Annexure (A)
APPLICATION FORM FOR REGISTRATION / NOC / RENEWAL /
UPGRADATION OF PRIVATE INSTITUTIONS, BALOCHISTAN
HIGHER
PRIMARY MIDDLE HIGH OTHERS
SECONDARY
FIRST TIME REGISTRATION /
NOC
RENEWAL OF REGISTRATION
/ NOC:
PRIMARY TO MIDDLE TO HIGH TO HIGHER
OTHERS
MIDDLE HIGH SECONDARY
UP-GRADATION FROM:
REGISTRATION FEE DEPOSIT INFORMATION
The applicant may deposit the fee using any one of the options below:
Option A:
Deposit Bank:
Account title: Directorate of Education (Schools) Balochistan Quetta Private School Fee
Bank: UBL Qawary Road Branch Quetta
Option B:
Bank draft on the name of “Director of Education (Schools) Balochistan Quetta”
Important Note:
The Operator shall submit the following Registration fee along with application Form and
requisite documents.
THE INSTITUTION SHALL DEPOSIT THE FOLLOWING FEE
HIGHER
PRIMARY MIDDLE HIGH
SECONDARY
FIRST TIME Rs. 15,000/- Rs. 15,000/- Rs. 15,000/- Rs. 15,000/-
REGISTRATION / for two years for two years for two years for two years
NOC
RENEWAL OF Rs. 6,000 Rs. 8,000 Rs. 15,000
Rs. 10,000
REGISTRATION / for two years for two Years for two years;
for two Years
NOC:
Fee for change
of Name of Rs. 1,000/- Rs. 1,000/- Rs. 1,000/- Rs. 1,000/-
School
Rs. 1,000/- Rs. 1,000/- Rs. 1,000/- Rs. 1,000/-
Along with an Along with an Along with an Along with an
Fee for loss of
affidavit (Rs. 20) affidavit (Rs. 20) affidavit (Rs. 20) affidavit (Rs. 20)
NOC /
stating therein stating therein stating therein stating therein
Registration
that the original that the original that the original that the original
Certificate
has been lost, has been lost, has been lost, has been lost,
applies for applies for applies for applies for
Annexure (A)
duplicate duplicate duplicate duplicate
certificate certificate certificate certificate
Fee for Change
of School
Rs. 5,000/- Rs. 5,000/- Rs. 5,000/- Rs. 5,000/-
Management /
Ownership
THE INSTITUTION SHALL SUBMIT FOLLOWING FEE AS UPGRADATION CHARGES:
HIGH TO HIGHER
PRIMARY TO MIDDLE MIDDLE TO HIGH
SECONDARY
UP- Rs: 8,000/-; Rs: 10,000/- Rs: 15,000/-
GRADATION (a) Up gradation from Up gradation from Up gradation from
Primary to Middle, for Middle to Secondary Secondary to Higher
two years from the date of Level School—Rs. Secondary
up gradation; 10,000/- for two years School/College Rs.
from the date of up 15,000/- for two years
Upgradation certificate gradation; from the date of up
shall be subject to Upgradation
gradation.
inspection of the schools certificate shall be
Upgradation certificate
and based on fulfillment subject to inspection
of the schools and shall be subject to
of requirement for
based on fulfillment of inspection of the schools
upgradation subject
requirement for and based on fulfillment
school shall be awarded
upgradation subject of requirement for
upgradation certificate for
school shall be upgradation subject
that level.
awarded upgradation school shall be awarded
certificate for that upgradation certificate
level. for that level.
1. Detail of Applicant/Operator/Owner of institution
A) Name: ____________________________________ S/O, D/O, W/O:___________________________
B) CNIC: 5 4 3 0 2 - 4 4 8 5 1 2 7 - 5
C) Qualification: ____________________ D) Contact No: ____________________________
E) Fax: ___________________________
F) Mailing Address: ________________________________________________________________
G) NTN. No. ________________________________________________________________________
H) Audit Report. ____________________________________________________________________
2. Proposed name of the Institution:
__________________________________________________________________________________
Annexure (A)
Address: __________________________________________________________________________
UC: _____________________________ Tehsil/Town: _____________________________________________
District: ____________________________ Urban/Rural: ____________________________________
GPS Coordinates: Latitude:______________ Longitude:______________________
3. TYPE OF INSTITUTION
BOYS GIRLS GENDER FREE
4. MEDIUM OF INSTRUCTION
URDU ENGLISH BOTH
5. DATE OF ESTABLISHMENT
Date Month Year
YES NO
Has the institute previously received recognition from Education
Department/
(A)
Balochistan Education Foundation (BEF)?
(If yes, copy of registration may be enclosed)
Has the institute previously received NOC from Balochistan
Education Foundation (BEF) /Education Department?
(B)
(If yes, copy of registration may be enclosed)
6. If yes, registration No & date:
REGISTRATION NO DATE
7. Academic Session (Winter/Summer)
WINTER ZONE SUMMER ZONE
8. Other Branches of the Institution Operating in Balochistan or other parts of Pakistan: (if YES
the detail of branches may be enclosed)
YES NO
Annexure (A)
9. Society Registered (Optional)
YES NO
If YES, Date & Registration Number:
(DD/MM/YY): _____________ .Reg No.: __________ __.
10. DETAIL OF INSTITUTION BUILDING
(a) The Institution building is:
OWNED RENTED
(b) Name of the owner of building ___________________________________________________
CNIC NO:
5 4 3 0 2 - 4 4 8 5 1 2 7 - 5
(c) Contact #:
(d) Indicate Monthly Rent:
(e) In figure Rs: ___________________In Words Rupees: ___________________________________
(f) Total Land Area in possession of the institution (in Sq./ ft): ____________________________
(g) Wheatear the Building is used for any other purpose during or after the working of
institution;
YES NO
If YES, for what purpose:
__________________________________________________________________________________________
11. DETAILS OF CLASS ROOMS, LABORATORY FACILITIES, LIBRARY, LECTURE HALL/ AUDITORIUM
OTHER INFRASTRUCTURE ETC.
(Copy of sketch specifying room sizes to be attached)
SIZE OF
DETAILS KACHA PAKA MIX TOTAL
ROOM
Class Rooms (Primary)
Class Rooms (Middle)
Annexure (A)
Class Rooms (High)
Class Rooms Higher
Secondary
Office (Head/Principal)
STAFF Room
Library
Lecture Hall
Auditorium
DETAILS OF TOILETS KACHA PAKA MIX WATER AVAILABLE SOAP AVAILABLE
YES/ NO YES/NO
Toilets for Staff
Toilets for Boys
Toilets for Girls
DETAILS OF OTHER INFRASTRUCTURE YES/NO TOTAL COVERED AREA OF PLAYED GROUND IN
SQR FT
Play Ground
Cafeteria/Canteen/tuck hoop
DETAILS SCIENCE LAB YES/NO TOTAL COVERED AREA OF SCIENCE LAB IN SQR FT
Science lab available
Water facility available at Lab
Fire extinguisher available
First aid facility available at lab
12. DETAILS OF LABORATORIES MAINTAINED AND THEIR EQUIPMENT / APPARATUS
Please provide subject wise details of apparatus/ equipment along with its quantity on separate sheet as
per prescribed table.
PHYSICS LABORATORY
S.No Name of Equipment /Apparatus Quantity of Apparatus Available in Laboratory
Note: (copy may be attached)
BIOLOGY LABORATORY
S.No Name of Equipment /Apparatus Quantity of Apparatus Available in Laboratory
Note: (copy may be attached)
Annexure (A)
CHEMISTRY LABORATORY
S.No Name of Equipment /Apparatus Quantity of Apparatus Available in Laboratory
Note: (copy may be attached)
13. DETAIL OF FACILITIES AT NSTITUTION:
S# FACILITIES PROVIDED TO INSTITUTION (Y/N)
1. Drinking water TAPE WELL TUBE WELL KAREZ SPRING
2 Electricity Yes No
3 Gas Yes No
4 Generator Yes No
5 Solar Panel Yes No
6 E/Fans Yes No
8 Computer Lab Yes No
13 Furniture Yes No
14. INSTITUTION RECORDS DETAILS
AVAILABLE MAINTAINED
S RECORD
YES/NO YES/NO
1. Attendance register of students
2. Attendance register of teachers
3. Admission & withdrawal register
4. CASH BOOK
5. Payroll Register
6. Teacher’s documents (Personal file or C V)
7. Examination Register
8. Stock Register
9. Visitors Register/Log Book
10. Teacher agreements/appointment letters
15. DETAIL OF STAFF (ADMIN TEACHING & SUPPORT):
SALARY (RS)
QUALIFICATION
QUALIFICATION
PROFESSIONAL
APPOINTMENT
DESIGNATION
EXPERIENCE
(OPTIONAL)
CONTACT #
DATE OF
NAME
CNIC
S.#
LAST CURRENT
YEAR YEAR
1.
Annexure (A)
2.
3
4
Note: Provide detail of staff in separate sheet as per above prescribed format
16. DETAIL OF ENROLMENTS:
ENROLMENTS
CLASS
BOYS GIRLS TOTAL ENROLLMENT
1
2
3
4
5
6
7
8
9
10
11
12
17. FEE STRUCTURE (CLASS WISE)
FEE STRUCTURE
MONTHLY
ADMISSION
CERTIFICATE FEE
TUITION
EXAMINATION
LIBRARY/LAB
VACATIONS
CHARGED
FEE BEING
SUM/WIN
SECURITY
LEAVING
ANNUAL
DURING
OTHERS
LAST YEAR
LAST YEAR
CURRENT
CURRENT
CLASS
YEAR
YEAR
Annexure (A)
10
11
12
Note: Provide detail of students as per above prescribed format of all classes in a separate sheet
(b) OTHER SOURCE OF INCOME:
YES NO
If YES, mention the source: _____________________ Amount: _________________
18. DOES THE INSTITUTION RECEIVE GRANT FROM ANY FORUM
YES NO
If YES, please give the details:
S YEAR AMOUNT PURPOSE
1.
2.
3.
19. MEMBERS BOARD OF DIRECTORS (BOD) WITH DETAILS OF THE AFOREMENTIONED REGISTERED
SOCIETY: (IF ANY)
S. NAME DESIGNATION CNIC # (WITH COPIES) CONTACT #
1.
2.
Annexure (A)
3.
4.
5.
6.
7.
8
9
10
11
20. DETAILS OF SECURITY AND SUPPORTING STAFF
S ATTACHMENTS YES NO
1 Security guard appointed
2 Security camera/s installed
3 Barbed wires fixed
4 Boundary walls with proper height and gate
5 Metal detector available and used
6 Emergency exit available
7 First aid box available
8 Fire extinguisher available
9 Emergency alarm available
10 CCTV Camera
11 Walk Through Gate
12 Internet at school
13
14
15
16
17
18
Attachments: (should be duly attested by a Gazetted Officer not below BPS-17 or above)
S ATTACHMENTS YES NO
1 Copy of owner/applicant CNIC
2 Sketch of the institution building specifying room sizes
Annexure (A)
3 Institution building Safety certificate by a PEC professional
engineer
4 An Affidavits stating that institution will not involve in any
activity repugnant to spirit of Islam and Ideology of
Pakistan
5 Certificate of the “Society “registered with industries or
Social Welfare Department (Optional)
6 Specimen of institution leaving Certificate.
7 Specimen of the institution admission form/prospectus
8 First & last pages of admission /draw register of the
institution.
9 Copy (ies) of NOC & Recognition order (if got earlier from
Education Directorate)
10 Contract copies of all teachers and staff recruited /hired.
11 Bank Challan/Fee Deposit Slip or Bank draft
12 Detail of staff on separate sheet attached
13 Detail of students on separate sheet attached
14 Details of science lab apparatus/ equipment along with
its quantity on separate sheet as per prescribed table
attached
15 Copy of agreement in case of rented building
16 Copy of ownership of building
17 NOC for foreign faculty member /teacher (If appointed)
18 NOC from metropolitan/QDA/Cantonment board
Declaration: - I certify the above information is true to best of knowledge. If any information is
found false or incorrect, BPEIRRA has the right to reject the application at any stage.
Submitted by: __________________________________________________________
Designation: __________________________________________________________
Signature: __________________________________________________________
Date: __________________________________________________________
CNIC: 5 4 3 0 2 - 4 4 8 5 1 2 7 - 5
Contact No. _____________
FOR OFFICE USE ONLY
Application No.: ______________________
Receiving Date: ______________________ Diary No.: ______________________
Annexure (A)
UNDERTAKING
1. The Institution will observe all orders of the Balochistan Private
Educational Institutions Registration & Regulatory Authority
(BPEIRRA) relating to dates and duration of academic terms and
holidays summer and winter vacations, scheme of studies, reports,
returns, records registers and physical well-being of students
discipline etc. The Institution shall adhere to notifications issued by
Regularity Authority for concession of fee on account of natural
disaster or whatsoever other reasons.
2. The teaching staff shall in no manner either by sign or word of
mouth of or writing or any other means, propagate anything
repugnant to ISLAM and IDEOLOGY of Pakistan.
3. The Curricula, courses of studies and books being used or to be
used for preparing students for conducted by a foreign
educational agency contain nothing repugnant to ISLAM or
IDEOLOGY of Pakistan or discriminatory prejudicial against minority
communities.
4. I do hereby certify to abide by the rules, regulations and
notifications issued by Directorate of Education (schools) under
BPEIRRA, 2022 (amended) from time to time.
PRINCIPAL / HEADMISTRESS
SEAL OF SCHOOL
Annexure (A)
UNDERTAKING BY THE OWNER DULLY VERIFIED BY DISTRICT NAZIM
I, Mr.Mst.Mrs.___________________________________________________
S/o D/o______________________________________________________
CNIC NO______________________________________________________
Am the owner of the school
namely___________________________________________________________
__________________________________________________________________,
do solemnly undertake that the building, situated in
Tehsil________________________District_______________________ is safe
for use of school purpose and in a good condition and no portion of
the school building is in deplorable condition. If anything is happened
regarding building, I shall be responsible of the consequences
DEPONENT VERIFIED BY DISTRICT NAZIM
Name________________________ Name________________________
Signature & Stamp_______________ Signature & Stamp_________________
Date Date
CNIC NO CNIC NO
_________________________________ _________________________________
