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CAPART A SS IS TANCE
(OTHER THAN FIRST TIMER)
1.
2.1
2.2 Details of Branch Office (S) if any.( Append details of Branch Offices on additional sheets, if
required.)
State : BIHAR
District : NALANDA
Societies Registration Act, 1860 : ……………………….………………………………………
Indian Trusts, Act,1882 :………………… .....………………………………………...
The religious and charitable institutions Registration Act, 1920………..…………………
If Registered under other Act, Please specify.
5.1 Registration No ( 600 ) Date of Original Registration (27.11.1992)
6. Are there any criminal cases pending against the Organization or office bearers NO
(Yes/No)
7. Detail of people’s representative of the target area (Full name and address to be
provided)
7.1 Lok Sabha Member(MP) : SHRI RAM SWAROOP PRASAD
7.2 Vidhan Sabha member (MLA) : SHRI RAM CHARITRA PD. SINGH
7.3 Village Sarpanch/gram Pradhan : URMILA DEVI
7.4 The Collector & District Magistrate : ANAND KISHORE
7.5 Project Director, District Rural : PRAMOD KUMAR
Development Agency
7.6 Block Development Officer : ANWAR AHMED
Name
Designation MEMBER
8.2.2. state whether office held, ion any other VO (s) : Yes/No: NO
8.2.5 Are there any members of the family of the chief. Who receive
salary/honorarium from the Organisation? If yes, give details.
8.2.6 Please submit details of personal assets of chief functionary.
8.2.7 Is the chief functionary the founder of the Organisation? If not how years
has he been working in rural area ?(Kindly attach his bio-data)
Part-B : Details of Activities
9. Activities (please refer to Table:9-1 on Activities codes and give
appropriate codes
for Multiple activities, give more than one code as demand fit)
9.2 Have you undertaken project involving people’s participation? If yes , state
it in 50 word on separate sheet. (YES, ATTACHED ANNEXURE I)
9.3 Have you undertaken projects for organizing and mobilizing the poor,
SC/ST, disabled or women ? if yes, state it in a separate sheet in100 words.
Attached separate sheet. (YES)
10 Geographical area of operation Please tick () appropriate code from the
list below):- (ATTACHED ANNEXURE II )
COASTAL (C) EARTHQUAKE PRONE (E) TRIBAL (T)
10.4 if yes, then how long do you in word in this area? N.A
11. MAIN TARGET GROUP (PLEASE GIVE APPROPRIATE CODE FROM LIST BELOW)
Voluntary 08 Total 26
Are any existing paid staff rotated to effect of Executive body managing committee of the
voluntary Organization?
If yes, give detail.
Si File Title of Locatio Particulars of Sanctions Sanctioned No. of Units Release Made Date of Remarks
n No proposal n And Beneficiaries units Completion
o (give) /
State
District
Submission
Block Of UC*
Village
(s)
1 2 3 4 5b 5c 5d 6a 6b 6c 6d 7b 8 9
5a 7a
N.A
Kindly provide:--
a) Copies of Annual Reports of Last three years (ATT.)
b) Copies of Audited Statement of accounts of last three years
(ATT.)
c) Copies of proof of having post office/Bank Account of last
three years (ATT. )
d) Copies of permanent Account Number issued by Income Tax
department (ATT.)
14. INCOME AND EXPENDITURE:-
Sr. No Year Income Expenditure
(Rupees in Lack) (Rupees in Lack)
1) 2004-2005 5,01,488/- 5,01,488/-
(Please Attach list of all movable and immovable assets of value over Rs.
20,000/-) ATT.
Give details from the Audited statements of accounts for the last 3 years
as indicated below:-
18. Are Annual Reports and Audited statement freely available to any
member of
The public?
Yes/No (YES).
__________________
19. Certified that the information given in this form is correct to the best
of our
knowledge. It is understand that tendering false information will
result in
CAPART recalling the assistance and stopping further funding of the
VO.
Designation: Name:
Designation:
Date:
FOR CAPART USE ONLY
Computer Generated Number allotted:-
Date Signature