PROFORMA FOR INSPECTION REPORT 1. Name and address of the voluntary organisation inspected : 2. Date of Establishment : 3. Registration No. & Date under the Registration of Societies Acts. : 4. Source of Income : 5. Date of Inspection/Visit : 6. How many Centres have been set up by the Organisation and the number of old age Persons each centre : 7. Age Group of the Older Persons : 1. The details of facilities and Service provided by the organisation for the Aged : 2. Has the organisation made arrangements for Medical checkup and treatment of the Aged. : 3. The details of nutrition support being provided to maintain the requisite level of physical and mental effciency of the Aged. : 4. What has been done by the organisation Regarding advocacy for welfare of Older Persons and the steps taken to prevent Harrassment of the Aged. : 5. Whether proper and up to date records of Grant-in-aid received and expenditure Incurred has been maintained. : 6. Whether the year wise grants already Released to the organisaation have been Properly utilised, if so, a copy of the Utilisation Certificate duly certified by Chartered Accountant may be submitted by it.: 7. The details of arrangements made for entertainment and vocational training of Aged : 8. Infrastructure available i) land - owned/rented area if owned, rent if rented : ii) buildings - owned/rented area if owned, rent if rented : iii) recreation facility : 16. Details of staff : 17. Contact person with Phone No./Fax No. etc. : 18. Name of the bankers with Account Number : 19. Detailed Comments/recommendations (Here the inspecting officer should give his/ her comments on the overall working of the organisation and his/her specific recommendation for the confirmation of Government. : Signature : Name and Designation : District : State :
