RTIT FTE Internal Twinning Programme Application Pack

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ROUND TABLE INDIA
FTE INTERNAL TWINNING
APPLICATION PACK
GUIDELINES & INSTRUCTIONS
I.
Tables/Circles can apply for this programme during the year for their existing and upcoming FTE/FTA projects (not
Completed projects)
II.
Tables/Circles can apply for a maximum amount of their participation in the project or the grant available from the donor,
whichever is lower.
III.
The donor needs to deposit the funds in RTIT and send filled Annexure A1
IV.
The funds will be allotted by NPC for a project seeking funds based on the requirement / specification of the donor.
V.
This will be over and above the RTIT/RTIF grants available and will not be clubbed with the same.
VI.
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.
VII.
Disbursement of funds will be done as per the disbursement structure for FTE/Assist project depending on the type of
project.
VIII.
The project will be treated as joint project in case there is equal financial participation from Donor & Table/Circle
IX.
In case the donor participation is lesser than Executing table participation, it will be treated as a donor fund and the
executing table is obliged to provide adequate branding for the donor / donor Table in the project.
X.
The executing Table needs to submit the request for participation by filling Annexure A2 & A3
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.
Submission of Application IS NOT TO BE construed as Approval / Sanction for Project / Grant.
IV.
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.
V.
Please read the Guidelines and FAQs carefully before making the application.
VI.
Queries with respect to status of the application or any other information, may be directed to Ms.Fathima at
projects@roundtableindia.org.
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 Donor Table / Donor 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 participation in RTIT FTE Internal Twinning Programme from ………………… RT/LC…….
We wish to participate for the RTIT FTE Internal Twinning Programme and would like to contribute Rs. ……………………….. for FTE/FTE
Assist Projects of Round Table India undertaken by Tables / Circles.
Please find below deposit details:
Preference of usage of Funds:
Our Table would like these funds to be used for:
<Specify the location preference, type of project etc.>
We hereby declare as under:
i.
Our Table/Circle has approved adoption of this programme in our continuous meeting no……. held on ……………
Request you to confirm with the table before Allotment post which you can send us the completion report of the project on receipt from the
Table / Circle.
Kindly inform the Table to inform the donor Table about the inauguration atleast 15 days prior to Inauguration date.
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 INTERNAL TWINNING PROGRAMME
PROJECT PROPOSAL FORM
SL
PARTICULARS
DETAILS
1
Table / Circle No. & FTE ID
RT / LC ……… Area: …… PID:………..
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
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..…………..
Request From
INTERNAL TWINNING :
Rs..…………..
Total:
Rs.…………………
20
Proposed Start Date of the Project
21
Estimated End Date of the Project
22
Name of Tabler(s) Co-coordinating the Project
with E-Mail IDs & Mobile Nos
23
Current status of other FTE Projects of the
Table/Circle, whether ongoing or completed
within last 2 years.
24
Any other Relevant Information
Name:
Mobile:
Email:
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 be printed on Letterhead of Project Executing Table / Project Executing 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 participation in RTIT FTE Internal Twinning Programme from ………………… RT/LC…….
We wish to participate for the RTIT FTE Internal Twinning Programme and would like to apply for Rs. ……………………….. for FTE/FTE
Assist Projects with PID:…….. details of which are available in Annexure A2.
We are aware that this Programme does not oblige Round Table India Trust to grant any additional funds and that Round Table India Trust is
only facilitating this programme for enabling Tables / Circles with paucity of funds to execute the projects.
We are also aware that we are obliged to submit reports to the donor through the National project Convenor as and when called for.
We also confirm to carry appropriate branding for donor / donor Table / donor Circle at our project and will inform the National Project
Convenor and the Donor about the Inauguration / mega event at the project atleast 15 days before the event.
Request you to accept our application and confirm once we receive any funds from donors which meets our project criteria.
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 5
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