Part B State wise Profile of Child Care Institutions - Nipccd

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Total manpower of your Organization Managing Committee Total No. of Professional Staff a) Male b) Female Total number of a) Full Time b) Part time Staff FINANCIAL MANAGEMENT Annual Budget of Organization for last three years (In Lakhs) 2009-10 2008-09 2007-08 30,52,388,00 18,60,600,00 Nil Sources of Funding of the NGO (Cash/kind/other) International National State Govt. Community Support 853 16 10 20 6 Donation Any Other (Please specify) Membership Fee’s - √ √ √ √ - DOCUMENTATION Which of the following documents/communication material are Annual Report and Audit Report maintained at the organizational level For documentation (Annual report and proposal writing) whether - the organization has engaged any expert from outside Profile of Children Home/ Child Care Institution Name of Child Care Institution Contact Details Bal Greh Balak a) Name of Superintendent/Secretary Pramod Kumar b) Address Manakmau Saharanpur c) Phone 9719418437/ 9359206939 d) Fax - e) Email Samarpit2008@rediffmail.com Type of Institution Children Home (Boys) Run by NGO (Samarpit Social Welfare Sansthan) Year of Establishment of the Home 2008 Supported by State Govt. Whether registered under 34(3) of JJ Act with the State Yes Government Number of inmates a) Capacity 100 b) Present Strength 18 Number of Children lodged in the home having families residing in the same State/UT 15 Reasons for staying in the home in case of children having families - (provide details) Age breakup of children S.No. Age Number of Children Total Girls Boys a) 0-5 years - - -
) 5-10 years - 11 11 c) 10-15 years - 5 5 d) 15-18 years - - - Details of Stay of Children in the home S.No. Duration Number of Children Total Girls Boys a) 0-4 month - - - b) 4-6 month - - - c) 6-12 month - 2 2 d) 1-2 years - - - e) 2-3 years - 14 14 f) 3-4 years - - - g) 4-5 years - - - h) More than 5 Years - - - Number of “Children with special needs” in the home S.No. Category Number of Children Total Girls Boys a) Mentally challenged - 16 16 b) Autism - 16 16 c) Physically challenged - 16 16 d) Any other (please specify) - - - What are the facilities and support services provided for the children Education, Vocational Training, Health staying in Home and accommodation Whether Institution has been registered under The Orphanage And No Other Charitable Homes (Supervision and Control) Act-1960 Any other registration Whether the Institution is certified as Fit Institution by Act 1860 a) Juvenile Justice Board - b) Child Welfare Committee √ If Yes, Please Specify the Facilities provided INFRASTRUCTURE Infrastructure available Education, Vocational Training, Health and accommodation a) Owned - b) Rented √ c) Lease - d) Donated - Details of Accommodation for Children and Institutional Infrastructure S. Particulars Number Size (Sq. ft.) Capacity/Required Actual No. Strength Strength a) Dormitories 1 - - - b) Classrooms 2 - - - c) Sick room/ First Aid Room - - - - d) Kitchen 1 - - - e) Dinning Hall 1 - - - f) Recreation room - - - - g) Library - - - - 854
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Part B State wise Profile of Child
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AP/01/GO/1 Profile of Child Care In
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a) Superintendent/ Project Manager
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a) Pre-school - - b) Primary √ -
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If Yes, when and by whom - Whether
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a) Mentally challenged - - - b) Aut
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j) Stock register √ k) Any other(
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Whether instructors are trained No
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AP/03/GO/3 Profile of Child Care In
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S.No Formal School on Premises Yes
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Whether any specific evaluation of
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Number of “Children with special
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e) Nutrition diet file √ f) Stock
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l) Textile Designing - - - - m) Ele
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AP/05 /GO/5 Profile of Child Care I
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S. No Details of Staff Sanctioned A
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l) Oil 100 gm Monthly m) Utensils (
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What type of Co-operation and Co-or
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Girls Boys a) Mentally challenged -
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k) Any other(Please Specify) - Mini
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Whether networking with any Institu
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AP/07 /GO/7 Profile of Child Care I
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S. No Details of Staff Sanctioned S
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EDUCATION Whether educational facil
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homes MONITORING AND EVALUATION Mec
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) Autism - - - c) Physically challe
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Minimum Standard of Care MEDICAL CA
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placement of children after complet
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AP/01/ NGO/9 IDENTIFICATION Name of
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e) 2-3 years - - - f) 3-4 years - -
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o) Medical file or medical report -
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k) Soap making - - - - l) Textile D
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Chhattisgarh
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with the State Govt. under Juvenile
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d) Donated - Details of Accommodati
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and HIV/AIDS Any specialized servic
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f) Outings √ Quarterly g) Cultura
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CG/02/ NGO/11 IDENTIFICATION Name o
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f) 3-4 years 22 24 46 g) 4-5 years
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f) Stock Register √ g) Visitor’
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m) Electrical trade - - - - n) Shoe
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Delhi
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What are the facilities and support
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Minimum Standard of Care MEDICAL CA
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o) Any other Whether instructors ar
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DELHI/02/GO/13 Profile of Child Car
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h) Counselling & Guidance room 1 Ap
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If yes, Please provide in details -
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d) Television √ Daily e) Picnic -
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ventilation and Light MANPOWER OF C
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k) Soap 1 Month l) Oil 100gm Month
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h) (at least one bathroom for ten c
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i) Inquiry report file - j) Stock r
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n) Shoes making/leather craft - - -
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113 -um per month Institution (Mont
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S.No Formal School on Premises Yes
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een conducted in the past If Yes, w
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What are the health related service
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Whether recreational facilities are
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DELHI/01/ NGO/18 IDENTIFICATION Nam
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a) 0-4 month 4 - 4 b) 4-6 month - -
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ecording details of Information of
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) Beauty Culture c) Computer d) Jut
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d) 15-18 years - - - Details of Sta
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Whether the organization maintains
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a) Cutting and tailoring No Course
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Girls Boys a) 0-4 month - - - b) 4-
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If Yes, what kind of information yo
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c) Computer 35 One year d) Jute bag
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d) 15-18 years - 04 04 Details of S
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Whether the organization is followi
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Whether the homes have vocational t
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a) 0-5 years - - - b) 5-10 years 17
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Total 23 22 CRITERIA FOR ADMISSION
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e) Non-formal 01 - 01 - - Mini Buse
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Whether your staff or members from
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a) Full Time 516 b) Part time Staff
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h) Counseling & Guidance room - - -
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Whether children are helping at the
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animation LIBRARY Whether library f
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Age breakup of children S.No. Age N
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CRITERIA FOR ADMISSION IN SHELTER H
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Boys Girls Total a) Cutting and tai
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Run by NGO (Don Bosco Ashalyam) Yea
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g) Educator - - Nursing - - - h) Vo
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f) Non-formal classes √ - g) Priv
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een conducted in the past If Yes, w
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FINANCIAL MANAGEMENT Annual Budget
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o) .Vocational Training Centre - -
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j) Tooth powder/paste 1 Monthly k)
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Govt., NGOs etc What types of Co-op
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) Part time Staff 6 FINANCIAL MANAG
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and girls m) Store room - - - - n)
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g) Blanket 2 - h) Pillow 2 - i) Sho
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i) Clean and fly-proof kitchen Yes
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2009-10 2008-09 2007-08 6 5 5 Sourc
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Whether the dormitories, classrooms
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i) Shoes/Chappal 1 Yearly j) Tooth
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CO-ORDINATION AND COLLABORATION Whe
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Total No. of Professional Staff a)
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k) Separate Bathrooms for boys and
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S. No. Item Number Frequency (Month
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maintenance & cleanliness of the pr
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GJ/01/GO/30 Profile of Child Care I
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Strength Strength Qualification Hon
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g) 4-5 years - - - h) More than 5 Y
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i) mobile repairing Candle making -
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f) Durry 2 Per year g) Blanket 1 Pe
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(at least one latrine for seven chi
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a) Summer Clothing 4 Yearly b) Wint
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a) Sufficient treated and filtered
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GJ/01/ NGO/34 IDENTIFICATION Name o
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S. No. Details of Register Please T
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g) Printing - - - - h) Auto Ricksha
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d) 15-18 years - 16+3 19 Details of
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If Yes, what kind of information yo
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e) Painting and Mehendi - - - - f)
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e) 2-3 years - - - f) 3-4 years - -
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S. No. Details of Register Please T
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Haryana
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Whether your Child Care Institution
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Any other registration Whether the
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Referral of Cases a) Govt. Hospital
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c) Music d) Television e) Picnic f)
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HR/02/ NGO/40 IDENTIFICATION Name o
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c) 6-12 month 2 - 2 d) 1-2 years 5
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S. No. Details of Register Please t
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f) Books binding - - - - g) Printin
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Karnataka
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c) Physically challenged - - - d) A
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j) Stock register √ k) Any other(
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placement of children after complet
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KARNATAKA/02/GO/42 Profile of Child
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Are any of the educational faciliti
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homes Whether any specific evaluati
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m) Electrical trade - - - - n) Shoe
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m) Utensils (Plates and Glasses) 1
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e) Mentally challenged - 1 1 f) Aut
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and report of P.O. Maintenance of R
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) Beauty Culture - - - - c) Compute
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a) Pre-school √ - b) Primary - -
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If Yes, when and by whom Department
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(Medical) Maintenance of Registers/
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d) Jute bags and ‘moti’ work -
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Mention Areas/issues on which the S
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a) Admission and discharge register
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S.N o Formal School on Premises Yes
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Whether any specific evaluation of
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i) Inquiry report file √ j) Stock
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If Yes, details of qualification -
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384 -um per month Institution (Mont
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Are any of the educational faciliti
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homes Whether any specific evaluati
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f) Stock Register √ g) Visitor’
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i) mobile repairing Candle making -
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What type of Co-operation and Co-or
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k) Soap 100 gm M l) Oil 90 gm M m)
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What are the health related service
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RECREATIONAL FACILITIES Whether rec
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Total area of the Campus (Sq. ft.)
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k) Soap 150 gm M l) Oil 80 gm M m)
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Girls Boys a) Mentally challenged 5
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What types of special diet is provi
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If Yes, Opening timing or day 10:00
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Madhya Pradesh
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a) Full Time 31 b) Part time Staff
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c) maintenance & cleanliness of the
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Maharashtra
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2009-10 2008-09 2007-08 25 23 22 So
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n) Play Ground 1 1000 - - o) Vocati
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g) Blanket 1 Yearly h) Pillow 1 Yea
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h) Sufficient space for washing Yes
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2009-10 2008-09 2007-08 2,40,000 2,
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Annual Budget of Organization for l
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n) Play Ground 1 - - - o) Vocationa
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f) Durry - - g) Blanket 2 - h) Pill
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f) Sufficient number of latrines/to
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l) Separate Latrines for boys and g
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d) Under garments 4 Yearly e) Towel
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g) Sufficient number of bathrooms (
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MANPOWER OF ORGANIZATION Total manp
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d) Kitchen - - - - e) Dinning Hall
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How many children are suffering fro
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f) Outings √ Monthly g) Cultural
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MH/06/ NGO/66 IDENTIFICATION Name o
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l) 1-2 years - - - m) 2-3 years - -
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c) Supervision register - d) Medica
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j) Pickle making - - - - k) Soap ma
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MH/07/ NGO/67 IDENTIFICATION Name o
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S.No. Duration Number of Children T
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Rescue & Preventive, Rescued Minors
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Boys Girls Total a) Cutting and tai
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Organization/ Institution would lik
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) Part time Staff FINANCIAL MANAGEM
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) Winter Clothing(Jersey) 1 - c) Sc
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1,10,000 1,10,000 1,10,000 Sources
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l) Separate Latrines for boys 3 1.3
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) Winter Clothing(Jersey) - - c) Sc
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c) Proper drainage System Yes d) Ar
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Total number of a) Full Time b) Par
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i) Office rooms 1 115 4 4 j) Worksh
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) Winter Clothing(Jersey) 1 Yearly
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Whether the Organization/Institutio
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MN/01/GO/72 Profile of Child Care I
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month Year) a) Superintendent/ Proj
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a) Pre-school √ - b) Primary - -
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If Yes, when and by whom - Whether
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m) Store room 1 - - - n) Play Groun
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f) Durry 2 Year g) Blanket 2 Year h
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n) Play Ground 1 - - - o) Vocationa
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g) Blanket 1 Y h) Pillow 1 Y i) Sho
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h) Sufficient space for washing Yes
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) Female 10 Total number of a) Full
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g) Library 1 150 500 150 h) Counsel
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What types of special diet is provi
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If Yes, Opening timing or day 4:00
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MN/04/ NGO/76 IDENTIFICATION Name o
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c) 6-12 month - - - d) 1-2 years -
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) Individual Care Plan - c) Supervi
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i) Candle making - - - - j) Pickle
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Maintenance of Registers/Record Mai
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Girls Boys a) 0-5 years - - - b) 5-
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children in Homes If Yes Please men
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a) Cutting and tailoring - 1 1 6 Mo
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f) 3-4 years - 5 5 g) 4-5 years - 5
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d) Medical file or medical report
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k) Soap making 5 - 5 - l) Textile D
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Mizoram
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m) Store room - - - - n) Play Groun
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12 Sources of Funding of the NGO (C
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12 Sources of Funding of the NGO (C
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m) Store room 2 - - - n) Play Groun
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2009-10 2008-09 2007-08 16,49,000 9
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i) Shoes/Chappal 2 - j) Tooth powde
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OR/03/ NGO/85 IDENTIFICATION Name o
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) 5-10 years - - - c) 10-15 years -
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ecording details of Information of
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a) Cutting and tailoring - - - - b)
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Dept./Agencies/Institutions with wh
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RJ/02/ NGO/86 IDENTIFICATION Name o
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) 4-6 month 1 - 1 c) 6-12 month - -
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a) 0-5 years 1 2 3 b) 5-10 years 4
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CRITERIA FOR ADMISSION IN SHELTER H
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If Yes, then provide the details of
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Reasons for staying in the home in
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Specify) Total 2 2 - - - CRITERIA F
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VOCATIONAL TRAINING Whether the hom
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c) 6-12 month - - - d) 1-2 years -
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c) 6-12 month - - - d) 1-2 years -
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S.No. Duration Number of Children T
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Details of Stay of Children in the
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d) 1-2 years - 1 1 e) 2-3 years - -
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S.No. Age Number of Children Total
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children in Homes If Yes Please men
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) Beauty Culture - - - - c) Compute
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Tamil Nadu
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TN/02/GO/96 Profile of Child Care I
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homes MONITORING AND EVALUATION Mec
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Total No. of Professional Staff a)
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i) room Office rooms - - - - j) Wor
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c) Proper drainage System Yes d) Ar
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Number of Governing Body Members 5
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g) Library 1 120 20 25 h) Counselin
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How many sets of clothes, bedding a
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) Sufficient water for bathing and
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l) Separate Latrines for boys and g
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e) Towel 1 Year f) Durry - Year g)
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Total manpower of your Organization
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oom i) Office rooms 2 288 - - j) Wo
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Whether any Nutrition and Child Dev
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S. No. Details of Sanitation and Hy
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Whether the organization is registe
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Any other registration Nil Whether
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MEDICAL CARE What are the health re
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o) Any other - - - - Whether instru
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TN/07/ NGO/102 IDENTIFICATION Name
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d) 1-2 years - - - e) 2-3 years 1 -
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Tripura
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h) More than 5 Years - 31 31 Number
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Page 827 and 828: l) Oil 100 ml m) Utensils (Plate an
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) Individual Care Plan √ c) Super
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UP/11/ NGO/117 IDENTIFICATION Name
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) 4-6 month - - - c) 6-12 month - -
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) Individual Care Plan - c) Supervi
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West Bengal
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S.No. Category Number of Children T
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) Individual Care Plan √ c) Super
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h) Auto Rickshaw/motor cycle/ mobil
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WB/02/GO/119 Profile of Child Care
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e) Towel 1 Yearly f) Durry - - g) B
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Whether the organization maintains
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Whether the homes have vocational t
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Dept./Agencies/Institutions with wh
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Date and place with registration nu
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INFRASTRUCTURE Infrastructure avail
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Referral of Cases Govt. Hospital
Page 955 and 956:
) Outdoor games √ Do c) Music √
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WB/02/ NGO/122 IDENTIFICATION Name
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d) 1-2 years - 4 4 e) 2-3 years - 8
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WB/03/ NGO/123 IDENTIFICATION Name
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maintained at the organizational le
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Page 973:
c) maintenance & cleanliness of the
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Part B State wise Profile of Child Care Institutions - Nipccd

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