DISE Code of the School:
Name of the School:
DISE Code of the School:
Block of the School:
District of the School:
State of the School:
Name of the HM :
HM Mobile Number:
Email ID (Optional):
Year of Establishment:
Type of School:
Co-Education
Boys
Girls
School Category:
Government
ADW
Aided
Details of School:
H.S.S
High
Middle School
Primary School
No.of Classrooms:
Strength of Students:
Boys
Girls
Total
No of Teachers:
Male
Female
Total
Non Teaching Staff:
Male
Female
Total
No.of Cooks and Helping staff:
Male
Female
Total
Attendance (Daily Average) - Boys (in%):
Attendance (Daily Average) - Girls (in%):
Average Drop-Out Student yearly(in%):
Boys
Girls
Total
Average No of Students Absent due to
sickness monthly (in%):
Common Cause of Absenteeism :
Diarrhea
Fever
Stomach Ache
Typhoid
Malaria
Cold & Cough
Any Other
Any IEC on School Walls:
Yes
No
No. of Students Toilet Complexes
Boys
Girls
No. of Teachers Toilet Complexes
Male
Female
No. of Urinals/ Water closets (Toilets):
Boys:
Urinals -
Toilets -
Girls:
Urinals -
Toilets -
Current condition of Existing Boys Toilets:
Good
Poor
Current condition of Existing Girls Toilets:
Good
Poor
Current condition of Existing Teachers Toilets:
Good
Poor
Existing ways of Disposing Human Waste:
Leach Pit & Soak Pit
Septic Tank
Drainage Facility
Water Availability in School:
Yes
No
No. of Hand Washing Stations:
No.of Taps :
Any other agency working in WASH:
Yes
No
Agency Details:
Specify the topics covered:
Menstrual Hygiene Related:
Yes
No
Children Awareness on MHM & Sanitary Pads:
Boys:
Yes
No
Girls:
Yes
No
Is Vending machine for Sanitary pads available:
Yes
No
Whether working?
Yes
No
Disposal methods of used sanitary napkins
Electric Incinerator
Manual Incinerator
Burning in open
Engagement of SMC/Parents in WASH related Programmes
Yes
No
Remarks / Comments:
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