1. Organisation

    Address

    Phone

    Fax

   Telex

   E. Mail

   Grams

2(A) (i) Name of the Act under which registered

           Registration No and date of registration

            (Please attach a photocopy)

2(B) Any other organization/Institute/Body, if applicable,

       give details

3.   Registration under Foreign Contribution Act

4.   Memorandum of Association and Bye-Laws

      (Please attach a photocopy)

5.   Name and address of the Members of the

      Board of Management/Governing Body

6.    List of documents to be attached:

      (Copy of the Annual Report for the

      Previous 2 years which should contain

      the Balance Sheet (including receipt and

      Payment account)

7.    Details of the Project for which

      the grant in aid is being applied

8.    Grant in Aid applied for in the current year

                  Non-Recurring

                  Recurring

9. Details of the staff employed

(Appendix-I)

10. List of additional papers, if any given

I have read the scheme and fulfil the requirements and conditions of the Scheme. I undertake to abide by all the conditions of the Scheme.

 

Signature:

Name:

Seal:

Date:

Note: Wherever not applicable, specially in case of new organization, please write N.A.