National Minorities Development and Finance Corporation (A Govt. of India Undertaking, Ministry of Minority Affairs)

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1 National Minorities Development and Finance Corporation (A Govt. of India Undertaking, Ministry of Minority Affairs) Kaushal Se Kushalata Scheme Proforma for submission of Skill Development Training proposal for the financial year Section A: Details of Project Implementing Agency (PIA): Sl. No. Particulars Information to be filled by project Implementing Agencies 1 Name of Project Implementing Agency (PIA)/SCA Annexure-I 2 Address of PIA (in case of Address of registered Headquarter is different than Address of Correspondence, please give both Addresses Separately) Registered Address: Address for Correspondence: 3 Whether PIA is a Society/Trust/Company/Others, please indicate. Registration no., date & validity of registration certificate Attach copy of the registration certificate 4 Name of President/secretary/CEO/Head of Institution Telephone/Mobile/ /Website 5 Status/Constitution of Trainings Inst. (i.e. whether Govt./SSC/NSDC Partner/DTE) 6 Name of proposed training programme (QPID No.)/ NSQF level/ duration (in Hours/Week/Months ) 7 Minimum education qualification level for training programme 8 Proposed no. of candidates & batches 9 Name of the assessment and certification agency Assessment and certificate cost per trainee assessment & certification cost

2 10 Course fee per candidate per hour as per common norms course fee for proposed total no. of candidates 11 cost including course fee, stipend, assessment &certification cost 12 Name of the place, taluk & district where the proposed training programme will be conducted 13 Period since the proposed training institute has functional 14 Details about trainers for the proposed activity with the training agency 15 Details of the infrastructure with the training agency for the proposed training programme 16 Whether empanelled/affiliated with National Skill Development Corporation (NSDC)-Yes/No S. No. Name/Designation/ Qualification/Experience & Complete Address Attach copy of the certificate, if empanelled/affiliated. Whether registered with NITI Ayog- Yes/No 17 Whether registered on Skill Management and Accreditation of Training Centres (SMART) as on date of application- with documentary proof Mention the registration number Yes/No 18 Any other information PIA wants to provide Date: Place: Signature of President/Secretary/CEO/Head of Institution (Give Full Name Signing Authority) Official Stamp

3 Section B: Details from Project Implementation Agencies (PIAs) I. Own Branches /Centres of the Project Implementing Agencies duly approved on SMART (with reference to Point no. 17 Section A) Sl. No State District Name of Branch Head Address and Phone Number of the Branch Registration No. on SMART and date II. Sl. No Details about Skill Development Projects funded by Central Ministries /Departments in last three years (with reference to Point 2a of proforma for evaluation Past Experience) Year Name of the Sponsoring Ministry /Department Location of the project (District and State). If the location is minority concentration block/town, please indicate MCB/MCT Number Trainees Boy s Girl s of Number of Minority Trainees out of the total Cost of the proje ct Type and namesof skill Moder n (MES) Traditio n-al arts/cra fts Name Certifying agency of III. Details about Skill Development Projects funded by State Government/UT Administration in last three years (with reference to details asked in Point 2b of proforma for evaluation Past Experience) S. N o. year Name of the Sponso ring State Depart ment Location of the project (District and State). If the location is minority concentratio n block/town, please indicate MCB/MCT Number trainees Boy s Girl s Tot al of Number of Minority Trainees out of the total Cost of the proje ct Type and Names of Skill Modern (MES) Traditional arts/crafts Name Certifying agency of (Note: Once Sanction order will be considered as one project)

4 IV. Branch or Centre-wise list of Professionals engaged by the organization (Please give separate Tables for each Centre): S. No. Name of Professional Male/ Female Educational Qualification No. of years in present assignment Experience in skill training (in years) Regular or Part Time* V. Number of companies/ industries/ institutions with whom the PIA has signed the MoU for placements of trained youths (with reference to Point 4cof proforma for evaluation Merit of the proposal): S. No. Name of company/ industry/ institution Address of company/ industry/ institution Required skills in company/ industry/ institution Date of Signing and validity period of MoU *Please provide certified copy of such MoUs VI. Past Placement record of the organization for last three years (with reference to Point 2e of proforma for evaluation Past Experience) S. No. Year Number of Youths Name of Youths trained placed in the organized sector %age of placement % of retention after 12 months of joining Companies/ Industries with address & contact nos. where placed.

5 VII. Whether Audited Accounts (with Auditor's Report) for last Three years attached: Yes/No VIII. Whether organization has its own website: Yes/No If yes, please give address of the website and attach a copy of the Home page. IX. Whether organization has ever been suspended / blacklisted from any Govt. scheme, if so, please indicate: (I) (II) (III) (IV) Name of Blacklisting / suspension Authority: Date of Blacklisting / suspension: Reason from blacklisting / suspension: Date of deletion of name from Suspend / Blacklist: X. Whether organization maintains Management Information System for trainees for last three years: if yes, (Please provide the details of Management Information Systems maintained by the organization). XI. Additional lists/documents to be enclosed: (I)Managing committee of organization. (II)Memorandum of association/bye Laws XII. Declaration by President/Secretary/CEO of the Organization /Head of the Institution I,.President/Secretary/CEO/Head of,son / daughter / wife of resident of (Address)..hereby declare that the information given above is true to the best of my knowledge. Signature of President/Secretary/CEO/Head of Institution (Give Full Name Signing Authority) Official Stamp

6 Section C: Proforma for Evaluation 1. Entity Strength SNo. Criteria Maximum points Page numbers to be indicated where 1a No. of years of existence and operation of the PIA beyond the minimum requirement of three years. (Copy of Registration certificate required) Marks allocation: years: years: 2 More than 10 years: 3 Note: If organization is not registered for minimum 3 (three) years, they will not be eligible to apply 2. Past Experience SNo. Criteria Maximum points Page numbers to be indicated where 2a. The number of Skill Development Projects funded by Central Government Ministries / Departments in the last three years. Single Sanction order (even with various locations) will be considered as one project. Marks allocation: project : project : 7 More than 15 projects : 10 Note: Attach list of projects along with copies of sanction order for last three years. (please provide details in Section B Point II) 2b. The number of Skill Development projects funded by State Government in the last three years. Single Sanction order (even with various locations) will be considered as one project.marks allocation: project : project : 4

7 SNo. Criteria Maximum points Page numbers to be indicated where More than 15 project : 5 Note: Attached list of projects along with copies of sanction orders for last three years (Please provide details under Section B - Point III) 2c. The number of Skill Development projects implemented by the PIA in the minority concentrated districts/ blocks in the last three years. Single Sanction order (even with various locations) will be considered as one projects. Marks allocation: projects : projects: 8 More than 10 projects : 12 Note: Attach list of projects along with copies of sanction order for the last three years. 2d. The number of minority youths trained exclusively by the PIA during last three years in projects funded by the Central/State Government. Marks allocation: youths : youths : 8 More than 4000 youths ; 12 Note: Attach list of Companies/Industries and number of placed youths for last three years. 2e. Percentage of trained youths who have been provided employment in organized sector by the PIA after training in last three years. Marks allocation: 15 40%-50% : 5 50%-75% : 10 More than 75% : 15 Note: Attach list of Companies/Industries, number of placed youths for last three years. (Please provide details in Section B Point VI) 2f. Percentage of candidates placed after 3 months of certification and remain in 9

8 SNo. Criteria Maximum points Page numbers to be indicated where employment for 1 year of tracking. Marks allocation: 50% of employed youths : 3 70% of employed youths : 6 More than 70% of employed youths : 9 Note: Attach list of Companies/Industries, number of placed youths and number of youths continuing the job after one year of placement for last three years. (the PIAs are required to furnish details for placement and tracking undertaken in last 3 years) 3. Financial Strength SNo. Criteria Maximum points Page numbers to be indicated where 3a. a) Annual turnover of the applicant/pia during the last three financial years: Marks allocation: Rs lakh to Rs lakh :4 More than Rs lakh to Rs. 500 lakh : 7 More than Rs lakh : 10 Note: Attach Audited accounts duly signed by Chartered Accountant with Auditor s report for last three years. Certificate from practising CA for Annual Turnover, Net Worth and Revenue from Skill Development activities in last 3 years.

9 4. Merit of the proposal SNo. Criteria Documents required Page numbers to be indicated where 4a. Whether the PIA Guarantees employment to minimum 75% trained candidates (including 50% in organised sector) after training. Marks allocation: 5 Yes: 5 No: 0 Note: Salary slips of candidates placed with any organization, Copy of offer letter, Employee code assigned to candidates, Details of PF/ESI issued by employers to placed candidates 4b. Whether PIA is affiliated/registered with National Skill Development Corporation (NSDC) Marks allocation: 2 Yes : 2 No : 0 Note: Attach Copy of certificate. 4c. Number of Companies/Industries/ Institutions with whom PIA has signed Memorandum of Understanding (MOU) for guaranteed employment after completion of skill training. Marks allocation: Companies/Industries : Companies/ Industries : 8 More than 10 companies/industries : 12 Note: Attach copies of MoUs signed with Companies/ Industries. (please provide details under Section B Point V) 4d. Whether the PIA has its own Management information System (MIS) for the trainees. Marks allocation: 5 Yes : 5 No : 0 (please provide details under Section B Point X) TOTAL 100

10 FORMAT FOR UNDERTAKING ON NON-JUDICIAL STAMP PAPER (Rs.20/-) UNDERTAKING I, President/Secretary/CEO/Head of (Name of PIA), Registration Number..dated.., and son / daughter / wife of resident of (Address).., hereby guarantee the placement of minimum 70% of the trained minority youths, of which minimum 50% would be in wage employment, in the projects to be awarded under Skill Development Training Scheme of the National Minorities Development and Finance Corporation. Date: Place: Signature of President/Secretary/CEO/Head of Institution (Give Full Name Signing Authority) Official Stamp

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