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AHMEDABAD MUNICIPAL CORPORATION PUBLIC HEALTH RETURN
PART-1
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* Indicates required question
Name of School
*
Your answer
Name of Principal
*
Your answer
Contact detail of principal
*
Your answer
Address of School
*
Your answer
Phone No (R)
*
Your answer
Fax No
*
Your answer
E-mail Address
*
Your answer
Name of Nodal Person ( સ્કુલ દ્વારા નિયુક્ત કરેલ વ્યક્તિ જે ઓનલાઈન ફોર્મ ભરશે.)
*
Person from school who is filling form
Your answer
Contact number of Nodal Person
*
Your answer
Total Number of School Teachers
*
Your answer
Total Number of School Students
*
Your answer
No. of Students in Pre-School
Your answer
No. of Students in Primary School
Your answer
No. of students in Secondary School
Your answer
No. of students in Higher Secondary School
Your answer
"Does school maintain vaccination status of school students?"
*
Yes
No
Required
Dose school has separate Urinal/Toilet facilities for male and female?
Choose
Yes
No
Number of Urinal for Students
1
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>11
Male
Female
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10
>11
Male
Female
Clear selection
Number of Toilets for Students
1
2
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8
9
10
>11
Male
Female
1
2
3
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5
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8
9
10
>11
Male
Female
Clear selection
Number of Urinal for Teachers & other staff
1
2
3
4
5
6
7
8
9
10
>11
Male
Female
1
2
3
4
5
6
7
8
9
10
>11
Male
Female
Clear selection
Number of Toilets for Teachers & other staff
1
2
3
4
5
6
7
8
9
10
>11
Male
Female
1
2
3
4
5
6
7
8
9
10
>11
Male
Female
Clear selection
Submit
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