Performa for empanelment of experts/organizations as evaluators for undertaking concurrent evaluation of projects and other studies supported by NAEB.

 

 

1.

Name of organization

 

 

2.

Name and Designation of Contact Person

 

3.

Postal Address of the Organization (with PIN CODE)

 

4.

Physical address, if different from postal address (With PIN CODE)

 

5.

Telephone with STD Code

 

 

6.

FAX No. with STD Code

 

 

7.

Mobile No. of Contact Person

 

 

8.

E-mail Address of Contact Person

 

 

9.

Name and Designation of Head of the Organization responsible for the Study Contract

 

10.

Establishment Details

 

 

a.

Year Established

 

 

b.

Type of Organization

(Tick One)

Educational & Research Institution/Consulting Organization/Any Other (give details) .

c.

Regd. No. Name and Place of Registering Authority

 

 

(Attach attested photocopy of Registration Certificate)

d.

No. of full time employees

Professional Support Staff

 

 

 

 

11. Field of Expertise (May tick more than one; supporting details to be given in col. 8 of Sl. No. 12).

 

 

12. Key activities undertaken by the Organization in the past 3 (three) years.

 

(In brief, extra-sheet may be used if activities are more than 5 in number)

 

S.No.

Type of activity (technical consultancy/research/study)

Name and Address of Client

Duration (From - To)

Cost (Rs. Lakh)

Location

Sector (see sl. no. 11) & Main Outputs.

1

2

3

4

5

6

8

(i)

 

 

 

 

 

 

 

 

(ii)

 

 

 

 

 

 

 

 

(iii)

 

 

 

 

 

 

 

 

(iv)

 

 

 

 

 

 

 

 

(v)

 

 

 

 

 

 

 

 

 

Attach a copy of original written work produced by the organization as a proof of its course competence relevant to the proposed assignment (to be returned by the Ministry after screening of bids).

 

13. Any other details

 

Date .

Signature(Team Leader)..

Place .

Name ..

 

Designation .