Project Proposal under “NaiRoshni”, the Scheme of LeadershipDevelopment of Minority Women for 2014-15

I. Details of Organization:

Sl. No. Particulars Information1 Name of Organization

2 Address of Organization

3 WhetherSociety/Trust/Company/Others

4 Date of Registration withRegistration Number (Please enclose a legible copy of valid Registration Certificate. If it is in other language, it should be translated in Hindi or English and attested by District Minority Welfare Officer )

5 Name of President/ Chairman6 Name of Secretary7 Telephone/Mobile*8 Email*

*To be communicated in case of change.

III. D e t a i l s of Project Location:

Sl. No.

Particulars Information1 Proposed Location of

ProjectDistrict: Block:Village:

2 Whether the proposed location falls in MinorityConcentration District

(MCD)/ Minority

Yes/No

3 Total Population of proposedDistrict4 Percentage of MinorityPopulation in proposed5 Literacy Rate among minority females in the proposed district

6 Names of MinorityCommunities available in proposed District(Muslims, Christians, Sikhs, Buddhists, Parsis,

*List of MCDs/MCBs/Towns is available on Ministry’s Website.

IV. Details about proposed Project:

Sl. No.

Particulars Information1 Theme (s) of proposed

Leadership developmentTraining*

2 Brief justification for selection of theme for training

3 Duration and Dates ofProposed Training

Duration: From:To:

4 Total number of participating minoritywomen

5 Do all of them belong toBPL category

Yes/No

6 If not, how many of them belong to BPL

7 Whether proposed training is Residential or Non-residential

8 Community-wise number of participating minoritywomen (list ofbeneficiaries to be given as per Annexure-I)

Muslims: Christians:Sikhs:Buddhist: Parsis: Jains:Non-minority/others: Total:

9 Details of Resource Persons (To be given as per Annexure-II)

Male: Female: Total:

*The training modules are available on Ministry’s website in English and Hindi. The training programme should be within the framework of Training Modules designed by theMinistry.

V. Brief Approach of organization for conducting the Training/s

VI. A r r a n g e m e n t s made for hand-holding and nurturing of trained women (please give clear details how the organization proposes the handholding process, resource persons for hand holding nominated and the mechanism involved).

VII. Proposed Budget Estimate (to be enclosed at prescribed rates given in the scheme guidelines):

Enclosed/ Not-enclosed (Annexure - III)

VIII. Accounts of the Organization:

Sl. No.

Particulars Information1 Mention year up to

which accounts havebeen audited (by the month of June everyyear, it should beavailable for previous financial year)

2 Please enclose:Latest Audited Accounts:2010-11, 2011-12,2012-13

Enclosed/Not Enclosed (Annexure- IV)Enclosed/ Not Enclosed

3 Utilization Certificate in GFR 19(A) authenticated by Chartered accountant: (Not applicable in case of new organizations /projects

Enclosed/Not Enclosed

IX. Details of Assets of the Organization/s

X. Whether organization has ever been blacklisted, if so, please indicate:

(i) Name of Blacklisting Authority: (ii) Date of Blacklisting:(iii) Reason from blacklisting:(iv) Date of deletion of name from Blacklist:

XI. Infrastructure available with the organization to conduct proposed training (s)

Sl. No.

Particulars Information1 Location and Address of

Building where the proposed training (s) areto be conducted

2 Facilities in the building No. of Training Rooms: No. of Toilets:

3 Whether building has electric and waterfacilities

Yes/No

4 Whether building is rented or owned

5 If rented, indicate lease period (if any). Enclose copy of lease deed.

6 If training is Residential, please indicate

No. of Rooms in hostel:

No. of toilets:

Facilities of electric/water (hot water in case training is in winter): Yes/No

Facility of Kitchen/mess: Yes/No

Sleeping arrangements: Yes/No

Security arrangements: Yes/No*7 (a)

If training is Non- residential, please indicate distance from the area from where participant minority women have been proposed to be covered

.................... Kilometre

(b) Mode of transportation available from the targeted area to place of training

*At least two security staff should be females.

XII. Details of Bank Account of Organization – to be given in Proforma for Authorization (available at website) duly authenticated by Manager of the concerned Bank Branch.

XIII. Declaration by President/Secretary of the Organization

I, ..............................................President/Secretary of......................................................, son / daughter /................................................................. resident

wife of of

......................................................................... (Address) hereby declare that the information given above is true to the best of knowledge. The organization takes the responsibility of security of women during training period, especially for women who would undergo Residential Training.

Enclosures:

Signature of President or Secretary (Give Full Name

Signing Authority) Official Stamp

XIV. Lists/Documents to be enclosed:(i) All Documents as required in Mandatory criteria as in

Para II above.(ii) Managing Committee of Organization: Enclosed / Not-

enclosed(iii) Executive Committee of the Organization: Enclosed / Not-

enclosed (if any).(iv) Staff of Organization: Enclosed / Not-enclosed. (v) Annual Report of previous financial year.

(vi) Bond on Rs.20/- Non-Judicial Stamp Paper (the format of language on bond is available on Ministry’s website). The Bond should be signed and stamped properly.

(vii) Proforma for Authorization (available at website) duly authenticated by Manager of the concerned Bank Branch.

Note: Since “issues related to women” are sensitive, the person authorized to formulate the project should brief family members/husbands (if they agree) on the Programme/Scheme and its guidelines. Preferably a female worker should be sent to frame the scheme in the locality where the programme would be implemented. Everything must be done in a transparent manner. The Panchayati Raj Institutes (PRIs), Urban Local Bodies (ULBs) may also be taken into confidence.

Annexure-I

Community-wise Details of Trainee Women(as per details given in Para IV -8)

Theme of Training:................

Financial Year:

Duration:

From: .................. To: ...................................

Sl. No.

Name of

Trainee Woman

Daughter/ Wife

of

Full Add- ress

Annual Family income

Date of

Birth/ Age

Educati- onal

Qualific- ation of trainee

Name of Commu-

nity

Aadhaar/ UID

Number(if

availabl e)

Any other Rem arks/

ID

Note:1. This list of women trainees should be duly authenticated by Head of

Panchayat/ Municipal Body/ Local Authority with official stamp.2. This list should be submitted by organization before start of

training, once the project is sanctioned.3. In case of more than one theme, these details are to be given separately

for each training as Annexure I (A), (B)... and so on.

Signature of President or Secretary (Give Full Name Signing Authority)

Official Stamp

Countersign of Head of Gram Panchayat/ Municipal Body/Local Authority

(Name of Signing Authority….)

Official Stamp/Seal

Annexure-II

Details of Resource Persons(as per details given in Para IV -9)

Theme of Training:................Financial Year: Duration:From: .................. To: ...................................Sl. No.

Name of Resource Person

Sex(M/F)

Age Address Educational Qualification

Field ofSpecialization/Experience

*Name of Organization

to which Resource Person belongs

Note:1. In case of more than one theme, these details are to be given

separately for each training as Annexure II (A), (B)... and so on.

Signature of President or Secretary (Give Full Name Signing Authority)

Official Stamp

*Resource persons can be from Government, Non-Government, PublicSector Units, Universities, Banks etc.

Annexure-III

Budget Estimates(Refer Para 9 of Scheme Guidelines)

Theme of Training:................

Financial Year:

Duration:

From: .................. To: ...................................

Sl. No.

Items ofExpenditure

No. of persons

Rates (inRs.)

Duration/ Units

Total Cost (in Rs.)

Note: Budget estimates for Residential and Non-residential Trainings to be given separately.

Signature of President or Secretary (Give Full Name Signing Authority)

Official Stamp