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Application Form for Running RSTC/Spl. RSTC 1. NGO / SHG ...

Application Form for Running RSTC/Spl. RSTC 1. NGO / SHG ...

Application Form for Running RSTC/Spl. RSTC 1. NGO / SHG ...

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(a) Specify the area where the Project<br />

will be taken up and No. of centres<br />

to be run / (give area map)<br />

(Dist. -Block- Habitation) :<br />

7. Does the agency have any pervious<br />

experience of running AIE centres<br />

Educational Institutions / Residential<br />

Schools <strong>for</strong> disabled children / KGBV<br />

If yes, mention No. of years, No. of centres,<br />

Location, Beneficiaries etc.,<br />

(if the details are very large it can be annexed) :<br />

8. a. No of students proposed to be admitted /<br />

already functioning<br />

b. Whether the <strong>NGO</strong> / <strong>SHG</strong> has already<br />

been permitted to work by the<br />

District Collector. If so furnish details :<br />

9. Whether the institution has adequate<br />

personnel to look after the project?<br />

(Special teachers <strong>for</strong> teaching disabled children)<br />

Brief Note :<br />

9. Whether following documents attached :<br />

(a) Constitution of Agency Yes No<br />

(b) Constitution of the Board of Management<br />

with particulars of each member<br />

Memorandum :<br />

(c) Latest annual report :<br />

(d) Details of selection of warden preferably a<br />

degree holder & support staff to run the<br />

hostel (temporarily) :

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