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