PERFORMA FOR APPLICATION

(NGO FUNDING GRANT AWARD)

Funding Application Fee Details
Name of the Bank ___________________________________
Place of Issue ______________________________________
Draft/Bankers Cheque No _____________________________
Dated ______________________________________

The fee is to be paid in form of Demand Draft/Bankers Cheque

amounting to Rs 500 (Five Hundred Only) in the name of Centre for
Transforming India
__________________________________________________________________

Fill In Block Letters

Name of The organization

Full Postal Address
Locality
Street
Road
City
Pin
State

Email:
Website if any

Phone:
Organization
Phone/Mobile of Head of Organization

Structure of the organization

Society Trust
Section 25 Company Others

Focus Area( Top Three)

1.
2.
3.

Functionaries
Chairperson/Head
Secretary
Brief details of current projects( maximum of 5 projects not more than
2 para each)

Manpower
Full Time
Part Time
Volunteer

Area of Operation
Board Structure
Number of Members
How often Board is selected

Financial details
PAN Number
Last two years Financial ITR Return details
Amount of Return
Operational Expenses as a percentage of total spending

Previous Funding Utilization Certificates if any

A brief on how the organization intents to use the funding grant( Not
more than two paragraphs or 150 words whichever is less)

Any details that throw light on the organizations functioning will be

helpful for the grant committee in decision making process

Self Affidavit
I( name of the authorized signatory)_________________, s/o- d/o
Sh_______________________
on behalf of ___________________________( name of organization) do
hereby state that I have fully understood the terms and conditions of
the support grant application process of the proposed support grant to
be extended by Centre for Transforming India. I fully undertake on
behalf of the organization that the information mentioned above is true
to the best of my knowledge and in accordance with the government
and our official records and that if the organization is selected for the
grant then the support grant will only be used in accordance with the
purposes mentioned in the terms and conditions of the application.

I indemnify Centre for Transforming India against any legal disposition

and certify that the decision of the selection process will be final and
binding on me and would not in any manner be challenged my me in
the court of law in India or outside.
I am fully aware that any discrepancy in the information provided by
me or any act of omission or commission on my behalf would
automatically result in disqualification of my organization from the
grant process.

Signature
Name of the Authorized Signatory
Date
Place
Official Stamp

Terms and Conditions

1. The form needs to be typed or legibly filled with hand in block
letters( Gel pens not allowed)
2. Organizations could only undertake the funding grant for the
below mentioned purposes only
i. Meeting the extra funding requirements for the
current project
ii. Seed funding for new projects
iii. Organizational development and system up
gradation
iv. Manpower training and development
v. Meeting working capital requirements for the
current/future projects
3. The application processes are on rotating basis .
4. The funding grants awarded by Centre for Transforming India
are highly competitive and the assessments of the same
would be based on the overall impact and assessment of the
organization and its impact on the society.
5. The decision of selection process and final awards of grant by
Centre for Transforming India would be legally valid and
binding upon all the applicants and the applicants confirm
that they in no manner will challenge the same in the court of
law
6. Forms not filled in accordance with the specified Performa will
be rejected
7. Any canvassing or acts of such nature would result in
disqualification of the applicant

The filled application form in accordance with the Performa along with
the application fee be sent to

Ms. Neha Arora

Centre for Transforming India
50-E, 4th Floor, Hauz Khas Village
New Delhi-110016
Ph: 011-46019721
eMail:neha@cfti-ngo.com