Project Application Form

Date of application : (dd/mm/yyyy) 15 May 2015

Section 1: Details of Applicant Project Implementing Agency (PIA)

Permanent Registration
1.1 Number (Issued by Ministry of PJ2013CR1210
Rural Development)

1.2 Name of applicant PIA ITFT CONSULTANCY PVT LTD

Date of Registration of Please mention your date of registration of your Company/ Trust/ Society
1.3 Applicant PIA as legal entity 10 April 2006 /Federation etc under Companies Act, Societies Act etc.
(dd/mm/yyyy) Please also ensure that your system setting for date is set as dd/mm/yyyy.

PIA is applying as (in reference

1.4 No Consortium
to Consortium Arrangement)

Note: Permanent Registration

1. Please indicate the names and PRN of each consortium members in the table below. Number (Issued by Ministry
2. The Lead Partner of the Consortium shall be the 1st Member. of Rural Development)

Section 2: Financial Details of applicant PIA

Please fill up financial details in Sheet No. 3 before proceeding. The information submitted by applicant PIA in sheet no. 3 shall be the basis for
assessment of financial status of applicant PIA.

Finacial status of the Applicant PIA/Lead Partner (During last 3 Audited Financial Years)
Note: In case applicant is applying as consortium, the financial status of Lead Partner only shall be considered for the purpose of assessment of
eligibility for grant of the project.

2.1 Average Annual Turnover 2.2 Annual Networth 2.3 Whether all financial
(Rs.) statements are Audited?
S.No. Financial Year Annual Turnover (Rs) S.No.

(i) 2011-12 19,31,84,798 (i) 6,38,97,046

Yes
(ii) 2012-13 26,23,52,949 (ii) 6,75,36,841

(iii) 2013-14 26,96,90,817 (iii) 7,23,39,104

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Average Turnover 24,17,42,855

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Section 3: EXPERIENCE OF applicant PIA IN SKILLING AND PLACEMENT

EXPERIENCE OF applicant PIA IN SKILLING AND PLACEMENT
3.1 (Details of SGSY Special Projects/Aajeevika (under MoRD) completed/ongoing in last 5 years prior to the date of application to be
given.)

Sl. no Sanction number Date of Sanction Year of Completion* Total Trained Total placed

1 J-17018/2/2008-SGSY-II(SP) 19/11/2008 2010 2012 1507

2 J-17031/4/2008-SGSY-II(SP) 29/12/2009 2013 2541 1896

3 J-17037/2/2009-SGSY-II(SP) 09 February 2010 2012 2028 1500

4 J-17019/2/2009-SGSY-II(SP) 22/02/2010 2013 2040 1853

5 J-17031/3/2009-SGSY-II(SP) 30/03/2010 2013 5226 4005

10

Total Completed project = 5 13847 10761

1. Please keept it blank, if project is not completed as on date of application.*
2.Till 31 March 2014, a project shall deemed to be completed if the TSA certifies that the physical target has been achieved on the
Note-
basis of MIS. With effect from 1 April 2014, a project completion certificate from the fund release authority shall be mandatory for
project closure.

EXPERIENCE OF applicant PIA IN SKILLING AND PLACEMENT

3.2
(Details of Other Government Projects completed/ongoing in last 5 years prior to the date of application to be given.)

Sl. no Sanction/Order number Date of Sanction Year of Completion* Total Trained Total placed

1 NEC/HRD&E/180/2005 21/03/2005 2006 2000 1588

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10

11

12

13

14

15

Total Completed project = 1 2000 1588

Whether applicant PIA is

Category of
3.3 supported by NSDC through No 3.4 A
applicacant PIA
Equity or Loan

Section 4: Geographical coverage proposed by applicant PIA

Duration of Project
4.1 Name of the Proposed State HIMACHAL PRADESH 4.2 3
(In years)

4.3 Districts covered 8

S.No. Districts S.No. Districts S.No. Districts

1 Sirmaur 26 Please Select 51 Please Select

2 Solan 27 Please Select 52 Please Select

3 Bilaspur 28 Please Select 53 Please Select

4 Shimla 29 Please Select 54 Please Select

5 Mandi 30 Please Select 55 Please Select

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6 Kullu 31 Please Select 56 Please Select

7 Kangra 32 Please Select 57 Please Select

8 Chamba 33 Please Select 58 Please Select

9 Please Select 34 Please Select 59 Please Select

10 Please Select 35 Please Select 60 Please Select

11 Please Select 36 Please Select 61 Please Select

12 Please Select 37 Please Select 62 Please Select

13 Please Select 38 Please Select 63 Please Select

14 Please Select 39 Please Select 64 Please Select

15 Please Select 40 Please Select 65 Please Select

16 Please Select 41 Please Select 66 Please Select

17 Please Select 42 Please Select 67 Please Select

18 Please Select 43 Please Select 68 Please Select

19 Please Select 44 Please Select 69 Please Select

20 Please Select 45 Please Select 70 Please Select

21 Please Select 46 Please Select 71

22 Please Select 47 Please Select 72

23 Please Select 48 Please Select 73

24 Please Select 49 Please Select 74

25 Please Select 50 Please Select 75

Section 5: Training Target proposed by applicant PIA

5.1 Training target proposed by applicant PIA
5.2 Training Target of
Course duration Residential Non-residential Total Women

3 months 4000 8000 12,000 3,960

6 months 0 0

9 months 0 0

1 year 0 0

Total candidates 4,000 8,000 12,000 3,960

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Please furnish Target Break-up details in Sheet No.

5.3 Training Center wise Details Matched with Target
4

5.4 Categories of candidates (Minimum Coverage)

Category SC ST Minorities Others Total

Ratio 25.2 5.7 0.15

3 months 3,024 684 18 8,274 12,000

6 months 0 0 0 0 0

9 months 0 0 0 0 0

1 year 0 0 0 0 0

Total
3,024 684 18 8,274 12,000
candidates

5.5 Total numer of candidates proposed to be given Boarding and Lodging in:

Item 3 months 6 months 9 months 12 months

a State Headquarters
3,000

b District Headquarters
1,000
All other locations other than
c. 0 0 0 0
(a) and (b) above

5.6 Total number of candidates proposed to be given placement:

Item 3 months 6 months 9 months 12 months

a within District of domicile

500

b within State of domicile

2,000

c outside State of domicile

9,500
d Total 12,000 0 0 0

Total number of candidates

Percentage of
proposed to be given
5.7 12,000 5.8 placement to the total 100%
placement by the applicant
training target
PIA.

5.9 Whether the total placement is more than or equal to 75% of training target. Yes

5.10 Total number of the candidates proposed to be given additional support

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Item 3 months 6 months 9 months 12 months

a Retention Support 6,000

b Career Progression 600

c Live Distance Learning 10,000

d Foreign placement 250

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Section 6: Estimated Cost of the Project (in Rs.)

Item 3 months 6 months 9 months 12 months

16,43,52,000
Training Cost (Rs.)
6.1
(accounting all candidates)

Boarding and Lodging (Unit

6.2 Cost/day for residential
training)

State Headquarters @ Rs 166

a 4,48,20,000 0 0 0
per day

District Headquarters @ Rs 120

b 1,08,00,000 0 0 0
per day

All other locations other than

c (a) and (b) above @ Rs 75 per 0 0 0 0
day

One time travel cost 1,80,00,000

(maximum limit of @Rs. 4,500/-
6.3 )
(accounting all applicable
candidates)

Food and To & Fro charges @

6.4 7,20,00,000 0 0 0
Rs 100 per day

6.5 Post Placement Support

Placement within District of

a domicile (Rs. 1000/- per month 10,00,000 0 0 0
for 2 months)
Placement within State of
b domicile (Rs. 1000/- per month 60,00,000 0 0 0
for 3 months)
Placement outside State of
c domicile (Rs 1,000/- per month 5,70,00,000 0 0 0
for 6 months)

Tablet Computer Cost @ Rs.

6.6 5,000/- per candidate (for 6,00,00,000 0 0 0
Category 'A' & 'B' PIA only)

Uniform cost (cost of one pair

is Rs 1,000/-, 2 pairs provided
6.7 1,20,00,000 0 0 0
in case of 9 m and 12 m
course)

Retention Support @ Rs.

6.8 1,80,00,000 0 0 0
3,000/- per candidate

Career Progression @ Rs.

6.9 30,00,000 0 0 0
5,000/- per candidate

Live Distance Learning @ Rs.

6.10 50,00,000 0 0 0
500/- per candidate

Foreign placement @ Rs.

6.11 25,00,000 0 0 0
10,000/- per candidate

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6.12 Total 47,44,72,000 0 0 0

6.13 Grand Total 47,44,72,000

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6.14 Monitoring Fees payable to TSA @ 1.5% of the Estimated Total Project Cost 72,25,462

6.15 Estimated Total Project 48,16,97,462

Section 7: Funding Pattern

Funding by
Share of funding (%) Funding (in Rs.)

Central Government
(in case of North-east and Special Category States-90%, in case of Himayat- 100%
7.1 75% 36,12,73,096
and in case of all other States 75%)

State Government
7.2 (in case of North-east and Special Category States-10%, and in case of all other 25% 12,04,24,365
States 25%)

Total 100% 48,16,97,462

Section 8: Manpower and Assessment Arrangement

8.1 Whether the applicant PIA agrees to employ manpower for the project as given below Yes

Proposed target is more

than 8001
Resource Proposed target is less than Proposed target is Proposed target is Proposed target is
person 2000 between 2000- 4000 between 4001-6000 between 6001-8000

Community
Mobili-zation 2 2 4 6 8
Specialist

Placement
2 2 4 6 8
Specialist

MIS
1 2 4 6 6
Specialist

Trainer for
proposed 3 5 10 12 16
trades

English
language 1 2 4 5 6
trainers

Soft Skills
and life skills 1 4 6 8 10
trainers

IT literacy
1 4 6 8 10
trainers

Post
Placement 1 2 4 6 8
Specialist

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Total 12 23 42 57 72

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8.2 Assessment arrangement proposed by applicant PIA

Whether assessment arrangement is by Third

Component of the project In case of Third party, approved by whom
Party (For All Trades)

(i) Curriculum Yes NCVT

(ii) Certification for candidates Yes NCVT

Section 9: Curriculum and course design proposed by applicant PIA

S.No. Proposed Course Duration of Course Total number of days Total number of days Hours of trade specific skill
(3/6/9/12 Months) of training (Excluding of OJT (should not training
OJT) exceed 30 days for a 3 (Theory)
month course, 60 days
for 6 month course, 90
days for a 9 month
course)

1 Housekeeper 3 Months 60 30 120

2 Food & Beverage Service 3 Months 60 30 120

3 Front Office Cum Receptionist 3 Months 60 30 120

4 BPO Voice 3 Months 60 30 120

5 Retail Operations 3 Months 60 30 120

6 Tourism & Travel Executive 3 Months 60 30 120

7 Please Select

8 Please Select

9 Please Select

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10 Please Select

11 Please Select

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12 Please Select

13 Please Select

14 Please Select

15 Please Select

S.No. Proposed Course Hours of soft skills Hours of English Hours of Computer Hours of trade specific skill
training (Life Skill & language training training (Minimum of training (Practical/Lab
Work Readiness) (Minimum of 60 80 hours) training)
(Minimum of 20 hours) hours)

1 Housekeeper 20 60 80 60

2 Food & Beverage Service 20 60 80 60

3 Front Office Cum Receptionist 20 60 80 60

4 BPO Voice 20 60 80 60

5 Retail Operations 20 60 80 60

6 Tourism & Travel Executive 20 60 80 60

10

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11

12

13

14

15

S.No. Proposed Course Hours of OJT Total Hours of

(should not exceed 8 training including OJT
hours in a day and also
not exceeding 30 days
for a 3 month course, 60
days for 6 month course,
90 days for a 9 month
course)

1 Housekeeper 240 580

2 Food & Beverage Service 240 580

3 Front Office Cum Receptionist 240 580

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4 BPO Voice 240 580

5 Retail Operations 240 580

6 Tourism & Travel Executive 240 580

7 0

8 0

9 0

10 0

11 0

12 0

13 0

14 0

15 0

Section 10: Outsourcing of the project activities

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Whether the PIA applicant is applying as a Consortium for project activities or

10.1 NONE
proposes to outsource project activities?

10.2 Does not apply

Please Select Please Select

Please Select Please Select

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Please Select Please Select

Please Select Please Select

No. of Outsourcing
Please Select Please Select
Partners
Please fill up Sheet No. 5
for the details of
Whether details of all Outsourcing Partners.
Please Select Outsourcing Partners No
are completed?

Section 11: Eligibility of PIA

Marks obtained by applicant Note: Assessment is based on the policy parameters. If the score is not
11.1 10
PIA equal to 10 then the application shall not be considered as complete.

PIA has met essential requirements. Application form is filled correctly. Please print the application form and submit it along with
11.2
annexures.

Section 12: Scanned documents attached in support of application

Annexure Point in Application

Point for which document is attached Remarks
number Form

MoRD Letter for Allotment of Permanent Registration Number under Aajeevika

1 1.1&1.2 Annexure '1'
skills

2 Registration Certificate as legal entity. 1.2&1.3 Annexure '2'

3 CA certificate. 2.1&2.2 Annexure '3'

4 Project Completion Certificate granted by MoRD 3.1 Annexure '4'

Screen Shot of Target achievement downloaded from www.nrlmskills.in and

5 3.1 Annexure '5'
certified by TSA e-mail/hard copy

6 Sanction Order for skilling projects granted by MoRD 3.1 Annexure '6'

7 Document Supporting Non-SGSY Skilling Project 3.2 Annexure '7'

8 Copy of Registered agreement with NSDC 3.3 Not Applicable

9 Placement Tie Up (MoU/Letter of Intent from Employer) 5.9 Annexure '8'

10 Budget Sheet for Training Cost 6.1 Annexure '9'

Letter from Certifying Agencies empanellment with NCVT/SSC/MoRD for course

11 8.2 (i) Annexure '10'
curriculum (separately for every trade)

Letter from Certifying Agencies empanellment with NCVT/SSC/MoRD for

12 8.2 (ii) Annexure '11'
assessment and ceritification of candidates (separately for every trade)

13 MoU Consortium or Outsourcing 10.1 Not Applicable

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Bank Statement for 1 Month along with cheque leaf of existing bank account
14 10.2 (j) Not Applicable
outsourced agency whose details are given in sheet no. 5

Registration Certificate as legal entity of the outsourced agency whose details

15 10.2 (j) Not Applicable
are given in sheet no. 5

16 If Any Other (Please specify)

17 If Any Other (Please specify)

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18 If Any Other (Please specify)

19 If Any Other (Please specify)

20 If Any Other (Please specify)

Note: In case, an applicant PIA has undertaken SGSY skilling projects supporting documents at S.No. 3 or 4 is essential for every projects
mentioned in table in point no. 3.1.

Verification

I certify that I am the authorised person to file the application on behalf of the applicant PIA, and also certify that the information
furnished above is complete and correct in all respects to the best of my knowledge. In case any information in the application is found
to be false or incorrect, then the application may be deemed to be cancelled without any opportunity of being heard by the Central/State
Government (as the case may be), and the applicant PIA and myself shall be liable for any penal action for misrepresentation of facts to
the Government which tantamounts to fraud.

NAME OF THE PERSON FILING THE APPLICATION Mahesh Kumar (Project Coordinator)

PLACE Chandigarh

DATE 15 May 2015

Note: The hard copy of the application form shall be signed and stamped on every page by the authorized person.

Date and Time of filing applicaton: 15-05-2015, 18:02