Scheme of Assistance to Panchayati Raj Institution / Voluntary Organisation / Selfhelp Groups for Construction of Old Age Homes / Multi-Service Centres for Older Persons
MINISTRY OF SOCIAL JUSTICE & EMPOWERMENT
Name of the Scheme: SCHEME OF ASSISTANCE TO PANCHAYATI RAJ INSTITUTIONS / VOLUNTARY ORGANISATIONS / SELF-HELP GROUPS FOR CONSTRUCTION OF OLD AGE HOMES/MULTI SERVICE CENTRES FOR OLDER PERSONS
I. Organisation:
| Name: | ________________ |
| Address: | ________________ |
| Phone: | ________________ |
| Fax: | ________________ |
| Telex: | ________________ |
| E-Mail: | ________________ |
| Grams: |
| 2. (A) (i) Name of the Act under which registered: | ________________ |
| (ii) Registration No. and date of Registration (Please attach a photocopy): | ________________ |
| (B) Any other organization / instittute / Body, if applicable, give details: | ________________ |
| 3. Registration under Foreign Contribution Act: | Yes / No |
| 4. Memorandum of Association and Bye-Laws (Please attach a photocopy): | ________________ |
| 5. Name and Address of the Members of the Board of Management / Govcming Body and Date of constitution of the present Board: | ________________ |
| List of documents to be attached: A copy of the Annual Report for the previous year which should contain the balance sheet (including .-eceit)t and payment account, income and expenditure of the Organisational Institution for the last 2 years). These should be certified by a Chartered Accountant or a Government Authority: |
________________ |
