NAME OF THE SCHOOL*
ADDRESS*
PHONE NUMBER(S)
E -MAIL Id*
YEAR OF ESTABLISHMENT
MEDIUM OF INSTRUCTION
SCHOOL LEVEL	Primary Middle High All
AFFILIATION TO BOARD OF EXAMINATION	ICSE      CBSE   State  Others
NUMBER OF TEACHERS ENROLLING FOR elt.emacmillan.com (Maximum number of six teachers can be taken in) NAMES OF TEACHERS ENROLLING FOR elt.emacmillan.com (Please insert a comma after each name)
NUMBER OF PGTs TEACHING ENGLISH
NUMBER OF TGTs TEACHING ENGLISH
NUMBER OF UNTRAINED TEACHERS TEACHING ENGLISH
DOES YOUR SCHOOL HAVE A COMPUTER LAB?	Yes                         No
SOFTWARE BEING USED	MS Word              Adobe                                           Acrobat Internet Explorer Netscape                                              Navigator
DOES YOUR SCHOOL HAVE AN INTERNET CONNECTION?	Yes                         No
TOTAL STUDENT STRENGTH
PRINCIPAL'S NAME
PHONE NUMBER                  OFFICE                                                HOME
PREFERRED USER Id (You can give two alternative Ids)	(or)
CHEQUE / DD AMOUNT
CHEQUE / DD NUMBER
NAME OF BANK
DATED (yy/mm/dd)

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