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Application cum Monitoring Form for grant in aid to Voluntary Organisation working for Scheduled Caste Development (For 1st Installment and New Cases) (Residential / Non-residential Hostel)

PART - A

1. Financial year for which grant-in-aid is applied: ________________
2. Name of the Organization: ________________
3. (a) Nature of the Project: ________________
(b) Date of commencement of the School/Hostel: ________________
(c) Year of Commencement of Grant-in-aid from G.O.I. for the School/Hostel: ________________
(d) Whether the Project is recognized by the State Government: ________________
4. Date of Registration of the Organization: ________________
5. Address of Registered Office: ________________
(Ph. No.):
(Fax No):
(E-Mail):
6. (a) Complete Address of location / location where programme / project / scheme is being implemented: ________________
(Ph. No.):
(Fax No):
(E-Mail):
(b) Nearest Railway Station/Bus stand: ________________
7. Whether building is OWNED / RENTED / ON LEASE / DONATED: ________________
8. (a) Is the building being utilized exclusively for this program ?: Yes / No
(b) If no, provide details of usage: ________________
9. (a) Area of building: ________________ (in sq. meters)
(b) Number of rooms: ________________
10. Whether separate project-wise accounts have been maintained for grants sanctioned earlier ?: Yes / No

* Please indicate : Res. School / Non-Res. School / Hostel.

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