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Ministry of Road Transport and Highways

This document is a form submitted by the Women & Child Welfare Society to the Ministry of Road Transport and Highways in India seeking financial assistance for a road safety advocacy program. [1] The form provides details of the Society such as its date of establishment in 1994, registration under various acts, and bank account information. [2] It also includes the name, address and Aadhaar number of the Society's president, secretary and trustees as well as its registration number on the DARPAN portal for NGOs. [3] The Society has attached additional documents providing details of its past activities over three years, any previous road safety programs conducted, and its proposed new program for which it is seeking financial assistance including

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351 views3 pages

Ministry of Road Transport and Highways

This document is a form submitted by the Women & Child Welfare Society to the Ministry of Road Transport and Highways in India seeking financial assistance for a road safety advocacy program. [1] The form provides details of the Society such as its date of establishment in 1994, registration under various acts, and bank account information. [2] It also includes the name, address and Aadhaar number of the Society's president, secretary and trustees as well as its registration number on the DARPAN portal for NGOs. [3] The Society has attached additional documents providing details of its past activities over three years, any previous road safety programs conducted, and its proposed new program for which it is seeking financial assistance including

Uploaded by

MinatiBindhani
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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No.

RT-25029/02/2016-RS
Government of India
Ministry of Road Transport and Highways
(Road safety Cell)
Transport Bhavan,1, Sansad Marg, New Delhi – 110001
----------------------------------------------------------------------------------------------------------------------------- ---------------
Annexure – A

Form for seeking financial assistance for administering Road Safety Advocacy

Sl. Subject Particulars


No.
01. Name of the Agency:
02. Legal Status:
 Year of Establishment: 1st January, 1994
 Registered under Section of XXI of Societies Registration Act, 1860
(Regd. No. 19815/43 of 1995-96, dt. 23/09/1995)
 Registered under section 6(1) (a) of the Foreign Contribution (Regulation) Act,1976
(FCRA Registration No. 104860173 of 2009-10, dt. 22/09/2009)
 Registered under Section 21A of Income Tax act 1961
(Regd,. No. 12A/481-37/2009-10 dated 31/03/2010)
 PAN no. AAATW0620Q
 SSBE Registration No. 211207886/DIC, Cuttack,26.03.2004
 Coir Board Registration No.; CB/IE/RO/BBSR/OR/587, dt.16/02/2012.
03. Date of registration / incorporation 23.09.1995
04. Contact Number: Email id: [email protected]
[email protected]
05. Postal Address Women & Child Welfare Society
At- Gamhandia New Colony, Po- Buxibazar,
Dist & City- Cuttack-753001, Orissa, India.
website: http:www.wcwsodisha.simplesite.com
06. Bank Account No. and IFSC Code of the Branch with Address
Name of the Bank and address of Branch Indian Overseas Bank, Cuttack Branch,
P. K. Parija Road, Opp. Howrah Motor,
Po-Buxibazar, Cuttack-753001, Odisha
Name of account holder(s) Account No-002201000020302
Savings Bank Account
Whether single/joint Operation Joint Operation
RTGS Code IOBA0000022
MICR 753020002
Whether the bank has electronic transfer Yes
facility
07. Name, Address and Aadhar Number of the
President / Secretary / Trustee of the agency

08. In case of NGO, please furnish- Planning Commission, Govt. of India, Unique ID No. NGO
(i) Date of registration on DARPAN Portal as generated in www. ngo.india.gov.inOR/2009/000305,
(ii) Unique ID generated on DARPAN Portal dt. 24/7/2009
09. Brief on the activities conducted by the Attached.
Agency in past three years (Attach additional
sheets, if necessary)
10. Whether any road safety awareness Attached.
programmes have been earlier conducted by
the Agency, if yes, give details thereof
(Attach additional sheets, if necessary)
11. Brief of the proposed activity proposed to be Attached.
undertaken indicating the target group, place,
content of the programme and the proposed
time period for conducting the programme
(Attach additional sheets, if necessary)
12. Total estimated cost of the Proposal (Attach a copy Rs. (attached separate sheet)
of the estimate)

Date: (Signature of the Authorized signatory)


Place: Cuttack. [Name and Designation of the Authorized
Signatory]

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