Grant Application Format

Transcription

1 Gran Applicaion Forma Organizaions applying for Gran are requesed o submi his applicaion along wih he projec proposal o: The Program Manager Coca-Cola India Foundaion Enkay Towers, Udyog Vihar Phase V GURGAON , HARYANA Tel : / Fax : yan@apac.ko.com NOTE : Please use separae shees o provide requesed informaion. I. PROJECT DETAILS 1. Projec / Program Caegory (Please ick he relevan projec) Waer Susainabiliy Environmen / Climae Conrol Healhy Living Inclusive Social Developmen 2. Projec Jusificaion (Please aach a brief wrie up on he concepion of he projec, is fel need and how i will impac beneficiaries) 3. Locaion Descripion 4. Targe Beneficiaries 5. Projec Duraion 6. Manpower Requiremens 7. Specific Aciviies

2 II. FINANCIAL DATA 1. Toal Projec Cos (INR) 2. Gran Amoun Applied For 3. Oher Funding Sources 4. Deailed Projec Budge wih iemized expendiure and highlighing fixed and variable coss 5. Disbursemen of Funds and schedule of paymens (Please idenify milesones o be achieved o enable release of funds.) 6. Curren Budge of he Organizaion 7. Receip and Disbursemen saemen and Balance Shee for he previous one year cerified and audied by a Charered Accounan. III. TECHNOLOGICAL PARAMETERS Regulaory Compliance [Please aach a brief noe confirming he echnology/ies o be used under his projec as also wheher hese echnology/ies adheres o any applicable sauory requiremens] IV. MONITORING & AUDIT 1. Performance Indicaors of he Projec 2. Mehodology o be adoped for Communiy Engagemen and Paricipaion 3. Training /Skill Developmen schedules, if any

3 4. Mainenance of specific srucure/echnology 5. Approach o ensure long erm susainabiliy V. ORGANISATIONAL DETAILS (Deails of he Organizaions/NGOs/CBOs working as sub-conracors for he projec also need o be submied in he same forma.) 1. Name of he Organizaion : [Officially regisered or esablished name] 2. Regisered / Permanen Office Address (including Telephone, Fax and websie address) [Please provide self aesed copy of: elephone/landline bill or elecriciy bill or municipal bill as address proof] 3. Dae of Regisraion / Esablishmen 4. PAN Card No. (Please provide self aesed copy) 5. Legal Saus ( Please click on appropriae box and provide organizaion s charer or governing documens ) Sociey Trus No-for-Profi Company Oher (please specify) 6. Name and Address of he paren body, if any 7. Name and Profile of Trusees/Managing Commiee Members/Board of Direcors/ Office bearers of he Organizaion (including heir address and conac deails) 8. Organizaion s Vision, Mission and Objecives 9. Lis of Previous Projecs underaken and compleed successfully (Please aach case sudies/ success sories of some compleed projecs)

4 10.Annual Repor of previous hree financial years. 11.Bank Cerificae saing Granees name and bank accoun number or bank saemen in original or a cancelled cheque wih granees name and bank accoun number prined on he cheque. VI. LEGAL REQUIREMENTS 24. Please aach a copy of he following : Applican s organizaion s charer, bye laws and oher governing documens including Memorandum of Associaion of he Sociey/Trus Deed/ Memorandum and Aricles of Associaion of no-for-profi company regisered under he Companies Ac. Regisraion Cerificae under he (i) Income Tax Ac, 1961, (ii) Sociey Regisraion Ac, 1860, (iii) Foreign Conribuion Ac, if applicable. Copy of income ax exempion cerificae (in case paymen o he Granee has o be made wihou deducion of ax a source). 25. Oher documens o be aached: a) Lis of consens/ permissions / approvals required from he local/sae/cenral auhoriies and heir saus. b) Drafs of any MOU/Agreemen o be enered ino/ or which needs o be enered ino as a conracual obligaions. Name and Profile of he Program Manager / Projec Coordinaor (Please use a separae shee) Signaure of he Head of he Organizaion. Name Designaion..

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