Department of Public Instruction - Karnataka

O/o Commissioner for Public Instruction, Nrupathunga Road, Bangalore - 560 001
Pre Primary Form 1 - APPLICANT COPY
( Opening of New Pre Primary School )

Application No: PP08691 Application Submission Date : 5/6/2023 12:36:08 PM

I . Name of Proposed Pre School, Location and block details

1. Name of Proposed Pre Primary School: HAPPY KIDZ

2. Address of Pre Primary School : no 236 A 2nd block D govindappa farm house Kengeri hobli Canara bank road Kumbalagodu Banglore 3.Pin Code :560074
560074
4. District in which Pre Primary School to be opened : BENGALURU SOUTH 5. Block in which Pre Primary School to be opened : SOUTH1

6. Proposed Start date of Pre School : 01/06/2023 7. Proposed Maximum Student Strength: 60

8. Academic year for starting the Preschool : 2023 9. Preschool Contact Number : 9535858516

10. Pre School email address : [email protected]

II. Organization Details

11. Type of organization starting Preschool : Trust

12. Name of Organization Starting Preschool: ANIKETANA EDUCATIONAL TRUST

13.Year of establishment : 2019

14. Members of the Organization -

Sl.No. Name of member Position Age Gender Address Aadhaar ID/Voter Mobile Number
ID/PAN ID

1 Mr. Prashanth. Vice President 49 Male S/o Mr.E. Narayanappa, FF01,Arathi nest 810735476458 9342511051
appartment,5th stage,BEML Layout, RR
Nagar,Blr-98
2 Mr. Srikanth. S. T. Secratary 38 Male S/o Mr Shivarajappa T,#68/A,6th 230943783707 9535858518
cross,Basavagangothri,Mysore
road,Kumbalagodu, Blr-74
3 Mrs. Maheshwari. K President 43 Female W/o N.Prashanth, FF01,Arathi nest 877604084886 9844082440
appartment,5th stage,BEML Layout, RR
Nagar,Blr-98
4 Mrs. RAshmi Akki Treasurer 35 Female W/o Mr Srikanth ST,#68/A,6th 667678637307 9535858516
cross,Basavagangothri Layout,Mysore
road,Kumbalagodu, Blr-74

15. Enclose copy of the certificate of registration of trust, society or company. For society, upload present term renewal copy of the society : Enclosed

III. Pre School Staff Details

16. Correspondent Details ( Responsible for all interactions with the Government departments )

a. Name of Correspondent: RASHMI AKKI

b. Position of Correspondent: Treasurer c. Gender: Female

d. Address of Correspondent: W/o Mr Srikanth ST,#68/A,6th cross,Basavagangothri e. Aadhaar/ Voter ID/ Pan Card number: 667678637307
Layout,Mysore road,Kumbalagodu, Blr-74
f. Telephone Number: 9535858516 g. Email Address: [email protected]

17. Teaching Staff Details:

Sl.No. Name of Teacher Qualification Gender Address Aadhaar ID/Voter Mobile Number
ID/PAN ID

1 Mrs Arpitha C K BA NTT Female # 1915/29, 3rd main, 2nd Cross, 804995966325 9060712333
channapatna
2 Mrs. C Shwetha B Com NTT Female #387 EWS,7th main,3rd cross,kengeri 341048910086 9972931890
upanagar

IV. Pre School Building Details

18. Plot Size (in Sq ft) : 3066 19. Total built-up area ( in Sq ft): 2920

20. Out of slno.19 remaining space available for Teaching Area (in Sq ft): 1320 21. Number of Floors in Building : 1

22. Enclose Copy of Lease agreement/ Khata in the name of the organization : Enclosed 23. Upload Sketch of Preschool Building : Enclosed

If it is Lease: No years 24. Total Number of Classrooms : 3

Date:
a. If lease, Date of Beginning Lease and number of years : 25. Locked Entrance Gate Provided : Yes
Year:
26. Usable Toilet Facilities : Yes 27. Safe Drinking Water Provided : Yes

Softwaredevelopment centre, e-Governance Cell, CPI's office, Bangalore 5/8/2023 - 3:44:43 PM 1

 Department of Public Instruction - Karnataka
O/o Commissioner for Public Instruction, Nrupathunga Road, Bangalore - 560 001
Pre Primary Form 1 - APPLICANT COPY
( Opening of New Pre Primary School )

28. First Aid Box available : Yes 29. Staff trained in first Aid : Yes

30. Sketch of building provided in every class room showing how to exit from the building : Yes

31. Telephone number of nearest contact agencies for emergencies displayed(fire, hospital, police) : No

V. Pre School Registraion Fee

32. Challan number CR0323020200101453 33. Challan Date: 04/03/2023

34. Challan Amount ( in Rs.) 7500 35. Bank Name : Canara Bank

36. Branch Name & Address SME Kumbalagodu branch, 560074

37. Challan Enclosed : Enclosed

Following documents Slno 1,2,3,4 are mandatory and should be uploaded only in pdf format. The size of each document should be less than 220 kb.

1. Certificate of registration of trust, society or company : Uploaded

2. Lease agreement / Khata in the name of the organization : Uploaded

3. Sketch of Pre school Building : Uploaded

4. Copy of challan : Uploaded

I /We hereby declare that the above information given is true and correct to the best of my / our knowledge

(RASHMI AKKI)

Treasurer

Softwaredevelopment centre, e-Governance Cell, CPI's office, Bangalore 5/8/2023 - 3:44:43 PM 2