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		201800222
2	Applying for		Theatre
3	Sub category		Any Other
4	Applying As		Individual
	For Applying as Individual
5	Name			Deepak Adhikari
6	Name of concern person Individual			Deepak Adhikari
7	Mobile No			9643987984
8	E-mail			DEEPSUNNY.SDHIKARI@GMAIL.COM
9	Address of Existing Training Facilities Individual			WB-146, Shakarrpur, Delhi-110092
10	Educational Qualification			12th,
11	Professional Qualification of the field applying for			working with asmitah
12	Achievements in the field			More than 1200 street and 110 stage performances
13	Previous Experience of providing Training			6 workshop handled in asmitah theatre group with under guidance of Arvind Gaur
14	Achievements of the trainees undergone training in the last three years			doing theatre in Delhi & mumbai
15	Brief of work done in about 100 words			actively involved in socio-political theatre for awareness and change through street plays
16	Any Previous Trainig collaboration With Any Govt.Body/organization			6 workshop handled in asmitah theatre group with u
17	cumulative no.of trainees in past three years			50
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
	1001009-Anand Vihar-SKV	Theatre	Historical	2	80	After	250
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) :