PERFORMA FOR SUBMITTING PROPOSAL FOR ORGANIZING TRAINING WORKSHOPS/COURSE/SEMINARS/SYMPOSIUM/CONFERENCE 01. Geographical coverage : Statewide, Regional, National , Others (Please specify) 02. Target Group (participants) 03. Eligibility criteria (participants) 04. Method and sources to be used in identifying/selection of participants (please enclose a likely list of participants/invitees) 05. Duration (in days) Proposed From: 06 Course syllabus/content of the course (Please attach copy) : (Only contents in case of seminar/symposia/conferences) 07. Details of day to day programme schedule envisaged 08 Brief bio-data of the resource persons with their names addresses & area of expertise likely to be involved and their relevant previous experience (Please attach sheet(s) if necessary) 09. Language(s) of communication to be employed 10. Name(s) of other agencies likely to be involved. (please give details) 11. Evaluation methodology to be adopted to assess the use-fullness and efficacy of the proposed events from the point for view of participants/trainees. (Please elaborate) 12. Detailed Budget 13. Estimates for printing of materials, report: To No. of pages Size No. of copies Price per copy (if any) Printing cost (Per copy) (Give justification for bringing out the proceedings and the number of copies to be printed) 14. Details of income Registration Fees Others 15. Work-plan for the preparation to back ground (or course) material(s) 16. The most recent Course/seminar held on the subject 17. In case of international participation, have the requisite clearances/approvals been obtained. (Please enclose copies) Name and signature of the Head of the Department Name and Signature of the organising Secretary Annexure-1 CERTIFICATE ENDORSEMENT FROM THE HEAD OF THE PROPOSER AGENCY PROJECT TITLE:_____________________________________________________ _____________________________________________________ _____________________________________________________ 1. Certified that our agency welcomes participation of Dr. /Shri/Smt.___________ ____________________as the principal co-ordinator and Dr./Shri/Smt._______ _____________________as the co-ordinator(will assume the responsibility of fruitful pal co-ordinator will assume due intimation to HSCST/DST).) 2. Certified that the hardware, other facilities and such other administrative support required as performs and conditions of the grant, will be extended to the coordinator(s) throughout the duration of the project. 3. Our agency assumes to undertake the financial and other management responsibilities of the project, and will ensure compliance with the terms and conditions said down, in case the project is sanctioned. Date:________________ Name and signature Place_________________ Head of Agency ENCLOSURES TO BE SUBMITTED WITH THE PROPOSAL In the case of Proposer being a registered society, please submit authenticated copies of the following:- 1. Registration Certificate One Copy 2. Memorandum of Association One Copy 3. Bio-data of the Members of the Executive Body One copy 4. Rules, regulations and bye-laws One copy 5. Declaration to the effect that Society/Agency or any of its functionaries is not and has never been One Copy involved/implicated in any corrupt practices 6. Latest audited statement of accounts One copy 7 Description of facilities available One copy 8. List of names and addresses of experts/institutions who may be interested in the subject/outcome of One Copy the project CERTIFICATE-1 CERTIFICATE FROM THE CO-ORDINATIOR(S) OF THE PROJECT PROJECT TITLE:_____________________________________________________ _____________________________________________________ _____________________________________________________ 1. I/We have gone through and agree to abide by the terms and conditions of the HSCST grant. 2. I/We have not submitted, nor do I/We intend to submit his, or a similar project proposal, to any other agency for financial or other support. 3. I/We have explored and ensured that hardware and basic facilities will actually be available from our organisation as and when required for the purpose of this project. No Financial support under this project, will be requested or utilized for these items. 4. I/We undertake to submit progress reports, statement(s) of accounts, utilization certificates etc. , as required. 5. I/We have enclosed the following materials: (1) PROPOSAL (8 copies if budget outlay 8 copies/ exceeds Rs.50,000/- only 4 otherwise) 4 copies/ Annexure - 2 ENCLOSURES : a. Registration Certificate One Copy b. Memorandum of Association One Copy c. Bio-data of the Members of the Executive Body One copy d. Rules, regulations and bye-laws One copy e. Declaration to the effect that Society/Agency or any of its functionaries is not and has never been One Copy involved/implicated in any corrupt practices f. Latest audited statement of accounts One copy g Description of facilities available One copy h. This certificate for the Co-ordinator(s) One copy i. Endorsement for the Head of Agency/Organisation One Copy j. Sheet containing the title and objectives of the seminar/symposium/workshop One copy k Letter (with date sent ) to state Council/Department One copy l. List of names and addresses of experts/institutions who may be interested in the subject/outcome of One copy the project. m. First circular of the announcement of the seminar/workshop/conference One Copy