TAMIL NADU WOMEN’S DEVELOPMENT PROJECT
NGO INFORMATION / INSPECTION REPORT

I. BACKGROUND DATE

1. Name :
2. Address :
3. Telephone No. :
4. Date of Registration :
5. Registration No. :
6. Registered under (Act) :
7. Whether original Registration certificate was
   physically verified by inspecting officer
8. Whether re-registration :
   done? Check original
9. Foreign Contribution :
   Regulation Act approval Number (if any)
10. Building - Rented/Owned/Other :
11. - Type of Structure :
12. - Approx. area (sq.ft.) :

II MANAGEMENT DATA

1. Managing Trustee/President (Name):
2. Secretary (Name) :
3. Treasurer (Name) :
4. No.of staff for Administration (Permanent)
   Part time :
   Full time :
5. No.of field staff available for the Tamilnadu Women’s
   Development Project (Permanent)
   Part time :
   Full time :
6. Are any of the Directors in this NGO Director
   of any other NGO elsewhere in the district or state?:

III. ACTIVITY DATA

01. No.of years of effective operation :

after registration

02. Location (area of operation) : ………….. 1……….. ………….

(Districts/Block/Villages) District 2……….. ………….

3……….. ………….

Blocks(name) Villages(NGO)

03. Activities, Projects :

Completed

04. Activities, Projects ongoing :

05. Area(s) of specialisation or come :

to advance notice

06 Was the NGO ever black listed :

by any funding Agency/District

Collector/GOI or GOTN

(Please ascertain from District Collector)

4. RESOURCE PERSONS/TRAINERS
5. 01. Trainers/Resource persons : Area No.

   available (if any) 1…………….. ……………….

   2…………….. ……………….

   3…………….. ……………….

   ------------------ ------------------

   Total

   ------------------ ------------------

6. SOURCES OF FUNDING
7. 01. Funding (Past) : Sources Amount (Rs.)

   1…………….. ……………….

   2…………….. ……………….

   3…………….. ……………….

   ------------------ ------------------

   Total

   (01) ------------------ (2)-----------------

   02. Funding (Current) :

   1…………….. ……………….

   2…………….. ……………….

   3…………….. ……………….

   ------------------ ------------------

   Total

   (03) ------------------ (4)-----------------

   03. Is the NGO being funded :

   by any other agency for the SHG

   programme

   (Please check the audited accounts

   and records of the NGO)

   04. Have accounts been audited for last :

   two years? Pleae indicate the address

   and telephone number of statutory

   auditor. Any other remark?

8. WILLINGNESS
9. 01. Is the NGO willing to be listed : Yes No

   with the Tamil Nadu women’s

   Development Corporation for the

   Implementation of the TNWDP?

   (Please circle relevant option)

10. FIELD INSPECTION

(Please collect the list of works :

habitation and Panchayatwise done

by NGO in last two years especially

related to women development and

choose two or threee by RANDOM

and send your report as follows)

1. Does the NGO have the confidence :

of the local people?

(Give specific observation)

02. Does the NGO have good reputation :

amongst the area covered?

Substantiate

03. Point out what you fed are substantial :

conribution to the area based on your

field visit

(Village-wise remarks for the villages

you visited)

4. RECOMMENDATION OF

INSPECTING OFFICER

(Please clearly circle relevant

portion)

01. Overall remarks of Inspecting :

Officer (Please give your overall

Impression about the NGO)

02. I recommend/do not recommend :

this organistion for listing with

the Tamilnadu Corporation for

Development of Women Limited

03. Inspected on (date) :

04. Signature :

(Officer not below the rank of

Deputy collector)

05. Name (in Capitals) :

06. Designation :

07. Seal :

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