Application For Grant-In-Aid Under The Central Scheme For Construction/ Expansion Of Hostel Building For Working Women With A Day-Care-Centre Page 3

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(c)Whether trained staff and other suitable facilities for undertaking construction are available, if so, give
details.___________________________________________________________________
15. Whether the institution/organisation is in a position to meet the balance expenditure, If so, indicate the
source(s)_________________________________________________________________
16. List of papers/statements to be attached
(a) Prospectus of the voluntary organisation/institution of a brief description of its objects and activities;
(b) Constitution of the Organisation/Institution ;
(c) Constitution of the Board of Management and the particulars of each member ;
(d) Copy of the latest available Annual Report ;
(e) Detailed structural Financial estimates of the hostel building, giving item-wise details of recurring and non-
recurring expenditure and the sources from which the remaining funds will be obtained;
(f) Information relating to the grant received from promised by or the requests made to other bodies,, e.g. State
Governments, Local Bodies, etc. for the construction of the proposed hostel building. The decisions of these
bodies on such requests would be communicated to them.
(g) A statement of the full receipts and expenditure of the voluntary organisation/institution for the last two
years and a copy of the balance sheet for the previous year certified by authorised Auditors/Chartered
Accountant ;
(h) A copy of site-plan of the proposed hostel building with a certificate from the local municipal authorities
that the construction of the building has been permitted;
(i) A certificate to the effect that the rates of construction to be adopted are not in excess of the Scheduled of
rates of the PWD of the State concerned duly countersigned by the Head of the State PWD concerned or its
nominee ;
(j) Documentary proof of ownership of plot on which the hostel is proposed to be constructed.
17. List of additional papers., if any
18. Additional information, if any
(Signature)
(Name in Block Letters)
Date Designation
Office Stamp
PART - II
Recommendation of State Government/Union Territory Administration
The application from------------------------------- is forwarded duly recommended to the Department of Women &
Child Development, Government of India with the following comments :
(i) that a senior officer of the-------------------------- Department has visited the institution/organisation with a
copy of his report is attached;
(ii) that the institution/organisation is recognised and/or registered under the Indian Societies Registration Act
1860 or corresponding State Act/Public Trust (give numbers),
(iii)that the application has been examined and that it is found to be covered under the scheme;
(iv) that the hostel building for which the application is being recommended is absolutely essential in the area
for the following reasons---------------------------------------------------------------------------------------------------------
(v) that there is a minimum of 25 working women in the area;
(vi) that its work in the field of welfare of women/social welfare/women's education has been reported as
satisfactory during the last three years;
(vii) that the organisation/institution is not run for profit to any individual or a body of individuals;
(viii)That the organisation/institution does not charge capitation or other similar fees from inmates of other
states;
(ix) that the land for the construction of hostel building is available. The locality is good and respectable.
(x) that the accomodation proposed to be constructed and rates of the proposed construction conform to the
standards laid down by the State Government;

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