NEEM NOTIFICATION PROFORMA

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1 BOARD OF APPRENTICESHIP TRAINING (SOUTHERN REGION) (An Autonomous Body of Ministry of Human Resource Development Department of Higher Education, Government of India) Chennai NEEM NOTIFICATION PROFORMA Proforma for notifying establishment under National Employability Enhancement Mission (NEEM) scheme as per AICTE Notification F. No:37-3/Legal/AICTE/2013 for providing On the Job Training(OJT) for NEEM Trainees 1. Name of the Establishment : PART-1 (EMPLOYER S DETAILS) 2. Name of CEO / CMD / MD : 3. Address for Communication (Factory / Corporate Office) Address details: Door / Plot No: Contact Details: Phone with STD Code: Street / Road: Mobile No : City / Taluk Fax : Dist.: Pincode : Web site : 4. Name and Designation of the Officer(s)In-charge of NEEM (i) Name : (ii) Designation : (iii) Contact Address: Contact Details Phone with STD Code: Mobile No : Fax : Pincode Page 1 of 5

2 PART-II ESTABLISHMENT S DETAILS: 5. Nature of Industry / Organization (Sector) (i) Central Government (iii) P S U (Central) (ii) State Government (iv) P S U (State) (v) Private Establishment (a) Public Limited Company (c) Partnership Firm (b) Private Limited Company (d) Sole Proprietorship (vi) Any Other Form of Organisation (Specify) 6. Designated Trades and Industries for the purpose of Training under NEEM (1) Automobile & Auto Component (2) Chem. & Pharm. (3) Electronics Hardware (4) Textiles & Garments (5) Leather & Leather Goods (6) Gem and Jewellery (7) Building and Construction (8) Food Processing (9) Handlooms and Handicrafts (10) Real Estate, Building Hardware & Home Furnishings (11) ITS or Software Services (12) ITES BPO Services (13) Tourism Hospitality and Travel Trade (14) Transportation, Logisties / warehousing and Packaging (15) Organised Retail (16) Media, Entertainment, Broadcasting, Content Creation & Animation (17) Healthcare Services (18) Banking / Insurance & Finance (19) Education / Skill Devpt. Services (20) FMCG, Consumer Durables Goods (21) Telecom & Telecom Infrastructure (22) Multi-Skill Manufacturing (23) Any Other Page 2 of 5

3 PART-III EXISTING APPRENTICES DETAILS 7. Existing Apprentices details under the Apprentices Act with BOAT(SR) Sr. No. Field of Engg / Tech. Number of Apprentice Notified No. of apprentices Utilised immediate past one year Grad Tech T(V)A Grad Tech T(V)A (enclose separate sheet if required) PART- IV DETAILS OF TRAINEES PROPOSED UNDER NEEM SCHEME: Number of NEEM trainees proposed Category Subject field Completed Pursing Not completed Technical Non-Technical (enclose separate sheet if required) PART- V : INFRASTRUCTURE DETAILS 8. Training Facility for NEEM Trainees Yes No (a) Do you have sufficient facilities in the workshop for providing OJT (c) Have you enclosed structured Training Module for Technical & Non-Technical trainees Separately? (d) Do you have hostel facilities for accommodating trainees? (e) Do you have canteen facilities for Trainees? (f) Do you have Transport facilities for Trainees? (g) Do you know that NEEM trainees should not be treated as regular staff? (h) Do you have Medical Facility? (i) Do you have Safety Officer? Page 3 of 5

4 PART- VI : GENERAL INFORMATION Yes No a) Are you willing to pay consolidated monthly salary equivalent to Minimum wages Act b) Are you aware, no stipend reimbursement or any other monitory benefit from BOAT(SR) c) Have you gone through complete Notification of NEEM and your willingness to comply all terms and conditions of the Notification d) Have you enclosed authorization letter issued from Executive of Senior Management e) Have you enclosed required affidavits f) Have you enclosed certified copy of one year IT return (immediate past year) g) Have you enclosed copy of certified of incorporation h) Have you enclosed certified copy of MoA i) Have you enclosed certified copy of Annual Report / Audited Statement I hereby declare that all the information furnished above are true to the best of my knowledge. I further declare that BOAT(SR) can take action as per NEEM Notification and cancel the Notification, if any of the information found false at later stage. Place : Date : Signature : Office Seal : Name : Designation : Mobile : Landline No. : Page 4 of 5

5 Part VII & VIII are only for internal use of BOAT not for Employer PART- VII : Assessment by Officer (only for BOAT s official use) I have gone through the above proposal of M/s found that the establishment is engaging apprentices under the apprentices Act and have facility to training NEEM Trainees as per Notification. I further recommend to notify the above establishment under the NEEM scheme as mentioned below; Category Subject field Number of NEEM trainees proposed Completed Pursing Not completed Technical Non-Technical Dealing Asst. Dy. Director / Asst. Director Submitted For Approval Director of Training PART- VIII : Notification details: (only for Placement section of BOAT) Above establishment is notified under NEEM scheme vide Lr. dt.. Dealing Asst. Dy. Director / Asst. Director ***** Page 5 of 5

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