Physical Verification for Level Upgradation

Punjab Education Foundation

Physical Verification Form
EVS Level Upgradation
Record # Date

Guidelines:
1. There should be room available for each class / section with maximum 35 students per class.
2. In case of Elementary to Secondary or above up-gradation, there should be Science and Computer labs available in school.
3.There should be Staff Room & Principal room available for Elementary to higher secondary school.
4. Water Point & Toilet ratio to be worked out at ratio 1:70
5. Students teacher ratio to be worked out at ratio 1:30 with up graded classes
6. In case of Elementary to secondary or above up-gradation there should be library available in applicant school.
Basic Information
Name of School: Coordinates:

School Code: Longitude

Address of School: Latitude

No of
District: Tehsil Campuses

Location: Urban Slum Rural

Level Applied For: Primary to Middle

Primary to Secondary
Middle to Secondary

Owner's Father/Husband Name:

Representative
Name:
Owner's Contact
No.

CEO, DEA Registration

School Registered :Yes No If yes, Name of District: ____________________________ Registration No. ___________

Date of Registration: _______________________ Date of Expiry: ____________________

If applied for registration, Fee submission date:______________________ Date of submission of Registration Case:___________________

Level of School (as per registration): Primary Middle Secondary Higher Secondary
Type of School (as per registration): Boys Girls Both

Level of School (as per existing classes): Primary Middle Secondary Higher Secondary
Type of School (as per existing classes): Boys Girls Co-Education

Faculty Qualification
Teaching Staff: Total: Male: Female:

Salary (Teachers' Only) Rs.: Maximum: Minimum:

Matric / Fazil FA/FSc/PTC BA/BSc/CT MA/MSc B.Ed/M.Ed M.Phil/P.hd Total

# of Teachers # of Teachers # of Teachers # of Teachers # of Teachers # of Teachers # of Teachers

Sign of School Owner: __________________ Page 1 of 2 Sign of PEF Monitor: ___________________

 Physical Verification for Level Upgradation

Facilities to be Checked for Level Upgradation

Middle Secondary
Sr.# Criteria Remarks
Level Level
1 School Registration for applied Level

3 No of Students

3 No of Rooms

4 No of Class Rooms

5 No of Classes/Sections

6 No of Toilets (Functional)

7 Students/Toilet Ratio

8 No of Water Points

9 Students to Water Ratio

10 No of Teachers

11 Student Teacher Ratio

12 No of Teachers (Graduation/Masters) N/A

13 No of Furniture (Desk+Chairs)

14 Student Furniture Ratio

15 Science Lab N/A

16 Computer Lab N/A

17 Library N/A

18 Staff Room N/A

19 BISE Affilation (Applied) N/A

SIGNATURE / UNDERTAKING BY SCHOOL:

I hereby declare that, the information provided above is accurate to the best of my knowledge and I have
corporated fully with PEF-Moniter in monitoring of all the facilities related to level upgradation.
Name: Designation:

Stamp & Signature: Date

Monitoring
Name: Sign: Date:
Officer

Sign of School Owner: __________________ Page 2 of 2 Sign of PEF Monitor: ___________________