Installment Request Checklist IFD Approved
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7/23/2019 Installment Request Checklist IFD Approved
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
1
1.1 Sanction Order Reference No. Yes/No
1.2 Name of Implementation Agency Yes/No
1.3 Project sanction date Yes/No
1.4 Project Durat ion Yes/No
1.5 Project Start Date Yes/No
1.6Project Start Date/ Project
Commencement DateYes/No
1.7 Project End Date Yes/No
1.8State in which project is to be
implementedYes/No
1.9.iCentral Share Yes/No
1.9.ii State Share Yes/No
1.9.iii PIA Contribution
For contribution in kind,
attach CA certificate. For
Cash, audited account
statement
Yes/No
1.9.iv Total Cost of the Project From Sanction Order Yes/No
1.9.v Revision if any to cost of project From Revision order Yes/No/NA
1.10 In case of Revised Project Cost
1.10.i Central Share (Revised)
1.10.ii State Share (Revised) Yes/No/NA
1.10.iii PIA Contribution (Revised)
For contribution in kind,
attach CA certificate. For
Cash, audited account
statement
Yes/No/NA
1.10.iv Total Revised Cost of the Project From Revision order Yes/No/NA
________________________________________________
________________________________________________
________________________________________________
From Revision order
________________________________________________
Yes/No/NA
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI
________________________________________________
__ __ / __ __ / __ __ __ __
________________________________________________
From Sanction Order________________________________________________
________________________________________________
________________________________________________
Project Information / Details
________________ years
__ __ / __ __ / __ __ __ __
__ __ / __ __ / __ __ __ __
From Sanction Order
Project Commencement
Certificate from TSA
All information below has been provided on and is upto date until __________________ (DD/MM/YYYY)
Details / Observations
B
__ __ / __ __ / __ __ __ __
From Sanction Order
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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7/23/2019 Installment Request Checklist IFD Approved
2/12
Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
1.12 Unit Cost per beneficiary
Calculate on basis on
number of candidates to
be trained (1.10) and
total cost of project (1.9)
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
1.14 Provide a list of assets created, if any Attach CA certification Yes/No
1.15Were the above assets approved in the
project proposal?Yes/No/NA
1.16Whether outsourcing has been proposed
and approved?Sanction Order Yes/No
________________________________________________
Trade Duration of Training (in months)
1.11
Quote the original as
well as the revised
numbers as per MoU
and project target. Incase of revisions, attach
duly signed copies of
approval
Yes/No
1.13
Total number of beneficiaries
Trades approved for training in thesanction.
To be trained To be placed
Yes/No
Yes/No
Agenda & Minutes of
PAC
Add additional rows ifmore than 10 trades
were approved.
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
2
2.1 Has the project period expired? Sanction Order Yes/No
2.2If project is ongoing, has the project been
duly approved for extension?Attach Approval letter Yes/No
2.3
Is there a requirement for project
extension?
If No, Skip to next
section Yes/No/NA
2.4 Required Extension Period
Enclose detailed action
plan on how this is to be
achieved
Yes/No/NA
2.5 Provide Reason for requiring extension TSA recommendation Yes/No/NA
2.6Has a detailed action plan been prepared
to explain how this will be achieved?
Enclose detailed action
planYes/No/NA
2.7Has a detailed action plan been certified
by TSA?
Enclose detailed action
planYes/No/NA
3
3.1 Whether signed MoU has beenattached?
Yes/No
3.2
Has the project been implemented as
per conditions of PAC /EC /Sanction
Order (as applicable)?
Stamped
affadavit/certificate
required by CEO of PIA,
or designated authority
approved by Board of
Directors
Yes/No
______ in months
Yes/No/NA
Yes/No/NA
Yes/No
Terms & Conditions
Yes/No
Yes/No
Outsourced Activity Agency Cost of Outsourcing (Per annum)
Yes/No
Yes/No
Project Extension
1.17List the areas where outsourcing hasbeen done, and to which agency and
cost of outsourcing (per annum)
Sanction Order andcontracts with
outsourcing agencies
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
3.3
Whether the PIA has complied with the
provisions of standard Terms &
Conditions
Conditions listed in
Sanction.
Provide Stamped
affadavit/certificate
Yes/No
3.4Whether the PIA has complied with
special Terms & Conditions
Conditions listed in
Sanction.
Provide Stamped
affadavit/certificate
Yes/No
4
3 months 6 months 12 months Total
Yes/No
Yes/No
Total training target required for release
of installment in case of:
2nd installment (10% of total target) Yes/No
3rd installment (67.5% of total target) Yes/No
4th installment (100% of total target) Yes/No
9 months1) Total should match
with numbers provided
in project details in
Section 1.
2) Information should be
sourced from the MoU.Non-residential
Residential
Type of course
Physical progress in project
Yes/No
Total training target for the project
(in no. of candidates)4.1
4.2
Yes/No
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
Total training target categories
Scheduled Caste/ Scheduled Tribe Yes/No
Minorities Yes/No
Women Yes/No
Other Yes/No
Total Yes/No
4.4Has the required training target been
been achieved in terms of:Yes/No
4.4.i Targets l isted in 4.2
4.4.ii Targets listed in 4.3 Yes/No
4.6 Total number of BPL candidates trained
4.7Whether the PIA has given training in the
approved trades?Yes/No
4.8Has the required placement target been
achieved?Yes/No
4.9Has placement met minimum wage
requirements as per guidelines?
Provide minimum wage
act of concerned state(s)
relevant for each trade
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/NoTotal To Be Trained Total Trained
Yes/NoTotal To Be Trained Total Trained
Total Trained Percentage Achieved
Total Trained Percentage Achieved
3 months course
Attach MIS generated
candidate list, plus field
inspection report by TSA
Total To Be Trained
12 months course
Yes/No
Percentage Achieved
9 months course
Yes/No
Percentage Achieved
4.5
For 4th Installment release,
list achievement in each course duration
(in no. of candidates)
Yes/No
6 months course
Yes/No
Yes/No
Yes/No
4.3
Yes/No
Yes/No
-
Total To Be Trained
Total no. of candidates to be
trained for being eligible for
2nd
/3rd
/4th
Installment
Total no. of candidates trained
by PIA
Whether the shortfall is within 5% of the
target for the sub-category?
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
Total placement target required for
release of installment in case of:
2nd installment (75% of target) Yes/No
3rd installment (75% of target) Yes/No
4th installment (75% of target) Yes/No
4.11Number of placed candidates continuing
work, as per PIA?Yes/No
4.12 Physical status of training centresField inspection report
by TSA.Yes/No
4.13 Whether the MIS has been updatedRelevant screenshots to
be attached.Yes/No
5
5.1Has the CTSA monitoring report withregard to training and placement under
previous instalment been attached?
Yes/No
5.2
Whether any complaints have been
raised regarding implementation of
project?
Documentary proof of
complaintYes/No
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
Yes/No/NA
4.10
Placement target should
be at least 75% of
training target
Yes/No
Details of Complaint Compliance by PIA
Performance Monitoring
Yes/No
TSA observation and
compliance report and
documentary proof ofcomplaints. Add rows if
required
5.3 Provide details of complaints
Proposed Action by CTSA
in case of non-compliance
_____________________________________
Yes/No
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
6
6.1 Total interest earned by PIAAudited account
statement
Yes/No
6.2 Total interest earned by TSA To be filled by TSA Yes/No
Original
Value
Acquisition
Date
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
Yes/No
7
Item 4th instalment Total
7.1.i Central Share released to PIA (in Rs.) Yes/No
7.1.ii State Share released to PIA (in Rs.) Yes/No
7.1.iii PIA Contribution (in Rs.)Audited account
statementYes/No
7.1.iv Total funds available to PIA (in Rs.) [7.1. (i+ii+iii)] Yes/No
7.2 Interest earned by PIA
Interest earned by PIA
may be adjusted at the
time of release of
instalment as indicated
in Guidelines.
Yes/No
List financial value of permanent assets
created under project
AssetDepreciation for
this periodResidual Adjusted Value
Depreciation amount
should be calculated as
per depreciation for item
listed in General
Finance Rules/IT Act.
Add rows if required for
additional assets. CA
certification to be
attached.
1st installment 2nd Instalment 3rd instalment
________________________________________________
________________________________________________
6.3
Financial Progress in project
________________________________________________
Information specific to final installment & project closure
Sanction Order
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
7.3 Total expenditure by PIA (in Rs)
Sanction references, UC
duly signed by CA,
authorized
representative of PIAand countersigned by
TSA
Yes/No
7.4 Balance Funds available with PIAShould equal
7.1.(iv)+7.2-7.3Yes/No
7.5
Has To/Fro allowance been duly paid to
students and is this reflected in UC/Audit
Report?
UC/Audit Report Yes/No
7.6 Regarding Post Placement Support:
7.6.i
What is the total amount that has been
paid to students as Post Placement
Support?
Yes/No
7.6.iiIs this amount reflected in UC/Audit
Report?Yes/No
7.6.iiiHow many students have been provided
paid post placement support?Yes/No
7.7
For residential students, has lodging and
boarding been duly paid and is this
reflected in UC/Audit Report?
Attach UC/AR Yes/No
7.8Whether the UC has been countersigned
by TSA?Attach UC Yes/No
7.9
Whether the PIA has been sanctioned
any other SGSY/Aajeevika Skills project
in the past?
Sanction Orders of other
projectsYes/No
________________________________________________
Yes /No
___________________________________________________
Yes /No
________________________________________________
Yes /No
UC/Audit Report
________________________________________________
Yes /No
Yes /No
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
7.10If so, have all UCs have been submitted
as prescribed in GFR?Yes/No
7.11
Whether the Financial/Physical progress
of previously sanctioned projects has
been attached?
For physical progress,attach relevant
screenshots from
website. For financial
progress, attach
submitted UCs
Yes/No
7.12
Whether the PIA is eligible for fund
release in terms of financial
achievement?
As per Aajeevika Skills
GuidelinesYes/No
8
Was due approval
granted by Project
Director?
Yes/No Yes/No
Yes/No Yes/No
Yes/No Yes/No
Yes/No Yes/No
Yes/No Yes/No
9
9.1Amount for which PIA is eligible as per
sanction orderSanction Order Yes/No
Yes /No
________________________________________________
Yes /No
Yes /No
Proposal for Approval/ Release
Deviations
Details of Deviation from SOP/Guidelines Reason
Attach Approval letter
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
9.2Amount to be deducted for interest
earned
Financial Progress
SectionYes/No
Yes/No
Yes/No
9.5Total Amount to be deducted on account
of candidates not trained:Yes/No
9.5.i As per category wise targets
Amount to be deducted on account of
unpaid PPS:9.3
Yes/No
Yes/No9.5.i.a SC
Shortfall in TargetAmount to be deducted for
each Candidate not trainedTotal Deduction
9.5.i.b ST
Shortfall in TargetAmount to be deducted for
each Candidate not trainedTotal Deduction
Based on TSA
verification reports, and
shortfalls reported in
physical/financial
progress sections
Number of Candidates not paidAmount to be deducted for
each non-paymentTotal Deduction
________________________________________________
9.4
Amount to be deducted on account of
non-payment of Boarding/Lodging for
candidates trained in:
Number of Candidates not paidAmount to be deducted for
each non-paymentTotal Deduction
________________________________________________
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
9.7 Any other amount to be adjusted Yes/No
9.5.i.d Minority
9.6
Amount to be deducted on account of
candidates not placed as per target (only
applicable in case of project closure/ final
installment)
9.5.i.c Women
Shortfall in TargetAmount to be deducted for
each Candidate not trainedTotal Deduction
As per total target
Shortfall in TargetAmount to be deducted for
each Candidate not trained
Yes/No
Yes/No
Yes/No
Shortfall in TargetAmount to be deducted for
each Candidate not trainedTotal Deduction
Shortfall in TargetAmount to be deducted for
each Candidate not placedTotal Deduction
Yes/No
9.5.ii
Total Deduction
________________________________________________
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015
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Sl. No. Particulars
Means of
Verification/Source of
Information
Page
Reference
Claim verified and
certified to be
accurate by CTSA
A C D E
Details / Observations
B
9.7.iProvide reason(s) for adjusting above
stated amountYes/No
9.7.iiProvide calculation(s) used as basis for
above stated amountYes/No
9.8Amount for which PIA is eligible after
adjusting applicable deductionsYes/No________________________________________________
I, _______________________ (authorized personnel from PIA) hereby certify information provided in this application is accurate and correct as of date _ _ / _ _ / _ _ _ _
I, _______________________ (authorized personnel from concerned TSA) recommend for approval of fund release for the above project amounting to___________________________________, in respect of installment no. ________
Reccomendation of Project Director with respect to Project & Fund Releases
I, _________________________ (authorized personnel from PD) confirm that all the above information has been verified and found to be correct. A total amount of__________________________________ is proposed for release
Others
PIA Request for Approval
Approva s requeste or
a) Installment No. ______________ for total amount of _____________________________
b) Extension, if any for a total period of ___________________ up to _ _ / _ _ / _ _ _ _
c) Relaxations of norms, if any, in respect of the following:
__________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________
Reccomendation of TSA with respect to Project & Fund Releases
SC
ST
Reccomendation of PD with respect to deviations
Certification of availability of funds
Category Head of Account Budget Availability
FORMAT FOR REQUEST FOR FUND RELEASE OF 2ND /3RD /4TH INSTALLMENT OF CENTRAL SHARE OF PROJECTS SANCTIONED UNDER DDU-GKY / ROSHNI (Version 1.0) dated 21st, December, 2015