May I Help U?   Our Valuable Customer   Bank Details   Who We Are   Your Query   All Quotations
Login
  

Online Project Application


Form - Application for Old Age Home

Back To Form List

:: Provide Your Amount ::

Amount *

Sponsor Present ? * Yes No




[ After Click On Primary Submit Check your Email ID for Final Submission ]

NGO DETAILS

NGO/CBO/Startup/ Other Organizations Name as recorded in (NITI Aayog Portal): *
NGO/CBO/Startup / Other Organizations Unique Id as recorded in (NITI Aayog Portal): *
Address of Registered office of the Organization: *
City / Town / Village: *
District: *
State: *
Mobile No.: *
Telephone:
Email *
Fax:
Statute under which the organization is registered: *
Project Id: *

Enter your Beneficiary Data

Component - Senior Citizens

Acknowledgment No *
Financial year for which grants-in-aid is applied:* *
Name of the organization *
Nature of the Project:
Type of the Project * Ongoing
The organization has been receiving financial assistance continuously for last three years * Yes No
No Utilization is pending in terms of para of 212(1) GFR: * No UC Pending

EAT Module and CCTV Status information

Whether EAT Module is implemented * Yes No
Whether CCTV Installed * Yes No
URL for website *
SI. No. /IP Address for CCTV *
User ID/ User Name *
Password *
Whether live feed of CCTV linked with website * Yes No

Project Location

State *
District *
Address *
Alternate Address *
Landmark *
City / Town / Village:* *
Location Type *
PIN Code *
Latitude of Project Location *
Longitude of Project Location *
Date of commencement of the Project *
Year of Commencement of Grants-In-Aid from G.O.I. for the Project:
Whether the Project is recognized by the State Government * Yes No
Date of Registration *
Complete address of location(s) location wherever programmed project/scheme is being implemented
(STD Code)Tel. No: (Like:01206512472)
(STD Code)Fax No:
Email *
Nearest Railway Station / Bus Stand *
Whether building is * Owned Rented On Lease Donated
If no, Provide details of usage

Rent Agreement

Details of bank accounts in which grants-in-aid released, during last three financial years, were deposited

The amount of support sought from the Ministry for recurring grants-in-aid

Availability of the following at centre

Details of Medical checkup and treatment of the Aged

Nutrition Support(in case of SrCH including for elderly women/ RCH & Home for Dementia)

Productive Activities

Other Activities(other than productive activities)

Are there any linkages with any other organization/institution if so,please specify the name of the organistion for each service

Yours faithfully

NGO Beneficiaries Details

Upload Documents


Our Team

Kiran Bala Dey
Caustomer Care Executive
Mousumi Pal
Tele Caller
ANINDITA ROY
IT Co Ordinator
Chhanda Barik
Mobilizer
ARPITA CHAKRABORTY BANERJEE
IT Co Ordinator
PRIYA BISWAKARMA
IT Co Ordinator
Gopal Bera
CEO
Rabina Kumari Sharma
IT Co Ordinator
Jharna Mallick
Caustomer Care Executive
DEBIKA SUBBA
IT Co-Ordinator

Contact Info

Visit Us

At-Peerbaba Tower,1st Floor, OT Road, P.O-Inda,P.S-Kharagpur Town, Dist-Paschim Medinipur, State-West Bengal,Pin- 721305

Call Us

+91 8918726833

Feel free to write your query


[250 char only]

4 + 6 =

© 2019 Ashadip PSC . All Rights Reserved.