ANNEXURE -VI Format of Proposal under MAHILA SAMRIDHI YOJANA 1. Name & Address of the SCA/NGO : _________________________________ 2. Details of i) Amount of funds availed under Rs._____________ association with Micro Financing Scheme NMDFC under ii) Number of SHGs financed with ________________ Micro Financing NMDFC loan Scheme iii) Number of beneficiaries assisted _________________ 3. Name of the proposed activity : _________________________________ under Mahila Samridhi Yojana 4. Name of the place, taluk & district : _________________________________ where the proposed programme will be conducted 5. Justification for the proposal : _________________________________ 6. i) Name of the Agency identified : _________________________________ for conducting the training ii) How old is the training agency? : _________________________________ iii) For the proposed activity, number : _________________________________ of trainings earlier organized and number of persons trained by the training agency iv) How the trained beneficiaries are : _________________________________ engaged at present? v) Details about skilled instructors : S.No. Name/Designation Qualification Experience for the proposed activity with the & Complete Address training agency vi) Details about the infrastructure : 1. Size of training area with the training agency for the 2. Furniture & Fixture proposed activity 3. List of tools & equipments Reference Manual on Implementation of NMDFC Schemes FINAL - 1 vii) Duration of the proposed training : _________________________________ viii) No.of days per week & No.of hours each day : ix) Syllabus for theory and practicals : May be enclosed. x) Total training cost : 7. Arrangements made for imparting training to the group in formation and stabilization as Self Help Group : UNDERTAKING The facts & figures provided in the above application form are correct and true. The training agency has required infrastructure, instructors, tools & equipments for providing training to 20 women candidates in the proposed activity. Also, the SCA/NGO will ensure that during the training, the group is formed and stabilized into Self Help Group (SHG) and need based micro-credit will be provided to the group after the training, for pursuing the activity. Date : SIGNATURE M.D. OF THE SCA/ Place : C.E.O OF THE NGO Reference Manual on Implementation of NMDFC Schemes FINAL - 1 PROGRAMME COMPLETION CERTIFICATE (Under Mahila Samridhi Yojana) (To be submitted by the SCA/NGO for obtaining the final payments of the programme. To be filled up separately for each programme) This is to certify that the programme on Mahila Samridhi Yojana for the activity ___________________ sanctioned by NMDFC vide letter no._______________________________ dated _____________ has/have been conducted successfully as per the terms and conditions mentioned in the sanction letter. Further, it is certified that following is the Community-wise/Genderwise break-up of the candidates trained: i. a. Muslim b. Sikh c. Christian d. Buddhist e. Parsis g. Male h. Female ii. The programme was conducted from ____________ to __________. iii. The list of candidates selected for the programme has already been submitted to NMDFC vide letter no.____________________ dated _________. iv. The theory and practical classes were covered as per the syllabus. v. The credentials of all trainees with regard to their educational qualification, minorities status and family income were properly verified at the time of selection/admission; vi. Adequate infrastructure, tools and equipments were made available during the training programme; vii. Satisfactory progress of the training programme and performance of the trainees was monitored from time to time. viii. The trainees were formed into a Self Help Group. The leader of the SHG is _______________ (Name of the leader) and the bank account number is __________ in the ___________(Name of the bank). ix. The other terms and conditions mentioned in the sanction letter were strictly followed/ observed during the training programme. Reference Manual on Implementation of NMDFC Schemes FINAL - 1 x. Trainees will be provided need based micro credit through their Self Help Group for pursuing the activity. SIGNATURE OF THE HEAD OF THE SPONSORING/ IMPLEMENTING AGENCY WITH OFFICE SEAL DATE: _____________ # Please strike out whichever is not applicable Reference Manual on Implementation of NMDFC Schemes FINAL - 1
