GENERAL INFORMATION The ASSOCHAM Summit-cum-Awards on SKILLING INDIA – The Way Forward comprises two stages selection process consisting of questionnaire assessment, and finally jury selection. I. First Phase: Questionnaire Assessment Questionnaire assessment includes an assessment of how the organization has integrated the skill development process and its strategy and management of operations. II. Second Phase: Jury Selection Panel of jury consisting of eminent persons will review each entry and finally decide the winners. CATEGORIES FOR AWARDS During ASSOCHAM Summit-cum-Awards on Skilling India, awards in Gold and Silver category to the meritorious organization will be made in the following categories: Sr. No Name of the Awards Code Number 01-16 1 Best Vocational Training Provider (VTP) - Training 2 Best Institute - Innovation 02-16 3 Best Institute - Open & Distance Learning in Vocational and Skills Development 03-16 4 Best Institute - Women Skill Development 04-16 5 Best Institute - Placement 05-16 Best Large Scale Private Organization – Training Programme 06-16 6 7 8 ( Having more than Rs. 100 Cr annual Turnover) Best Medium Scale Private Organization – Training Programme 07-16 (Having more than Rs. 25 Cr. but less than Rs. 100 Cr. annual turnover) Best Small Scale Private Organization – Training Programme 08-16 (Having less than Rs. 25 Cr. annual turnover) 9 Best Higher Vocational/Professional Institute for Skill Development 09-16 10 Best PSU -Public Sector Training Programme 10-16 11 12 13 14 Best NGO- Skill Development 11-16 Best ITI- Skill Development through PPP Model 12-16 Best Sector Skill Council 13-16 Best State in Skill Development 14-16 15 Best Bank/Financial Institution who Support/Finance Skill Development 15-16 16 Best International Organization in Skill Development 16-16 17* Best Entrepreneur in MSME For Outstanding Performance After Vocational Training. 17-16 * For Category number 17 bearing Code no. 17-16, please filled Annexure No. I & II(A) only. Eligibility Criteria: The awards process is open to all Indian and Overseas Organizations/Institutes (Public and Private Sectors), NGOs, Skill Training Providers, Funding Agencies, Assessors, Vocational Training Providers (VTPs), Facilitators associated with vocational/technical/employability and entrepreneurial skill etc. Submission of Application Form The details can be filled out directly on the soft copy of the prescribed format. Answer should be legible and attachments should be clearly indexed and indicated. Hard copy of the application form with enclosures etc should be sent to ASSOCHAM-SDC. The entire set of information should also be provided in a CD. The application form completed in all respect in a closed envelop must reach us latest by 20th February, 2016 at the following address: ASSOCHAM -SDC ASSOCHAM Corporate Office, 5, Sardar Patel Marg, Chanakyapuri, New Delhi – 110021 Phone: 011- 46550555 (Hunting Line) Fax: 011-46536481/82 E-mail Id:assocham@nic.in Participation fee for awards: o Rs. 10,000/- is award processing fee for each category o Cheque should be prepared in favor of ASSOCHAM-SDC, payable at New Delhi. o Kindly note that an entity can apply for multiple categories, separate application form along with requisite fee is to be submitted for each category. Mode of Payment Detail of Payment - DD/Cheque No./Online payment reference no. and Date By DD / At Par Cheque in favour of ASSOCHAMSDC payable at New Delhi Bank Account Details for online payment: Name of Account Holder and Address Bank Name Bank Current Account Number The Associated Chambers of Commerce and Industry of India 5, Sardar Patel Marg, Chanakyapuri New Delhi - 110 021 India State Bank of Hyderabad 52050210412 Bank Address 36, Elite House, Zamrudpur, Kailash Colony, New Delhi- 110 048 India Branch code ( If any) 20588 MICR Code 110004007 Indian Financial System Code- (IFSC Code) SBHY0020588 National Electronic Fund Transfer Code(NEFT Code) (if any) SBHY0020588 Annexure - I AWARD APPLICATION FORM 1. Please indicate code and category of the award: Name of the Award Category: …………………………………………Code No: …….. Contact Information: (preferably head of the organization or his authorized representative) Name of the Organization :…………………………………………………….. Contact Person Details Name : ..…………………………………………………… Designation : …………………………………………………….. Postal Address : ……………………………………………………. ……………………………………………………… PIN Code: ……………….. State: ……………….. Mobile & Landline Number: ……………………………………………………. Fax Number : ……………………………………………………. E-mail ID : ……………………………………………………. Declaration I / We certify that all information provided in this form is accurate and true to the best of my/our knowledge. I / We am / are willing to provide any supporting documentation / evidence that may be required to verify the information provided herein and I / We agree to abide by the decision of ASSOCHAM in all matters relating to the Award. Authorized Signatory: Name & Designation: Company Seal: Date: Place: Annexure - II FUNCTIONAL DETAILS The objective of these details is to judge the applicants for the said award ceremony. It will guide the jury in assessing how effectively they have provided the skill development activities. Note:* Please don’t leave any column blank. Mention N.A. in the Column which is not applicable. * Financial period counts from April to March. * Please put your initials of each pages. Part – A Sr. No 1 2 Particulars Details No. of trainees trained in the industry/on job training to trainees > 90 80 to 90 70 to 79 60 to 69 50 to 59 No. of instructors trained in the industry > 12 10 to 12 7 to 9 4 to 6 1 to 3 Financial contribution by the industry partner > Rs. 1.0 cr. Rs.0.75 cr to 1 cr Rs.0.50cr to Rs.0.75 cr Rs.0.25 cr to Rs.0.50cr < Rs.0.25cr. No. of trainees placed in the industry of the industry partner > 90 80 to 90 70 to 79 60 to 69 50 to 59 Expenditure incurred towards up-gradation of facilities/ infrastructure > Rs. 2.00 cr. Rs.1.50 cr to Rs.2.00 cr. Rs. 1.0cr to Rs.1.50 cr Rs.0.50 cr to Rs.1.0 cr < Rs.0.50cr. > Rs. 1.25 cr. Rs.1.00 cr to Rs.1.25 cr. Rs.0.75 cr to Rs.1.00 cr Rs.0.50 cr to Rs.0.75 cr < Rs.0.50cr. 3 4 5 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 6 Revenue generation by IMC (Income from activities and Bank interest to be given separately) F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Percentage of students pass out as compared to enrolled 7 100% 90 to 99% 80 to 89% 70 to 79% 60 to 69% > 95% 91 to 95% 86 to 90% 81 to 85% 75 to 80% 100% 99 to 96% 91 to 95% 86 to 90% 81 to 85% 15 and above 12 to 14 9 to 11 6 to 8 3 to 5 15 and above 12 to 14 9 to 11 6 to 8 3 to 5 > 12 10 to 12 7 to 9 4 to 6 1 to 3 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Percentage of pass out students placed in the industry 8 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Theory sessions conducted 9 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 10 How many campus interviews conducted in the last 3 years F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 11 How many industries/firms participated in the campus interview F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 12 No. of instructors sent for training in industry and other training institutes F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 No. of industrial visits arranged for trainees 13 10 and above visits 8 to 9 visits 6 to 7 visits 4 to 5 visits 2 to 3 visits More than 100% 80 to 100% 60 to 80% 40 to 60% 20 to 40% 100% 95 to 99% 92 to 94% 85 to 89% Less than 84% Zero dropout Upto 2.5% Upto 5% Upto 7.5% Upto 10% 100% 90 to 99% 80 to 89% 70 to 79% 60 to 69% >100% 75 to 100% 50 to 74% 25 to 49% <25% F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Percentage increase in intake capacity 14 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 15 Percentage of enrolment as compared to number of seats F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Percentage dropout as compared to enrolment 16 F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 17 Percentage of students pass out as compared to enrolled F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 18 Percentage increase in placement of passed out students against previous year F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Sr. No. Details 19 Budget allocated for Skill development 20 Budget utilized for Skill Development 21 Total Number of youth skilled 22 No. of States/UT covered for skill development training programme. 23 Total No. of candidates assessed and certified F.Y. 2012-13 F.Y. 2013-14 F.Y. 2014-15 Contribution/Activities other than enlisted above. (Please specify with its impact assessment, if any) Part-B Parameter Sr. No. 1 Whether placement cell established 2 RozgarMela/Employment Camp organized 3 4 Efforts made to encourage self employment Any skill competition conducted 12 Whether regular meetings with the instructors to ensure quality training Conduct of regular mock tests/class/periodic tests to obtain better results Whether regular maintenance programme in place for the various machineries Steps to increase the computer literacy rate amongst the staff Steps to increase computer literacy rate amongst the trainees Steps taken to increase female candidates’ admissions in the ITI Availability of basic amenities like drinking water, toilet etc Availability of internet facility 13 Uniform for trainee 14 Soft skill training to trainee 15 16 17 18 19 ISO certification obtained Web portal for ITI Encouragement of extracurricular activities Availability of first-aid facility Setting of library facilities/development of library 20 21 Availability of modern teaching aids Availability of power backup facility 5 6 7 8 9 10 11 * Any other information relevant and not reflected in the form: Comments with Brief details, if any * You may like to give a brief write-up of your success story for mentioning it at the time of award ceremony. It may also be published and distributed to all the participants. Name of the Organization: Address: Annexure – II (A) for Sr. No 17. Code No. – 17-16 NOMINATION FORM for the category “Best Entrepreneur in MSME For Outstanding Performance After Vocational Training” ELIGIBILITY: Self-employed individuals trained under vocational training programme and possessing experience of minimum three years of running his/her owns income generation activities are eligible. --------------------------------------------------------------------------------------------------------------------A. PERSONAL PROFILE: 1. NAME ______________________________________________________ 2. ADDRESS (Permanent) ______________________________________________________ ______________________________________________________ Phone: (O) ______________ (R) _______________STD Code: ________ Mobile: ___________________ E-mail:____________________________ 3. DATE OF BIRTH: 4. GENDER: Male _ _ (D)/_ _ (M)/_ _ _ _(Y) Female 5. EDUCATIONAL QUALIFICATION: (Only the last qualification acquired) Sr. No. Name of School/College Exam. Passed Year 6. FAMILY BACKGROUND (at the time of setting up of your income generation activity): [Please tick mark appropriately] Service: Self-Employed: Un-employed: Business: Any Other: Yes/No Yes/No Yes/No Yes/No Pl. Specify: 7. VOCATIONAL TRAINING PROGRAMME(S) ATTENDED : Sr. No. Title of the Programme Duration Month & year of completion Specialization (If any) Name &Address of the organization that conducted the programme - Please attach separate sheet, if required. - Please enclose the copy of programme completion certificate. B. PROFESSIONAL DETAILS: 1. Name &Address of the establishment : _____________________________________________ 2. Year of establishment : _________________________________________________ 3. Type of activity (Please tick) : Manufacturing Servicing Trading 4. Details about activity/ies: ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------5. No. of employees at the time of setting up: 6. No. of employees at present: 7. Initial investment: 8. Sources of investment: Sr. No. Source 1 Bank 2 Friends & Relatives 3 Family 4 Own Funds Amount (Rs) 9. Investment at present: 10. Average annual income at the end of first year: 11. Average annual income at present : 12. Processes/special machines/technologies introduced and/or self-development related programmes attended, to enhance business prospects (Give details, if any): 13. Any special achievements : ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ C. OTHER DETAILS TO BE FURNISHED: A brief write up (not exceeding 700 words) stating why you should be considered for the Award. ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ D. PLEASE GIVE TWO REFERENCES WHO KNOW ABOUT YOUR WORK (Other than employees & relatives) 1. Name: _____________________________ Address: _____________________________ Tele: (O) ______________________ (R) __________________ (M) _______________ E-mail: __________________________________ 2. Name: _____________________________ Address: _____________________________ Tele: (O)______________________ (R) __________________ (M) ________________ E-mail: __________________________________ E. DECLARATION: I _________________________________________ declare that the information provided is correct to the best of my knowledge and belief. Signature Name Place: Date: SKILL DEVELOPMENT CENTRE THE ASSOCIATED CHAMBERS OF COMMERCE & INDUSTRY OF INDIA Corporate Office: 5, Sardar Patel Marg, Chanakyapuri, New Delhi -110021 Phone: 011- 46550555 (Hunting Line) Fax: 011-46536481/82 Website: www: assocham.org