Ashadip PSC

Name of the organization *

Office Address *

Contact No *

Contact Person for Name

Contact Person Designation *

Contact Person Mobile *

Contact Person E-mail *

Contact Person Alternate Contact no

Organization’s website url

Type of organization *

If other Categories please Mention

Name of the Authorized Person *

Name *
Address *
Email *
Phone No *

Name of the project *
Project geography *
Total no of beneficiaries the project intended to reach * (Specify in terms of individuals, households, villages etc.)
Total no of beneficiaries that the project could reach *
Which are the other partners/institutional engagements in the project (name of the implementing partner/s, other partners, government agencies and their brief role)
(name of the implementing partner/s, other partners, government agencies and their brief role) *
Total Budget of the project/Programme across the years *
Additional note on the project financial information (if any): (Feel free to add any relevant information)

Please elaborate on the ‘Theory of Change’ for the project with focus on *	a) Project Objectives b) Key Impact Indicators for the Project c) Project Inputs d) Project Outputs e) Project Outcome and Impact
Project Objectives
Key Impact Indicators for the Project
Project Inputs
Project Outputs
Project Outcome and Impact

What were the institutional arrangements * (involvement of local institutions, government agencies etc.) sought for better outcome in the project? (300 words)
Were there any significant roadblocks/challenges in the project implementation ? *	Yes No
If yes, what were those and how did you overcome those ?
What was innovative about this project * (be it process, partnership model, institutional arrangement, adoption of technology or novelty of engagement with the stakeholders etc.)? (300 words)

How did the project perform on key indicators * (300 words)
Explain the magnitude of change brought by the project, please include both quantitative and qualitative metrics * (300 words)
What has/have been the major learning/s) from the project with regards to implementation, prioritization and outcomes * (300 words)
What institutional arrangements were done to ensure the sustainability of the outcomes after the completion of the project? Emphasize on the exit plan for the project * (300 word)

Detailed Project Report (DPR) for CSR Fund or Other Business

Form - Details Project Report more than One Crore

:: Provide Your Amount ::

:: Contact Person Details ::

Category

(Please tick in front of the appropriate category or Mention)

Organizational Profile

Essential Project Details

Project Summary

(Maximum 1200 words)

Parameter 1

(Theory of Change for the Project(Relevance)

Parameter 2

Project Design, Innovation and Approach (Inclusiveness, Innovation)

Parameter 3

Outcome/Impacts, COVID19-alignment, Learning and Sustainability (Effectiveness)

Documents Upload

Sponsored Information and Final Submission

Our Team

Rabina Kumari Sharma

Gopal Bera

DEBIKA SUBBA

Jharna Mallick

Kiran Bala Dey

ANINDITA ROY

Nisha Sarki

Chhanda Barik

PRIYA BISWAKARMA

ARPITA CHAKRABORTY BANERJEE

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ASHADIP PSC

Category *	Healthcare (Non-COVID project) Education Skills Development Livelihoods Environment WASH ( Water,Sanitation and Hygine) Women Empowerment Rural Development and Infrastructure Special Categories (Old Age,Specially-abled and others)
If other Categories please Mention

Memorandum/MOA/Trust Deed
Registration Certificate
Pan Card
Last Three Years Audit/Accounts for Old Organization
Last Three Years Annual Report for Old Organization
12A and 80G Certificate for Charitable Organization
CSR-1 Certificate for 80G registered Organization
FCRA Registration Certificate
Activity Picture if any present
Bank Pass Book 1st Page or Cancel Cheque

Sponsor Present ? *	Yes No
If Yes, Give the Sponsored Username
Final Submission *