Narotam Sekhsaria Foundation

Apply for a Grant

*Mandatory

Applicant Organization

Name of Organization*

Address*

Date of Establishment*

Tel. No.*

Email*

II.

Profile of the Organization:

Brief Note on Organization*

Registered as:

Trust

Society

Sec.25 Company

Others

(Give registration details-eg. Registration no. date, valid upto etc. along with certified true copy)

III.

Audited financial statement for the last year (attach true copy):

IV.

Title of the project:*

Total Budget:*

VI.

Project Period:*

VII.

Name of the project incharge:*

Project Details

Overall Objective of the Project:

Specific Objectives of the project:

Location of the project:

Rationale for this intervention:

Description of the programs/activities:

Innovativeness of the project:

Note on sustainability of the proposed project:

Risks if any and plans to mitigate the same:

Plan of Activities/Programs:

List of Program/ activity	Target Group/outreach	Milestones to be achieved (pls give a quarterly plan)	Budget per activity/program	Mechanisms for impact assessment

Checklist

Past experience of the organization in this area of work.

Networking with other NGOs and government for implementation of this project.

Existing financial assistance for this project.

Long term plans for replication or up scaling of the proposed project.

Internal systems of appraisal and monitoring.

Budget Notes: Separate heads for program and human resources.

Annexures:

•

Scanned copy of 80-G certificate

•

Scanned copy of PAN Card

•

12 AA Certificate