Camp Proposal

NATIONAL SERVICE SCHEME DIRECTORATE OF V.H.S.E. PROFORMA FOR SPECIAL CAMPING 1. Name of school and unit No.

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2. Name of Programme Officer

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3. Theme of special camp

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4. Schedule of camp

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5. Place of Camp with full details

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6. Details of volunteers selected

:

Boys

Girls

Total

(i) Student

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(ii) Non-students

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(iii) Teachers

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7. Place of work 8. Address of the nearest telegraph Office / contact phone no. with

: ……………………………………………… : ……………………………………………… : ………………………………………………

STD code. 9. Route from the school to the camp site ( in detail ) 10. Distance from the school

: ………………………………………………

……………………………………………… : ………………………………………………

11. Whether the camping programme is in the adopted slum / village

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12. Agencies / departments contacted and proposed to be involved

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13. Details of projects to be taken up : ……………………………………………… during the camp period (Separate sheet may be used)

: ………………………………………………

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14. Any other information

: ……………………………………………… Signature of Programme Officer

Counter signature of Principal Place : ……………………… Date : ………………………