Project Locations (states covered): <<Total number>> of RPL Locations across <<number>> states States covered: State 1 State 2 See Section 1.3 Job Role(s) Proposed: NSQF Level 1 and 2 Job Roles not permitted SSC / PIA to ensure the job roles are NSQF approved SSC to ensure no overlap in the approved targets with RPL Type 4 Name of Job Role 1 as Per QP (Job Role Code) (NSQF Level) Name of Job Role 2 as Per Qualification Pact (Job Role Code) (NSQF Level --- ) SSC to submit the Recommendation Letter for the approved targets along with the reasons to approve the same. Total RPL Targets Requested: <<number>> Targets allocated till date under PMKVY 2.0 RPL*: <<number>> Project Duration (max. 12 months): <<number>> months *Under PMKVY (2016-2020) Sample Survey Findings (Summary) Applicants shall undertake a sample survey justifying the need for the RPL activity hereby proposed. The minimum sample size shall be 5% of each proposed RPL Location. The candidate survey data should mention the following details of the targeted beneficiaries : Name of the candidate Contact details of the candidate Previous number of years of experience in the Job Role for which RPL certification is being proposed If the applicant fails to conduct the sample survey for any of the proposed location(s), the final targets shall be reduced proportionately. The applicant shall submit a two (2) page executive summary highlighting the following : Objective of the survey Method used to conduct the survey Findings from the survey The sample survey focus on finding the knowledge, productivity and performance gaps/challenges faced by Target Beneficiaries in the location/locations proposed. It is expected that the RPL activity proposed will alleviate some of these gaps/challenges through the Orientation or Bridge Course and Skill Certification. Applicants shall attach detailed findings in a separate document. See Annexure 5.6 for format in which detail findings to be reported. The proposal stands rejected if the applicant fails to submit the sample survey with the above mentioned details.
In RPL, the Location in which the RPL activity will be conducted is important. Applicants are therefore required to provide full name (i.e. Project Type 1 – Name of Venue, Project Type 2 – Company Name & Project Type 3- Training Centre Name) and address of location in which it will be conducting the RPL activity. S.no State District Location Name (where RPL will be conducted) Address (full postal address including PIN) Job Role Names (NSQF Level) Proposed target per job role (in numbers) Number of batches in a month Number of candidates per batch Documentary (if any) of tie-up with the stated locations where the training will be conducted If the applicant fails to provide the documents (any or all of the tie ups) the targets shall be reduced proportionately TOTAL SECTION 2: PROJECT EXECUTION 2.1 (a) Mobilization Strategy Project Type 1 & 3 It is encouraged that PIA submit field linkages indicating access to a data base or network of potential beneficiaries for Project Type 1 and 3. Letters of support/participation to be attached with proposal. The letter is to mention location in which support will be provided as well as number of potential beneficiaries in the location. If the applicant fails to provide the documents (any or all of the agencies) the targets shall be reduced proportionately. If a mobilisation agency is engaged, a profile of the agency is to be submitted (see Annexure 5.4). SN. Name of Mobilising Agency State District Location Name Number of People being targeted Past Experience of Mobilising Agency Documentary evidence (Mandatory) 1 Name of Mobilising agency 1
SECTION 5: ANNEXURES List of Annexures required to be filled and submitted with Project Proposal 5.1 Information on PIA: (MANDATORY) Name of PIA: Documentary evidence ( Mandatory ) Certificate of Incorporation PAN Card CA audited complete financial statements from the last 3 (three) financial years (including notes) Net worth to be clearly indicated. Documentary proof for any past achievement / recognition being mentioned for the Promoters. Official Website of PIA: Promoter Details : Name of Promoter Educational Qualification Past experience Any awards/ recognition Name of SPOC: Designation of SPOC: Contact Number of SPOC: Email ID of SPOC: Year of Incorporation: Total Revenue of PIA for Last 3 (Three) Financial Years : FY 2014-2015: FY 2015-2016: FY 2016-2017: Net worth of PIA for Last 3 (Three) Financial Years FY 2014-2015: FY 2015-2016: FY 2016-2017: c. PIA’s Revenue from skill development activities FY 2014-2015: FY 2015-2016: FY 2016-2017:
Name of Assessment Agency 1: Supporting Documentation Required: Official Website of Assessment Agency: Name of SPOC: Designation of SPOC: Contact Number of SPOC: ID of SPOC: Year of Incorporation: Letter of Incorporation Year of affiliation of Assessment Agency(s) with SSC Affiliation Certificate Rational for Selection of the Assessment Agency for Proposed Project Number of Assessments conducted by Assessment Agency for this sector in last 1 year bifurcated State-wise PMKVY NON – <State> : <Number > <State>: <Number > <State> : <Number > <State>: <Number > Total Number of Assessors for this sector bifurcated State-wise PMKVY NON- PMKVY <State> : <Number > <State>: <Number > <State> : <Number > <State>: <Number > add additional tables, if the PIA has multiple assessment agencies for the project 5.4 Information on Mobilization Agency For Project Type 1 and 3, if separate mobilization agency is engaged, provide profile of mobilization agency. In case the PIA is also the mobilizing agency pl provide evidence of previous experience. PIA’s are encouraged to enclose letters of support from mobilisation agencies, Gram Panchayats, Block Development Officers, Gram Pradhans, NGOs,
unit cost Administrative expense over employees Number of people Salary Total cost Training Material provided Items of Items and unit cost cost Additional Sub-cost head name Additional Sub-cost head name Additional Sub-cost head name (A) 1.2 Branding and Publicity ( Maximum Rs 250/- ) Flex Number of flexes and unit cost Total Cost Panels Number of Panels and unit cost Total Cost Brochures Number and unit cost Total Cost Radio Number of channels and unit cost Total Cost Television Number of channels and unit cost Total Cost Additional Sub-cost head name Additional Sub-cost head name
Number of Locations Rent per month Total cost Training of Trainers Number of Trainers Cost per trainer Total cost Salary of Trainers Number of Trainers Cost per trainer Journey expense (if any) Administrative expense for establishing camps Items Number of items and unit cost Total Cost Administrative expense over employees Number of people Salary Total cost Training Material provided Items Number of items and unit cost Total Cost Additional Sub-cost head name Additional Sub-cost head name Additional Sub-cost head name Additional Sub-cost head name Total (A) Branding and Publicity ( Maximum Rs 250/- ) 1.3 Flex Number and unit cost Cost Panels Number and unit cost Total Cost Brochures Number and unit cost Total Cost Radio Number of Channels Frequency and unit cost Cost Television
Number of channels Frequency and unit cost Total Cost Additional Sub-cost head name Additional Sub-cost head name Additional Sub-cost head name Total (B) 1.4 Job role specific kit (Maximum Rs 500/- including PMKVY Kit) PMKVY T Shirt ( Fixed Rs 120/- ) PMKVY Cap ( Fixed Rs 40/- ) please specify numbers, unit cost and total cost Additional Sub-cost head name Additional Sub-cost head name Additional Sub-cost head name Total (C) 2 Payout for assessment 800 / 600 3 Candidate payout 500.00 4 Bridge course expenses 5 Total cost per candidate
8 Pre Screening Content - focusing on supporting documentation and self-assessment questionnaire (to be validated by SSC) 9 Comprehensive Orientation Content - detailing subtopic, duration and expected outcome for each job role proposed for skill gaps identified during ground survey. (to be validated by SSC) 10 Comprehensive bridge course content (as per QP) – detailing on necessity, subtopic, duration and expected outcome for each job role proposed (to be validated by SSC) 11 Past experience of the PIA in the proposed sector with supporting documents 12 Scanned documents indicating any past experience in any other government skill development schemes / awards and testimonials 13 Proof of existence and quality of training centers (if Non PMKVY centers) 14 SSC Recommendation Letter highlighting the recommended targets and the reason for recommendation 15 Scanned copy of PIAs Certification of Incorporation highlighting more than 3 years of existence 16 Scanned copy of PIAs affiliation certificates, where applicable PIAs certificate of affiliation with NSDC PIAs certificate of affiliation with SSC 17 CA audited Financial statements from the last 3 Financial Years, including notes to the statements 18 Indicative project cost bifurcated as per the provided format 19 TOT certified documents for the trainers 20 Scanned PAN card copy of PIA 21 Certificate on PIA letter head by authorized signatory that the organization is not listed or suspended by any Central / State Government. 22 PIA to certify that it is not any financial debt / has not applied for insolvency at the time of submission of proposal. 23 Declaration by PIA that all information provided is correct, verified and no available material information has been suppressed.