Form I. (For projects of Schools/Hostels/Vocational Training Programmes only)

Transcription

1 Form I (For projects Schools/Hostels/Vocational Training Programmes only) Details related to beneficiaries and programmes (separately for each Project Schools/Hostels/ Training Programmes) (i) Date : a) Commencement Selection Process: b) Inviting applications: c) Closure applications: d) Completion Selection: e) Notification result (ii) Date : a) Commencement School/Hostel/Training Session: b) Completion School/Hostel/ Training session: (iii) Details Beneficiaries* in the previous financial year: a) No. applications received: b) Beneficiaries selected : c) No. beneficiaries at beginning Session : d) No. at completion Session: e) No. those left the institution after completion course g) No. dropouts during the year: Similar detail in respect the year for which grant is being requested must be made available soon after the admission process in educational institutions/hostels/training institutions is over.

2 Form II (To be filled up for Schools and Hostel Projects only) Total number SC beneficiaries for which grant is being claimed. Male Female Total Class-wise details number students admitted previous year No. students at time No. students admitted No. students with disability examination No. students passed Class SC ST OTHERS TOTAL SC ST OTHERS TOTAL SC ST OTHERS TOTAL SC ST OTHERS TOTAL M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F M F I II III Etc.

3 Form III NAME OF THE SCHEME: Scheme Grant in Aid to Voluntary Organizations working for Scheduled Castes LIST OF BENEFICIARIES (i) (ii) (iii) Name the Organisation: Name and address the Project: Financial year S. No. Name the Sex /cla ss Father s/ Mother s name *Address the Date Birth Date entry in institution Whether SC cert. available *Applicable in case projects Schools/Hostels *Complete address as in aadhar card/photo I card along with Number. In case children where aadhar card/photo I card is not available, the information in respect father or mother may be provided Signature the Authorized Signatory Name: Designation: Address: Date: Office Stamp

4 Form IV (To be filled up for vocational training programmes only) Details beneficiaries: Is the Centre assisting the trainees in jobs / placements : Yes / No If yes, indicate the benefit accrued to trainees previous year as per statement below S.No. Name Complete address as per voter I Card/Aadhar card no. along with voter I Card/Aadhar card no. and mobile no. Job/self employed Monthly earning

5 Form V For 10 bedded hospital/mobile dispensary following statement be uploaded S.No. Name patient Age Complet e address Nature illness Treatme nt given Name Docto r Date Admission/ Date discharge in case ten bedded hospital Form V -A List SC villages visited during previous and list SC villages proposed to be visited during the year for which grant sought(month wise schedule) should be uploaded in format below S.No Name village/taluq %age SC population Date visit

6 Form VI NAME OF THE SCHEME: Scheme Grant in Aid to Voluntary Organizations working for Scheduled Castes LIST OF EMPLOYEES (i) (ii) (iii) Name the Organisation: Name and address the Project: Financial year S. No. Name & address the employee Educatio nal qualificat ionsex/cl ass Date appoin tment Period for which employed during the year Honora rium per month Total honorariu m paid during the year Remarks *Complete address as in aadhar card/photo I card along with Number. Signature the Authorized Signatory Name: Designation: Address: Date: Office Stamp

7 Form-VII Details Income and Expenditure during the year. FOR THE ORGANIZATION AS A WHOLE FOR THIS PROGRAMME/ SCHEME (a) Financial year (b) Total income Of which (i) Funded by fice bearers donations from private sector (ii) Funded by foreign contribution. (iii) Funded by local bodies and public sector organization. (iv) Funded by State Government (v) Grant from Central Govt. (Please indicate from each Ministry/Deptt/ (vi) (vii) (viii) CAPART separately). Beneficiaries contribution/user charges/students fees. Miscellaneous income. preceding receipt first grant under the Scheme at S.No. 2 Previous Current budgeted /actual? preceding receipt first grant under the Scheme Previou s Current budgeted /actual? (c) Total Expenditure which (i) (ii) Non-recurring Recurring (d) Expenditure on (i) Salaries and Wages (ii) Travelling daily, etc. allowances. (iii) Other Administrative Costs Rented (a) Building (b) Furniture and Fixture (c) Plant & Machinery (iv) Expenditure on beneficiaries (v) (a) in case (b) in kind (vi) Material costs Incurred by the orgn. (d) (e) (f) (e) Total No. beneficiaries (f) Cost per