Annexure - V

 

 

Format for Profile of Affiliating Institution (only for NGO)*

 

  

 

(i)      Name and Address:

 

(ii)     Attested copy of Registration certificate

 

(iii)     Thrust of the Institute (Please tick appropriate column):

 

a.     Social Science Research 

b.     Action Research 

c.      Development 

d.     Any other (Please specify)

 

(iv)     Faculty: (Please indicate the number their names, qualifications, specializations and major publications):

 

a.  Status of Research Faculty: (Regular / Temporary /Part time / 

   Honorary)

b. Status of Administrative Staff: (Regular / Temporary /Part time /

   Honorary)

 

 

(v)     Infrastructural Facilities:

           

a.  Building: Owned / Rented / (Number of Rooms with covered area)

b.  Library: YES / NO (if yes, number of books, journals, periodicals)

c.  No. of Computers Available:

 

(vi)     Major activities undertaken during the last five years (please give

          details):

 

a.     Seminars / Conferences 

b.     Projects

c.      Training

 

 

 

* This information is to be compulsorily supplied by NGOs and other registered societies. Research institutes funded by ICSSR, Universities, other autonomous institutes fully funded by state or Central government, IIMs, IITs need not provide this information)


(vii)         Research Projects:

             

              a.  Completed

 

 

S.

No.

Title

Project Director

Amount

Details Funding Agency

Year of Completion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

              b.  On-going

 

 

S.

No.

Title

Project Director

Amount

Funding Agency

Likely Date of Completion

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

c.  Under Consideration

 

 

S. No.

Title

Project Director

Budget

Funding Agency

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(viii)    Name(s) and Address (es) of the Governing Body Members:

 

(iX)   Name (s) and Address (es) of the Research Advisory Committee.

       (Please submit a copy of the minutes of the last meeting)

 

(x)      A copy of the M.O.A. of the organisation.

 

(xi)     Details of Audited Statement of Accounts and Annual Reports  (Please

           enclose documents for the last three years) :

(xii)     Whether the organisation is recognized by any  university/state/central government for training/research purposes / Financial Assistance: Yes/No ( If 'Yes', please give details):

(xiii)      Details of publications year wise brought out by the organisation during

            the last five years:

 

(ivx)     Photocopy of Income tax exemption certificate issued to your orgnisation.

 

(xv)      Any Other Relevant Information:

 

            (All points have to be answered.  Incomplete information given will be

             rejected)

 

                  

 

 

 

 

 

 

 

 

 

 

 

Date                                        Signature of the Head of the Institute with stamp

                                              Name and Designation (In Block Letters)