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Pathanam Forms
OUR SERVICES
Rural School Registration Forms for
Enrolling in Pathanam Programs
Basic School Information
Name of the School
Full Address (With Landmark & Pincode)
District & State
School Contact Number (Landline/Mobile)
Official School Email ID
School Website (If available)
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Principal/Headmaster Details
Name of the Principal or Head of School
Name of the School
Mobile Number (WhatsApp Enabled)
Email ID
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Coordinator Details (For Pathanam Programs)
Name of the School
Name of Coordinator 1
Mobile Number
Email ID
Name of Coordinator 2 (If any)
Mobile Number
Email ID
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School Classification Details
Name of the School
Type of School (Choose One)
Private Unaided
Private Aided
Government
Government Sponsored
Missionary/NGO-run
Medium of Instruction (Bengali, English, Hindi, Others)
Board Affiliation (Non Affiliated WBBSE, CBSE, ICSE, West Bengal Board of Primary Education, Others.)
Year of Establishment
School Recognition (UDISE)/Affiliation Number (If any)
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Academic & Operational Details
Name of the School
Total Number of Students Enrolled
Classes Offered (e.g., Pre-Nursery to Class 4)
Total Number of Teachers
Digital Infrastructure Available (Choose the Options that You have)
Smart Classrooms
Projector
TV/LED
Internet Connectivity
Laptop/Desktop
Mobile Phone with WhatsApp
Speaker
Printer/Scanner
Programs of Interest (Tick One or More)
Pathanam Jigyasa – Rural Digital Classroom Support with AIL
Each to Teach – Student to Student Mentorship Program
Teacher Training – Blended CPD for Rural Teachers
Pathanam Knowledge Management Digital Apparatus Support for School Automation
Quizzical & Workshops - Experiential Learning Programs
Book Boulevard - Knowledge sharing through Book Donations
Others (Please Specifyon our WhatsApp Number - +91 97486 06178)
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Readiness for Partnership
Name of the School
Are you willing to Host Virtual Classes Regularly for Students? (Yes/No)
Do your Teachers have Basic Digital Skills for attending Google Meet sessions? (Yes/No)
Preferred Language of Communication with Pathanam: English, Hindi, Bengali, Others
Previous Experience/s with NGOs/Collaborative Education Programs: (Yes/No, brief details if Yes)
Count of B.Ed, D.EL.ED, Montessori Trained Teachers or any other Teacher Training?
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