Indu Mahila Op

ORGANISATION PROFILE OF APPLICATION FOR

CAPART A SS IS TANCE

(OTHER THAN FIRST TIMER) (PLEASE FILL IN BLOCK/ CAPITAL LETTERS)

PART-A : ORGANISATIONAL DETAILS

Name of the Organisation

INDU MAHILA BAL SEWA SADAN

Registered Address

VILL + PO : PARWAL PATTI

Block

SAHEBGANJ

Police Station

SAHEBGANJ

District

MUZAFFARPUR

State

BIHAR

Pin Code

843125

1. 2.1

2.2 Details of Branch Office (S) if any.( Append details of Branch Offices on additional sheets, if required.) Address Block Police Station District State Pin Code

3.

Contact Numbers 9931095306

Phone No (1) Phone No (2)

9334992184

Mobile Number Telegram Fax E-mail website

4. Name of contact person(s):LAST NAME 4.1

4.2

NAME

KUMAR

DESIGNATION

SECRETARY

NAME

SINHA

DESIGNATION

TREASURER

MIDDLE NAME

FIRST NAME ARUN

NIRU

5. Details of registration (Kindly Enclose copy of relevant certificate (s)) (Please put  against applicable Act) State

:

BIHAR

District

:

MUZAFFARPUR

950/2002-03

 ………………………………………

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

( 7/91-92)

Registration valid up to :

5.2

Date of Original Registration (08-04-1991) ( PERMANENT )

Detail of Foreign Contribution Regulation Act,1976 ()

(if applicable, kindly enclose copy of certificate) Date of original Registration : ( …………….. ) Original Registration No 6.

( …………….. ) Registration valid up to ( …………….. )

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 7.2 7.3 7.4 7.5 7.6

Lok Sabha Member(MP) Vidhan Sabha member (MLA) Village Sarpanch/gram Pradhan The Collector & District Magistrate Project Director, District Rural Development Agency Block Development Officer

: : : : :

RAGHUVANSHA PRASAD SINGH RAJU KUMAR SINGH ASHA KHATOON BINAY KUMAR VINOD KUMAR SINGH

:

MANAN

8-2 DETAILS OF FUNCTIONARIES (The item is to be filled for each) Name Designation

ABHIMANYU PRASAD SINHA MEMBER

8.2.2. state whether office held, ion any other VO (s) : Yes/No: NO 8.2.3.Details of the offices held other VO(s) 8.2.4.(in case answer to 8-2-2, is Yes) Name of the Organisation

: _________

NO

__________

Address of the Organisation : __________

NO

___________

Name of the Organisation

: _________

NO

__________

Address of the Organisation : _________

NO

___________

Name of the Organisation

: _________

NO

__________

Address of the Organisation : _________

NO

___________

8-2-4 DETAILS OF RELATIONSHIP WITH CAPART OFFICIALS, IF APPLICABLE. Name of CAPART official

: _________

NO

__________

Designation

: _________

NO

__________

Official address

: _________

NO

__________

Name of CAPART official

: _________

NO

__________

Designation

: _________

NO

__________

Official address

: _________

NO

__________

NO

__________

Name of CAPART official

: _________

Designation

: _________

NO

__________

Official address

: _________

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) AW01, AW02

9.1.1

Schemes taken up (CAPART or Others) in past 3 years?

Sr. No. 1. 2.

Title of S4cheme SHG FORMATION AND TRAINNING N.E.S.E

Amount Rupees

Completed/ongoi ng

29,635

COMPLETED

4,000

COMPLETED

Measures taken for sustainability

9.2 Have you undertaken project involving people’s participation? If yes , state it in 50 word on separate sheet. 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.

10

Geographical area of operation Please tick () appropriate code from the list below):-

COASTAL (C) DESERT (D)

EARTHQUAKE PRONE (E) DROUGHT PRONE (P)

HILLY (H)

FLOOD PRONE (F)

TRIBAL (T) REMOTE/ DIFFICULT AREA (R)  ANY OTHER (SPECIFY) (O)

10.1

Total number of different Districts in which activities have been undertaken 02

10.2

District wise Details:-

State

District

Major Activities codes as per Table-1

BIHAR

MUZAFFARPUR

AW01, AW02

Period of time speniworking in the area 1991

10.3 is the project for which funding is being taken up I the new area? Yes/no ()

10.4 if yes, then how long do you in word play to in this area?

N.A

11. MAIN TARGET GROUP (PLEASE GIVE APPROPRIATE CODE FROM LIST BELOW) Agricultural Laborers

Small and marginal farmers

Children

(A)

(M)

(C)

Bonded Labor

SC

Women

(B)

(S)

Landless Labor

Artisans

Disabled

(R)

(P)

Any Other (Specify)

OTHER VOs

Tribal

(O)

(v)

(T)

(L)

12.

L

S

(W)

W

PROFESSIONAL STAFF PRESENTLY WORKING IN THE ORGANIZATION (PLEAS GIVE THE NUMBER OF STAFF AGAINST APPROPRIATE ITEM. (Also specify whether full time or part time)

Doctors Homeopaths Ayurveds Nutritionists Health Staff

Engineers

Teachers

02

01

Technologists

Trainers

01

01

Geophysicist Economists Social Workers

Lawyers Geologists Veterinarians

06

Dais

01

Social Animators

04

Foresters

Audio-visual Experts

Chartered Accountants 01

Architects

Drillers

Accountants

Others (pleas specify)

01

12.1 NO. OF STAFF PRESENTLY WORKING IN THE ORGANIZATION ON:Full time basic

04

Part time

10

Voluntary

07

Total

21

Are any existing paid staff rotated to effect of Executive body managing committee of the voluntary Organization? If yes, give detail.

13

DETAILS OF CAPART ASSISTED PROJECTS ALREADY UNDERTAKEN BY THE VO (In Chronological order by the date of sanction)

Si n o

File No

Title of proposal

Locatio n (give)

Particulars of Sanctions

Sanctioned No. of Units And Beneficiaries units

Release Made

Date of Completion /

Remarks

State District Submission Of UC*

Block Village (s) D ate 1

2

3

4

CAPART Assistant

Others

Total

Units (Rs.)

SC/ST (Rs.)

OBC (Rs)

Others (Rs.)

5b

5c

5d

6a

6b

6c

6d

5a

D ate

Amount 7b

8

7a

N.A

•

Kindly attach photocopies of UC of completed projects.

PART-C: FINANCIAL STATUS OF ORGANISATION Kindly provide:-a) Copies of Annual Reports of Last three years b) Copies of Audited Statement of accounts of last three years

9

c) Copies of proof of having post office/Bank Account of last three years d) Copies of permanent Account Number issued by Income Tax department 14. INCOME AND EXPENDITURE:Sr. No Year (Rupees in Lack) 1) 2003-2004

Income (Rupees in Lack) 1,49,430 . 00

1,49,430 . 00

2)

2004-2005

1,86,785 . 00

1,86,785 . 00

3)

2005-2006

9,07,204 . 00

9,07,204 . 00

15.

Expenditure

RECEIPT & PAYMENT:

Sr. No 1)

Year (Rupees in Lack) 2003-2004

Receipt (Rupees in lack) 1,50,106 . 00

Payment 1,50,106 . 00

2)

2004-2005

1,87,663 . 00

1,87,663 . 00

3)

2005-2006

8,90,528 . 00

8,90,528 . 00

16. MAJOR ASSETS OF ORGANIZATION AS PER LAST AUDITED BALANCE SHEET (This includes Land, Building with plinth area etc.) Sr. No

Assets

Value (Rupees in Lacs)

1)

Cash Deposits

5,125 . 00

2)

Movable assets

2,44,103 . 00

3)

Immovable Assets

----

(Please Attach list of all movable and immovable assets of value over Rs. 20,000/-) 17. DETAILS OF BANK ACCOUNT FROM WHICH CAPART FUNDS HAVE BEEN/ PROPOSED TO BE OPERATED. 17.1 Account in the Name of “ RESHAM KHADI GRAMODYOG SANSTHAN ” (Attach photocopy of pass book) 17.2 Details of Bank Accounts:-

Sr. No 1)

Items

Details

Name of the Bank

STATE BANK OF INDIA

2)

Full Branch Address

3) 4) 5)

Account Number Type Of Account Name of Signatory (1) Post Held in organization Relationship to chief functionary Name of Signatory(2) Post held in organization

ADB LAKHISARAI, BRANCH CODE:3599 01100050681 SAVING ACCOUNT DEEPAK KUMAR SINHA SECRETARY

6)

SANTOSH KUMAR SINHA TREASURER

17.3 SUMMARY OF RECEIPTS Give details from the Audited statements of accounts for the last 3 years as indicated below:17.3.1 BREAK

UP OF

RECEIPTS. (Receipt & Payment)

Receipts

Year 2004-2005 Amount % (Rupees)

Total funds Received From Government

2,95,58 2 1,28,80 3 -----

100 %

1,38,52 8 25,251

46.87%

From Foreign Source Own Source By Community Contributions

43.58% -----

8.54 %

Year 2005-2006 Amount % (Rupees ) 3,56,72 100 % 3 1,55,85 43.69 4 % ----------

Year 2006-07 Amount % (Rupees ) 3,90,96 100 % 4 2,05,86 52.66 % 5 ------------

1,68,25 7 32,632

1,48,57 4 36,525

47.17% 9.15 %

38.00% 9.34 %

17.3.2 What percentage of total expenditure was spent on administration last year? 17.3.3 Break up of Administration expenditure in percentage: Clarification on page. Sr. Administrative Amount (in Rupees) Percentage No Expenditure

1) 2) 3) 4) 5) 6) 7)

Salary/emolument s Facilities for Staff Fuel, oil, lubricants Travel

72,000

52.19 %

4,589 5,000

3.77 4.11

% %

6,427

5.28

%

Telephone Office expenses(Rent) Any Other

2,415 9,110

1.99 7.49

% %

22,107

18.17 %

Total

1,21,648

100

%

17.3.4 Has your organization been black listed/put understanding restrictions by CAPART/ Any Other organization? ( NO) If Yes, Give details. 18. Are Annual Reports and Audited statement freely available to any member of The public? Yes/No (YES). If no, the reasons thereof __________________

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. Counter signed by Member of the Executive body

Name: NIRU SINHA

Authorized Signatory

Designation:

TREASURER

Name:

ARUN KUMAR Designation: SECRETARY

Place:MUZAFFARPUR

SEAL OF THE ORGANIZATION

Date: 2003.2007

FOR CAPART USE ONLY Computer Generated Number allotted:-

Date

Signature