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वरिष्ठ अधिकारियों का संपर्क विवरण

वरिष्ठ अधिकारियों का संपर्क विवरण

Name/पूरा नाम

Father's Name/पिता का नाम

Mobile Number/मोबाइल नंबर

Email-ID/ईमेल आईडी

Address/पता

Characters limit remaining 250

District/ज़िला

State/राज्य

Unique CSR registration Number generated in CSR-1 form from MCA Website

Registration in NGO Darpan

Yes No

Self-Certification(original) that not blacklisted by Niti Aayog/any ministry/PSU/Govt. body/any other organization

Registered as:

Society Trust Sec 8 Company

Registration number

Copy of Pan Card

Copy of memorandum of Association

Copy of 80 G Certificate

Copy of Audited accounts for last three years

Copy of FCRA certification (Only applicable to NGOs receiving foreign contributions)

Yes No

Declaration that assets shall be maintained for a period of 3 years and handed over to permissible entity as per the Companies act

Declaration that assets created from CSR assistance shall not be passed on to any private party and shall be retained by permissible entity as per Companies act

Last 3 years activity list in the similar field supported by documents such as (MoU/Work order/Completion Certificate

Copy of partnership with govt. agencies/PSUs, if any (MoU/Work Order/Completion Certificate)

URL of the requesting organization's website(if any)

Yes No

Achievements or awards received

Yes No

Any of Board of Directors/ Trustees/ Executive Committee members have any official dealing with SECI and its subsidiaries or are related to any board member of SECI and its subsidiaries. If so, details thereof.

Yes No

Declaration that the project will be fully utilized by the organization as per the timelines and funding of SECI CSR and utilization certificate will also be provided within the end of financial year

Declaration that SECI's role shall be that of sponsor only and the requesting organization shall fully implement the project

Need of the project (Baseline / Need assessment study if any conducted,to be enclosed)

Recommendation/request from district administration regarding:

(i)The need/Public purpose of the activity at the project location

(ii)The proposed activity at the project location is not being undertaken or planned to be undertaken by any govt. other agency

Project location

a) State

b) District

c) A Brief to be submitted on how the project at the proposed location will be beneficial

Project objectives and expected outcomes

Number of Beneficiaries of the project

Categories of the beneficiaries (GEN/OBC/SC/ST/PWD/OTHERS)

Summary Note on the project outlining all important aspects of the project

List of project activities along with corresponding project schedule/timelines

Detailed item wise breakup of project outlay showing capital and recurring expenditure separately along with jurisdiction for each item

Payment Schedule

Bank Account Details:

a) Account Number

b) Account Name

c) Bank Name

d) IFSC Code

e) MICR Code

Monitoring and reporting mechanism

Maintenance mechanism

Sustainability plan for a minimum of 5 years

Brief write up on how the brand visibility of SECIL towards CSR project will be ensured

Following documents/ compliances are required if civil construction is part of the project:

Yes No

(i)Land Ownership documents

(ii)NOC/Permission for construction from Panchayat/Urban Local Body/Regional Development Authority or such other authority mandated with sanction of building permit

(iii)The basis of preparation of the estimate must be mentioned in the estimate