of last inspection; 19-02-2019

20 Has the school been inspected by the officer of Government Yes Fire Department and the school building been declared safe for school from the point of view of fire safety? 20 a If yes the date of last inspection: 03-11-2018

21 Has the school compound been checked by the public health Yes department and the health and sanitary conditions been found to be sat1stfäcuory and the water has been found safe for drinking? 21 a If yes the date of last inspection: 13-02-2019 INFORMATION REGARDING THE STAFF

22 Does the school have well defined service rules and conditions Yes for its employees as per prevalent norms of appropriate Government? 23 Is the school paying salary to the teachers and other employees Yes as per the norms of the appropriate Government? PRINCIP TGM4D¥ AN MARAVANTHJHU VAIKOM, KO TAYAL4 6 (Signature of Principal) (Signature of DEO). PRINCIPAL TGM V4DYANIKETAN Q nn IUnuinur. u. Manager VAIKOM, KOTTAYAM 686 608 TGNAVidyaniketan Maravanthuruthu of the Yes 24 Is the salary to the teachers and other employees schoo being paid through the bank by mode of electronic clearing?

MANAGER PRINCIPAL

TGM VIDYA NIKETAN SignatufGthAYANIKETAN Signature with stamp MARAVANTHURUTHU-P.0 O. SmobAANTHYRUTHUP. 608 (of School Manager)VAIKOM-KOTTAYAM-6a6an2 (of KOTTAYAM686 PART BATKOM, Education Officer after all supporting documents and (This part is to be filled -up by the District verifying certificates in original and vi1Siting the school) File No: B 4314 l2018 Date of Issuance: 5 419 This is to certify that the information above.provided by the school has been verified on the basis of all supporting documents & certificates and visiting the school and the information has been found

correct 2 Is the school recommended for extension /up gradation of Yes affiliation? Extensioní

Signature (Nameand Stamp of Issuing DEO) DISTRICT EDUCATION OFFICER /EQUIVALENT OFFICER FROM EDUCATION ADMINISTRATION AT DISTRICT LEVEL NAME OF DISTRICT

PRINCIPAL

TGM VIDYANIKETAN VAT ERUTHUO. (Signature of DEO) MINI. TK District Educaticnal Ofricer

Kaduthuruthy

PRINCIPAL TGM VIDYANIKETAN MARAVANTHURUTHU P. O. EVARARAVANRGHESE K KOTTAYAM 608 VAIKOM, 686 KATHNARAURUT Manager TGM Vidyaniketan Maravanthuruthu 686 60

AngIHLVAIKOM NV13