ROUND TABLE INDIA
FTE ASSIST
APPLICATION PACK
GUIDELINES & INSTRUCTIONS
I.
Tables/Circles can apply once for this grant during the year and the school will be eligible for 1 grant only.
II.
Tables/Circles can apply for a maximum of Rs.1 Lakh or 50% of the project cost, whichever is lower.
III.
Tables/Circles can apply jointly for a maximum of Rs.1.25 Lakhs or 50% of the project cost, whichever is lower.
IV.
Tables/Circles can apply for the grant in a school where an existing FTE project (Not FTE Assist) is in progress as well.
V.
Tables/Circles can apply for the grant only if they DO NOT HAVE any pending Completion reports i.e. if a completion
report for a project is not submitted within 12 months from the date of allotment, the Table/Circle will not be eligible for
the grant till the completion report is submitted.
VI.
100% of disbursement will be done on receipt of completion report.
VII.
The RTIT FTE Assist is an additional grant for smaller projects and the following projects would be covered under this
grant:
a. Construction of Toilet Blocks in Schools.
b. Construction of amenities / other facilities in schools including repair & maintenance, playgrounds etc.
c. Providing Assets like furniture, lighting, boards, smart boards, RO Plants and other infrastructure for schools.
d. Providing infrastructure to schools which will have a minimum life of 5 years and have adequate branding
opportunity.
e. Setting up smart class rooms like TATA Smart Classrooms or providing computers and other facilities for
students.
f. Any other infrastructure required by the school.
I.
Submit this Application Pack with all Annexures in Hard Copy (2 Sets) to - RTI SECRETARIAT, Bob Chandran Centre,
Round Table House 80, Nungambakkam High Road, Chennai - 600 034.
II.
Incomplete Forms will not be considered for Sanction of Grant.
III.
In case construction for the project is initiated before sanction of the grant, this application shall be deemed to be
withdrawn by the Table/Circle.
IV.
Submission of Application IS NOT TO BE construed as Approval / Sanction for Project / Grant.
V.
Do note that as per Motion passed by General Body of RTI, all FTE Projects will be Primarily Named / Branded in name
of ROUND TABLE INDIA (Eg: Round Table India FTE School Block by ___RT#__). Additional Lines for “Supported By
MAJOR DONOR NAME” may be added. Applicable to all Indoor & Outdoor Branding.
VI.
Please read the Guidelines and FAQs carefully before making the application.
VII.
Queries with respect to status of the application or any other information, may be directed to Ms.Fathima at
projects@roundtableindia.org.
SUMMARY OF PROJECT DETAILS
Table / Circle Name & No
Project Name
Total Project Cost
Amount of Grant Applied for
CHECKLIST OF DOCUMENTS
SN
Attachment / Enclosure
Yes / No
Remarks
A.1 Grant Application Covering Letter
Y/N
A.2 Project Proposal Form
Y/N
A.3 Request cum Consent Letter from School
Y/N
A.4 Area Chairman, Area Chairperson & LCI President Recommendation (ACR-1)
Y/N
A.5 Google Location Map of School (with coordinates if possible)
Y/N
A.6 Current Photographs of Site with Existing School in background (Atleast 2)
Y/N
A.7 Quotations for the facility.
Y/N
For Office Use:
Details of C-Form:
Details of Supply House Dues:
Details of Pending Completion Reports:
Details of Last MOMO:
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 1
Annexure – A.1
(To be printed on Letterhead of Table / Circle)
Date:…………..
The National Projects Convener
Round Table India
Bob Chandran Centre, Round Table House
80, Nungambakkam High Road,
Chennai - 600 034
Dear NPC Tr.Akshay Dugar,
Sub: Application for RTIT FTA Grant from ………………… RT/LC…….
We wish to apply for the RTIT
FTA Grant of Rs……………………….. for our ……………………………………………………
……………………………………………. (Name of Project) against a total project cost of Rs.……………………. Please find attached herewith
the relevant documents for consideration of the grant.
We hereby declare as under:
i.
Our Table/Circle has approved adoption of this project in our continuous meeting no……. held on ……………
ii.
We find the school deserving enough for creating / enhancing the facility and we have done a due diligence to ensure:
a.
The competence and credibility of the School Trust namely ………………………………………… to use and maintain the
sports facility for the social cause of the underprivileged for a long term.
b.
The actual need of the sports infrastructure to be created.
iii. We have requisite resources and funds to meet the balance cost of the project after sanction of the grant. We understand that
escalations and unforeseen additions if any shall be our responsibility only.
iv. The grant thus allotted shall be used for the stated project only.
v.
The project shall be executed as per the stated plans. Deviation in plans and execution, if any, shall be intimated to you immediately.
vi. We shall ensure permanent and prominent Branding for RTI as per the Allotment Letter.
vii. The project is not yet commenced.
You are requested to consider this application for the Grant and issue the Allotment Letter at the earliest.
Date: ________
Chairman Sign:………………………………..
Secretary Sign: ……………………………….
Place: ________
Chairman Name:………………………………..
Secretary Name: ……………………………….
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 2
Annexure – A.2
ROUND TABLE INDIA
RTIT FTE ASSIST
PROJECT PROPOSAL FORM
SL
PARTICULARS
DETAILS
1
Table / Circle No.
RT / LC ……… Area: ……
2
Table / Circle Name
3
Co-Applicants (if any)
4
Bank Details of Project account or Trust account.
5
RTI Scheme (under which grant is being applied
for)
6
Project Name
7
Address of Project (Village / Taluk / District /
State)
Address:
Village:
Taluk / District:
State:
8
Table City and Distance of Project Location from
the City (in KMs)
City:………………. (Distance of site from Table City: ………. Km)
9
Brief History of the School (Use separate sheet if
required)
10
Brief objective of the project and Impact to the
community you will achieve with this project
11
Description of existing infrastructure available at
the School (please substantiate with pictures)
12
Number of Students currently studying at the
School
FTE ASSIST SCHEME ( FTA GRANT)
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 3
13
No. of Children to be Benefited (Immediately from
the new facility)
14
No. of Classrooms to be built and dimensions of
the classroom in feet.
15
Description of Facilities to be built (Please
describe the infrastructure being created,
scope of work in the project)
16
Total Sq. Ft to be built
17
Cost per Sq. Ft
18
Total Cost of the Project (Provide facility wise
breakup)
(i)
………………….. : Rs……………….
(ii)
………………….. : Rs……………….
(iii)
………………….. : Rs……………….
(iv)
………………….. : Rs……………….
Total: Rs………………………
19
Proposed Source of Funds
(Total must tally with Total Project Cost in Point
17. Above)
From RTIT:
Rs.……………
From RTIF:
Rs.……………
From School Trust / Community: Rs..…………..
From Table:
Rs.……………
From Circle:
Rs..…………..
From Area :
Rs..…………..
From ……………….. :
Rs..…………..
Total:
Rs.…………………
20
Proposed Start Date of the Project
21
Estimated End Date of the Project
22
MOMO in which the Project was approved by
Table
Continuous Meeting No……….. Date: …………….
23
MOMO in which above MOMO was confirmed
Continuous Meeting No……….. Date: …………….
24
Name of Tabler(s) Co-coordinating the Project
with E-Mail IDs & Mobile Nos
Name:
Mobile:
Email:
25
Current status of other FTE Projects of the
Table/Circle, whether ongoing or completed
within last 2 years.
26
Any other Relevant Information
Date: ________
Chairman Sign:………………………………..
Secretary Sign: ……………………………….
Place: ________
Chairman Name:………………………………..
Secretary Name: ……………………………….
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 4
Annexure – A.3
To,
The Chairman
.................... RT ....
Dear Sir,
Sub: Request to provide …………………………… facility at our school
We operate a school namely .................................................................... for underprivileged children at .................................
..............................................................................................................................................................................................................
We request you to provide………………… facility for our students.
We declare that,
1. The …………………………….facility thus developed/ provided by you, shall be named as per your requirements and
adequate permanent branding structure in form of a plaque of atleast 3’x3’ may be installed by you at the location.
2. The building in which the facility is proposed is authorised for use by the school.
3. We shall ensure that the facility thus developed by you is adequately maintained by us for atleast next 5 years. We shall be
fully responsible for regular upkeep and maintenance of the facility.
I, the undersigned, a representative of ___________________________ (name of organization / school / operating trust) do
solemnly state and declare that I am authorized to give the request-cum-consent as above.
I also fully understand that submission of this request-cum-consent is in no way a confirmation of Assistance; by Round Table India
or its Tables in any form or manner; and that it is not incumbent upon Round Table India or its Tables to provide the reasons for
non-confirmation of grant from them.
Date:
Signed________________
Name, Designation & Seal
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 5
Annexure – A.4
ROUND TABLE INDIA TRUST
AREA CHAIRMAN RECOMMENDATION (ACR-1)
FOR CONSIDERATION OF PROJECT PROPOSAL FOR FTE ASSIST GRANT
To
The National Project Convenor
Round Table India
Dear NPC Tr. Akshay Dugar,
Sub: ACR for Project Proposal submitted by RT/LC........
I am in receipt of a Project Proposal from _______________RT/LC____. I share following Information with you on it.
1. Name of the Table
2. Name of the Project
3. Date of Proposal Form
4. Any Dues to RTI / Area
5. Nature of Project
6. Whether Area Chairman or AEX Board
Member has personally visited Project Site?
(Attach Photo of Visit if available)
7. Proposed Date of Commencement
Of Project
8. Remarks – Any information Area Chairman
would like to share about the Table / Project
9. Do you recommend this project for RTIT
Grant?
Yes / No
If yes, give details........................................
FTE ASSIST
Yes / No
I verify above Details as true and recommend that Proposal be taken up for processing by you and Financial Participation of RTI
Trust be confirmed.
I have also informed Table that Project is to be branded to comply with Donor / Statutory Documentation & Compliances as
applicable.
I have recommended Tables that they consider initiating / maintaining Registration under Trust Act, Charity Commissioner, 12A of
IT Act and apply for Table PAN / TAN at earliest and that RTI can assist Table with same if requested.
Tr. __________________
Area Chairman Area ____ & RTIT Trustee
(Name & Signature of the Area Chairman)
Date: _____________
RTI SECRETARIAT, Bob Chandran Centre, Round Table House 80, Nungambakkam High Road, Chennai - 600 034 Email: projects@roundtableindia.org
Page 6