vuqlwfpr tkfr ds Nk=k@Nk=kkvksa ds fy;s Nk=kkokl fuekZ.k ;kstuk (Scheme for Construction of Hostels for SC Boys/Girls) Annexure-I Format of Application For Obtaining Central Assistance For Hostels For Boys/Girls Sr. No. Location of Propose Hostel No. of inmates Proposed to be accommodated Whether land has been acquired Likely date of completion Total Estimated Cost State share provided in the State Budget Central share proposed for release Nature of Hostel (Govt. sponsored or to be constructed by NGO If Non Govt./ University whether 10% of the cost will be born by organisation Remarks (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Certificate: The cost of construction of the Hostels has been worked out on the basis of State/U.T. PWD/CPWD rates, as provided for in the scheme. Signature Seal 3-vuqlwfpr tkfr ds Nk=k@Nk=kkvksa ds fy;s Nk=kkokl fuekZ.k ;kstuk (Scheme for Construction of Hostels for SC Boys/Girls) Financial Progress Annexure-II Proforma For Obtaining Central Assistance For Construction of Hostels For SC Boys / Girls Showing progress of Last Five Years (Rs. in lakhs) Sr.No. Year Amount provided as State Share Central Assistance sanctioned by Ministry of Social justice and Empowerment Actual amount utilised out of Unspent Balance of Central Assistance upto 31st March i.e. year end State Share Central Share (1) (2) (3) (4) (5) (6) (7) Signature Seal 3-vuqlwfpr tkfr ds Nk=k@Nk=kkvksa ds fy;s Nk=kkokl fuekZ.k ;kstuk (Scheme for Construction of Hostels for SC Boys/Girls) ANNEXURE-III PHYSICAL PROGRESS Proforma For Obtaining Central Assistance For Construction of Hostels For SC Boys/ Girls Showing Progress of Last Five Years . Sr.No Year Hostels sanctioned by Ministry of SJ&E along with locations Whether completed Yes /No If completed date of completion If not completed stage of construction Expected date of completion Reason for non-completion (1) (2) (3) (4) (5) (6) (7) (8) Signature Seal