CHECK - MEMO

Proposal for lease out / renewal of lease of land in favour of School / College.
1) Name of the School / College: ............................................................................................................................

2) Nature of the Institution : Primary / Junior High / High / Higher Secondary / College. (tick out the relevant one)

3) i) Recognised by : WBBSE / WBCHSE / Deptt. Of Edu., Govt. of W.B. / University / Others. (please specify) (tick out the relevant one)
ii) Year of recognition .............................................................................................................................................
iii) Tenure of recognition ................................................................................................................................years.
iv) Memo No. of recognisition ............................................................Dt. ..............................................................

4) i) Proposed area of land to be leased out/already leased out ......................................................................Acres.
ii) Area proposed for / covered by the ‘School Building’............................................................................... Acres.
iii) Area proposed for / used as ‘Open Space / Play Ground’........................................................................ Acres.
iv) L.O.P. (s) involved ............................................................................................................................................
v) Name of the Colony with Group & Sl.No. ..........................................................................................................
vi) C.S. / R.S. Dag No.(s) ......................................................................................................................................
vii) Mouza (s) .........................................................................................................................................................
viii) J. L. No.(s) ......................................................................................................................................................
ix) P. S. .................................................................................................................................................................
x) Status of the land. Acquired / Transferred.
xi) Notification / Declaration No. ............................................................................................................................
(in case of acquired land)
xii) Date of receiving possession .............................................................................................................................
(in case of acquired land) xiii) Name of the body to whom the land .....................................................
......................................................................................................................may be allotted.

5) For existing school only –
i) Classes from ..................................................................... to .............................................................................
ii) No. of Teaching Staff .........................................................................................................................................
iii) No. of Non-Teaching Staff ................................................................................................................................
iv) No of Students ..................................................................................................................................................
v) % of Student from Refugee family .......................................................................................................................
vi) No of Rooms .........................................................................................................................Pucca / Kachcha.

6) Please enclose the documents with the specific recommendation for leasing / renewal of lease.
i) Application of School authority.
ii) Copy of recognition / approval.
iii) Copy of recognition of SDIC/DIC in which proposal is passed.
iv) Certificate to the effect that the land is free any encumbrances.
v) Site Plan one in Tracing Cloth & two Ammonia Prints.
vi) Consent Letter DPSC to sign in the lease deed (in case of Primary School only).
vii) Copy of the lease deed (for renewal case)
viii) Copy of the challan through lease rent paid (for renewal case).