1. Name and address of the Organisation /Institution:
2. Status of the Organisation/Institution (Registered Society / University etc.):
3. In the case of Registered Society, a copy of each of the following documents may be enclosed:
a) Registration Certificate
b) Memoranda of Association
c) By-Laws
d) Audited Statement of Accounts
4. Designation of person Empowered/ Authorised to receive financial grant from MOEF:
5. Activities of the organisation/institutions:
6. Title of the Proposal:
7. Broad Subject Areas covered:
8. Type : Technical /Semi Technical/popular etc:
9. No. of Pages:
10. Size of Book:
11. Time required for Printing & Publishing:
12. No of copies to be printed:
13. No of complimentary copies to be given to MOEF:
14. Concessional price to NGOs/students/ universities:
15. Estimated cost of Publication (typesetting, printing and Binding):
16. Price of the Book (if any):
17. Anticipated income from the sale of Publication (if applicable):
18. Assistance required from MOEF (Budget break up):
19. Particulars of previous grant received from MOEF (Please attach copies of Utilisation Certificate furnished to MOEF):
Place:
Dated:
Signature of President/Secretary
of the Society / Academy with seal.