1. Name and address of the Organisation/Institution:
2. Status of the Organisation/Institution (Registered Society/University etc.):
3. Name and Designation of the key persons of the Organisation:
4. Designation of person Empowered/Authorised to receive financial grant from MOEF:
5. 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
6. Activities of the organisation /institutions:
7. Title of the Proposal/Project:
8. Activities proposed Objectives/Target Group Duration:
9. Assistance required from MOEF ( Budget Break up):
10. Any other sources of funding:
11. Agencies which can be benefited by the proposed activity:
12. Particulars of previous grant received from MOEF (Please attach copies of Utilisation Certificate furnished to MOEF):
Place:
Date:
Signature of President/Secretary
of the Society/Academy with seal