APPLICATION FOR MANAGERAL SUPPORT TO NGOs FOR PROVIDING

REHABILITATIVE AND THERAPEUTIC SERVICES TO PERSONS WITH

INTELLECTUAL DISABILITIES

Part-A : PARTICULARS OF THE ORGANISATION:

1. Name of the NGO:

Women & Child Welfare Society,
At- Gamhandia New Colony,
Po- Buxibazar,
Dist & City- Cuttack-753001, Orissa, India.
Ph- +91-671-2414810/09337252333/9437534224
e-mail: gensecywcws1@hotmail.com / wcwsminati@gmail.com
wcwsodisha1994@gmail.com/wcwscuttack@rediffmail.com
website: http:www.wcwsodisha.simplesite.com
https://twitter.com/KeshabWCWS
https://www.youtube.com/channel/UCZDhuqnf3jKWpydf2_A6VQA
https://www.flickr.com/photos/148299832@N06/
https://www.reddit.com/user/Gamhandia
https://www.linkedin.com/in/minati-bindhani-2a581a54/
https://www.facebook.com/Women-Child-Welfare-Society-461352430605093/
https://plus.google.com/u/0/+WomenChildWelfareSociety
https://www.blogger.com/blog-this-done.g?blogID=4363835365384122730&isPublished=true
2. Date of Establishment 01.01.1994
3. Registration Details: Legal Status:
(Acts under which registered  Year of Establishment: 1st January, 1994
with No., date  Registered under Section of XXI of Societies Registration Act,
1860
& validity). (Regd. No. 19815/43 of 1995-96, dt. 23/09/1995)
NB.: Enclose copies of Certificates  Registered under section 6(1) (a) of the Foreign Contribution
& By-laws (Regulation) Act,1976
i. Society/ Trust/ Company (FCRA Registration No. 104860173 of 2009-10, dt. 22/09/2009)
Act (specify)  Registered under Section 21A of Income Tax act 1961
ii. FCRA, 1976 (Regd,. No. 12A/481-37/2009-10 dated 31/03/2010)
iii. Income Tax Act, 1961  PAN no. AAATW0620Q
 SSBE Registration No. 211207886/DIC, Cuttack,26.03.2004
(139A, 12AA & 203A)
 Planning Commission, Govt. of India, Unique ID No. NGO as
iv. PwD Act, 1995 generated in www. ngo.india.gov.in—OR/2009/000305, dt.
v. NTMR Act, 1999 24/7/2009
vi. Juvenile Justice Act, 2000  Coir Board Registration No.; CB/IE/RO/BBSR/OR/587,
vii. Any other (specify) dt.16/02/2012.
Details of Governing Body/ Managing Committee of the Organisation (in the format):
Sl. Name & Address Occupation Tel. No. Educational
No Qualification
01 Amita Behera, President Social Work 0671-2414810 M A, BEd
02 Minakshi Kar, Vice-President Social Work 0671-2414810 BA, C.T
03 Minati Bindhani, General Secretary Social Work 0671-2414810 B.A
04 Kalpalata Prusty, Asst.Secretary Social Work 0671-2414810 MA &Trained
Nursery Teacher
05 Sabita Dash, Treasurer Social Work 0671-2414810 MA &
Trained Nursery
Teacher
06 Sanjukta Maharana Social Work 0671-2414810 Matric & Trained on
Fabric Painting,
Tailoring, Jewallary
07 Jogamaya Mohanty Social Work 0671-2414810 B.A & Tailoring
08 Sudharani Giri Social Work 0671-2414810 Matric
09 Sailabala Das Social Work 0671-2414810 H.SC
10 Snehalata Maharan Social Work 0671-2414810 Matric & Trained on
Fabric Painting,
Tailoring, Jewallary,
Soft Toys
11 Sanjukta Dei Social Work 0671-2414810 B.A, Bed.

12 Pratima Sahoo Social Work 0671-2414810 H.SC

5. Financial status of the Organisation attached
(Enclose audited accounts for last 3 years)
6. Whether the Organisation is ever: No
Blacklisted or charge sheeted by
any authority ? If yes, details thereof.
7. Any other (specify) : http://www.wcwsodisha.simplesite.com
PART-B : REHABILATIVE/ THERAPEUTIC SERVICES CENTRE
1. Name of the Centre For your kind information, we have not formed
2. Date of Establishment such centre till noow.We are on the way to form
3. Location this. Hence, it is our request, you go detail to our
4. Category of Persons with Intellectual website : http://www.wcwsodisha.simplesite.com
Disabilities About Us page & Other Pages for our Activities.
5. Details of Services Provided We have honoured several times for our activities
6. Number of Boarders/Non-Boarders, by Honourable Chief Minister, other Diginitary
(enclose list Category wise and sex wise) persons and Associations. We hope it would be
sufficient causes to get your co-operation from
your side to give a chance work with your
financial assistance.
7. Staff position
Sl. Name of staff Designation Job Description Working since
No.
N/A
8. Details of land and building (Enclose: copyof ROR,Copy of Agreement in ca of rented N/A
building)
9. Account Number with IFS Code Saving Account Number: 002201000020302
RTGS/NEFT/IFSC Code: IOBA0000022
MICR: 753020002
Bank: Indian Overseas Bank
 Branch: Cuttack Main Branch
P. K. Parija Road
Opp. Howarh Motor
Post: Buxibazar
District & City: Cuttack
Pincode:753001
State: Odisha [INDIA]
10. Whether receiving grant from any source Not Received.
(If yes, please specify)
11. Amount of assistance per annum applied As per your provision
(Enclose detailed estimate)
12. Any other information N/A
(Separate sheets can be enclosed)

Place: Cuttack
Date: 14.06.2018 Signature of Secretary with Seal
Name: Minati Bindhani