Central Scheme of Financial Assistance to Voluntary Organisation working in the field of Youth

Application form for submitting proposal(s)

(Advance copy of this application may be submitted online)

Note:-Application received in an incomplete form will not be entertained.
  1. Name of the Organisation.              
    2. Address.             
    State/U.T.             
  2. Brief history of the Organisation and its objects and activities.             
  3. Whether resistered under the societies registration Act, 1860 (Act XXI of 1860) or any corresponding state Act?             
    		4. Yes No
    If so, indicate the             
    Registration number.              
    Date of registration.              
    In case the organisation is not registered under the societies registration act, 1860 or any corresponding act, recommendation of the collector/ Deputy commissioner or certificate of sponsership by an Organisation so registered to be attached.               
  4. Whether the Organisation seeking financial assistance is an all India Organisation.             
    		5. Yes No
  5. Whether the project for which financial assistance is sought pertains to one State/ Union Territory only.           
    		6. Yes No
  6. Whether the Organisation has any experience in youth programme/ activities.           
    		7. Yes No
  7. Whether the organisation is housed in its own building or in a rented building.             
    		8. Own Rented
  8. Details of beneficiaries with number of students/ non-students/ males/ females/ members of weaker sections to be shown in separate categories.            
  9. Details of the project(s) for which grant is sought.             
  10. Likely dates of commencement of the project/ programme.             
    11. Likely dates of completion of the project/ programme.             
  12. Whether there is staff and other faclities avialable for undertaking the projects?              
    		13. Yes No
    If so, details.              
  13. Whether new staff is to be appoined?            
    		14. Yes No
    If so, give details of qualifications (academic and professional) and experience prescribed for the purpose.            
  14. Whether request for financial assistance has been/ is proposed to be made to other official (Central Government and/ or State Government) agencies?            
    		15. Yes No
    If so, give complete details.            
  15. Year-wise estimated expenditure (non- recurring/ recurring separately)of the project with detailed break-up.           
  16. Amount of grant required for.             
    17. Recurring .             
    Non-Recurring .             
  17. Whether the organisation/ institution is in a position to meet the whole or part of expenditure on the project/ programme?              
    		18. Yes No
    If so, indicate the source(s) and quantum of funds raised/ proposed to be raised.              
  18. List of papers/ documents to be attached.              
  19. Constitution of the Organisation.           
  20. Constitution of Board of Management/ Governing Body with list/ particulars of present office bearers.           
  21. Prospectus/note giving aims and objectives of the Organisation with a copy of the rules and regulation for the functioning of the Organisation.             
  22. Copies of Annual Reports, preferably for the last 3 years.             
  23. Copies of audited statements of accounts/ balance sheet for the last three years.             
  24. A Statement giving details (year, purpose, amount etc.) of assistance, if any, received during the last 5 years from the Central Governments/ State Government/ Local Bodies or any other quasi Government institutions.           
  25. List of additional papers, if any.           
  26. Additional information, if any.              
  27. Recommendation of the State Government/ Union Territory Administration NSS Regional Centre concerned to be attached in all vases of Organisations which are not all-India in character and in cases of programmes/ projects undertaken by any organisation (all India or otherwise) which pertain to one State/ Union Territory only.             
    28. Place:   
    Dated:   Name(In Capital Letters)  
    Status as office bearer Organisation.   
    Rubber Stamp of the organisation