1 DAV COLLEGE MANAGING COMMITTEE, CHITRA GUPTA ROAD, NEW DELHI FORMAT No.12 (B) Proforma seeking permission to Replacement of old car & purchase of new car 1. ABOUT SCHOOL : 1.1 Name of the school with address : 1.2. School Code : 1.3. Provident Fund No. of the school : 1.4 Level of the School : 1.5 Total number of students : a) Present Year : b) Past year : c) Year before that : 1.6 If student strength has declined give reason for that : 1.7 Affiliated to : a) CBSE Yes No b) State Board Yes No c) ICSE Yes No 1.8 Date of affiliation : 1.9 Name of the Manager : 1.10 Name of the Chairman (LMC) :
2 1.11 Name of the Regional Director : (if applicable) 2. ABOUT THE HEAD 2.1 Name of the Head of the school : 2.2 Academic Qualification : 2.3 Total number of years worked as : Head of DAV Public/Model School(s) 2.4 Total experience : a) As Head : b) As Teacher : 2.5 Present Pay Scale and Basic Pay : 2.6 Rate at which D.A. is being paid : 3. SALARY STRUCTURE OF SCHOOL STAFF: 3.1 Whether salary is paid as per IV Pay : Yes No or Vth Pay to all the regular staff. 3.2 Rate at which D.A. is being paid to : regular staff. 4. DETAILS OF STAFF CAR PROPOSED TO BE PURCHASED: 4.1 Type of Vehicle : 4.2 Make : 4.3 Cost of Vehicle : 4.4 Approximate amount of Insurance : and Registration. 4.5 Total cost on Road : 4.6 Means of financing : a) School Resources : Yes No b) Partly loan; partly school : Yes No resources.
3 c) If, (b) is applicable, %age of : loan to be obtained. d) Source from which loan is : proposed to be taken. e) Specify in how many years the loan will be repaid : REPLACEMENT OF OLD STAFF CAR AND PURCHASE OF NEW STAFF CAR 5. DETAILS OF OLD STAFF CAR PROPOSED TO BE SOLD: 5.1 Make/Name of vehicle : 5.2 Date of purchase : Year Month Date 5.3 Mileage covered : as on 5.4 Expenditure incurred on : maintenance of car in the last two years. 5.5 In whose name the vehicle was : registered. 5.6 If loan was taken to finance the purchase of the car, has the total loan amount been repaid : Yes No 5.7 If no, how much balance amount of loan is yet to be repaid and sources from where remaining instalment will be repaid. 6. REMITTANCES Remittances being made to DAV CMC 6.1 P.F. : Yes No 6.2 EDLI : Yes No 6.3 Gratuity Pool Fund : Yes No 6.4 Leave Encashment Fund : Yes No (if applicable) 6.5 Administrative Charges : Yes No
4 7. FINANCIAL POSITION: 7.1 Outstanding loan, if any, taken by the school : Loan a) From Bank b) From DAV CMC c) From any other financial institution Amount of outstanding loan Amount of installments being paid per month Specify in how many years the loan will be repaid. 7.2 Specify purpose of loan taken 7.3 Amount of Capital Fund with DAV CMC : 7.4 Budget position : Particulars Last Year (Actual) Present Year (Estimated) Receipts Expenditure Surplus/Deficit 8. PERFORMANCE APPRAISAL 8.1 Students performance in Board Examinations. Level V Year (Specify for last 3 years) Number of students appeared Pass percent Number of Distinctions in different subjects (above 75% marks) Number of students who secured more than 90% in aggregate VIII
5 X XII 8.2 Students Performance in Co-Curricular Activities (including sports) Year (Specify for last 3 years) Activity at District level at State level at National level at International level 8.3. Organisation of In-Service Programmes for professional growth of the staff during last 3 years Year (Specify for last 3 years) Name of the Organisation that conducted the programme Theme of the Programme Period From To Total number of days Total No. of participants 8.4 Participation by self in In-Service Programme during last 3 years. Year (Specify for last 3 years) Name of the Organisation that conducted the programme Theme of the Programme Period From To Total number of days
A 6 8.5. Summing Up of Confidential Report of Head Management of School Image Outstanding Very Good Good Average Below Average Maintenance of School Campus Management of Finance School Academics School Co-Curricular Activities Public Relations Professional Growth General Personality of the Head OVERALL RATING NOTE : Please attach the following documents : i) LMC Resolution duly signed by the Chairman on the subject. ii) Attach three quotations of the make of vehicle proposed to be purchased. iii) Specify separately cost of vehicle, discount offered, registration and Insurance amount. Name & Signatures of the Principal Name & Signatures of the Manager Date : Date : School Stamp School Stamp