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    Extension Proforma at HSSC Level

    Uploaded by

    Amir Hayat
    This document is an application for extension of affiliation at the HSSC level from an educational institution. It includes details such as the name and contact information of the institution and head, medium of instruction, subjects and student enrollment numbers by group for the previous year, as well as information on staff, library resources, examination hall specifications, and classrooms. The application is seeking continued affiliation for the upcoming session.

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    Extension Proforma at HSSC Level

    Uploaded by

    Amir Hayat
    16 views2 pages
    This document is an application for extension of affiliation at the HSSC level from an educational institution. It includes details such as the name and contact information of the institution and head, medium of instruction, subjects and student enrollment numbers by group for the previous year, as well as information on staff, library resources, examination hall specifications, and classrooms. The application is seeking continued affiliation for the upcoming session.

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    Extension Proforma at HSSC Level

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    This document is an application for extension of affiliation at the HSSC level from an educational institution. It includes details such as the name and contact information of the institution and head, medium of instruction, subjects and student enrollment numbers by group for the previous year, as well as information on staff, library resources, examination hall specifications, and classrooms. The application is seeking continued affiliation for the upcoming session.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    16 views2 pages

    Extension Proforma at HSSC Level

    Uploaded by

    Amir Hayat
    This document is an application for extension of affiliation at the HSSC level from an educational institution. It includes details such as the name and contact information of the institution and head, medium of instruction, subjects and student enrollment numbers by group for the previous year, as well as information on staff, library resources, examination hall specifications, and classrooms. The application is seeking continued affiliation for the upcoming session.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    APPLICATION FOR EXTENSION IN AFFILIATION FOR THE SESSION_________

    AT HSSC LEVEL
    1. Name of Institution ……………………………………………………………………………………..

    2. Telephone No. ……………..….….… Fax No. ………...….………… Cell No. ……...………………

    3. Name of Head of Institution ………………………………………………..Qualifications ………...…

    4. Medium of Instructions…………….……..… E-mail………………………………………………….

    Group wise strength of


    students admitted in 1st
    Group(s) Subject (s) offered year (HSSC-I) in the
    year 201___
    Boys Girls
    i. Pre-Medical
    ii. Pre-Engineering
    iii. Commerce

    iv. Science General

    v. Humanities

    vi. Medical Tech

    Note: Request pertaining to introduction of new group(s) / subject(s) at HSSC level may be furnished separately.

    6. Staff statement (Proforma attached)


    7. DPE/PTI (Male/Female)
    a) Name with qualification……………………………………………………………..….
    b) Name with qualification…………………………………………………………………
    8. Librarian / Lib Assistant
    a) Name with qualification……………………………………………………………..….
    b) Name with qualification…………………………………………………………………

    Note: Attach photo copies of appointment letters, joining reports and testimonials of DPE / PTI and Librarian / Lib
    Assistant if they have been appointed in the current session.

    9. Fee for extension in affiliation deposited vide DD/Pay order…………………………………...………


    Dated………………………… amounting to Rs/US $ ………………………………….

    SEAL & SIGNATURE OF


    HEAD OF THE INSTITUTION
    (Note: Seal may carry name of Head of school/college)
    Examination Hall / Auditorium Specification:

    a. Name and Address of Institution:…………………………………………………………………………

    …………………………………………………………………………………………………………….

    b. Telephone # ………………………………........... c. Fax # ………………………………………

    d. Does Hall / Auditorium exist in the institution: …………………………………………………………..

    e. Size of Hall (in terms of width / length) ………………………………………………………………….

    f. Seating capacity (from examination point of view) …...............................................................................

    g. Furniture available (indicate items) ………………………………………………………………………

    h. Number of fans …………………………….……. i. Number of tube lights ……………...……..

    Classrooms:

    (i) Availability of classrooms (in case hall/auditorium does not exist) ……………………………….Y/N.

    (ii) Size of class rooms (that can accommodate 30 students during exams) ………………………………..

    (iii) No of class rooms ……………………………….

    SEAL & SIGNATURE OF


    HEAD OF THE INSTITUTION
    (Note: Seal may carry name of Head of school/college)

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