Post on 14-Mar-2018
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008001.Name of the CWSN : R.RAJESHWARI
I.Name of the Block : KOTTUR
II. Date of Birth : I2.I0.2007
III.A ge :09
IV . Sex : FEMALE
V. Religion : HINDU
VI. Community : MBC
VII. Name of the School : PUPS-VATTAR
VIII. Standard : IV
IX . Admission Number :903
X. Aadhar Number :NO
XI. EMIS Number :3320080470I00020
XII. UDISE Number :3320080I60I
XIII. Type of Disability : VI
XIV. Associated condition :-
XV. Mother Tongue of the CWSN :TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :KUMAR
XVIII. Address for communication :3/609,ARICHANACOLONY.VATTAR
XIX. Contact number :975II000I3
XX. National Identify card : Yes / No
XXI. Identify card Number :24230
XXII. Percentage of Disability :90%
XXIII. Blood Group :O+VE
XXIV. Age of onset :BY.BIRTH
XXV. Birth History :NORMAL
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : BPL
S.No Name Relationship Age Education Occupation Remarks
0I
02
03
KUMAR
RATHIKA
BALAMURUGAN
FATHER
MOTHER
BROTHER
40
30
05
X
XII
I
FARMER
HOUSEWIFE
EDUCATION
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : No
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :NO
XXXIII. Type of benefit the child receiving :SCHOLOR SHIP
XXXIV. Name of the special educator : B.SASIKALA
XXXV. Special Educator Qualification :M.A.,B.ED.,M,PHIL
XXXVI. Name of the physiotherapist : K.KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - C - C
03.8
17 C - B
a) Gross motor - B - B
03.8.
17 B - B
b) Fine motor
- C - C
03.8
17 C - C
2 Functional
Skills - B - B
03.8.
17 B - B
3 Social Skills
- C - C
03.8.
17 C - C
4 Behavior Skills
- A - A
03.8.
17. A - A
5 Sensory Skills
- A - A
03.8.
17 A - A
6 Communication
Skills - B - B
03.8.
17. B - B
7 Cognitive Skills
- D - D
03.8.
17 D - C
8 curricular
Activities - D - D
03.8.
17 D - D
a) Reading Skill
- D - D
03.8.
17 D - D
b) Writing Skills
- D - D
03.8.
17 D - D
c) Arithmetic Skill
- E - E
03.8.
17 E - D
9 Co-curicular
activities - D - D
03.8.
17 D - D
a) Drawing and
Painting Skill - D - D
03.8.
17 D - D
b) Play Activity
- B - B
3.8.1
7 B - B
c) Art and Graft
- D - D
03.8.
17 D - D
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008002 Name of the CWSN : R.SHALINI
I. Name of the Block : KOTTUR
II. Date of Birth :22.09.2007
III. Age :I0
IV . Sex : FEMALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School : PUPS-VATTAR
VIII. Standard :V
IX . Admission Number : 923
X. Aadhar Number :NO
XI. EMIS Number :3320080470I00I53
XII. UDISE Number :3320080I60I
XIII. Type of Disability :LV
XIV. Associated condition :NO
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :RAJA
XVIII. Address for communication :SOUTH,STREET
XIX. Contact number :9787804646
XX. National Identify card : No
XXI. Identify card Number :-
XXII. Percentage of Disability :-
XXIII. Blood Group :A+VE
XXIV. Age of onset :07
XXV. Birth History :NORMAL
XXVI. Medical History :
XXVII. Family History :
S.No Name Relationship Age Education Occupation Remarks
0I
02
03
RAJA
PATHMAVATHI
ARAVINTH
SANGEETHA
FATHER
MOTHER
BROTHER
SISTER
40
33
I5
08
X
VI
X
III
FARMER
HOUSHWIFE
-
-
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : Yes
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :NO
XXXIII. Type of benefit the child receiving :NO
XXXIV. Name of the special educator : B.SASIKALA
XXXV. Special Educator Qualification : M.A.,BED.,M.PHIL
XXXVI. Name of the physiotherapist : V.KOWSALYA
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - D - D
3.8.1
7 C - C
a) Gross motor
- D - D
3.8.1
7 D - D
b) Fine motor
- C - C
3.8.1
7 C - B
2 Functional
Skills - B - B
3.8.1
7 B - B
3 Social Skills
- D - D
3.8.1
7 D - D
4 Behavior Skills
- B - B
3.8.1
7 B - B
5 Sensory Skills
- A - A
3.8.1
7 A - A
6 Communication
Skills - B - B
3.8.1
7 B - B
7 Cognitive Skills
- D - D
3.8.1
7 D - D
8 curricular
Activities - C - C
3.8.1
7 C - C
a) Reading Skill
- C - C
3.8.1
7 C - C
b) Writing Skills
- C - C
3.8.1
7 C - C
c) Arithmetic Skill
- D - D
3.8.1
7 D - D
9 Co-curicular
activities - D - D
3.8.1
7 D - D
a) Drawing and
Painting Skill - D - D
3.8.1
7 D - C
b) Play Activity
- A - A
3.8.1
7 A - A
c) Art and Graft
- D - D
3.8.1
7 D - D
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008003 Name of the CWSN : S.Arul
I.Name of the Block : Kottur
II. Date of Birth : 20.05.2006
III. Age :I0
IV . Sex : MALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School : PUPS-VATTAR
VIII. Standard : III
IX . Admission Number : 972
X. Aadhar Number : NO
XI. EMIS Number :3320080470I00I23
XII. UDISE Number : 3320080I60I
XIII. Type of Disability : MD
XIV. Associated condition :LV
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :SUNTHARARAJAN
XVIII. Address for communication :VALACHERI,VATTAR
XIX. Contact number :852403226I
XX. National Identify card : Yes
XXI. Identify card Number :I66I
XXII. Percentage of Disability :I00%
XXIII. Blood Group :-
XXIV. Age of onset :BY BIRTH
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : BPL
S.No Name Relationship Age Education Occupation Remarks
0I
02
03
04
05
SUNDHARAJAN
RASHYA
AJITH
PRADEEBA
AKILESH
FATHER
MOTHER
BROTHER
SISTER
BROTHER
4I
35
I5
08
05
VI
III
VIII
III
I
FARMER
COOLI
LABOUR
-
-
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : Yes
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :WHEELCHAIR
XXXII. Assistive Devices distributed by :SSA
XXXIII. Type of benefit the child receiving :MG,TRANSPORT ALLAWANCE
XXXIV. Name of the special educator : B.SASIKALA
XXXV. Special Educator Qualification : M.A.,BED.,MPHIL
XXXVI. Name of the physiotherapist : V.GOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - E - E
3.8.1
7 E - E
a) Gross motor
- E - E
3.8.1
7 E - E
b) Fine motor
- E - E
3.8.1
7 E - E
2 Functional
Skills - E - E
3.8.1
7 E - E
3 Social Skills
- E - E
3.8.1
7 E - E
4 Behavior Skills
- E - E
3.8.1
7 E - D
5 Sensory Skills
- E - E
3.8.1
7 E - E
6 Communication
Skills - E - E
3.8.1
7 E - E
7 Cognitive Skills
- E - E
3.8.1
7 E - E
8 curricular
Activities - E - E
3.8.1
7 E - E
a) Reading Skill
- E - E
3.8.1
7 E - E
b) Writing Skills
- E - E
3.8.1
7 E - E
c) Arithmetic Skill
- E - E
3.8.1
7 E - E
9 Co-curicular
activities - E - E
3.8.1
7 E - E
a) Drawing and
Painting Skill - E - E
3.8.1
7 E - E
b) Play Activity
- D - D
3.8.1
7 D - D
c) Art and Graft
- E - E
3.8.1
7 E - E
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008004. Name of the CWSN : A.THARSHIKA
I.Name of the Block : Kottur
II. Date of Birth : 09.07.2006
III. Age : I0
IV . Sex : FEMALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School :PUPS-VATTAR
VIII. Standard : V
IX . Admission Number : 944
X. Aadhar Number : NO
XI. EMIS Number :3320080470I0000I
XII. UDISE Number : 3320080I60I
XIII. Type of Disability : MR
XIV. Associated condition :FITS
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :AMBIKAPATHY
XVIII. Address for communication :VADAKU,STREET
XIX. Contact number :73732I6799
XX. National Identify card : Yes
XXI. Identify card Number :2423I
XXII. Percentage of Disability :90%
XXIII. Blood Group :
XXIV. Age of onset :03
XXV. Birth History :NORMAL
XXVI. Medical History :
XXVII. Family History :
S.No Name Relationship Age Education Occupation Remarks
0I
02
03
AMBIKAPATHY
LAKSHMI
HARISH
FATHER
MOTHER
BROTHER
35
33
08
VIII
VII
III
FARMER
HOUSEWIFE
-
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : No
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :-
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :MG,TRANSPORT ALLAVANCE
XXXIV. Name of the special educator : B.SASIKALA
XXXV. Special Educator Qualification : M.A., B.ED.,MPHIL
XXXVI. Name of the physiotherapist :V.KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the Skills
Ist
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - E - E
3.8.1
7 E - E
a) Gross motor - E - E
3.8.1
7 E - E
b) Fine motor - E - E
3.8.1
7 E - D
2 Functional Skills - E - E
3.8.1
7 E - E
3 Social Skills - E - E
3.8.1
7 E - E
4 Behavior Skills - E - E
3.8.1
7 E - E
5 Sensory Skills - E - E
3.8.1
7 E - E
6 Communication
Skills - E - E
3.8.1
7 E - E
7 Cognitive Skills - E - E
3.8.1
7 E - E
8 curricular
Activities - E - E
3.8.1
7 E - E
a) Reading Skill - E - E
3.8.1
7 E - E
b) Writing Skills - E - E
3.8.1
7 E - E
c) Arithmetic Skill - E - E
3.8.1
7 E - E
9 Co-curicular
activities - E - E
3.8.1
7 E - E
a) Drawing and
Painting Skill - E - E
3.8.1
7 E - E
b) Play Activity - D - D
3.8.1
7 D - D
c) Art and Graft - E - E
3.8.1
7 E - E
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008005 Name of the CWSN : A.Sarathi
I.Name of the Block : Kottur
II. Date of Birth : 27.7.2005
III. Age :II
IV . Sex :MALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School : GHS-VATTAR
VIII. Standard : VI
IX . Admission Number :352
X. Aadhar Number : NO
XI. EMIS Number :3320080470I00022
XII. UDISE Number : 3320080I60I
XIII. Type of Disability : MR
XIV. Associated condition :NO
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :ANANTH
XVIII. Address for communication :VADAKU STREET
XIX. Contact number :8098074605
XX. National Identify card : Yes
XXI. Identify card Number :
XXII. Percentage of Disability :
XXIII. Blood Group :
XXIV. Age of onset :08
XXV. Birth History :NORMAL
XXVI. Medical History :
XXVII. Family History :
:
XXVIII. Socio Economic condition of the Family : BPL
S.No Name Relationship Age Education Occupation Remarks
0I ANANTH
KALIYAPERUMAL
FATHER
GRAN MOTHER
40 COOLI DEATH
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : No
B. Special Education : Yes
C. Therapy : NO
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :NO
XXXIII. Type of benefit the child receiving :NO
XXXIV. Name of the special educator : B.SASIKALA
XXXV. Special Educator Qualification : M.A., BED., MPHIL
XXXVI. Name of the physiotherapist : V.KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - D - D
3.8.1
7 D - D
a) Gross motor
- D - D
3.8.1
7 D - D
b) Fine motor
- A - A
3.8.1
7 A - A
2 Functional
Skills - A - A
3.8.1
7 A - A
3 Social Skills
- D - D
3.8.1
7 D - D
4 Behavior Skills
- D - D
3.8.1
7 D - D
5 Sensory Skills
- B - B
3.8.1
7 B - B
6 Communication
Skills - B - B
3.8.1
7 B - B
7 Cognitive Skills
- E - E
3.8.1
7 E - E
8 curricular
Activities - D - D
3.8.1
7 D - D
a) Reading Skill
-
E - E
3.8.1
7 E - E
b) Writing Skills
- D - D
3.8.1
7 D - D
c) Arithmetic Skill
- E - E
3.8.1
7 E - E
9 Co-curicular
activities - E - E
3.8.1
7 E - D
a) Drawing and
Painting Skill - E - E
3.8.1
7 E - E
b) Play Activity
- A - A
3.8.1
7 A - A
c) Art and Graft
- E - E
3.8.1
7 E - E
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008006 Name of the CWSN : R.Ragavi
I.Name of the Block ;Kottur
II. Date of Birth : I0/5/2007
III. Age : I0
IV . Sex : FEMALE
V. Religion : HINDU
VI. Community : sc
VII. Name of the School : GGHSS-KOTTUR
VIII. Standard : VI
IX . Admission Number : I20
X. Aadhar Number : 940567072762
XI. EMIS Number :3220080060I00008
XII. UDISE Number : 3320080II02
XIII. Type of Disability : LV
XIV. Associated condition -
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :RAJENTHIRAN
XVIII. Address for communication :MAIN ROAD-NERICHANAGUTI
XIX. Contact number :9047079I48
XX. National Identify card : Yes
XXI. Identify card Number :
3. Percentage of Disability :50
XXIII. Blood Group :
XXIV. Age of onset :BY BIRTH
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : PPL
S.No Name Relationship Age Education Occupation Remarks
I
2
3
RAJENTHIRAN
MAJULI
FATHER
MOTHER
48
45
5
-
COOLI
COOLI
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :REGULAR SEEKING OF DOCTOR
A. Medical : Yes
B. Special Education : Yes
C. Therapy : -
XXXI. Assistive Devices needed / in use :SPECTICLE
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :TRANSPORT ALLOWENCE
XXXIV. Name of the special educator : SANGEETH
XXXV. Special Educator Qualification :DSE MR
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS: READING,WRITING
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills - A - A
11.8.
17 A
19.9.
17 A
a) Gross motor A A
11.8.
17 A
19.9.
17 A
b) Fine motor A A
11.8.
17 A
19.9.
17 A
2 Functional
Skills A A
11.8.
17 A
19.9.
17 A
3 Social Skills A A
11.8.
17 A
19.9.
17 A
4 Behavior Skills A A
11.8.
17 A
19.9.
17 A
5 Sensory Skills A A
11.8.
17 A
19.9.
17 A
6 Communication
Skills A A
11.8.
17 A
19.9.
17 A
7 Cognitive Skills A A
11.8.
17 A
19.9.
17 A
8 curricular
Activities A A
11.8.
17 A
19.9.
17 A
a) Reading Skill C C
11.8.
17 C
19.9.
17 B
b) Writing Skills C C
11.8.
17 C
19.9.
17 B
c) Arithmetic Skill C C
11.8.
17 C
19.9.
17 B
9 Co-curicular
activities B B
11.8.
17 B
19.9.
17 C
a) Drawing and
Painting Skill B B
11.8.
17 B
19.9.
17 B
b) Play Activity A A
11.8.
17 A
19.9.
17 A
c) Art and Graft C C
11.8.
17 C
19.9.
17 C
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008007 Name of the CWSN : P.PRAGATHISINI
I.Name of the Block : Kottur
II. Date of Birth : I4.06.20I2
III. Age : 07
IV . Sex : FEMALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School : PUPS-THATHANTHIRUVASAL
VIII. Standard : II
IX . Admission Number : 200
X. Aadhar Number : -
XI. EMIS Number :
XII. UDISE Number : 3320080II40
XIII. Type of Disability : MR,
XIV. Associated condition :BEHAVIOR PROPLEM
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :PRABAKARAN
XVIII. Address for communication :THALANTHIRUVASAL;
XIX. Contact number :
XX. National Identify card : NO
XXI. Identify card Number :NO
XXII. Percentage of Disability :NO
XXIII. Blood Group :NO
XXIV. Age of onset :BY BIRTH
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family :BPL
S.N
o
Name Relationshi
p Age Education Occupation Remarks
0I PRABAKARAN
CHITHRA FATHER
MOTHER
3I
29
5
5
COOLI
COOLI
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : Yes
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :NO
XXXIV. Name of the special educator : G.VEERAPANTIYAN
XXXV. Special Educator Qualification : DMRW,BA,B,Ed ,spl,[HI]
XXXVI. Name of the physiotherapist : V.KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nt(
Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills 9.6
.17 D
14.7.
17 D
11.8.
17 D
12.9.
17 C
a) Gross motor 9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
b) Fine motor 9.6
.17 B
14.7.
17 B
11.8.
17 B
12.9.
17 B
2 Functional
Skills
9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
3 Social Skills 9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
4 Behavior Skills 9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
5 Sensory Skills 9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
6 Communication
Skills
9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
7 Cognitive Skills 9.6
.17 C
14.7.
17 C
11.8.
17 C
12.9.
17 B
8 curricular
Activities
9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
a) Reading Skill 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
b) Writing Skills 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
c) Arithmetic Skill 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
9 Co-curicular
activities 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
a) Drawing and
Painting Skill 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 D
b) Play Activity 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 E
c) Art and Graft 9.6
.17 E
14.7.
17 E
11.8.
17 E
12.9.
17 E
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008008 Name of the CWSN : S.SUBASTRI
I.Name of the Block : Kottur
II. Date of Birth : 2I.04.20II
III. Age : 06
IV . Sex : F
V. Religion : HINDU
VI. Community : BC
VII. Name of the School : PUPS SINNAKURUVADI
VIII. Standard : II
IX . Admission Number : I67
X. Aadhar Number : -
XI. EMIS Number :3320080060200574
XII. UDISE Number : 33200800602
XIII. Type of Disability : SI
XIV. Associated condition :-
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :SUTHAHAR
XVIII. Address for communication :PILLAIYAR KOI ST
XIX. Contact number :-
XX. National Identify card : No
XXI. Identify card Number :-
XXII. Percentage of Disability :-
XXIII. Blood Group :-
XXIV. Age of onset :BY BIRTH
XXV. Birth History :-
XXVI. Medical History :-
XXVII. Family History : -
XXVIII. Socio Economic condition of the Family : bPL
S.No Name Relationship Age Education Occupation Remarks
I
2
SUTHAHAR
SUHANTHI
FATHER
MOTHER
30
28
V
V
COOLI
COOLI
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : Yes
B. Special Education : Yes
C. Therapy : Speech therapy
XXXI. Assistive Devices needed / in use :-
XXXII. Assistive Devices distributed by :
XXXIII. Type of benefit the child receiving :-
XXXIV. Name of the special educator : G.VEERAPANDIAN
XXXV. Special Educator Qualification : DMRW, BA,Bed (hi)
XXXVI. Name of the physiotherapist : KOEESALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the Skills
Ist
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
a) Gross motor 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
b) Fine motor 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
2 Functional Skills 9.6
.17 B
I4.7.
17 B
II.8.1
7 B
I2.9.
17 A
3 Social Skills 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
4 Behavior Skills 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
5 Sensory Skills 9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 B
6 Communication
Skills
9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 B
7 Cognitive Skills 9.6
.17 B
I4.7.
17 B
II.8.1
7 B
I2.9.
17 B
8 curricular
Activities
9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 B
a) Reading Skill 9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 C
b) Writing Skills 9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 C
c) Arithmetic Skill 9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 B
9 Co-curicular
activities 9.6
.17 B
I4.7.
17 B
II.8.1
7 B
I2.9.
17 B
a) Drawing and
Painting Skill 9.6
.17 B
I4.7.
17 B
II.8.1
7 B
I2.9.
17 B
b) Play Activity 9.6
.17 A
I4.7.
17 A
II.8.1
7 A
I2.9.
17 A
c) Art and Graft 9.6
.17 C
I4.7.
17 C
II.8.1
7 C
I2.9.
17 C
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008009 Name of the CWSN : S.Suganya
I.Name of the Block ;Kottur
II. Date of Birth : 05/07/2004
III. Age : I2
IV . Sex : FEMALE
V. Religion :HINDU
VI. Community : SC
VII. Name of the School : GHS-PUTHAGARAM
VIII. Standard : VIII
IX . Admission Number : 3379
X. Aadhar Number : -
XI. EMIS Number :-
I3.UDISE CODE ;3320080I403
XIII. Type of Disability : SI
XIV. Associated condition :-
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :SURESH
XVIII. Address for communication :SMATHUAPURAM
XIX. Contact number :9655728538
2I. National Identify car d ;NO
XXI. Identify card Number :-
XXII. Percentage of Disability :-
XXIII. Blood Group :
XXIV. Age of onset :3 YEARS
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family
: BPL
XXIX. Whether barrier free environment provided : Yes
S.No Name Relationship Age Education Occupation Remarks
I
2
SURESH
MALAR
FATHER
MOTHER
40
30
6
5
COOLI
COOLI
XXX. Intervention needed :
A. Medical : No
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :-
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :-
XXXIV. Name of the special educator : C.THAMILARASI
XXXV. Special Educator Qualification : DSE[MR]BA
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the Skills
Ist
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I Motor skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
a) Gross motor I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
b) Fine motor I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
2 Functional Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
3 Social Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
4 Behavior Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
5 Sensory Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
6 Communication
Skills
I3.6
.17 B - B
I0.8.1
7 B
4.9.1
7 B
7 Cognitive Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
8 curricular
Activities
I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
a) Reading Skill I3.6
.17 C - C
I0.8.1
7 C
4.9.1
7 C
b) Writing Skills I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
c) Arithmetic Skill I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
9 Co-curicular
activities
I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
a) Drawing and
Painting Skill
I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
b) Play Activity I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
c) Art and Graft I3.6
.17 A - A
I0.8.1
7 A
4.9.1
7 A
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008010 Name of the CWSN : R.Hariharan
I.Name of the Block : KOTTUR
II. Date of Birth : 23/06/04
III. Age : I2
IV . Sex : MALE
V. Religion : HINDU
VI. Community : SC
VII. Name of the School : GHS-PUTHAGARAM
VIII. Standard : VII
IX . Admission Number : 3308
X. Aadhar Number : 3320080I40300030
XI. EMIS Number :32666443832
XII. UDISE Number : 3320080I403
XIII. Type of Disability : SLD
XIV. Associated condition :-
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :RAJAMANIKAM
XVIII. Address for communication :COLONY,PUTHAGARAM
XIX. Contact number :-
XX. National Identify card : NO
XXI. Identify card Number :-
XXII. Percentage of Disability :-
XXIII. Blood Group :-
XXIV. Age of onset :-
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : BPL
S.No Name Relationship Age Education Occupation Remarks
I
2
3
RAJAMANIKAM
SUNTHARI
ARAVINTH
FATHER
MOTHER
BROTHER
35
32
I4
X
V
IX
COOLI
COOLI
GHS-
PUTHAGARAM
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : NO
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy / Speech therapy
XXXI. Assistive Devices needed / in use :-
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :-
XXXIV. Name of the special educator : C.THAMILARASI
XXXV. Special Educator Qualification : DSE[MR]BA
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the Skills Ist
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
2n
d
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f
vis
it)
Gra
de
of
De
ve
lop
me
nt
I Motor skills I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
a) Gross motor I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
b) Fine motor I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
2 Functional Skills I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
3 Social Skills I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
4 Behavior Skills I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
5 Sensory Skills I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
6 Communication
Skills
I3.6
.17 A - A
I0.8.1
7 A
I4.9.1
7 A
7 Cognitive Skills I3.6
.17 B - B
I0.8.1
7 B
I4.9.1
7 B
8 curricular
Activities
I3.6
.17 C - C
I0.8.1
7 C
I4.9.1
7 C
a) Reading Skill I3.6
.17 D - D
I0.8.1
7 D
I4.9.1
7 D
b) Writing Skills I3.6
.17 D - D
I0.8.1
7 D
I4.9.1
7 D
c) Arithmetic Skill I3.6
.17 D - D
I0.8.1
7 D
I4.9.1
7 D
9 Co-curicular
activities
I3.6
.17 C - C
I0.8.1
7 C
I4.9.1
7 C
a) Drawing and
Painting Skill
I3.6
.17 C - C
I0.8.1
7 C
I4.9.1
7 C
b) Play Activity I3.6
.17 C - C
I0.8.1
7 C
I4.9.1
7 C
c) Art and Graft I3.6
.17 C - C
I0.8.1
7 C
I4.9.1
7 C
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008011 Name of the CWSN : R.PRIYATHARSINI
I.Name of the Block : KOTTUR
II. Date of Birth : I3.08.2007
III. Age : 09
IV . Sex : FEMALE
V. Religion :HIND
VI. Community : MBC
VII. Name of the School : PUPS-SOLANGANALLUR
VIII. Standard : IVI
IX . Admission Number : 374
X. Aadhar Number :
XI. EMIS Number :
XII. UDISE Number :33200803I02
XIII. Type of Disability : MR
XIV. Associated condition :FITS
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : LEFT
XVII. Name of the parent :ASHOKAN
XVIII. Address for communication :MELA(ST)SOLANGANALLUR
XIX. Contact number :8489088598
XX. National Identify card : YES
XXI. Identify card Number :22244
XXII. Percentage of Disability :60%
XXIII. Blood Group :
XXIV. Age of onset :BYBIRTH
XXV. Birth History :NORMAL
XXVI. Medical History :NORMAL
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
S.No Name Relationship Age Education Occupation Remarks
I
2
3
ASHOKAN
GOMATHI
SIVA IYAPPAN
FATHER
MOTHER
BROTHER
40
33
09
X
X
IV
COOLI
COOLI
SCHOOL
XXX. Intervention needed :
A. Medical : No
B. Special Education : Yes
C. Therapy : -
XXXI. Assistive Devices needed / in use :MRKIT
XXXII. Assistive Devices distributed by :SSA
XXXIII. Type of benefit the child receiving :MG ESCORT ALLAWANCE
XXXIV. Name of the special educator : G.VEERAPANDIYAN
XXXV. Special Educator Qualification : M.A;BED;(HI)
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the Skills Ist
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
2n
d
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
3rd
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
4th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
5th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
6th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
7th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
8th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
9th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
I0th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
IIth
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
I2th
mo
nth
(Da
te o
f
vis
it)
of
De
ve
lop
I Motor skills 20.6.1
7 A - A
I8.8.1
7 A - A
a) Gross motor 20.6.1
7 A - A
I8.8.1
7 A - A
b) Fine motor 20.6.1
7 A - A
I8.8.1
7 A - A
2 Functional Skills 20.6.1
7 B - B
I8.8.1
7 B - B
3 Social Skills 20.6.1
7 B - B
I8.8.1
7 B - B
4 Behavior Skills 20.6.1
7 A - A
I8.8.1
7 A - A
5 Sensory Skills 20.6.1
7 A - A
I8.8.1
7 A - A
6 Communication
Skills
20.6.1
7 A - A
I8.8.1
7 A - A
7 Cognitive Skills 20.6.1
7 B - B
I8.8.1
7 B - B
8 curricular
Activities
20.6.1
7 B - B
I8.8.1
7 B - B
a) Reading Skill 20.6.1
7 C - C
I8.8.1
7 C - C
b) Writing Skills 20.6.1
7 A - A
I8.8.1
7 A - A
c) Arithmetic Skill 20.6.1
7 C - C
I8.8.1
7 C - C
9 Co-curicular
activities
20.6.1
7 C - C
I8.8.1
7 C - C
a) Drawing and
Painting Skill
20.6.1
7 B - B
I8.8.1
7 B - B
b) Play Activity 20.6.1
7 A - A
I8.8.1
7 A - A
c) Art and Graft 20.6.1
7 C - C
I8.8.1
7 C - C
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008012 Name of the CWSN : A.DILPANRAI
I.Name of the Block : KOTTUR
II. Date of Birth : 28.I2.2005
III. Age : I2
IV . Sex : MALE
V. Religion : HINDU
VI. Community : BC
VII. Name of the School :AHS-ADHICHAPURAM
VIII. Standard : VII
IX . Admission Number : 847
X. Aadhar Number : NO
XI. EMIS Number :3320080220I00046
XIII. Type of Disability : MR
XIV. Associated condition :-
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :ANDHONITHAMOSS
XVIII. Address for communication :MELAPANAYUR
XIX. Contact number :-
XX. National Identify card : NO
XXI. Identify card Number :NO
XXII. Percentage of Disability :NO
XXIII. Blood Group :NO
XXIV. Age of onset :I2
XXV. Birth History :NORMAL
XXVI. Medical History :-
XXVII. Family History : -
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
S.No Name Relationship Age Education Occupation Remarks
I
2
3
ANTHONITHAMOSS
BASGOMERY
RIYO
FATHER
MOTHER
BROTHER
40
38
II
V
II
VI
COOLI
COOLI
SCHOOL
-
A. Medical : Yes / No
B. Special Education : Yes
C. Therapy :-
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :NO
XXXIII. Type of benefit the child receiving :NO
XXXIV. Name of the special educator : R.SARANYA
XXXV. Special Educator Qualification : DSE(MR)B.SC;
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills I9.6.17 A - A - A
08.9.
17 A
a) Gross motor I9.6.17 A - A - A
08.9.
17 A
b) Fine motor I9.6.17 A - A - A
08.9.
17 A
2 Functional
Skills I9.6.17 B - B - B
08.9.
17 B
3 Social Skills I9.6.17 B - B - B
08.9.
17 B
4 Behavior Skills I9.6.17 A - A - A
08.9.
17 A
5 Sensory Skills I9.6.17 A - A - A
08.9.
17 A
6
Communication
Skills I9.6.17 A - A - A
08.9.
17 A
7 Cognitive
Skills I9.6.17 C - C - C
08.9.
17 C
8 curricular
Activities I9.6.17 C - C - C
08.9.
17 C
a) Reading Skill I9.6.17 B - B - B
08.9.
17 B
b) Writing Skills I9.6.17 B - B - B
08.9.
17 B
c) Arithmetic
Skill I9.6.17 C - C - C
08.9.
17 C
9 Co-curicular
activities I9.6.17 C - C - C
08.9.
17 C
a) Drawing and
Painting Skill I9.6.17 B - B - B
08.9.
17 B
b) Play Activity I9.6.17 A - A - A
08.9.
17 A
c) Art and Graft I9.6.17 B - B - B
08.9.
17 B
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008013 Name of the CWSN : SATHYAPRIYA
I.Name of the Block ;KOTTUR
II. Date of Birth : 25.09.2007
III. Age :I2
IV . Sex : FEMALE
V. Religion :HINDU
VI. Community :BC
VII. Name of the School : AHS-ADHICHAPURAM
VIII. Standard :VII
IX . Admission Number :908
X. Aadhar Number : 3925I6676244
XI. EMIS Number :NO
XII. UDISE Number : 33200800204
XIII. Type of Disability : MR
XIV. Associated condition :-
XV. Mother Tongue of the CWSN :TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :BALU
XVIII. Address for communication :NORTH(ST)KEELAMARUTHUR;PANAYUR
XIX. Contact number :
XX. National Identify card : No
XXI. Identify card Number :NO
XXII. Percentage of Disability :NO
XXIII. Blood Group :O+VE
XXIV. Age of onset :I2
XXV. Birth History :NORMAL
XXVI. Medical History :NORMAL
XXVII. Family History :
XXVIII. Socio Economic condition of the Family
: BPL
XXIX. Whether barrier free environment provided : Yes
S.No Name Relationship Age Education Occupation Remarks
I
2
BALU
LATHA
FATHER
MOTHER
40
32
V
X
COOLI
COOLI
XXX. Intervention needed :-
A. Medical : No
B. Special Education : Yes
C. Therapy : -
XXXI. Assistive Devices needed / in use :NO
XXXII. Assistive Devices distributed by :NO
XXXIII. Type of benefit the child receiving :NO
XXXIV. Name of the special educator : R.SARANYA
XXXV. Special Educator Qualification : DSE(MR)
XXXVI. Name of the physiotherapist :KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills
I9.
6.1
7 A - A - A
8.9.1
7 A
a) Gross motor
I9.
6.1
7 A - A - A
8.9.1
7 A
b) Fine motor
I9.
6.1
7 A - A - A
8.9.1
7 A
2 Functional
Skills
I9.
6.1
7 A - A - A
8.9.1
7 A
3 Social Skills
I9.
6.1
7 S - S - S
8.9.1
7 S
4 Behavior Skills
I9.
6.1
7 B - B - B
8.9.1
7 B
5 Sensory Skills
I9.
6.1
7 B - B - B
8.9.1
7 B
6 Communication
Skills
I9.
6.1
7 B - B - B
8.9.1
7 B
7 Cognitive Skills
I9.
6.1
7 B - B - B
8.9.1
7 B
8 curricular
Activities
I9.
6.1
7 B - B - B
8.9.1
7 B
a) Reading Skill
I9.
6.1
7 D - D - D
8.9.1
7 D
b) Writing Skills
I9.
6.1
7 D - D - D
8.9.1
7 D
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008014 Name of the CWSN : S.SUBASHCHANDRABOS
I.Name of the Block : KOTTUR
II. Date of Birth : 06/09/2002
III. Age : I3
IV . Sex :MALE
V. Religion : HINDU
VI. Community : BC
c) Arithmetic Skill
I9.
6.1
7 D - D - D
8.9.1
7 D
9 Co-curicular
activities
I9.
6.1
7 D - D - D
8.9.1
7 D
a) Drawing and
Painting Skill
I9.
6.1
7 C - C - C
8.9.1
7 C
b) Play Activity
I9.
6.1
7 B - B - B
8.9.1
7 B
c) Art and Graft
I9.
6.1
7 C - C - C
8.9.1
7 C
VII. Name of the School :GHS-PUTHAGARAM
VIII. Standard : VIII
IX . Admission Number : 3372
X. Aadhar Number : 65458698483I
XI. EMIS Number :3320080240200020
XII. UDISE Number :3320080II404
XIII. Type of Disability : CP
XIV. Associated condition :MR[MILD]
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :SENTHL
XVIII. Address for communication :PILLAIYAR KOVIL ST,KILLARIYAM
XIX. Contact number :-
XX. National Identify card : Yes
XXI. Identify card Number :I5638
XXII. Percentage of Disability :75
XXIII. Blood Group :
XXIV. Age of onset :
XXV. Birth History :
XXVI. Medical History :
XXVII. Family History :
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :
A. Medical : Yes
B. Special Education : Yes
C. Therapy : Physiotherapy / occupational Therapy /
XXXI. Assistive Devices needed / in use :CALLIBER,TRY CYCKLE
XXXII. Assistive Devices distributed by :SSA
XXXIII. Type of benefit the child receiving :TRANSPORT ALLOWENCE
XXXIV. Name of the special educator : C.THAMILARASI
XXXV. Special Educator Qualification : DSE[MR]BA
S.No Name Relationship Age Education Occupation Remarks
I
2
SENTHIL
SARITHA
FATHER
MOTHER
38
35
VII
VI
COOLI
-
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
a) Gross motor
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
b) Fine motor
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
2 Functional
Skills
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
3 Social Skills
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
4 Behavior Skills
I3.
6.
17 B - B
I0.8.
17 B
4.9.1
7 B
5 Sensory Skills
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
6 Communication
Skills
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
7 Cognitive Skills
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
8 curricular
Activities
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008015. Name of the CWSN : T.VARUNRAJ
2. Name of the CWSN : KOTTUR
a) Reading Skill
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
b) Writing Skills
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
c) Arithmetic Skill
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
9 Co-curicular
activities
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
a) Drawing and
Painting Skill
I3.
6.
17 C - C
I0.8.
17 C
4.9.1
7 C
b) Play Activity
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
c) Art and Graft
I3.
6.
17 D - D
I0.8.
17 D
4.9.1
7 D
II. Date of Birth : 3.08.2007
III. Age : 11
IV . Sex : MALE
V. Religion : HINDU
VI. Community : BC
VII. Name of the School : GHSS(B) THIRUMAKKOTTAI
VIII. Standard : VI
IX . Admission Number : 7993
X. Aadhar Number : 659711007350
XI. EMIS Number :NO
XII. UDISE Number : 33200804205
XIII. Type of Disability : SI
XIV. Associated condition :-
XV. Mother Tongue of the CWSN : TAMIL
XVI. Child preferred hand : RIGHT
XVII. Name of the parent :THANGAMANI
XVIII. Address for communication SOUTH ST,GOVINTHANATHAM
XIX. Contact number :NO
XX. National Identify card : NO
XXI. Identify card Number :NO
XXII. Percentage of Disability :NO
XXIII. Blood Group :NO
XXIV. Age of onset :11YEARS
XXV. Birth History :NORMAL
XXVI. Medical History :NORMAL
XXVII. Family History : -
XXVIII. Socio Economic condition of the Family : BPL
XXIX. Whether barrier free environment provided : Yes
XXX. Intervention needed :YES
A. Medical : Yes
B. Special Education : Yes
C. Therapy :-
S.No Name Relationship Age Education Occupation Remarks
I
2
THANGAMANI
RATHIGA FATHER
MOTHER
38
32
VIII
V
COOLI
COOLI
XXXI. Assistive Devices needed / in use :-
XXXII. Assistive Devices distributed by :-
XXXIII. Type of benefit the child receiving :-
XXXIV. Name of the special educator : CR.SANGEETHA
XXXV. Special Educator Qualification :DSE(MR)
XXXVI. Name of the physiotherapist : KOWSALYA
XXXVII. IMPROVEMENT DETAILS:
Name of the
Skills
Ist
mo
nth
(Da
te o
f v
isit
) G
rad
e o
f
De
ve
lop
me
nt
2n
d m
on
th
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
3rd
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
4th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
5th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
6th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
7th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
8th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
9th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I0th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
IIth
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I2th
mo
nth
(Da
te o
f v
isit
)
Gra
de
of
De
ve
lop
me
nt
I Motor skills
- A - A
30.8.
17 A
21.9.
17 A
a) Gross motor
-- A - A
30.8.
17 A
21.9.
17 A
b) Fine motor
- A - A
30.8.
17 A
21.9.
17 A
2 Functional
Skills - A - A
30.8.
17 A
21.9.
17 A
3 Social Skills
-- A - A
30.8.
17 A
21.9.
17 A
4 Behavior Skills
- B - B
30.8.
17 B
21.9.
17 B
5 Sensory Skills
- A - A
30.8.
17 A
21.9.
17 A
6 Communication
Skills ---- C - C
30.8.
17 C
21.9.
17 C
7 Cognitive Skills
- B - B
30.8.
17 B
21.9.
17 B
8 curricular
Activities - B - B
30.8.
17 B
21.9.
17 B
a) Reading Skill
- B - B
30.8.
17 B
21.9.
17 B
b) Writing Skills
- C - C
30.8.
17 C
21.9.
17 C
c) Arithmetic Skill
- D - D
30.8.
17 D
21.9.
17 D
-
SARVA SHIKSHA ABHIYAN THIRUVARUR DISTRICT
INDIVIDUALISED EDUCATION PLAN FOR THE CHILDREN WITH SEPCIAL NEEDS (CWSN)
CASE HISTORY
332008016 Name of the CWSN : M.SUNTHARAVALLI
I.Name of the Block : KOTTUR
II. Date of Birth : I5/04/2002
III. Age : I4