CALENDAR (2016-17) - gaet.edu.in 30-5-2016 final NIOS all pgs … · the children to achieve self-...

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Transcript of CALENDAR (2016-17) - gaet.edu.in 30-5-2016 final NIOS all pgs … · the children to achieve self-...

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CALENDAR (2016-17)

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GOENKA & ASSOCIATES EDUCATIONAL TRUST

The Trust has set up a State of Art Counselling Centre in Yashodham HighSchool building to provide help in the area of mental health.

The Centre is being looked after by a team of Psychologists, Counsellors,Remedial Educators, Occupational, Speech & Language EnhancementTherapists and a Psychiatrist.

The Centre practices HYBRID of TRANS-DISCIPLINARY and INTEGRATEDmodel for intervention. The services offered are:

Classroom Counselling and guidanceShadow teachers in Playmate Pre-school and Standard IPersonal Safety Educational Programme Against Child Sexual AbuseParenting Workshops

• Psycho-educational assessment• Individual & Parent Counselling and Guidance• Remedial Education• Occupational Therapy• Speech & Language Enhancement Therapy• Sensory Integration & Brain gym• Aptitude testing and career guidance• Arts Based Therapy (ABT)• Dance Movement Psychotherapy• Kids Club• Hobby classes• Support groups for parents• Psychiatric consultation

(Subsidised charges for these services)

The trust holds exemption u/s 80G of the Income Tax Act and is registeredwith the Charity Commissioner under Registration No. E8297 (BOM) dated17-08-1981 as Public Charitable Trust with the object to establish and/orrun educational institutions.

Any constructive suggestions from the parents whose children are beingadmitted to the school shall always be welcome. The Trust Office is housedin the Yashodham High School Building, Goregaon (E), Mumbai - 400 063where such constructive, suggestions can be recorded with the trustee-incharge.

GENERAL INFORMATION

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ANVAY is a curriculum based programme involving an informal but structuredtherapeutic intervention. A school readiness programme for children with AutismSpectrum Disorder and Global Developmental Delay. Age Group: 3yrs. - 6yrs.AYAAN is a curriculum based structured and therapeutic programme to empowerthe children to achieve self- reliance and prepare them for open schooling.Age Group: 5yrs. - 7yrs.ADITI is a formal curriculum designed to prepare the children for OBE (openbasic education) and NIOS (National Institute for Open School) so as to make theprocess of learning smooth and enriching. Age Group: 7yrs. - 9yrs.

AAROH - is symbolic to the journey of children towards a new level of performancethrough intervention with an individual touch. Age Group: 7yrs. - 16yrs.REMONTAR - A programme to channelize & escalate the potential of childrenwith ASD & GDD, by providing a sturctured & individualized there apeuticintervention, in a school set - up. Age Group: 2yrs. - 6yrs.

Subjects Offered: Co-Curricular activities:Language - English Physical EducationMathematics Brain GymEVS Art & CraftComputer Dance & Yoga

Salient Features of Projects & Open Basic Schooling :

• Multidisciplinary Approacho Psychologisto Occupational Therapisto Remedial Educatorso Speech Therapisto Language Enhancement Therapisto Dance & Yoga Teachero Medical consultation

• Everyday Therapieso Remedial Therapyo Occupational Therapy

• Weekly Therapieso Speech Therapyo Language Enhancement & Communicationo Arts Based Therapyo Dance Movement Psychotherapy

ACADEMIC YEAR 2016-17Counselling Centre, Yashodham,

Goregaon - East, Mumbai 400 063Contact No : 40278215 / 16

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Counselling Centre, LakshdhamGoregaon - East, Mumbai 400 063

Contact No - 40822430/36

Masti Ki Paathshala (MKP) is a modified classroom model to cater tochildren with ASD & GDD, combined with daily therapeutic intervention, atLakshdham Counselling Centre. Age Group: 8yrs. - 12yrs.Special Features -

o Aqua Therapyo Visual Integration Therapyo Animal Assisted Therapy

AVISHKAAR - is an exploratory process with the objective to create an independentpersona. The programme will equip youngsters, depending on their strengths &abilities, to be independent & productive members of the society.Age Group: 10yrs. - 14yrs.

Vocational courses offered :1. MSCIT Government Recognised Vocational Certificate Course.2. Beauty Culture : NSDC certified. Age criteria : Minimum 17 yrs.

Counselling Centre, Vasant ViharVasant Vihar High School Bldg.

Vasant Vihar Pokhran Road No.2, Thane (West) - 400 610.Contact No - 21714442

The projects carried out at Vasant Vihar Counselling Centre are asfollowing :-

• MKP• ANVAY• AYAAN• AAROH• REMONTAR• AVISHKAAR• ADITI• Open Basic Education - Leavel A, B and C• Open Schooling Programme - Secondary & Sr. Secondary

INSIDE ... OUT !An HR venture & initiative by the GAET Counselling Centre, in the formof a personal enrichment programme for all teachers across GAETschools.

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GAET Couselling Centre offers preparatory and remedial educationfor Secondary (X) and Senior Secondary Examination (XII) of NIOS Board.It is equivalent to Central Board of Secondary Examination (CBSE) andCouncil for the Indian School Certificate Examinations (CISCE).

This programme offers a wide range of subjects in comparison to anyother boards of formal education. The learners undergo self study at theirown pace from specially designed self-instructional materials. The learnershave freedom to write exams of opted subjects as per their level ofpreparedness. There is a provision of credit accumulation and theregistration is valid for the period of five years from the date of registration.

Since the academic year 2006 - 07 GAET Counselling Centre hasregistered its learners with "PRATHAM", an accredited institution toconduct 'OBE' (Open Basic Education) programme under NIOSBoard.

ELIGIBILITY CRITERIA

LEVELS CRITERIALevel A Passed Std. IILevel B Passed Std. IVLevel C Passed Std. VIIOpen Schooling Programme -X Passed Std. VIII

Open Schooling Programme -XI Passed Std. X from any recognized Board

FEES* All Payments to be done by Pay Order favouring ‘GAET Counselling

Centre’.* If a student is to be withdrawn, one calendar month’s notice should

be given in writing by the parent / guardian to the CEO.* Payment received after 10 th of the due month will be subject to

surcharge of Rs. 200/- per month.

WEBSITEGAET Counselling Centre : www.gaet.edu.inPRATHAM (OBE Programme): www.pratham.orgNIOS : www.nos.org / www.nios.ac.in

OPEN SCHOOLING PROGRAMME

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Level A Level BSubjects offered Subjects Offered1) English 1) English2) Maths 2) Maths3) Environmental Science 3) Science4) Virtues 4) Social Science6) Computer 5) Virtues

6) Computer

Level CSubjects offered1) English2) Maths3) Health & Nutrition4) Social Science5) Home Management6) Computer Skills

Open Schooling Programme Secondary (X)Subjects Offered

1) English 2) Business Studies 3) Home Science4) Economics 5) Social Science 6) Data Entry Operations

Open Schooling Programme Secondary (XII)Subjects Offered

1) English 2) Business Studies 3) Home Science4) Accountancy 5) Catering & Management 6) Data Entry Operations

Special FeaturesCO-CURRICULAR ACTIVITIES PROFESSIONAL SERVICESPhysical Education (Chargeable)Art & Craft Remedial EducationDancing Occupational TherapyBrain Gym CounsellingYoga Medical AdviceArts Based TherapyDance Movement Psychotherapy

• Monthly Assessment (20 marks)• First Terminal Exam (80/100 marks)• Preliminary Exam (80/100 marks)• Board Exam (80 / 100 marks)

EXAMINATION PATTERN

COURSES OFFERED BY US UNDER‘OBE’ PROGRAMME (III TILL VIII)

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BUS FACILITYThe Counselling Centre provides bus service to the students under theaegis of GAET

INSTRUCTIONS:

• The bus facility is extended to students only when there is anavailability of seats and is offered at the CEO discretion. Thisoffer can be withdrawn any time.

• Students will board and alight only at fixed bus stops. Parentsand children are requested not to ask the driver or attendant tostop the buses at unauthorised bus stops.

• Parents are not permitted to change the bus stops, without priorpermission. In case there is a change in the bus stop, the parentsmust inform the centre in writing.

• Children must obey and must be courteous to the bus-in-charge.Children found misbehaving in the bus will not be allowed tocontinue availing the bus facility.

• In the event of the child not being at the stop at the scheduledtime the bus will proceed without the child. It will be theresponsibility of the parent/guardian to drop the child to the centre.In the event of there being no one to receive the child at the stopof the return journey the child will be brought to the centre and theparents wi l l have to col lect thei r chi ld f rom the centre onpresentation of their Identity Card.

• If the parent doesn’t want their ward to avail the bus facility forsome reason on a particular day, the centre must be informedabout it in writing.

• In case of any grievance, parents must inform the CEO in writingfor appropriate action. Parents must not enter/board the schoolbus for any reason.

IDENTITY CARD :

• Children using the bus facility need to wear a Bus ID Card issued bythe centre which must have the bus number on it.

• In case there is a change in the residential address the centre mustbe notified immediately and a fresh ID Card must be obtained.

• If the Bus ID Card is lost a written application requesting a duplicateID Card must be submitted in the centre immediately. Collect theduplicate ID Card from the centre.

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WITHDRAWAL• Parents must note that no refund will be made against bus fees Paid.• One month advance notice in writing must be given by the parents to

the centre, in case they wish to discontinue the bus facility.(Applicable only if student is withdrawing or changing residence.)Viz -

* For withdrawal after I term written notice must besubmitted by 10th of October.

* For withdrawal after II term written notice must besubmitted by 10th of April.

Note :• One month’s fee is payable as Admission Fee (Non-refundable) at the

time of enrolment.• Bus enrollment form should be filled and submitted along with each

installment of the Bus fees.• Medical Health Report form is printed at the end of calendar.• No bus child will be permitted to go home without submitting the

permission letter.

Bus fees will be accepted by Cheque payment only at the centre.

• Procedure for cheque payment :a) Cheque to be drawn in favour of Goenka & Associates Educational Trust.b) Bus Fees will be charged for all the twelve months of the year.c) Fees will be collected in two installments.

Installment No. Payable inI In March through Post Dated Cheque Dt. 15th MayII In October / Post Dated Cheque Dt. 15th November November through

d) Enter the correct amount payable in words and figures.e) Ensure that the cheque is appropriately signed.f) Write the child’s name, level contact no. on the reverse of the cheque.

• General Instructions :1) The bank will levy a charge of Rs.100/- for a bounced cheque. Thereafter, fees, along with fine, must be paid in cash at the centre.2) Students will not be allowed to avail the bus facility if the fee is not received as per the payment schedule mentioned above.

BUS FEES

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FOR GIRLS :Blouse : Cream yellow short sleeved terrycot blouse with shirt collar.Pinafore : Green Scottish Checks (Poly/Viscose) with U neck, box pleats

in front and behind and both sides elastic on waist & pocket onthe right side. The hem of the skirt must be 2 inches above theknee cap.

Socks : Plain White (calf length)Shoes : Black with buckles. (All season)Hair : If the girls’ hair reach shoulders they must make 2 plaits. Only

black ribbons, hairpins or hair bands are allowed. No fancyhairpins, clips or hairbands will be allowed.

SCHOOL UNIFORMWEARING OF CLEAN AND WELL IRONED UNIFORM ALONGWITH

IDENTITY CARD IS COMPULSORY FOR STUDENTS.

AYAAN, ADITI & Level-A Level B Level C & NIOS X Girls (all the levels)

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1) Cosmetics of any type2) Nail Paint3) Coloured eye-contact lenses

Wearing any of the following in not permissible :

FOR BOYS :Shirt : Cream yellow short sleeved terrycot.Shorts(Std. I to IV) : Green checks half pants (Poly / Viscose) with

half back elastic.(Std. V to VII) : Plain Bottle Green half pant (Poly / Viscose) with

half back elastic.Trousers(Std. VIII to X) : Plain Bottle Green full pants (Poly / Viscose).Belt : Black (with plain buckle)Socks : Plain White (calf length)Shoes : Black shoes with laces. (All season)Hair : Hair must not be longer than ear lobes at the sides

and must be shorter than top edge of the shirtcollar at the back and should not fall on the forehead.

Dress Fabric Code Company ColourDesign No.

Shorts I to IV Poly / Viscose 8306 Zee Fab GreenScottishcheck

Shorts V to VII Poly / Viscose Trousers Siyaram Bottle GreenPower 83

Trousers Poly / Viscose Trousers Siyaram Bottle GreenPower Shade 83

Shirt Terricot 13030 Mafatlal Cream67% Ployster Or Simplex Yellow+ 33% Cotton

Dress Fabric Code Company ColourDesign No.

Pinafore Poly / Viscose 8306 Zee Fab Green Scottish checkBlouse Terrycot 13030 Mafatlal Cream Yellow

67% Ployster Or Simplex+ 33% Cotton

4) Hair Colour5) Jewellery6) Expensive wrist watch

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General Instructions :Wearing of clean and well ironed uniform is compulsoryfor students. Any student who comes to school withoutproper uniform or whose appearance is untidy,continuously, is liable to be sent home.

Uniform and shoes other than the pattern recommended by theschool will not be permitted.

STUDENTS SHOULD NOT COME TO SCHOOL WEARINGSLIPPERS ON REGULAR DAYS AND EVEN DURINGMONSOONS.

PHYSICAL EDUCATION (P.E ) UNIFORM

P.E uniform should be worn on the day when P.E is mentioned inthe time-table.

For Girls & BoysT-Shirt : Grey Melange (88% cotton + 22% polyester ) with

raglan sleeves (100 % cotton ) and round rib collar(cotton + spandex )of the House colour.School logo at chest level on the left side.

Track pants : Black Sinker (52% cotton + 48% polyester) withhouse colour piping along the length and draw-strings.

Shoes : Navy Blue canvas with laces.Socks : White nylon ( Regular)Sweater : Plain Army Green V-necked pullover or plain Black

V -necked pullover.Note : Girls will wear black ribbons or black hair bands with

the P.E uniform.

AYAAN, ADITI, AVISHKAAR & Level A, B, C &Open Schooling Programme

P. E. UNIFORM

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DATE DAY OCCASION / FESTIVAL06 th JULY 2016 WEDNESDAY RAMZAN EID17 th AUGUST 2016 WEDNESDAY PARSI NEW YEAR18 th AUGUST 2016 THURSDAY RAKSHA BANDHAN25 th AUGUST 2016 THURSDAY JANMASHTAMI05 th SEPTEMBER 2016 MONDAY GANESH CHATURTHI13 th SEPTEMBER 2016 TUESDAY BAKRI EID15 th SEPTEMBER 2016 THURSDAY ANANT CHATURDASHI11th OCTOBER 2016 TUESDAY DUSSEHRA12 th OCTOBER 2016 WEDNESDAY MOHARRAM31st OCTOBER 2016 MONDAY BALIPRATIPADA01st NOVEMBER 2016 TUESDAY BHAU BHEEJ14 th NOVEMBER 2016 MONDAY GURU NANAK JAYANTI12 th DECEMBER 2016 MONDAY EID-E-MILAD24 th FEBRUARY 2017 FRIDAY MAHASHIVRATRI13 th MARCH 2017 MONDAY HOLI28 th MARCH 2017 TUESDAY GUDI PADWA05 th APRIL 2017 WEDNESDAY RAM NAVAMI14 th APRIL 2017 FRIDAY DR. AMBEDKAR JAYANTI14 th APRIL 2017 FRIDAY GOOD FRIDAY10 th MAY 2017 WEDNESDAY BUDDHA PURNIMA

HOLIDAYS FALLING ON SATURDAY / SUNDAYDATE DAY OCCASION / FESTIVAL02nd JULY 2016 SATURDAY FOUNDER'S DAY02nd OCTOBER 2016 SUNDAY GANDHI JAYANTI30 th OCTOBER 2016 SUNDAY DIWALI - LAXMI POOJA25 th DECEMBER 2016 SUNDAY CHRISTMAS01st JANUARY 2017 SUNDAY NEW YEAR14 th JANUARY 2017 SATURDAY MAKAR SANKRANTI19 th FEBRUARY 2017 SUNDAY SHIVAJI JAYANTI09 th APRIL 2017 SUNDAY MAHAVIR JAYANTI

NON- INSTRUCTIONALDAYS (ATTENDANCE COMPULSORY)DATE DAY OCCASION / FESTIVAL15 th AUGUST 2016 MONDAY INDEPENDENCE DAY26 th JANUARY 2017 THURSDAY REPUBLIC DAY01st MAY 2017 MONDAY MAHARASHTRA DAYHoliday for Bakri Eid, Ramzan Eid, Moharram and Eid - E - Milad will beconfirmed later.

LIST OF HOLIDAYS FOR THE YEAR 2016-2017

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FIRST TERMCommences on 13th June 2016 MondayEnds on 21st October 2016 Friday

SECOND TERMCommences on 10th November 2016 ThursdayEnds on 01st May 2017 Monday

VACATIONS

GANAPATI FESTIVAL BREAKBegins on 06th September 2016 TuesdaySchool re-opens on 12th September 2016 Monday

DIWALI VACATIONBegins on 24th October 2016 MondaySchool re-opens on 10th November 2016 Thursday

CHRISTMAS BREAKBegins on 26th December 2016 MondaySchool re-opens on 02th January 2017 Monday

SUMMER VACATIONBegins on 02nd May 2017 TuesdaySchool re-opens on 12th June 2017 Monday

ACADEMIC YEAR (2016-2017)

TERM SCHEDULE

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OPEN HOUSE SCHEDULE

Applicable for Counselling Centres AT YHS & LHS

MKP & ANVAY

DATE DAY18 th June, 2016 Saturday

16 th July, 2016 Saturday

20 th August, 2016 Saturday

15 th October, 2016 Saturday

17 th December, 2016 Saturday

18 th February 2017 Saturday

20 th April 2017 Thursday

AVISHKAAR / AYAAN / ADITI /OPEN SCHOOLING PROGRAMME

DATE DAY28 th June, 2016 Tuesday

06 th August, 2016 Saturday

19 th December, 2016 Saturday

21st January, 2017 Saturday

20 th April, 2017 Thursday

Annual Day (2016-17) is scheduled on3RD DECEMBER 2016, Saturday.

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1. Students should compulsorily wear the identity-card issued to them bythe school along with their uniform.

2. Parents should inform the school authority regarding the particulars ofthe person they delegate to collect their children from school, if they arenot doing so themselves.

3. An identity card should be made and brought by the parents/guardians.4. Children should be given the following instructions, periodically &

Children should be alert at all times.* Children should not talk to strangers, accept anything in cash orkind from strangers.* Children should never agree to go home with strangers.* Children should not agree to go home even with relative withoutprior confirmation with their parents.* Children should not talk loudly on streets or in front of strangersabout any situation of their home or about the time when their parentsare not at home.* Children should always move around in groups, especially to andfro from school.

5. It is imperative for parents to collect their children from the point atwhich they are left by the school bus otherwise the children will bebrought back to school.

6. Parents should explain the concept of good touch and bad touch totheir children.

7. Children using the school bus will be given numbers, so that they sit inthe proper place.

8. Parents can form car pool groups for leaving and bringing children toand fro from school.

9. Parents should supervise/stay with the children when they go down toplay.

10. Sending children to shops/shopping centre, alone should be avoided.11. Parents should ensure that the correct phone numbers of the residence

and office are written in the calendar and their signatures are at relevantplaces.

12. Parents are advised not to send their children to school if they areunwell.

13. Along with the values learnt in school, it is of utmost importance to laystress on c lean liness, and hyg iene and above all a sense o fresponsibility.

________________________ _____________________Signature of Parents Signature of Student

SAFETY MEASURES

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PORTION FOR FIRST TERMINAL EXAMINATION

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PORTION FOR SECOND TERMINAL EXAMINATION

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NAME : ______________________________________________________

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LATE COMING RECORD

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NAME : ______________________________________________________

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FEBRUARY

1.............

2.............3.............

4.............5.............

6.............7.............

8.............9.............

10.............

11.............12.............

13.............14.............

15.............16.............

17.............18.............

19.............20.............

21.............22.............23.............

24.............25.............

26.............27.............

28.............29.............

30.............31.............

MARCH

1.............

2.............3.............

4.............5.............

6.............7.............

8.............9.............

10.............

11.............12.............

13.............14.............

15.............16.............

17.............18.............

19.............20.............

21.............22.............23.............

24.............25.............

26.............27.............

28.............29.............

30..........................

APRIL

LATE COMING RECORD

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Parent’sSignature

Teacher’sSignature

We are Proud of .....Date

ACHIEVEMEN T S

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Parent’sSignature

Teacher’sSignature

We are Proud of .....Date

ACHIEVEMEN T S

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Parent’sSignature

Teacher’sSignature

We are Proud of .....Date

ACHIEVEMEN T S

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CONSENT FORM

Date: ____________To,The CEO,GAET Counselling CentreGoregaon - East,Mumbai - 400 063.

Re.: Night camp / School trip / Picnic

I hereby give my consent to my son / daughter to join the night camp /

school trip / picnic arranged by the school to __________________

___________________________ . Whilst appreciating your assurance for

the precaution for the safety of my child/ward, Iundertake that I shall not hold

the school responsible for any accident or mishap to my daughter/son during

the camp/trip/picnic.

Signature of the Parent / Guardian

Student’s Name : ______________________________________________

Level : ______________________________________________________

Address : ____________________________________________________

____________________________________________________________

Telephone : Resi.: ____________________________________________

Mobile No. :(Mother) _________________________________________

(Father) _________________________________________

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CONSENT FORM

Date: ____________To,The CEO,GAET Counselling CentreGoregaon - East,Mumbai - 400 063.

Re.: Night camp / School trip / Picnic

I hereby give my consent to my son / daughter to join the night camp /

school trip / picnic arranged by the school to __________________

___________________________ . Whilst appreciating your assurance for

the precaution for the safety of my child/ward, Iundertake that I shall not hold

the school responsible for any accident or mishap to my daughter/son during

the camp/trip/picnic.

Signature of the Parent / Guardian

Student’s Name : ______________________________________________

Level : ______________________________________________________

Address : ____________________________________________________

____________________________________________________________

Telephone : Resi.: ____________________________________________

Mobile No. :(Mother) _________________________________________

(Father) _________________________________________

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Absence without leave note is liable to punishment either of fine or anyother form at the discretion of the CEO.Absence of more than one day must be counter signed by the CEO beforemorning prayer.

Date/sof

Absence

REASONTo be entered briefly in ink.

One line per absence

CEOSignature

TeacherSignature

ParentSignature

1

2

3

4

5

6

7

8

9

10

ABSENCE AND LEAVE RECORD• This must agree with the attendance roll.• An explanation may be demanded in case of disagreement.• PARENTS AND GUARDIANS SHOULD MAKE IT A POINT TO USE THIS

PAGE.

_____________________________ ________________________Signature of Father/Guardian Signature of Mother

Sr.No.

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ABSENCE AND LEAVE RECORD

Date/sof

Absence

REASONTo be entered briefly in ink.

One line per absence

CEOSignature

TeacherSignature

ParentSignature

11

12

13

14

Sr.No.

15

16

17

18

19

20

21

22

23

24

25

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FORM - A

Date ________________The CEO,GAET Counselling CentreGoregaon (E), Mumbai - 400 063.

Dear Madam/Sir

I have read the Rules and Regulations of the school as well as Recommendationsto Parents mentioned in the calendar and I agree to abide by them and I shallensure that they are st rict ly observed by my ward Master/Miss________________________________________________studying in Level. ________________________. I also agree to co-operate withthe Director in the interest of my ward and of the school.

Yours faithfully,

Signature of the Parent/Guardian

Father’s Name _______________________ Occupation : ________________

Mother’s Name ______________________ Occupation : ________________

Guardian’s Name & Relationship with ward _________________________

_____________________________________________________________________

Occupation _________________________________________________________

ADDRESS______________________________________________________________________Residence : Office :

________________________________ _______________________________

________________________________ _______________________________

________________________________ _______________________________

Tel.: __________________________ Tel.: ______________________________________________________________________________________________

This form duly filled in, must be returned to the Class Teacher by25th of June 2016.

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FORM - A

Date ________________The CEO,GAET Counselling CentreGoregaon (E), Mumbai - 400 063.

Dear Madam/Sir

I have read the Rules and Regulations of the school as well as Recommendationsto Parents mentioned in the calendar and I agree to abide by them and I shallensure that they are st rict ly observed by my ward Master/Miss________________________________________________studying in Level. ________________________. I also agree to co-operate withthe Director in the interest of my ward and of the school.

Yours faithfully,

Signature of the Parent/Guardian

Father’s Name _______________________ Occupation : ________________

Mother’s Name ______________________ Occupation : ________________

Guardian’s Name & Relationship with ward _________________________

_____________________________________________________________________

Occupation _________________________________________________________

ADDRESS______________________________________________________________________Residence : Office :

________________________________ _______________________________

________________________________ _______________________________

________________________________ _______________________________

Tel.: __________________________ Tel.: ______________________________________________________________________________________________

This form duly filled in, must be returned to the Class Teacher by25th of June 2016.

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1. Does the child have History of FebrileSeizure, Convulsion because of fever?

2. Does the child have History ofVomitting during travel?

3. History of any known allergies?

4. History of any Asthma or amongstparents and relatives?

5. History of Tuberculosis - child /contact of parent / others?

6. History of any regular Medication.(Mention if any) ?

7. Blood Pressure ?

8. Any more information by the Parent?

________________________Date: _________________ Sign. of Parent

QUESTIONNAIRE FOR THE PARENTS

Date : ____________

Name of the Student ___________________________________________

Date of Birth : _________________________________________________

Level: ____________ Roll No.: ___________

GAET COUNSELLING CENTREMKP / ANVAY / AYAAN / ADITI /

OPEN SCHOOLING PROGRAMME

MEDICAL HISTORY FORM

Sr.No. Particulars NOYES

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1. Does the child have History of FebrileSeizure, Convulsion because of fever?

2. Does the child have History ofVomitting during travel?

3. History of any known allergies?

4. History of any Asthma or amongstparents and relatives?

5. History of Tuberculosis - child /contact of parent / others?

6. History of any regular Medication.(Mention if any) ?

7. Blood Pressure ?

8. Any more information by the Parent?

________________________Date: _________________ Sign. of Parent

QUESTIONNAIRE FOR THE PARENTS

Date : ____________

Name of the Student ___________________________________________

Date of Birth : _________________________________________________

Level: ____________ Roll No.: ___________

GAET COUNSELLING CENTREMKP / ANVAY / AYAAN / ADITI /

OPEN SCHOOLING PROGRAMME

MEDICAL HISTORY FORM

Sr.No. Particulars NOYES

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GOENKA & ASSOCIATES EDUCATIONAL TRUSTCOUNSELLING CENTRE

GOREGAON (EAST), MUMBAI - 400 063.

FOR SCHOOL BUS STUDENTSPERMISSION LETTER FOR NOT AVAILING BUS

FACILITY ON RETURN JOURNEY

To,

The CEO

I would like to take my child on ___________________________________________

I take the full responsibility of my child.

Name of the Student : ___________________________________________________

Level: __________________________________ Div.: _________________________

Bus No.: ______________________________

PERMISSION LETTER

Name of the Parent

_________________________Sign. of Parent

Date : ________________________

____________________________Sign. of CEO

Date : ____________________

____________________________________Sign. of Bus Supervisor / Attendant

Date : ________________________

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GOENKA & ASSOCIATES EDUCATIONAL TRUSTCOUNSELLING CENTRE

GOREGAON (EAST), MUMBAI - 400 063.

FOR SCHOOL BUS STUDENTSPERMISSION LETTER FOR NOT AVAILING BUS

FACILITY ON RETURN JOURNEY

To,

The CEO

I would like to take my child on ___________________________________________

I take the full responsibility of my child.

Name of the Student : ___________________________________________________

Level: __________________________________ Div.: _________________________

Bus No.: ______________________________

PERMISSION LETTER

Name of the Parent

_________________________Sign. of Parent

Date : ________________________

____________________________Sign. of CEO

Date : ____________________

____________________________________Sign. of Bus Supervisor / Attendant

Date : ________________________

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GOENKA & ASSOCIATES EDUCATIONAL TRUSTCOUNSELLING CENTRE

GOREGAON (EAST), MUMBAI - 400 063.

FOR SCHOOL BUS STUDENTSPERMISSION LETTER FOR NOT AVAILING BUS

FACILITY ON RETURN JOURNEY

To,

The CEO

I would like to take my child on ___________________________________________

I take the full responsibility of my child.

Name of the Student : ___________________________________________________

Level: __________________________________ Div.: _________________________

Bus No.: ______________________________

PERMISSION LETTER

Name of the Parent

_________________________Sign. of Parent

Date : ________________________

____________________________Sign. of CEO

Date : ____________________

____________________________________Sign. of Bus Supervisor / Attendant

Date : ________________________

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GOENKA & ASSOCIATES EDUCATIONAL TRUSTCOUNSELLING CENTRE

GOREGAON (EAST), MUMBAI - 400 063.

FOR SCHOOL BUS STUDENTSPERMISSION LETTER FOR NOT AVAILING BUS

FACILITY ON RETURN JOURNEY

To,

The CEO

I would like to take my child on ___________________________________________

I take the full responsibility of my child.

Name of the Student : ___________________________________________________

Level: __________________________________ Div.: _________________________

Bus No.: ______________________________

PERMISSION LETTER

Name of the Parent

_________________________Sign. of Parent

Date : ________________________

____________________________Sign. of CEO

Date : ____________________

____________________________________Sign. of Bus Supervisor / Attendant

Date : ________________________

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GAET COUNSELING CENTREGOREGAON / THANE

2016-2017

ACKNOWLEDGEMENT

Date : _____________________

Received in cash Rs. __________________________________________

from parent of Mst/Ms. ________________________________________

Std.: ____________ Div.: ____________ towards School Calendar.

Class Teacher’s Signature : ________________________

GAET COUNSELING CENTREGOREGAON / THANE

2016-2017

ACKNOWLEDGEMENT

Date : _____________________

Received in cash Rs. __________________________________________

from parent of Mst/Ms. ________________________________________

Std.: ____________ Div.: ____________ towards School Calendar.

Class Teacher’s Signature : ________________________

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