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Annexure – I

                                                Submission Format


                 School Details:
                Affiliation Number

                School Code
                Select Teacher Name

                                                 Art-Integrated Exemplar

                Contact Details
                Teacher Name
                Teacher E-mail
                Teacher Mobile no

                Teaching Learning Strategies:

                1.  Class: (Select Class from Drop Down List)

                2. Subject: (Select Subject from the drop down list)
                3. Chapter/Lesson: (Select Subject from the drop down list)

                4. Topic:( Select Subject from the drop down list)

                5. Art to be  Integrated: (Select from the drop down list:- Local Art
                                                       and Craft, Theatre, Drawing/Painting,

                                                       Sculpture, Toy Making, Music, Dance,
                                                        Local Cuisine)/ Any other Art(Please Specify)

                6. Learning Outcomes Targetted in the chapter/topic selected (Maximum 5):
                      st
                7. 21  Century Skills to be Focused  in the chapter/topic selected (Maximum 5):
                8. Competencies to be developed through the chapter/topic selected (Maximum

                      5):
                9. Methodology/ Plan to integrate Art with the chapter/topic selected (In

                   maximum 300 characters)
                This is to undertake that the Exemplar submitted by me is my original work.



                                                      SUBMIT






                              ‘िश!ा सदनÕ, 17    राऊज़ एवे(यू, इं#ट%टूशनल ए"रया, नई #द%ली–110002
                         ‘Shiksha Sadan’, 17, Rouse Avenue, Institutional Area, New Delhi – 110002
                 फ़ोन/Telephone:	011-23212603	वेबसाइट/Website	:http://www.cbseacademic.nic.in ई मेल /e-mail:	mailto:directoracad.cbse@nic.in.
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