GOVT.

OF TAMILNADU
ENTREPRENEURSHIP DEVELOPMENT INSTITUTE TI BUILDING, GUINDY, CHENNAI 600032 Ph.044-22502411/22502412 e-mail: edichennai@gmail.com R. BALAKRISHNAN, I.A.S., Additional Chief Secretary to Government/ DIRECTOR Letter No. PIA/2010-11/ COPY

Evaluation of Training Organisations for registration by EDI as its Programme Implementing Agency (PIA)/ Knowledge Partner

Entrepreneurship Development Institute (EDI), Chennai has provisionally listed your organisation as one of its probable Programme Implementing Agency (PIA) to impart certain training programmes. The training programmes are intended to promote self-employment and/or wage employment among the eligible youth after acquiring relevant skills. If you intend to register yourselves as PIAs of the EDI, you are advised to send us details in the attached questionnaire. In accordance with EDI s regulations for enlistment of PIAs, EDI will evaluate your organization s past performance and current activities, together with infrastructure facilities and faculty strength. Your candid response to the attached questionnaire will assist the evaluation team in this process. Please complete the enclosed questionnaire as thoroughly as possible. Space has been provided for comments. Please attach supporting documents where required. Please send us your completed questionnaire to EDI address at the earliest. If you have questions regarding the attached questionnaire, or require assistance, please contact the undersigned. Your participation in this evaluation will be greatly appreciated. Please note that unless this evaluation is completed by the EDI in respect of your organization, you will not be assigned any programmes as a PIA of EDI.

Encl.: Blank Questionnaire Sd/Director, EDI

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REGISTRATION OF PROGRAMME IMPLEMENTING AGENCIES (PIA) & KNOWLEDGE PARTNERS FORMAT FOR ELIGIBILITY APPRAISAL & EVALUATION
A. IDENTIFICATION PARTICULARS Name of the Organization Contact details: a. Address for communication: b. CEO/Chairman etc

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c. Telephone
d. Mobile Ph. e. E-mail f. Website, if any Year of commencement of training Services Constitution/Registration Particulars/ Year of incorporation Or, Registration as NGO/Society/Trust etc.

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Please attach details with documentary proof

Details location wise

B. INFRASTRUCTURE AVAILABLE Enclose details. For multi-location operations details are required for each location

a) Land (Sq. Mtr. or Sq. ft.)* *Please indicate if owned/leased Built-up area (Sq. Mtr. or Sq. ft.) b) Class rooms: No. of Class Rooms Area (Sq. Mtr. or Sq. ft.) c) Auditorium/Conference hall, if available Seating Capacity e) Infrastructure for skill development courses(Machinery, Tools and equipments, Computer systems etc.) (Please enclose list with Numbers) f) Canteen (Dining Hall) with make model C. FACULTIES IN POSITION 6

No. of Full time/paid Teaching faculties in position External Faculty and their areas of specialization
Auxiliary/ support staff (Nos.)

Enclose details, as per the format given

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Faculty details

Sl.No Name & Contact particulars

Qualification

Field of specialization Skill Set.

Experience (in yrs)

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PROFESSIONAL PERFORMANCE

Trainings in Practice, a) Paid/Sponsored :

Enclose full details regarding the type of training courses, their duration and contents for each program. Attach publicity pamphlets/ information brochures, if any/Course Material Developed by you.

b) Department/Government of Tamil Nadu/GOI

Past Achievements i) Has the past year been good/bad/ satisfactory or otherwise for you, and why? ii) What do you consider to be your most important achievements of the past year?* (*Attach write up)
Benefits and Impact Success Rates and Other Outputs* *No.of persons trained/ Employed/Set up own Enterprises. Current Activities Future Plans What do you consider to be your most important aims and tasks in the next year? Awards/ recognitions received, if any

Please attach Annual Reports, Audited Accounts for 2009-2010, 2010-2011, 2011-2012

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E. OTHER REMARKS

Use the space below to provide other information related to/ in support of your suitability for being considered as a PIA of EDI. This may include other programmes in which you have expertise, payment issues, etc. If space provided here is insufficient, please attach separate sheets

Declaration I________________________ (Full name with designation) certify that the facts and figures furnished in the application form and the annexures are correct and tally with the records of our Organisation and any concealment of facts and figures, will render me liable to be proceeded against under the relevant provisions of the law.

Authorized Signatory Date: Place:

Seal
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GOVT.OF TAMILNADU ENTREPRENEURSHIP DEVELOPMENT INSTITUTE

GUINDY, CHENNAI 600032 e-mail: edichennai@gmail.com FACULTY INFORMATION A. Identification particulars Name Date of Birth /Age Address for Communication: PHOTO

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1) Mobile No: 2) E-mail ID: B. Educational qualification

5(i) (ii) C. Experience Name of the Organization 6(i) (ii) D. Areas of expertise/ specialization Subject of specialization in Training /Skill sets in imparting training programmes Any other relevant information Publications Awards Recognitions, if any: Self Assessment Report justifying A write-up not exceeding 200 words to be enclosed. your suitability as a resource person for the training programs No. of years Job responsibilities

Place: Signature Date: .. Note: Please enclose attested copies of certificates and testimonials in support of your education qualifications and experience.