Application Form For Financial assistance to conduct Entrepreneurs Development Programs (EDPs) 1. Name of the Organization: Address: Tel. No. Fax No: E-mail: (Please attach Certificate of Incorporation/Registration, Memorandum & Articles of Association/Bye-laws & Audited Annual Report/Accounts for the last three years) 2. Main activities of the Organization: 3. Objectives of the EDP 4. No. of participants (not less than 20) (Their qualifications, economic background etc., proposed to Be prescribed) 5. Number of SC/ST candidates proposed to be selected for the Court (Not less than 10% of the total) 6. Duration of the course (not less than 4 weeks) (Should include follow-up phase for a period of 12 months) 7. Selection procedure and composition of the Selection Committee 8. Course content in brief. A copy of the course material may be Enclosed. 9. Expenditure with detailed break-up (including follow-up Phase) 10. Source of funding: 1. Grants from other sources 2. Participation fee to be charged from trainees 3. Organizers' own contribution 4. Grant sought from MFPI Total ....... 11. Details of faculties (Resource persons) 12. Past experience in conducting such courses 13. An Affidavit indicating details of grant received from this Ministry or other Departments of Government of India may Be furnished. 14. If MFPI assistance under any scheme received earlier, whether Utilization Certificate in Form 19-A duly countersigned by Chartered Accountant furnished. If so, a copy of the same may be Furnished. If not, the same may be furnished alongwith this Ap-plication. 15. If the organization has been provided financial assistance for Conducting EDP courses by this Ministry earlier, the following Information may be furnished. 1. Number of EDPs supported by MFPI 2. Places 3. Date of completion 4. Number of participants trained & declared successful 5. How many of them have set up their own units - indicate Places, products and employment generated directed and Indirectly.
