Application For Grant-In-Aid Under The Central Scheme For Construction/ Expansion Of Hostel Building For Working Women With A Day-Care-Centre (Page 2 of 4) in pdf

(To be submitted in duplicate)

Government of India

Department of Women & Child Development

Central Scheme of Assistance for Construction/Expansion of Hostel Building for Working Women with a

Day-Care-Centre

SUPPLEMENT TO THE APPLICATION FORM

PART - I

Note : Application received in an incomplete form or after the prescribed date will not be entertained

(To be completed by the applicant)

1.Nameof Organisation/Institution _____________________________________________

2. Brief history of organisation/institution and description of its objects and activities.

_______________________________________________________________________

________________________________________________________________________

3. Whether recognised by the State Government _______________________________

4.Whether the organisation/institution is registered under Indian Societies Registration Act, 1860 (Act XXI of

1860) or corresponding State Acts, or it is managed by a Trust or Body of Trustees. (Details of registration with

the Name of Act)

________________________________________________________________________

5.Whether the organisation/institution is managed by Central Government/ State Govt. or Local Body

_________________________________________________________________________

6.Whether the organisation/institution is of All-India Character. If so, give the nature of its All India activities.

_________________________________________________________________________

7.Whether organisation/institution has already a hostel if so, whether in its own or a rented building starting

number of inmates.

_________________________________________________________________________

8.Number of working women for whom hostel is intended to be constructed and also the number of the pre-

school children for whom the Day-Care-Centre is proposed.

__________________________________________________________________________

9.Likely date of commencement and completion of hostel building.

__________________________________________________________________________

10.Whether the project is likely to be assisted by some other official or non-official agency. If so, their name

and the extent of assistance proposed to be provided by each may be indicated.

__________________________________________________________________________

11.Justification of the project indicating the Outstanding features which entitle it to Central Assistance.

_________________________________________________________________________

12.(a)Total estimated expenditure on the Project _____________________________________

(b)Amount of grant required from the Government of India _______________________________

(c)Source(s) from which the balance expenditure is proposed to be met

_________________________________________________________________________

__________________________________________________________________________

13.Whether necessary land for the proposed building is available if so, give details in India (location and area)

with evidence for ownership.

_________________________________________________________________________

14. (a)Details of plinth area to be constructed in relation to the number of working women for whom

construction to be undertaken including number of rooms with capacity , number of floors toilets and common

facilities

________________________________________________________________________

(b)Whether plinth area is according to the standard laid down by the State Govt./local Admn. for similar

projects.

Application For Grant-In-Aid Under The Central Scheme For Construction/ Expansion Of Hostel Building For Working Women With A Day-Care-Centre Page 2

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