Directorate of Education

Module for submission of forms for Scheme Invitation for Pvt. Academies/ Individual/ NGOs in development of Dance, Music, Theatre, Fine Arts & Crafts in School of Dte. of Education, GNCT of Delhi.
1	Registration Id		201800050
2	Applying for		Theatre
3	Sub category		Any Other
4	Applying As		Individual
	For Applying as Individual
5	Name			Pankaj
6	Name of concern person Individual			Pankaj
7	Mobile No			9899202464
8	E-mail			urja149@gmail.com
9	Address of Existing Training Facilities Individual			95/2 chota hasnpur
10	Educational Qualification			1.5 year experince
11	Professional Qualification of the field applying for			diploma
12	Achievements in the field			stage play nd street play
13	Previous Experience of providing Training			street children
14	Achievements of the trainees undergone training in the last three years			6month
15	Brief of work done in about 100 words			theatre experince for asmita theatre 1.5years
16	Any Previous Trainig collaboration With Any Govt.Body/organization			no
17	cumulative no.of trainees in past three years			0
18	Whether willing for more than one subject			Yes
	If yes, then the details of other subject
	Details of school Applying for
	ID And Name of the School	Subject applying	Sub Category	No. of trainers to be engaged	Expected no. of trainees to be enrolled	Whether training will be provided during school hours	Details of area/space required for training
	1002189-Patparganj, I.P. Extn- Sarvodaya (Co-ed) SSS	Theatre	Any Other	1	1	both	25
19	Whether willing to provide training in more than 5 schools			No

DECLARATION BY THE APPLICANT(TO BE FILLED BY THE APPLICANT) It is certified that all the above information furnished by me is correct to the best of my knowledge and nothing has been concealed there from. I hereby declare that i have attached hard copies containing Details of trainers & their professional qualification and place where they are providing training with number of trainees.
	(Signature of the Person) :