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		201800203
2	Applying for		Theatre
3	Sub category		Any Other
4	Applying As		Individual
	For Applying as Individual
5	Name			Shashank Verma
6	Name of concern person Individual			Shashank Verma
7	Mobile No			9654233143
8	E-mail			vermashashank721991@gmail.com
9	Address of Existing Training Facilities Individual			J-2, 113 A, DDA Flats, Kalkaji
10	Educational Qualification			B. Tech.
11	Professional Qualification of the field applying for			4 years professional
12	Achievements in the field			More than 2500 street and 500 stage performances.
13	Previous Experience of providing Training			2 years of experience in SKV, No. 1, Yamuna Vihar and GBSSS, Shastri Park. Also taking classes in Va
14	Achievements of the trainees undergone training in the last three years			2nd prize in inter school competition
15	Brief of work done in about 100 words			actively involved in socio-political theatre of awareness and change directed towards making a bette
16	Any Previous Trainig collaboration With Any Govt.Body/organization			Yes. Delhi Govt. scheme for 54 model schools. Have
17	cumulative no.of trainees in past three years			99
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
	1001002-Vivek Vihar-SBV	Theatre	Any Other	1	50	During	20
	1001009-Anand Vihar-SKV	Theatre	Any Other	1	50	During	20
	1001012-Vivek Vihar-GBSS	Theatre	Any Other	1	50	During	20
	1001022-Vivek Vihar- SKV	Theatre	Any Other	1	50	During	20
	1001102-Surajmal Vihar-SKV	Theatre	Any Other	1	50	During	20
	1001104-Surajmal Vihar-RPVV	Theatre	Any Other	1	50	During	20
	1001026-Vivek Vihar,Phase-II-GGSSS	Theatre	Any Other	1	50	During	20
	1001006-Surajmal Vihar–SBV	Theatre	Any Other	1	50	During	20
	1001208-Anand Vihar - SBV	Theatre	Any Other	1	50	During	20
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) :