Format- II

SSA –KGBV Residential School-2019-20

VISIT FORMAT-A

District: Salem Block: Tharamangalam Location: Chinnappampatti

Date: Time in & out :
Name and contact no. of the Visiting Official :

Address & Contact no. of the KGBV School: Near GHSS, Jalagandapuram Main Road,
Chinnappampatti,Tharamangalam,Salem-636306. Ph.No: 9585780939.
Name of the NGO: Dr. Renuka Oliver Contact No of the NGO:
Name of Mothers Association President: Thangamani Contact No. of President:
Name of the BRC Supervisor : S.A.R.Arumugam Contact No. of the Supervisor:

1. No. of girls Enrolled : 50

2. Average Attendance for the Previous Month : 48
3. Absent for 10 days and more :2
4. KGBV School Staff particulars as on ……. :
S. Whether Date of
Name of the Educational
No Subject Qualified Joining in Contact No.
Staff Qualification
. in TET KGBV
M.Dhanalakhmi M.A.,B.Ed., Yes 01.11.2017 9585780939
1 Warden
P.Punithavathi B.Lit.,B.Ed., Yes 25.10.2018 9442461319
2 Tamil
M.Dhanalakhmi M.A.,B.Ed., Yes 01.11.2017 9585780939
3 English
M.Sumathi M.Sc.,B.Ed., Yes 01.06.2019 9597965697
4 Maths
A.Gowthami B.Sc.,B.Ed., No 14.06.2019 9787220515
5 Science
K.Poorani M.A.,B.Ed., No 12.06.2019 8682900564
6 Social
J.Rathi B.A.,C.P.Ed.,P.G.Yoga., - 21.05.2018 8056278668
7 P.ET.
Science
K.Kausalya MCA., - 24.10.2016 9500025675
8 Computer
K.Banumathi 12th, Typing - 10.08.2017 9965274417
9 Vocational
A.Uma B.com., CA., Tally - 02.10.2014 9843114766
10 Accountant
P.Jansi DMLT - 03.01.2014 8098551388
11 Office Asst.
M.Indhirani - - 8760935666
12 Head Cook

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 Latha - -
13 Asst. Cook
14 Asst.
-1 Cook
15 Watchman
-2

For Q. No. 5, 6,7 & 8 Stock & issue Registers are to be verified
5. Details of things provided to girls in the beginning of academic year
S. Item No. of girls No. of girls Date of
No. provided yet to be Issue
provided
1 2 Towels
2 Canvas Shoe &
2 pairs of Socks
3 Karate Dress
4 Scout & Guide Uniform
5 Inner wear
6 Bucket & Mug
7 Track suit with coat
8 Any other item

6. Details of things provided to girls in the beginning of every month

S. Item No. of girls No. of girls Date of
No. provided for the yet to be Issue
visiting month provided
1 Bathing soap
2 Washing soap
3 Hair oil
4 Paste
5 Talcum powder
6 Shampoo
7
8
9
10

7. Details of No cost items provided to girls for every term

S. Item No. of girls No. of girls Date of
No. provided yet to be Issue
(Term I/II/III) provided
1 Uniform
2 Text books
3 Note books
4 School Bag
5 Geometry box

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 6 Atlas
7 Crayons
8 Slippers
9
10

8. Details of Stationery items provided to girls so far

S. Item No. of girls No. of girls yet Last Date
No. provided to be provided of Issue
1 Pen
2 Pencil
3 Eraser
4 sharpener
5 Brush
6 Paste
7 Shop
8 Ponvandu shop
9 Shampoo
10 powder

9. Whether stipend amount is deposited in post office/bank for every month. Yes/No
(Check the individual pass books).
No. of Girls covered during the visiting month:
Total amount Deposited for the visiting month:
10. (a) Food supplied to girls (Mention Day and menu item of Visit):
(b) Food licence No. & Validity date : Yes( 27.06.2017 to 26.06.2020)
Item Good Average Needs
attention
Quality of food Good
Quantity of food Good
Hygiene and cleanliness of kitchen Good
Food timings maintained Good
Menu Time table followed Good
Good

(c) Whether groceries and toiletries are purchased through purchase committee for
every month: Yes
11. Vocational Activities:
(i) Whether Tailoring syllabus followed properly. Yes

(ii) Write gist of Vocational/Specific Skill activities for this month.

VI-Kerchief, Wollen Thread work, Embroidery work

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 VII-Pillow cover, Post Cover, Embroidery work
VIII-Sudi Top Paper cutting, Wollen thread work, Purse mate, Embroidery
work
(iii) Performance of girls in Vocational/Specific Skill Activities.
(Good/Average/Needs Attention)
Tailoring Yoga Music Handcrafts Dance Others (Mention
name of the activity)
VI Good Good Good Good Karate, Drawing
VII Good Good Good Good Karate, Drawing
VIII Good Good Good Good Karate, Drawing

12. Performance of girls in physical Education

(i) Whether physical Education syllabus followed properly. Yes
(ii) Whether sufficient play materials available for girls.(Write Gist)
Carrom, chess, volley ball, Skipping, Ring ball, bat mitten, Eetti, Thatterithal,
Weight lift, cone

(iii) Whether UNICEF sports kit available - Yes

(iv) Whether Personal Hygiene (Clean dress, combed hair, cut nail, etc.,) of girls
is maintained: Yes
(v) Whether Chess club is formed in this KGBV. Yes
(vi) Whether girls participated Block, District, Zonal, State, National level
Sports competitions. (Write Gist)- No

13. Computer Education

(i) Whether Computer Education syllabus followed properly- Yes
(ii) Whether all the girls are given hands on training – Yes

14. Medical check-up

(i) Whether Medical check-up is conducted for every month:
(ii) Mention the date and name of the Doctor/VHN conducted medical checkup
recently : 21.09.2019 &
VHN : 08.08.2019 & A.Priya VHN,

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(iii)
Name of the girls referred Problem identified Follow up action
for further treatment
- - -
- - -
- - -
- - -

(iv) BMI Chart of the children (Verify Health Register)

No. of Children With
Total girls
Under Over
enrolled Normal Obesity
Weight Weight
50 0 0

10. Whether children are provided with free sanitary napkin by PH Centres. Yes
11. No. of children covered under insurance coverage. – 50 Children
12. No. of children yet to be covered under insurance coverage - 0
13.Whether any maintenance work is done for this month. -No

14. Is there any need of Maintenance work for next month.

(Mention the name of the work and tentative cost of it)

15.Whether riding Bicycles are taught: Yes

16.Whether Solar Lamp is in Usage: No
17.Whether inverter/ Battery is available: Yes
18. Whether Mothers Association Meeting is periodically conducted Yes/No (verify
Minutes). Yes
a. Last date of Meeting: Last date of Meeting: 21.09.2019

b. No.of parents participated: 14. Mother- 10 Father - 4 Total - 14.

c. Gist of the meeting:

19. Name of the school functions celebrated during this academic year:

20. Extracurricular activities (mention the names of girls having excellent talent in

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 drawing/singing/ sports/any other activity):
Name of the girl Class Talented in
G.Aarthi,A.Sathiya,G.Thenmozhi, VIII Drawing, dance
P.subhasri, R.Manimegala
V.Nithya,A.Gokila,G.Dharshini, VII Drawing, dance
R.Sangeetha
M.ThenMozhi, V.Dharshini, VI Drawing, dance
S.Nivedha
T.Harni VII Singing

21. Co-curricular activities

a. Library usage
(i) Whether all the girls use library books: Yes
(ii) Whether the creativities of each girl is compiled: Yes
b. Club activities
(i) Name of the clubs formed in KGBV Schools:
(ii) Write the gist of activities conducted in last 3 month

22. CCTV Details

(i) Name of the Places where CCTV installed: Ground, Kitchen, Class room, Steps
(ii) Whether CCTVs are in working condition: Yes
(iii) Backup storage – No.of days: 30
23. Mainstreamed details:
(i) No. girls completed VIII std in 2018-19: 18
(ii) No. of girls mainstreamed sofar: 0
(iii) No. of Girls Admitted in RMSA Girls Hostels: 14
(iv)No. of Girls Admitted in other department Welfare Hostels: 0
24. Expenditure details -2019-20:
Fund
Opening
Received Interest Total Expenditure
Balance
From and other Fund upto the Closing
of the KGBV
SPO so Receipts Available month Balance
( 01.04.2019)
far

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25. Registers to be verified
S.No. Name of the Registers Whether Register Whethe Register is
is available updated to till date
1. Admission Yes Yes
2. Attendance for girls & staff members Yes Yes
3. Permission, Movement and leave Yes Yes
Register for girls & staff members
4. Acquittance Yes Yes
5. Cash book Yes Yes
6. Passbook Yes Yes
7. stipend Yes Yes
8. Voucher file Yes Yes
9. Ledger Yes Yes
10. Stock Register for consumable articles Yes Yes
11. Stock Register for permanent articles Yes Yes
12. Issue Register Yes Yes
13. Medical examination report & follow up Yes Yes
14. Daily routine lesson plan, Yes Yes
15. CCE Activities and Evaluation Register Yes Yes
16. Mothers’ association Yes Yes
17. Purchase committee Yes Yes
18 Visitors book Yes Yes

26. Infrastructure Facilities

Nature of facilities Status Good Average Needs
attention
Campus cleanliness Good
Class room maintenance Maintenance Good
Building maintenance Maintenance Good
Toilet and bathroom Maintenance Good
Ground level sump Maintenance Good
Over Head tank Maintenance Good
Septic tank Maintenance Good
Incinerator Maintenance Good
Fire extinguisher Good
R.O. Plant Good
Cloth – wash and dry area Maintenance Good
Electrical equipments Maintenance Good

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 Kitchen equipments Good
Bed/Bedding Maintenance Good
Kitchen garden Good
Computer & LCD Maintenance
Good
Monitor
Tailoring Machine Maintenance Good
Usage of Library Maintenance Good
Classroom Furniture Maintenance Good
Hostel Furniture Maintenance Good
Classroom Board Maintenance Good
Television Maintenance Good
DVD Player Maintenance Good
RO Maintenance Good
27.Availability of certificates
Name of the Availability (Yes/No) Date obtained Expiry Date
Certificate
Food Licence Yes
Fire Safety Yes
Electrical Licence Yes
Building Stability Yes
Building Licence Yes

from Tahsildar
Sanitation Yes
Any other

28. Monitoring of KGBV School 2019-20

Officials No. of visits No. of Visits Any Specific remarks
S.No. During The Upto the
Month Month
1 Addl. CEO - - -
2 DEO/DEEO - - -
3 APO 1 1 -
4 District Co-ordinator/ AAM - - -
5 AEEO/Addl.AEEO - - -
6 BRC Supervisor 3 3 -
7 Block KGBV Co-ordinator 3 3 -
8 Other BRTES in the Block 9 9 -
9 Any other officials

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29. General Comments and observation ( Overall impression, relationship of teacher and
children, children’s issues, teachers’ issues, security or any other)

Signature of the APO:

Signature of the KGBV DC:

Signature of the Supervisor:

Signature of the Block KGBV Coordinator :

Signature of the BRTE:

VISIT FORMAT-B

District:Salem Block: Tharamangalam Location:Chinnappampatti

Date: Time in & out :

Name and contact no. of the Visiting Official:

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 1. Children Particulars 2019-20
Class wise Enrollment Present
(Achievement based) (On the Day of Visit)
STD/
Basic VI VII VIII TOTAL Basic VI VII VIII TOTAL
COMM
SC
ST
MBC
BC
OC
Muslim Minority
Christian Minority
Total

Age wise Enrolment (Verify Records)

AGE/ 11 12 13 14 TOTAL
COMM
SC
ST
MBC
BC
OC
Muslim Minority
Christian Minority
Total

No.of CWSN girls enrolled

HI VI OI MR MUL LD CP Others Total

-
- - - - - - - -

Drop- Never Orphan Single Over Age ( 14+) Children Children HIV
out Enrolled Children Parent of of HIV affected
Children Scavenge affected Children

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 parents
rs Parents

0 0
50 0 0 5 0 0

2. Performance of Children
Baseline survey of Children ( From the entry level to Present level)
Tamil Reading Skills English Reading Skills
Name of the Not Identify Reading Reading Not able Identify Reading Reading
std able to the with Fluently to Read the with Fluently
Student
Read Letters Mistakes Letters Mistakes
only only

Tamil Writing Skills English Writing Skills Maths Skills

Do
Name of the arithmetic Know
std Not Writing Not Writing Not
child Writing Writing Operations Arithmetic
able to with able to with able to
Fluently Fluently with the Operations
write Mistakes write Mistakes do
help of
teachers

3. Academic Activities & Performance

(i) Whether Time table is followed properly: Yes/No
(ii) Adherence to the syllabus and daily routine Yes/No
(iii) Whether SABL and ALM methodology is followed Yes/No
(iv) Children Evaluation-CCE Activities
Whether the following activities are carried out for the completed lessons in each
subject (Yes/No).

Subject VI VII VIII

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 FA(a) FA(b) FA(a) FA(b) FA(a) FA(b)
Tamil Yes Yes Yes Yes Yes Yes
English Yes Yes Yes Yes Yes Yes
Maths Yes Yes Yes Yes Yes Yes
Science Yes Yes Yes Yes Yes Yes
Social Science Yes Yes Yes Yes Yes Yes

Examine the test papers/progress report /assignments students have been given/ and the
kind of assessment that has been carried out
Low Performance children
Name of the Class Subject Level Action Result
children taken
M.Saritha,J.Sathya, VI Tamil, English,
I.Bhavani, Maths
M.Deepadharshina VII Tamil, English,
M.Krishnaveni Maths
S.Devi VIII Tamil, English,
Maths

(v) Teacher related (Separate Annexure)

No. of Teachers Training given

Name of the Training No. of Days
attended by

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Signature of the APO:

Signature of the KGBV DC:

Signature of the Supervisor:

Signature of the Block KGBV Coordinator :

Signature of the BRTE:

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