MINISTRY OF WOMEN AND CHILD DEVELOPMENT

NAME OF THE SCHEME:

III. Application for 2^st Instalment

1. Organisation

    Address

    Phone

    Fax

    Telex

    E. Mail

   Grams

2. Grant in Aid (in Rs) Recurring Non-Recurring Total

Applied in the current year:

Received as 1^st instalment :

Applied for 2^nd Instalment

3. The applicant organization should enclose following papers;

1.  Annual Report of the previous year

2.  Audited Statement of accounts of previous year
   (Receipts and payments statement and Balance Sheet)

3. Audited Utilization Certificate with item wise expenditure
   as per the sanctioned norms of grant.

4. Details of staff employed as per Appendix I

5. Details of beneficiaries as per Appendix II

6. Assets acquired wholly or substantially out of
   Government grants under GFR 19 as per Appendix III

7. Any other information considered necessary by the
   organization or as asked for.

 

Signature:

Name

Address:

Seal:

Date: