PRPD Rules 38Chapter XI · State Fund For Persons With Disabilities

Section 38 · Annual Report

- The annual report of the Department of Social Security, Punjab shall include a chapter on the State Fund.Form-AApplication for a Certificate of Registration[See rule 10]

(1)

Name of applicant and his address: __________________________

(2)

Institution in respect of which application is made:

(a)

Name : _________________________

(b)

Address(Office/Project) : _________________________

(c)

Phone/Fax/Telex/(Office) : _______________________(Project)

(3)

(i)

Name of the Act under which the institution is already registered: ______________________________________________________

(ii)

Registration No. and date of registration: ________________________________(Please attach a photocopy)

(4)

Memorandum of Association and Bye-laws of the institution: ___________________(Please attach a photocopy)

(5)

Name, address, occupation and other particulars of the members of the Board of Management/Governing Body of the institution:

(6)

Present Activities of the institution:___________________________ ______________________________________________________________

(7)

Present membership strength and categorization of the institution. List of documents to be attached:

(a)

A copy of the annual report for the previous year,

(b)

Audited Statement of account duly certified by Chartered Accountant for the last two years.

(i)Receipt and Payment Account(by Chartered Accountant for the last two years)

(ii)Income and Expenditure Account(by Chartered Accountant for the last two years)

(iii)Balance sheet for the last two years(by Chartered Accountant for the last two years)

(c)

Details of staff employed by the institution: ____________________

(d)

Details of beneficiaries to be covered by the institution:___________

(e)

If hostel is maintained, then number of hostellers.

(f)

Other terms, if any

(g)

Whether the institution is located on its own/Rented building (Necessary evidence to be attached).

Signatures of the ApplicantName:Designation:Address:Date:Office Stamp:

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