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PROFORMA FOR SUBMISSION OF THE PROPOSAL FOR SURVEY / STUDIES UNDER THE

RESEARCH & DEVELOPMENT SCHEME (NHDP)

Organization profile

1 Name of the organization with complete postal


address, Mob/telephone no., e-mail.

2 Type of organization
3 Registration number, date of registration, validity of
registration, act under which registered.
4 Unique ID NITI, PFMS, DCH (empanelment) in case of
NGO
5 Name & designation of chief functionary with Tel
No./Mobile No
6 Experience of conducting study / survey and details
thereof
Scheme/Project Profile

7 Title of the Survey/Study


8 Duration of the Survey/Study

9 Craft to be covered
10 Area to be covered

11 Objective, Need and Justification

12 Scope of the Survey/Study


13 Methodology

14 Financial implication along with head wise S.N. No. of Amount


break-up Head of Expenditure Persons Proposed
(i) Project head
(ii) Experts (Max. 4)
(iii) Investigator Cum Data
Entry Operator (Max. 3)
(iv) Documentation &
Videography, IT (Soft --
and Hard Infrastructure)
(v) etc.
T.A./D.A. --
(vi) Miscellaneous @ 5% of
the total cost i.e., from(i) --
to (v)
(vii) Administrative charges
3% of total project --
cost (i) to (vi)
TOTAL

Documents to be attached (indicating the page numbers)

15 Copy of valid registration certificate under proper


statute / copy of empanelment certificate of DC (HC)
in case of NGO / copy of incorporation certificate in
case of companies. [Self-attested]
16 Copy of Annual report and audited balance sheet (by
chartered accountant) for last 3 years. [Self-attested]

17 Name and address of Bank where organization has its


account. Also mention Account Number and IFSC code.

Required Affidavits

18 That the organization is not involved in any corrupt


practices and has not been black-listed by any
central/state agencies

Certified that:

a) No financial assistance has been received from any other source for the same purpose.
b) The provision of the scheme has been fully understood and we take the responsibility for
successful completion of the project within the sanctioned project duration.
c) All infrastructure is available with the organization to conduct the programmes as per scheme.
d) There is no duplication of efforts takes place with existing schemes of the Ministries.
e) No UC is pending in any scheme of the O/o DC (Handicrafts).
f) The organisation is registered with Public Finance Management System and will adhere to the
provisions/guidelines of Department of Expenditure from time to time, in this regard.

Signature with Rubber Seal

Name :
Date: Designation :

Recommendation of Regional Director of O/o DC (HC)/ Asstt. Director of HSC concerned with full
justification:

Signature with Rubber Seal

Name :
Date: Designation :

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