<p>SELECTION FORMAT FOR NGC BEST ECO-CLUB </p><p>Name of the School: </p><p>Total Student Strength: </p><p>Boys/Girls/Co-Education: </p><p>Do you Have Nursery/Primary/ Secondary Sections: </p><p>Medium of Instruction: </p><p>E-Mail Address (If Any): </p><p>Name of the Eco-Club (if any):</p><p>Answers to be given by the Head of the Institution</p><p>Have you engaged the Teacher Incharge: (If Yes, give name) </p><p>Has He/she attended the Orientation Programme: </p><p>How many Students are taking part in the Scheme? (Enclose the list of eco-club members)</p><p>Break up of Girls & Boys (For Co-ed Schools) </p><p>Break up of Primary/Secondary Students: </p><p>Year of establishment of the Eco-Club:</p><p>1 Location (places where activity organised): </p><p>School Campus/ Neighbourhood/ Village/ Town/ Others (pl. specify) </p><p>Nature of the Activity Target Group Date No. of Participants</p><p>Plantation Quiz, Debate etc. on Environment Rallies Street Plays, Drama etc Env. Games Field visits, cleanliness drives etc. Any Others (Pl. specify)</p><p>(Separate tabular formats for each item is given in the annexure)</p><p>Proposed Activities:</p><p>Type and Nature of Constraints faced by the Organisers:</p><p>2 Activities Organised </p><p>Plantation</p><p>Serial Types of Saplings No. of Saplings Period of the Remarks Number Plantation</p><p>Quiz, Debate, Popular Talks etc.</p><p>Serial Subject of the Quiz/ Level Local Specific Remarks Number Debate (Jr. / Sr./ Both) Issues </p><p>Rallies/ Street Plays/ Drama etc.</p><p>Serial Subject matter Level Local Specific Remarks Number (Jr. / Sr./ Both) Issues </p><p>Environmental Games </p><p>Serial Name of the Focus Discussion Remarks Number Environment Game thereupon </p><p>3 The List of the names and classes of the Eco-Club Members (Should be given in tabular form in a separate sheet)</p><p>Photographs of the activities undertaken by the eco-club (should be accompanied if any)</p><p>Any Award or Honour received? Give the attested Photostat Certificates.</p><p>Any major achievement of eco-club: </p><p>Why do you feel that your eco-club is eligible for getting this prize?</p><p>(Write in 250 words)</p><p>Name and Signature Name and Signature Of the Teacher-In-Charge of the Head of the School</p><p>Seal of the Organization/ School/ Institution </p><p>4</p>