Application of Atal Tinkering Lab (ATL)

1. Name of Applicant School :

2. Complete Address of School :
3. State :
4. District :
5. Pin Code :

SCHOOL CONTACT DETAILS :

6. Official New Email Address :

7. Official Contact No. :

PRINCIPAL CONTACT DETAILS :

8. Name of Principal :
9. Mobile No. :
10. Email Address (capital Letter) :
11. Principal Aadhar No. :

VICE PRINCIPAL CONTACT DETAILS :

12. Name of Vice Principal :

13. Mobile No. :
14. Email Address (capital Letter) :
15. Vice Principal Aadhar No. :

NAME OF PROPOSED ATL IN-CHARGE (Science Teacher) :

16. Name of Proposed ATL In-Charge :

17. Mobile No. :
18. Email Address (capital Letter) :
19. Science Teacher Aadhar No. :
20. School UDISE Number :
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1. Years since Establishment 0-5 Years

(Pl.tick)
6-10Years

11-15 Years

16 Years and above

2. Type of School : Central Governemt/Central PSU

(Pl.tick)
State Government

Local Body (Muncipality/Nagar Nigam)

Private Aided Private-Unaided

Tribal/Social Welfare Department

3. Board of Affilliation : CBSE ICSE/IFC

(Pl.tick)
State Board IB Other

4. Which area is your school in ? Rural Urban

5. Co-educational ? Yes Boys Only Girls Only

6. Educational Grade Offered in School Upper Primary Secondary Higher Secondary

7. Total Numbers of Teachers

8. Total student Enrolment of the School

9. Total Student Enrolment (6th to 10th )

10. Highest qualification of Principal : Below Graduation/Graduate/Post Graduate/M. Phil/PhD/Post

Dectorate (pl. mention)

11. Stream of qualification of Principal : Science (PCB)/Maths/Computer Science/Commerce/Other

12. Highest qualification of ATL in-charge : Below Graduation/Graduate/Post Graduate/M. Phil/PhD/Post

Dectorate (pl. mention)

13. Stream of qualification of ATL in-charge Science (PCB)/Maths/Computer Science/Commerce/Other

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14. Select State : Plain State Hilly/Himalayan State Island State

Hilly/Himalayan States include Jammu & Kashmir, Himanchal Pradesh, Uttarakhand, Sikkim, Nagaqland,
Arunachal Pradesh, Assam, Manipur, Tripura, Mizoram, Meghalaya (Island States) include Andaman &
Nicobar Island and Lakshadeep.

1-Performance of the School {Average attendance of staff for the past 3 years (as per Academic Year)} :

2020-21 2021-22 2022-23

Total No. of Science Teachers

Total No. of Maths Teachers

Total No. of Computer Science Teachers

Average attendance (%) of science,

Maths & Computer Science Teachers
(calculated against Total working day)

2-Average attendance of Students for the past three years (as per Academic Year) :

2020-21 2021-22 2022-23

th th th
Total No. of Student from class 6 to 12 /10
(please mention the number of students form 6 th
to 10th if your school doesn't have alss 6th to 12th
Average attendance (%) of students
(Calculated Against total working days)

3-Percentage of Students (Grade X) obtaining the following scores in board exams in previous 3 years :

Score % 2020-21 2021-22 2022-23

Below 60%

Below 60-69.99%

Below 70-79.99%

Below 80-89.99%

Below 90-100%
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4-Percentage of Students (Grade XII) obtaining the following scores in board exams in previous 3 years
(schools having classes till Xth are not required to answer this question) :

Score % 2020-21 2021-22 2022-23

Below 60%

Below 60-69.99%

Below 70-79.99%

Below 80-89.99%

Below 90-100%

5a) Number of Intra-School Science, Technology &

Innovation Related Activities/Exhibitions/Fairs/
Competitions Organised by your School in 2020-21
(as per academic year) :
b) Number of Inter School Science, Technology &
Innovation Related Activities/Exhibitions/Fairs/
Competitions Organised by your School at District/
State/National Level in 2020-21 (as per academic
year) :
c) Number of Awards Won in Inter School Science,
Technology & Innovation Related Activities/
Exhibitions/Fairs/Competitions Organised by your
School at District/State/National Level in 2020-21 (as
per academic year) : Thus should not include extra-
curricular activities like debates, drama, painting
competitions.

6-Does your school participate in any of the Science exams ? :

National Talent Seach Examination (NTSE)

Junior Science Talent Search Examination (JSTS)
Kishore Vaigyanik Protsahan Yojna (KVPY)
National Science Olympiad (NSO)
Other State Level

7-Number of other extra-curricular Scholarship/Awards won in 2019-20 (as per academic year) :

This should include extra-curricular activities like

Debates, Drama, Painting Competitions, Music,
Dance and Sports etc.
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1-Dedicated built-up area available for setting up ATL (in Sq. feet) as per guidelines :

[All weather area (750 sq. ft.) All weather area (500
sq. ft.) in hilly island states, UTs.] Yes No

2-Availablity of Infrastructure :

Yes No
Steady Electricity Connection
Computer Lab with internet
Science Lab
Playground
Library
Internet speed (2MBPS or above)

3-ATL recipient schools are required to open & share their ATL facility with the community/nearby
schools, would you agree with the same ? :

Yes No

4-Notable STEM Alumni engaged with School :

a) Total number of alumni engaged :

b) Details of associated alumni : (Please mention the details of upto 5 Alumni)

Name of the Frequency of Current affiliation Current Current

Alumni Engagement of alumni Designation Organisation

Definition : A notable alumni is a person (s) who belongs to technology background or has 10 years of
experience or is an award winner, or has won recognition in the area of STEM, or has research publications,
won medal at National/International level.
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5- Linkages to mentors :

a) Total number of mentors school is associated with

b) Details of associated mentors : Please mention the details of upto 5 Mentors

Name of the Frequency of Current Current Current Contact
Mentor Engagement affiliation of Designation Organisation Number
Mentor

Definition of Academic includes all higher educational institutions and research Organisations
Industry includes all big corporate, small companies, entrepreneurs, innovators, maker-spaces, NGO partners.
Definitionof Mentor : Mentor is a person/Organisation/entiry that engages with the school on-going basis in
conducting guest lectures, hands on sessions, supporting student projects, giving guidance and any other hand
holding support if required, on a pro-bono basis.

7-Why do think your school be selected for ATL ? (50 words)

8-What activities will you do in the ATL to make your school an innovation hub ? (50 words)

9-Declaration on School Letterhead :

10-About School (Describing School with location activities, vision) (100 words)
To
Mission Director,
Atal Innovation Mission (AIM)
NITI Aayog, Sansad Marg, New Delhi-11001

Subject : Declaration

Dear Sir,

Our School, _____________________________________________________ [Write name of school] hereby

declares that we have read and understood all the terms and conditions of the Atal Tinkering Laboratories
Scheme. The information submitted in the application form by our school is complete and to the best of my
knowlodge and belief, there isnothing that has been concealed or suppressed.

We also confirmthat we have the requisite space of 750 Sq. ft in a Plain state to setup the ATL in our school
premises.

Thanking You.

With Regards,

Seal & Signature of Principal

Principal