SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008001.Name of the CWSN : R.RAJESHWARI

I.Name of the Block : KOTTUR

II. Date of Birth : I2.I0.2007

III.A ge :09

IV . Sex : FEMALE

V. Religion : HINDU

VI. Community : MBC

VII. Name of the School : PUPS-VATTAR

VIII. Standard : IV

IX . Admission Number :903

X. Aadhar Number :NO

XI. EMIS Number :3320080470I00020

XII. UDISE Number :3320080I60I

XIII. Type of Disability : VI

XIV. Associated condition :-

XV. Mother Tongue of the CWSN :TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :KUMAR

XVIII. Address for communication :3/609,ARICHANACOLONY.VATTAR

XIX. Contact number :975II000I3

XX. National Identify card : Yes / No

XXI. Identify card Number :24230

XXII. Percentage of Disability :90%

XXIII. Blood Group :O+VE

XXIV. Age of onset :BY.BIRTH

XXV. Birth History :NORMAL

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : BPL

S.No Name Relationship Age Education Occupation Remarks

0I

02

03

KUMAR

RATHIKA

BALAMURUGAN

FATHER

MOTHER

BROTHER

40

30

05

X

XII

I

FARMER

HOUSEWIFE

EDUCATION

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : No

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :NO

XXXIII. Type of benefit the child receiving :SCHOLOR SHIP

XXXIV. Name of the special educator : B.SASIKALA

XXXV. Special Educator Qualification :M.A.,B.ED.,M,PHIL

XXXVI. Name of the physiotherapist : K.KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - C - C

03.8

17 C - B

a) Gross motor - B - B

03.8.

17 B - B

b) Fine motor

- C - C

03.8

17 C - C

2 Functional

Skills - B - B

03.8.

17 B - B

3 Social Skills

- C - C

03.8.

17 C - C

4 Behavior Skills

- A - A

03.8.

17. A - A

5 Sensory Skills

- A - A

03.8.

17 A - A

6 Communication

Skills - B - B

03.8.

17. B - B

7 Cognitive Skills

- D - D

03.8.

17 D - C

8 curricular

Activities - D - D

03.8.

17 D - D

a) Reading Skill

- D - D

03.8.

17 D - D

b) Writing Skills

- D - D

03.8.

17 D - D

c) Arithmetic Skill

- E - E

03.8.

17 E - D

9 Co-curicular

activities - D - D

03.8.

17 D - D

a) Drawing and

Painting Skill - D - D

03.8.

17 D - D

b) Play Activity

- B - B

3.8.1

7 B - B

c) Art and Graft

- D - D

03.8.

17 D - D

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008002 Name of the CWSN : R.SHALINI

I. Name of the Block : KOTTUR

II. Date of Birth :22.09.2007

III. Age :I0

IV . Sex : FEMALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School : PUPS-VATTAR

VIII. Standard :V

IX . Admission Number : 923

X. Aadhar Number :NO

XI. EMIS Number :3320080470I00I53

XII. UDISE Number :3320080I60I

XIII. Type of Disability :LV

XIV. Associated condition :NO

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :RAJA

XVIII. Address for communication :SOUTH,STREET

XIX. Contact number :9787804646

XX. National Identify card : No

XXI. Identify card Number :-

XXII. Percentage of Disability :-

XXIII. Blood Group :A+VE

XXIV. Age of onset :07

XXV. Birth History :NORMAL

XXVI. Medical History :

XXVII. Family History :

S.No Name Relationship Age Education Occupation Remarks

0I

02

03

RAJA

PATHMAVATHI

ARAVINTH

SANGEETHA

FATHER

MOTHER

BROTHER

SISTER

40

33

I5

08

X

VI

X

III

FARMER

HOUSHWIFE

-

-

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : Yes

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :NO

XXXIII. Type of benefit the child receiving :NO

XXXIV. Name of the special educator : B.SASIKALA

XXXV. Special Educator Qualification : M.A.,BED.,M.PHIL

XXXVI. Name of the physiotherapist : V.KOWSALYA

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - D - D

3.8.1

7 C - C

a) Gross motor

- D - D

3.8.1

7 D - D

b) Fine motor

- C - C

3.8.1

7 C - B

2 Functional

Skills - B - B

3.8.1

7 B - B

3 Social Skills

- D - D

3.8.1

7 D - D

4 Behavior Skills

- B - B

3.8.1

7 B - B

5 Sensory Skills

- A - A

3.8.1

7 A - A

6 Communication

Skills - B - B

3.8.1

7 B - B

7 Cognitive Skills

- D - D

3.8.1

7 D - D

8 curricular

Activities - C - C

3.8.1

7 C - C

a) Reading Skill

- C - C

3.8.1

7 C - C

b) Writing Skills

- C - C

3.8.1

7 C - C

c) Arithmetic Skill

- D - D

3.8.1

7 D - D

9 Co-curicular

activities - D - D

3.8.1

7 D - D

a) Drawing and

Painting Skill - D - D

3.8.1

7 D - C

b) Play Activity

- A - A

3.8.1

7 A - A

c) Art and Graft

- D - D

3.8.1

7 D - D

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008003 Name of the CWSN : S.Arul

I.Name of the Block : Kottur

II. Date of Birth : 20.05.2006

III. Age :I0

IV . Sex : MALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School : PUPS-VATTAR

VIII. Standard : III

IX . Admission Number : 972

X. Aadhar Number : NO

XI. EMIS Number :3320080470I00I23

XII. UDISE Number : 3320080I60I

XIII. Type of Disability : MD

XIV. Associated condition :LV

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :SUNTHARARAJAN

XVIII. Address for communication :VALACHERI,VATTAR

XIX. Contact number :852403226I

XX. National Identify card : Yes

XXI. Identify card Number :I66I

XXII. Percentage of Disability :I00%

XXIII. Blood Group :-

XXIV. Age of onset :BY BIRTH

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : BPL

S.No Name Relationship Age Education Occupation Remarks

0I

02

03

04

05

SUNDHARAJAN

RASHYA

AJITH

PRADEEBA

AKILESH

FATHER

MOTHER

BROTHER

SISTER

BROTHER

4I

35

I5

08

05

VI

III

VIII

III

I

FARMER

COOLI

LABOUR

-

-

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : Yes

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :WHEELCHAIR

XXXII. Assistive Devices distributed by :SSA

XXXIII. Type of benefit the child receiving :MG,TRANSPORT ALLAWANCE

XXXIV. Name of the special educator : B.SASIKALA

XXXV. Special Educator Qualification : M.A.,BED.,MPHIL

XXXVI. Name of the physiotherapist : V.GOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - E - E

3.8.1

7 E - E

a) Gross motor

- E - E

3.8.1

7 E - E

b) Fine motor

- E - E

3.8.1

7 E - E

2 Functional

Skills - E - E

3.8.1

7 E - E

3 Social Skills

- E - E

3.8.1

7 E - E

4 Behavior Skills

- E - E

3.8.1

7 E - D

5 Sensory Skills

- E - E

3.8.1

7 E - E

6 Communication

Skills - E - E

3.8.1

7 E - E

7 Cognitive Skills

- E - E

3.8.1

7 E - E

8 curricular

Activities - E - E

3.8.1

7 E - E

a) Reading Skill

- E - E

3.8.1

7 E - E

b) Writing Skills

- E - E

3.8.1

7 E - E

c) Arithmetic Skill

- E - E

3.8.1

7 E - E

9 Co-curicular

activities - E - E

3.8.1

7 E - E

a) Drawing and

Painting Skill - E - E

3.8.1

7 E - E

b) Play Activity

- D - D

3.8.1

7 D - D

c) Art and Graft

- E - E

3.8.1

7 E - E

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008004. Name of the CWSN : A.THARSHIKA

I.Name of the Block : Kottur

II. Date of Birth : 09.07.2006

III. Age : I0

IV . Sex : FEMALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School :PUPS-VATTAR

VIII. Standard : V

IX . Admission Number : 944

X. Aadhar Number : NO

XI. EMIS Number :3320080470I0000I

XII. UDISE Number : 3320080I60I

XIII. Type of Disability : MR

XIV. Associated condition :FITS

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :AMBIKAPATHY

XVIII. Address for communication :VADAKU,STREET

XIX. Contact number :73732I6799

XX. National Identify card : Yes

XXI. Identify card Number :2423I

XXII. Percentage of Disability :90%

XXIII. Blood Group :

XXIV. Age of onset :03

XXV. Birth History :NORMAL

XXVI. Medical History :

XXVII. Family History :

S.No Name Relationship Age Education Occupation Remarks

0I

02

03

AMBIKAPATHY

LAKSHMI

HARISH

FATHER

MOTHER

BROTHER

35

33

08

VIII

VII

III

FARMER

HOUSEWIFE

-

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : No

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :-

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :MG,TRANSPORT ALLAVANCE

XXXIV. Name of the special educator : B.SASIKALA

XXXV. Special Educator Qualification : M.A., B.ED.,MPHIL

XXXVI. Name of the physiotherapist :V.KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the Skills

Ist

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - E - E

3.8.1

7 E - E

a) Gross motor - E - E

3.8.1

7 E - E

b) Fine motor - E - E

3.8.1

7 E - D

2 Functional Skills - E - E

3.8.1

7 E - E

3 Social Skills - E - E

3.8.1

7 E - E

4 Behavior Skills - E - E

3.8.1

7 E - E

5 Sensory Skills - E - E

3.8.1

7 E - E

6 Communication

Skills - E - E

3.8.1

7 E - E

7 Cognitive Skills - E - E

3.8.1

7 E - E

8 curricular

Activities - E - E

3.8.1

7 E - E

a) Reading Skill - E - E

3.8.1

7 E - E

b) Writing Skills - E - E

3.8.1

7 E - E

c) Arithmetic Skill - E - E

3.8.1

7 E - E

9 Co-curicular

activities - E - E

3.8.1

7 E - E

a) Drawing and

Painting Skill - E - E

3.8.1

7 E - E

b) Play Activity - D - D

3.8.1

7 D - D

c) Art and Graft - E - E

3.8.1

7 E - E

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008005 Name of the CWSN : A.Sarathi

I.Name of the Block : Kottur

II. Date of Birth : 27.7.2005

III. Age :II

IV . Sex :MALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School : GHS-VATTAR

VIII. Standard : VI

IX . Admission Number :352

X. Aadhar Number : NO

XI. EMIS Number :3320080470I00022

XII. UDISE Number : 3320080I60I

XIII. Type of Disability : MR

XIV. Associated condition :NO

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :ANANTH

XVIII. Address for communication :VADAKU STREET

XIX. Contact number :8098074605

XX. National Identify card : Yes

XXI. Identify card Number :

XXII. Percentage of Disability :

XXIII. Blood Group :

XXIV. Age of onset :08

XXV. Birth History :NORMAL

XXVI. Medical History :

XXVII. Family History :

:

XXVIII. Socio Economic condition of the Family : BPL

S.No Name Relationship Age Education Occupation Remarks

0I ANANTH

KALIYAPERUMAL

FATHER

GRAN MOTHER

40 COOLI DEATH

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : No

B. Special Education : Yes

C. Therapy : NO

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :NO

XXXIII. Type of benefit the child receiving :NO

XXXIV. Name of the special educator : B.SASIKALA

XXXV. Special Educator Qualification : M.A., BED., MPHIL

XXXVI. Name of the physiotherapist : V.KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - D - D

3.8.1

7 D - D

a) Gross motor

- D - D

3.8.1

7 D - D

b) Fine motor

- A - A

3.8.1

7 A - A

2 Functional

Skills - A - A

3.8.1

7 A - A

3 Social Skills

- D - D

3.8.1

7 D - D

4 Behavior Skills

- D - D

3.8.1

7 D - D

5 Sensory Skills

- B - B

3.8.1

7 B - B

6 Communication

Skills - B - B

3.8.1

7 B - B

7 Cognitive Skills

- E - E

3.8.1

7 E - E

8 curricular

Activities - D - D

3.8.1

7 D - D

a) Reading Skill

-

E - E

3.8.1

7 E - E

b) Writing Skills

- D - D

3.8.1

7 D - D

c) Arithmetic Skill

- E - E

3.8.1

7 E - E

9 Co-curicular

activities - E - E

3.8.1

7 E - D

a) Drawing and

Painting Skill - E - E

3.8.1

7 E - E

b) Play Activity

- A - A

3.8.1

7 A - A

c) Art and Graft

- E - E

3.8.1

7 E - E

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008006 Name of the CWSN : R.Ragavi

I.Name of the Block ;Kottur

II. Date of Birth : I0/5/2007

III. Age : I0

IV . Sex : FEMALE

V. Religion : HINDU

VI. Community : sc

VII. Name of the School : GGHSS-KOTTUR

VIII. Standard : VI

IX . Admission Number : I20

X. Aadhar Number : 940567072762

XI. EMIS Number :3220080060I00008

XII. UDISE Number : 3320080II02

XIII. Type of Disability : LV

XIV. Associated condition -

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :RAJENTHIRAN

XVIII. Address for communication :MAIN ROAD-NERICHANAGUTI

XIX. Contact number :9047079I48

XX. National Identify card : Yes

XXI. Identify card Number :

3. Percentage of Disability :50

XXIII. Blood Group :

XXIV. Age of onset :BY BIRTH

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : PPL

S.No Name Relationship Age Education Occupation Remarks

I

2

3

RAJENTHIRAN

MAJULI

FATHER

MOTHER

48

45

5

-

COOLI

COOLI

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :REGULAR SEEKING OF DOCTOR

A. Medical : Yes

B. Special Education : Yes

C. Therapy : -

XXXI. Assistive Devices needed / in use :SPECTICLE

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :TRANSPORT ALLOWENCE

XXXIV. Name of the special educator : SANGEETH

XXXV. Special Educator Qualification :DSE MR

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS: READING,WRITING

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills - A - A

11.8.

17 A

19.9.

17 A

a) Gross motor A A

11.8.

17 A

19.9.

17 A

b) Fine motor A A

11.8.

17 A

19.9.

17 A

2 Functional

Skills A A

11.8.

17 A

19.9.

17 A

3 Social Skills A A

11.8.

17 A

19.9.

17 A

4 Behavior Skills A A

11.8.

17 A

19.9.

17 A

5 Sensory Skills A A

11.8.

17 A

19.9.

17 A

6 Communication

Skills A A

11.8.

17 A

19.9.

17 A

7 Cognitive Skills A A

11.8.

17 A

19.9.

17 A

8 curricular

Activities A A

11.8.

17 A

19.9.

17 A

a) Reading Skill C C

11.8.

17 C

19.9.

17 B

b) Writing Skills C C

11.8.

17 C

19.9.

17 B

c) Arithmetic Skill C C

11.8.

17 C

19.9.

17 B

9 Co-curicular

activities B B

11.8.

17 B

19.9.

17 C

a) Drawing and

Painting Skill B B

11.8.

17 B

19.9.

17 B

b) Play Activity A A

11.8.

17 A

19.9.

17 A

c) Art and Graft C C

11.8.

17 C

19.9.

17 C

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008007 Name of the CWSN : P.PRAGATHISINI

I.Name of the Block : Kottur

II. Date of Birth : I4.06.20I2

III. Age : 07

IV . Sex : FEMALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School : PUPS-THATHANTHIRUVASAL

VIII. Standard : II

IX . Admission Number : 200

X. Aadhar Number : -

XI. EMIS Number :

XII. UDISE Number : 3320080II40

XIII. Type of Disability : MR,

XIV. Associated condition :BEHAVIOR PROPLEM

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :PRABAKARAN

XVIII. Address for communication :THALANTHIRUVASAL;

XIX. Contact number :

XX. National Identify card : NO

XXI. Identify card Number :NO

XXII. Percentage of Disability :NO

XXIII. Blood Group :NO

XXIV. Age of onset :BY BIRTH

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family :BPL

S.N

o

Name Relationshi

p Age Education Occupation Remarks

0I PRABAKARAN

CHITHRA FATHER

MOTHER

3I

29

5

5

COOLI

COOLI

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : Yes

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :NO

XXXIV. Name of the special educator : G.VEERAPANTIYAN

XXXV. Special Educator Qualification : DMRW,BA,B,Ed ,spl,[HI]

XXXVI. Name of the physiotherapist : V.KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nt(

Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills 9.6

.17 D

14.7.

17 D

11.8.

17 D

12.9.

17 C

a) Gross motor 9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

b) Fine motor 9.6

.17 B

14.7.

17 B

11.8.

17 B

12.9.

17 B

2 Functional

Skills

9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

3 Social Skills 9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

4 Behavior Skills 9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

5 Sensory Skills 9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

6 Communication

Skills

9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

7 Cognitive Skills 9.6

.17 C

14.7.

17 C

11.8.

17 C

12.9.

17 B

8 curricular

Activities

9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

a) Reading Skill 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

b) Writing Skills 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

c) Arithmetic Skill 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

9 Co-curicular

activities 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

a) Drawing and

Painting Skill 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 D

b) Play Activity 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 E

c) Art and Graft 9.6

.17 E

14.7.

17 E

11.8.

17 E

12.9.

17 E

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008008 Name of the CWSN : S.SUBASTRI

I.Name of the Block : Kottur

II. Date of Birth : 2I.04.20II

III. Age : 06

IV . Sex : F

V. Religion : HINDU

VI. Community : BC

VII. Name of the School : PUPS SINNAKURUVADI

VIII. Standard : II

IX . Admission Number : I67

X. Aadhar Number : -

XI. EMIS Number :3320080060200574

XII. UDISE Number : 33200800602

XIII. Type of Disability : SI

XIV. Associated condition :-

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :SUTHAHAR

XVIII. Address for communication :PILLAIYAR KOI ST

XIX. Contact number :-

XX. National Identify card : No

XXI. Identify card Number :-

XXII. Percentage of Disability :-

XXIII. Blood Group :-

XXIV. Age of onset :BY BIRTH

XXV. Birth History :-

XXVI. Medical History :-

XXVII. Family History : -

XXVIII. Socio Economic condition of the Family : bPL

S.No Name Relationship Age Education Occupation Remarks

I

2

SUTHAHAR

SUHANTHI

FATHER

MOTHER

30

28

V

V

COOLI

COOLI

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : Yes

B. Special Education : Yes

C. Therapy : Speech therapy

XXXI. Assistive Devices needed / in use :-

XXXII. Assistive Devices distributed by :

XXXIII. Type of benefit the child receiving :-

XXXIV. Name of the special educator : G.VEERAPANDIAN

XXXV. Special Educator Qualification : DMRW, BA,Bed (hi)

XXXVI. Name of the physiotherapist : KOEESALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the Skills

Ist

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

a) Gross motor 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

b) Fine motor 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

2 Functional Skills 9.6

.17 B

I4.7.

17 B

II.8.1

7 B

I2.9.

17 A

3 Social Skills 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

4 Behavior Skills 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

5 Sensory Skills 9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 B

6 Communication

Skills

9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 B

7 Cognitive Skills 9.6

.17 B

I4.7.

17 B

II.8.1

7 B

I2.9.

17 B

8 curricular

Activities

9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 B

a) Reading Skill 9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 C

b) Writing Skills 9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 C

c) Arithmetic Skill 9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 B

9 Co-curicular

activities 9.6

.17 B

I4.7.

17 B

II.8.1

7 B

I2.9.

17 B

a) Drawing and

Painting Skill 9.6

.17 B

I4.7.

17 B

II.8.1

7 B

I2.9.

17 B

b) Play Activity 9.6

.17 A

I4.7.

17 A

II.8.1

7 A

I2.9.

17 A

c) Art and Graft 9.6

.17 C

I4.7.

17 C

II.8.1

7 C

I2.9.

17 C

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008009 Name of the CWSN : S.Suganya

I.Name of the Block ;Kottur

II. Date of Birth : 05/07/2004

III. Age : I2

IV . Sex : FEMALE

V. Religion :HINDU

VI. Community : SC

VII. Name of the School : GHS-PUTHAGARAM

VIII. Standard : VIII

IX . Admission Number : 3379

X. Aadhar Number : -

XI. EMIS Number :-

I3.UDISE CODE ;3320080I403

XIII. Type of Disability : SI

XIV. Associated condition :-

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :SURESH

XVIII. Address for communication :SMATHUAPURAM

XIX. Contact number :9655728538

2I. National Identify car d ;NO

XXI. Identify card Number :-

XXII. Percentage of Disability :-

XXIII. Blood Group :

XXIV. Age of onset :3 YEARS

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family

: BPL

XXIX. Whether barrier free environment provided : Yes

S.No Name Relationship Age Education Occupation Remarks

I

2

SURESH

MALAR

FATHER

MOTHER

40

30

6

5

COOLI

COOLI

XXX. Intervention needed :

A. Medical : No

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :-

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :-

XXXIV. Name of the special educator : C.THAMILARASI

XXXV. Special Educator Qualification : DSE[MR]BA

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the Skills

Ist

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I Motor skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

a) Gross motor I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

b) Fine motor I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

2 Functional Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

3 Social Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

4 Behavior Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

5 Sensory Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

6 Communication

Skills

I3.6

.17 B - B

I0.8.1

7 B

4.9.1

7 B

7 Cognitive Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

8 curricular

Activities

I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

a) Reading Skill I3.6

.17 C - C

I0.8.1

7 C

4.9.1

7 C

b) Writing Skills I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

c) Arithmetic Skill I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

9 Co-curicular

activities

I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

a) Drawing and

Painting Skill

I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

b) Play Activity I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

c) Art and Graft I3.6

.17 A - A

I0.8.1

7 A

4.9.1

7 A

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008010 Name of the CWSN : R.Hariharan

I.Name of the Block : KOTTUR

II. Date of Birth : 23/06/04

III. Age : I2

IV . Sex : MALE

V. Religion : HINDU

VI. Community : SC

VII. Name of the School : GHS-PUTHAGARAM

VIII. Standard : VII

IX . Admission Number : 3308

X. Aadhar Number : 3320080I40300030

XI. EMIS Number :32666443832

XII. UDISE Number : 3320080I403

XIII. Type of Disability : SLD

XIV. Associated condition :-

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :RAJAMANIKAM

XVIII. Address for communication :COLONY,PUTHAGARAM

XIX. Contact number :-

XX. National Identify card : NO

XXI. Identify card Number :-

XXII. Percentage of Disability :-

XXIII. Blood Group :-

XXIV. Age of onset :-

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : BPL

S.No Name Relationship Age Education Occupation Remarks

I

2

3

RAJAMANIKAM

SUNTHARI

ARAVINTH

FATHER

MOTHER

BROTHER

35

32

I4

X

V

IX

COOLI

COOLI

GHS-

PUTHAGARAM

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : NO

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy / Speech therapy

XXXI. Assistive Devices needed / in use :-

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :-

XXXIV. Name of the special educator : C.THAMILARASI

XXXV. Special Educator Qualification : DSE[MR]BA

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the Skills Ist

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

2n

d

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f

vis

it)

Gra

de

of

De

ve

lop

me

nt

I Motor skills I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

a) Gross motor I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

b) Fine motor I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

2 Functional Skills I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

3 Social Skills I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

4 Behavior Skills I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

5 Sensory Skills I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

6 Communication

Skills

I3.6

.17 A - A

I0.8.1

7 A

I4.9.1

7 A

7 Cognitive Skills I3.6

.17 B - B

I0.8.1

7 B

I4.9.1

7 B

8 curricular

Activities

I3.6

.17 C - C

I0.8.1

7 C

I4.9.1

7 C

a) Reading Skill I3.6

.17 D - D

I0.8.1

7 D

I4.9.1

7 D

b) Writing Skills I3.6

.17 D - D

I0.8.1

7 D

I4.9.1

7 D

c) Arithmetic Skill I3.6

.17 D - D

I0.8.1

7 D

I4.9.1

7 D

9 Co-curicular

activities

I3.6

.17 C - C

I0.8.1

7 C

I4.9.1

7 C

a) Drawing and

Painting Skill

I3.6

.17 C - C

I0.8.1

7 C

I4.9.1

7 C

b) Play Activity I3.6

.17 C - C

I0.8.1

7 C

I4.9.1

7 C

c) Art and Graft I3.6

.17 C - C

I0.8.1

7 C

I4.9.1

7 C

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008011 Name of the CWSN : R.PRIYATHARSINI

I.Name of the Block : KOTTUR

II. Date of Birth : I3.08.2007

III. Age : 09

IV . Sex : FEMALE

V. Religion :HIND

VI. Community : MBC

VII. Name of the School : PUPS-SOLANGANALLUR

VIII. Standard : IVI

IX . Admission Number : 374

X. Aadhar Number :

XI. EMIS Number :

XII. UDISE Number :33200803I02

XIII. Type of Disability : MR

XIV. Associated condition :FITS

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : LEFT

XVII. Name of the parent :ASHOKAN

XVIII. Address for communication :MELA(ST)SOLANGANALLUR

XIX. Contact number :8489088598

XX. National Identify card : YES

XXI. Identify card Number :22244

XXII. Percentage of Disability :60%

XXIII. Blood Group :

XXIV. Age of onset :BYBIRTH

XXV. Birth History :NORMAL

XXVI. Medical History :NORMAL

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

S.No Name Relationship Age Education Occupation Remarks

I

2

3

ASHOKAN

GOMATHI

SIVA IYAPPAN

FATHER

MOTHER

BROTHER

40

33

09

X

X

IV

COOLI

COOLI

SCHOOL

XXX. Intervention needed :

A. Medical : No

B. Special Education : Yes

C. Therapy : -

XXXI. Assistive Devices needed / in use :MRKIT

XXXII. Assistive Devices distributed by :SSA

XXXIII. Type of benefit the child receiving :MG ESCORT ALLAWANCE

XXXIV. Name of the special educator : G.VEERAPANDIYAN

XXXV. Special Educator Qualification : M.A;BED;(HI)

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the Skills Ist

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

2n

d

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

3rd

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

4th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

5th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

6th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

7th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

8th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

9th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

I0th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

IIth

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

I2th

mo

nth

(Da

te o

f

vis

it)

of

De

ve

lop

I Motor skills 20.6.1

7 A - A

I8.8.1

7 A - A

a) Gross motor 20.6.1

7 A - A

I8.8.1

7 A - A

b) Fine motor 20.6.1

7 A - A

I8.8.1

7 A - A

2 Functional Skills 20.6.1

7 B - B

I8.8.1

7 B - B

3 Social Skills 20.6.1

7 B - B

I8.8.1

7 B - B

4 Behavior Skills 20.6.1

7 A - A

I8.8.1

7 A - A

5 Sensory Skills 20.6.1

7 A - A

I8.8.1

7 A - A

6 Communication

Skills

20.6.1

7 A - A

I8.8.1

7 A - A

7 Cognitive Skills 20.6.1

7 B - B

I8.8.1

7 B - B

8 curricular

Activities

20.6.1

7 B - B

I8.8.1

7 B - B

a) Reading Skill 20.6.1

7 C - C

I8.8.1

7 C - C

b) Writing Skills 20.6.1

7 A - A

I8.8.1

7 A - A

c) Arithmetic Skill 20.6.1

7 C - C

I8.8.1

7 C - C

9 Co-curicular

activities

20.6.1

7 C - C

I8.8.1

7 C - C

a) Drawing and

Painting Skill

20.6.1

7 B - B

I8.8.1

7 B - B

b) Play Activity 20.6.1

7 A - A

I8.8.1

7 A - A

c) Art and Graft 20.6.1

7 C - C

I8.8.1

7 C - C

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008012 Name of the CWSN : A.DILPANRAI

I.Name of the Block : KOTTUR

II. Date of Birth : 28.I2.2005

III. Age : I2

IV . Sex : MALE

V. Religion : HINDU

VI. Community : BC

VII. Name of the School :AHS-ADHICHAPURAM

VIII. Standard : VII

IX . Admission Number : 847

X. Aadhar Number : NO

XI. EMIS Number :3320080220I00046

XIII. Type of Disability : MR

XIV. Associated condition :-

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :ANDHONITHAMOSS

XVIII. Address for communication :MELAPANAYUR

XIX. Contact number :-

XX. National Identify card : NO

XXI. Identify card Number :NO

XXII. Percentage of Disability :NO

XXIII. Blood Group :NO

XXIV. Age of onset :I2

XXV. Birth History :NORMAL

XXVI. Medical History :-

XXVII. Family History : -

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

S.No Name Relationship Age Education Occupation Remarks

I

2

3

ANTHONITHAMOSS

BASGOMERY

RIYO

FATHER

MOTHER

BROTHER

40

38

II

V

II

VI

COOLI

COOLI

SCHOOL

-

A. Medical : Yes / No

B. Special Education : Yes

C. Therapy :-

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :NO

XXXIII. Type of benefit the child receiving :NO

XXXIV. Name of the special educator : R.SARANYA

XXXV. Special Educator Qualification : DSE(MR)B.SC;

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills I9.6.17 A - A - A

08.9.

17 A

a) Gross motor I9.6.17 A - A - A

08.9.

17 A

b) Fine motor I9.6.17 A - A - A

08.9.

17 A

2 Functional

Skills I9.6.17 B - B - B

08.9.

17 B

3 Social Skills I9.6.17 B - B - B

08.9.

17 B

4 Behavior Skills I9.6.17 A - A - A

08.9.

17 A

5 Sensory Skills I9.6.17 A - A - A

08.9.

17 A

6

Communication

Skills I9.6.17 A - A - A

08.9.

17 A

7 Cognitive

Skills I9.6.17 C - C - C

08.9.

17 C

8 curricular

Activities I9.6.17 C - C - C

08.9.

17 C

a) Reading Skill I9.6.17 B - B - B

08.9.

17 B

b) Writing Skills I9.6.17 B - B - B

08.9.

17 B

c) Arithmetic

Skill I9.6.17 C - C - C

08.9.

17 C

9 Co-curicular

activities I9.6.17 C - C - C

08.9.

17 C

a) Drawing and

Painting Skill I9.6.17 B - B - B

08.9.

17 B

b) Play Activity I9.6.17 A - A - A

08.9.

17 A

c) Art and Graft I9.6.17 B - B - B

08.9.

17 B

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008013 Name of the CWSN : SATHYAPRIYA

I.Name of the Block ;KOTTUR

II. Date of Birth : 25.09.2007

III. Age :I2

IV . Sex : FEMALE

V. Religion :HINDU

VI. Community :BC

VII. Name of the School : AHS-ADHICHAPURAM

VIII. Standard :VII

IX . Admission Number :908

X. Aadhar Number : 3925I6676244

XI. EMIS Number :NO

XII. UDISE Number : 33200800204

XIII. Type of Disability : MR

XIV. Associated condition :-

XV. Mother Tongue of the CWSN :TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :BALU

XVIII. Address for communication :NORTH(ST)KEELAMARUTHUR;PANAYUR

XIX. Contact number :

XX. National Identify card : No

XXI. Identify card Number :NO

XXII. Percentage of Disability :NO

XXIII. Blood Group :O+VE

XXIV. Age of onset :I2

XXV. Birth History :NORMAL

XXVI. Medical History :NORMAL

XXVII. Family History :

XXVIII. Socio Economic condition of the Family

: BPL

XXIX. Whether barrier free environment provided : Yes

S.No Name Relationship Age Education Occupation Remarks

I

2

BALU

LATHA

FATHER

MOTHER

40

32

V

X

COOLI

COOLI

XXX. Intervention needed :-

A. Medical : No

B. Special Education : Yes

C. Therapy : -

XXXI. Assistive Devices needed / in use :NO

XXXII. Assistive Devices distributed by :NO

XXXIII. Type of benefit the child receiving :NO

XXXIV. Name of the special educator : R.SARANYA

XXXV. Special Educator Qualification : DSE(MR)

XXXVI. Name of the physiotherapist :KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

2n

d m

on

th

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

3rd

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

4th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

5th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I0th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

IIth

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I2th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

I Motor skills

I9.

6.1

7 A - A - A

8.9.1

7 A

a) Gross motor

I9.

6.1

7 A - A - A

8.9.1

7 A

b) Fine motor

I9.

6.1

7 A - A - A

8.9.1

7 A

2 Functional

Skills

I9.

6.1

7 A - A - A

8.9.1

7 A

3 Social Skills

I9.

6.1

7 S - S - S

8.9.1

7 S

4 Behavior Skills

I9.

6.1

7 B - B - B

8.9.1

7 B

5 Sensory Skills

I9.

6.1

7 B - B - B

8.9.1

7 B

6 Communication

Skills

I9.

6.1

7 B - B - B

8.9.1

7 B

7 Cognitive Skills

I9.

6.1

7 B - B - B

8.9.1

7 B

8 curricular

Activities

I9.

6.1

7 B - B - B

8.9.1

7 B

a) Reading Skill

I9.

6.1

7 D - D - D

8.9.1

7 D

b) Writing Skills

I9.

6.1

7 D - D - D

8.9.1

7 D

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008014 Name of the CWSN : S.SUBASHCHANDRABOS

I.Name of the Block : KOTTUR

II. Date of Birth : 06/09/2002

III. Age : I3

IV . Sex :MALE

V. Religion : HINDU

VI. Community : BC

c) Arithmetic Skill

I9.

6.1

7 D - D - D

8.9.1

7 D

9 Co-curicular

activities

I9.

6.1

7 D - D - D

8.9.1

7 D

a) Drawing and

Painting Skill

I9.

6.1

7 C - C - C

8.9.1

7 C

b) Play Activity

I9.

6.1

7 B - B - B

8.9.1

7 B

c) Art and Graft

I9.

6.1

7 C - C - C

8.9.1

7 C

VII. Name of the School :GHS-PUTHAGARAM

VIII. Standard : VIII

IX . Admission Number : 3372

X. Aadhar Number : 65458698483I

XI. EMIS Number :3320080240200020

XII. UDISE Number :3320080II404

XIII. Type of Disability : CP

XIV. Associated condition :MR[MILD]

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :SENTHL

XVIII. Address for communication :PILLAIYAR KOVIL ST,KILLARIYAM

XIX. Contact number :-

XX. National Identify card : Yes

XXI. Identify card Number :I5638

XXII. Percentage of Disability :75

XXIII. Blood Group :

XXIV. Age of onset :

XXV. Birth History :

XXVI. Medical History :

XXVII. Family History :

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :

A. Medical : Yes

B. Special Education : Yes

C. Therapy : Physiotherapy / occupational Therapy /

XXXI. Assistive Devices needed / in use :CALLIBER,TRY CYCKLE

XXXII. Assistive Devices distributed by :SSA

XXXIII. Type of benefit the child receiving :TRANSPORT ALLOWENCE

XXXIV. Name of the special educator : C.THAMILARASI

XXXV. Special Educator Qualification : DSE[MR]BA

S.No Name Relationship Age Education Occupation Remarks

I

2

SENTHIL

SARITHA

FATHER

MOTHER

38

35

VII

VI

COOLI

-

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

mo

nth

(Da

te o

f v

isit

) G

rad

e o

f

De

ve

lop

me

nt

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4th

mo

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5th

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6th

mo

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7th

mo

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8th

mo

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(Da

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9th

mo

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(Da

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Gra

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I0th

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I2th

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I Motor skills

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

a) Gross motor

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

b) Fine motor

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

2 Functional

Skills

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

3 Social Skills

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

4 Behavior Skills

I3.

6.

17 B - B

I0.8.

17 B

4.9.1

7 B

5 Sensory Skills

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

6 Communication

Skills

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

7 Cognitive Skills

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

8 curricular

Activities

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008015. Name of the CWSN : T.VARUNRAJ

2. Name of the CWSN : KOTTUR

a) Reading Skill

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

b) Writing Skills

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

c) Arithmetic Skill

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

9 Co-curicular

activities

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

a) Drawing and

Painting Skill

I3.

6.

17 C - C

I0.8.

17 C

4.9.1

7 C

b) Play Activity

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

c) Art and Graft

I3.

6.

17 D - D

I0.8.

17 D

4.9.1

7 D

II. Date of Birth : 3.08.2007

III. Age : 11

IV . Sex : MALE

V. Religion : HINDU

VI. Community : BC

VII. Name of the School : GHSS(B) THIRUMAKKOTTAI

VIII. Standard : VI

IX . Admission Number : 7993

X. Aadhar Number : 659711007350

XI. EMIS Number :NO

XII. UDISE Number : 33200804205

XIII. Type of Disability : SI

XIV. Associated condition :-

XV. Mother Tongue of the CWSN : TAMIL

XVI. Child preferred hand : RIGHT

XVII. Name of the parent :THANGAMANI

XVIII. Address for communication SOUTH ST,GOVINTHANATHAM

XIX. Contact number :NO

XX. National Identify card : NO

XXI. Identify card Number :NO

XXII. Percentage of Disability :NO

XXIII. Blood Group :NO

XXIV. Age of onset :11YEARS

XXV. Birth History :NORMAL

XXVI. Medical History :NORMAL

XXVII. Family History : -

XXVIII. Socio Economic condition of the Family : BPL

XXIX. Whether barrier free environment provided : Yes

XXX. Intervention needed :YES

A. Medical : Yes

B. Special Education : Yes

C. Therapy :-

S.No Name Relationship Age Education Occupation Remarks

I

2

THANGAMANI

RATHIGA FATHER

MOTHER

38

32

VIII

V

COOLI

COOLI

XXXI. Assistive Devices needed / in use :-

XXXII. Assistive Devices distributed by :-

XXXIII. Type of benefit the child receiving :-

XXXIV. Name of the special educator : CR.SANGEETHA

XXXV. Special Educator Qualification :DSE(MR)

XXXVI. Name of the physiotherapist : KOWSALYA

XXXVII. IMPROVEMENT DETAILS:

Name of the

Skills

Ist

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me

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4th

mo

nth

(Da

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)

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me

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5th

mo

nth

(Da

te o

f v

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)

Gra

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of

De

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lop

me

nt

6th

mo

nth

(Da

te o

f v

isit

)

Gra

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of

De

ve

lop

me

nt

7th

mo

nth

(Da

te o

f v

isit

)

Gra

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of

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ve

lop

me

nt

8th

mo

nth

(Da

te o

f v

isit

)

Gra

de

of

De

ve

lop

me

nt

9th

mo

nth

(Da

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f v

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)

Gra

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of

De

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me

nt

I0th

mo

nth

(Da

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f v

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)

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of

De

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lop

me

nt

IIth

mo

nth

(Da

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)

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I2th

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I Motor skills

- A - A

30.8.

17 A

21.9.

17 A

a) Gross motor

-- A - A

30.8.

17 A

21.9.

17 A

b) Fine motor

- A - A

30.8.

17 A

21.9.

17 A

2 Functional

Skills - A - A

30.8.

17 A

21.9.

17 A

3 Social Skills

-- A - A

30.8.

17 A

21.9.

17 A

4 Behavior Skills

- B - B

30.8.

17 B

21.9.

17 B

5 Sensory Skills

- A - A

30.8.

17 A

21.9.

17 A

6 Communication

Skills ---- C - C

30.8.

17 C

21.9.

17 C

7 Cognitive Skills

- B - B

30.8.

17 B

21.9.

17 B

8 curricular

Activities - B - B

30.8.

17 B

21.9.

17 B

a) Reading Skill

- B - B

30.8.

17 B

21.9.

17 B

b) Writing Skills

- C - C

30.8.

17 C

21.9.

17 C

c) Arithmetic Skill

- D - D

30.8.

17 D

21.9.

17 D

-

SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT

INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)

CASE HISTORY

332008016 Name of the CWSN : M.SUNTHARAVALLI

I.Name of the Block : KOTTUR

II. Date of Birth : I5/04/2002

III. Age : I4