Private Secondary Schools Authority -Application for registration of a school

PRIVATE SECONDARY SCHOOLS AUTHORITY
THE EDUCATION ACT 1957 AND PSSA ACT 1976

APPLICATION FOR REGISTRATION OF A SCHOOL

Date ………………………………..

Address of School ……………………………………………….
……………………………………………………………………………
……………………………………………………………………………

Director
Private Secondary Schools Authority
BEAU BASSIN

I wish to run a day school, particulars of which are set out below and request that it may be registered and a certificate of registration be issued.

Name of person to be registered as Manager : …………………………………………………………..
(Block Letters)

……………………………………………………….
(Signature of person to be registered as Manager)

P A R T I C U L A R S

(a)	Proposed Name of School : …………………………………………………………………
(b)	Proposed address of school : ……………………………………………………………….. Telephone Number :………………………………….. Fax Number :……………………………………
(c)	Whether (1) for boys only (2) for girls only (3) co-educational
(d)	Particulars of teachers and non-teaching staff to be employed (section 5 of Appendix A)
(e)	List of subjects to be taught at the school (Section 6 of Appendix A)
(f)	Particulars of school premises (Section 8 of Appendix A).

I attach an application for registration as Manager of the school.

III

I attach an accurate plan of the school premises(with dimensions), signed and dated.

I attach the proposed scheme of work (term-wise, subject-wise) of each class.

I attach the school workload allocation to the different classes (Section 7 of
Appendix A).

The contents of these particulars and attached documents are true to the best of my knowledge, information and belief.

Date : ………………………………… ……………………………………………………………
Signature of person to be registered as Manager

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PRIVATE SECONDARY SCHOOLS AUTHORITY
APPENDIX 'A'
APPENDIX TO APPLICATION FOR THE REGISTRATION OF A SCHOOL

1. (a) Proposed Name of School : …………………………………………………………………………
(BLOCK LETTERS)

Boys/Girls/Co-educational : …………………………………………………………….

Forms to be taught : ……………………………………………………………………………

(b) Address of School (Main Department) ……………………………………………………………
………………………………………………………………………………………………………………….

Phone Number : …………………………………………
Fax Number:………………………………………………

Other Departments : …………………………………………………………………………………..
………………………………………………………………………………………………………………….

2. Name of Proposed Manager : ………………………………………………………………………………..
(Surname to be underlined) (BLOCK LETTERS)

Date of Birth : …………………………………………………………………………………………………….

Qualifications : …………………………………………………………………………………………………….
…………………………………………………………………………………………………………………………….

Home Address : ……………………………………………………………………………………………………..
………………………………………………… Phone No. ……………………………………………………….

Registration Number : …………………………………………………………………………………

3. Name of Proposed Principal/Rector : ……………………………………………………………………...
(Surname to be underlined) (BLOCK LETTERS)

Date of Birth : …………………………………………………………………………………………….

Qualifications : …………………………………………………………………………………………….
……………………………………………………………………………………………………………………

Home Address : …………………………………………………………………………………………..
…………………………………………………………………………… Phone No. ……………………
4. If the school will run Form VI class/classes, please put a tick in the appropriate box

ART SIDE	SCIENCE SIDE
ECONOMICS SIDE	TECHNICAL SIDE

………………………………………………………………………………
(Signature of person to be registered as Manager)
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5 (a) Particulars of teachers to be employed (according to grades)

Name of Teachers to be employed (Surname first) Mr/Mrs/
Miss

Date of proposed Appoint-
Ment

Date of Birth

Address (in full)
& Phone Number

Regn & File No.

(if any)

Q U A L I F I C A T I O N S

Academic

Professional

Grade of Post

Whether following any course (with dates)

Subjects to be taught and level/s

No. of periods and teaching time (in minutes weekly)

Full-Time

Part-Time

Gross Salary (Monthly)

Teaching experience in years

Q.T. Status (Pink Card)

Yes/No

Signature of Manager : …………………………………………………………………………….

/gj

5. (b) Particulars of Non - Teaching Staff

Name of Non-Teaching Staff to be employed
(in full) (Surname first) Mr/Mrs/
Miss

Marital Status

File Number
(if any)

Date of Birth

Job Title

Address
& Phone Number

Qualifications

Date of proposed Appointment

Temporary or Permanent

Full-Time or
Part-Time

Hours of Work

Gross Salary per Month

Signature of Manager: ……………………………………………………..

6. Subject Combinations to be offered

FORMS I TO III: Core Subjects ………………………
……………………………………………………

FORMS I to III : Core Subjects…………………………
……………………………………………………

Electives :

Form I …………………………………………
FormI I …...……………………………………
Form III …….....………………………………

Electives :

Form I ……………………………………
FormI I …...………………………………
Form III …….....…………………………

FORM IV
1st Combination ………………………………………………
2nd Combination ………………………………………………
3rd Combination ………………………………………………
4th Combination ………………………………………………

FORM IV
1st Combination ………………………………………
2nd Combination ………………………………………
3rd Combination………………………………………
4th Combination ………………………………………

FORM V

1st Combination ………………………………………………
2nd Combination ………………………………………………
3rd Combination ………………………………………………
4th Combination ………………………………………………

FORM V

1st Combination ………………………………………
2nd Combination ………………………………………
3rd Combination………………………………………
4th Combination ………………………………………

FORM VI (LOWER) PRI NCIPAL LEVEL SUBSIDIARY LEVEL

1st Combination ………………………………………………
2nd Combination ………………………………………………
3rd Combination ………………………………………………
4th Combination ………………………………………………

FORM VI (LOWER) PRINCIPAL LEVEL SUBSIDIARY LEVEL

1st Combination ………………………………………
2nd Combination ………………………………………
3rd Combination………………………………………
4th Combination ………………………………………

FORM VI (UPPER) PRINCIPAL LEVEL SUBSIDIARY LEVEL

1st Combination ………………………………………………
2nd Combination ………………………………………………
3rd Combination ………………………………………………
4th Combination ………………………………………………

FORM VI (UPPER) PRINCIPAL LEVEL SUBSIDIARY LEVEL

1st Combination ………………………………………
2nd Combination ………………………………………
3rd Combination………………………………………
4th Combination ………………………………………

Signature of person to be registered as Manager :

…………………………………………………..

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7. Proposed Distribution of Periods

Proposed Books to be used

Subjects

No. of periods per week

Books :

Title & Author

Form I
Core

1.
2. 3.
4.
5.

English
French
Mathematics
Social/Commercial studies
Science

……………
……………
……………
……………
……………

………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
………………………………………………………………………

Electives

1.
2.
3.
4.
5.
6.

…………………………..
…………………………..
…………………………..
…………………………..
…………………………..
…………………………..

……………
……………
……………
……………
……………
……………

Non Examinable Subjects

1.
2.
3.

…………………………..
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…………………………..

……………
……………
……………

………………………………………………………………………
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TOTAL

________

Form II
Core

1.
2. 3.
4.
5.

English
French
Mathematics
Social/Commercial studies
Science

……………
……………
……………
……………
……………

Electives

1.
2.
3.
4.
5.
6.

…………………………..
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……………
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Non Examinable Subjects

1.
2.
3.

…………………………..
…………………………..
…………………………..

……………
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TOTAL

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Proposed Subjects

No. of periods per week

Proposed Books :

Title & Author

Form III
Core

English

……………

………………………………………………………………………

French

……………

………………………………………………………………………

Mathematics

……………

………………………………………………………………………

Social/Commercial studies

……………

………………………………………………………………………

(i)	History Geography Sociology

……………
……………
……………

(ii)	Economics Accounts Commerce

……………
……………
……………

Science
i) Chemistry
ii) Physics
iii) Biology
iv) Agricultural science

……………
……………
……………
……………

………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
………………………………………………………………………

Electives

1.
2.
3.
4.
5.
6.

…………………………..
…………………………..
…………………………..
…………………………..
…………………………..
…………………………..

……………
……………
……………
……………
……………
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Non Examinable Subjects

1.
2.
3.

…………………………..
…………………………..
…………………………..

……………
……………
……………

TOTAL

________

Proposed Subjects

No. of periods per week

Proposed Books :

Title & Author

Form IV
Core

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

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Form V
Core

1.
2. 3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

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TOTAL

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Non Examinable Subjects

1.
2.
3.
4.

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....……………………………………………………………………

Managers should ensure that texts for Literature used in Forms IV – VI are as prescribed by Cambridge.

Proposed Subjects

No. of periods per week

Proposed Books :

Title & Author

Form VI Lower – Principal Level

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

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TOTAL

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Subsidiary level

1.
2.
3.
4.
5.

…………………………..
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Non-Examinable Subjects

1.
2.
3.

…………………………..
…………………………..
…………………………..

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TOTAL

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Subject Combinations

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Main Level

…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….
…………………………………………….

Subsidiary level

Signature of Manager : ……………………………………………….

Proposed Subjects

No. of periods per week

Proposed Books :

Title & Author

Form VI Upper – Principal Level

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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……………
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Subsidiary level

1.
2.
3.
4.
5.

…………………………..
…………………………..
…………………………..
…………………………..
…………………………..

……………
……………
……………
……………
……………

Non-Examinable Subjects

1.
2.
3.

…………………………..
…………………………..
…………………………..

……………
……………
……………

TOTAL

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Signature of person to be registered as Manager : ………………………………………………………

Particulars of the different school premises proposed to be used
(Please use separate sheets for different departments).

Address of each Building

Owner Name & Address

Classrooms

Laboratories/
Specialist
rooms/Workshops

Offices/Staffrooms/
Restroom/Library/
Reading Room/
Hall

Gymnasium, Indoor recreational space, playgrounds (football, volleyball, Basket ball, specify others)

Sanitary facilities
(Taps, toilets, urinals).

Whether owned or rented

If Rented
Rent Paid

Type of Building
Concrete, Wooden
mixed

Room No.

Floor area of each in m2

Class Capacity determined by PSSA

Class Capacity determined by PSSA

Subject

Floor area of each in m2

Room No.

Please specify use against Room No.
Floor area of each in m2

Area of each in m2

Num
ber required

Number Available

Open space (excluding building/s & playgrounds) in m2

Date : ……………………. Signature of person to be registered as Manager : ………………………………………

Name of person to be registered as Manager in Block Letters : …………………………………………….

Please note that space area registered for library and reading room, specialist room, workshops, laboratories, indoor recreation, staffroom/s and office/s should not
be considered as classroom area when computing maximum number of pupils to be accommodated.
GB/gj/bd