Grant-in-Aid Scheme to provide Financial Assistance to the Mahila Mandals
APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER MAHILA
MANDAL/SELF HELP GROUP SCHEME (Part I)
(The incomplete form will not be entertained)
1) Name of the Organization :
2) Complete postal address Ward :
Village
Constituency
District
3) Registration No. and date :
4) Details of the Board of Management :
(a) Date of Formation of Committee :
(b) Tenure of the Committee :
(c) Name of the President :
(d) Name of the Secretary :
(e) Name of the Treasurer :
5) No. of total beneficiaries :
(i) SC :
(ii) ST :
(iii) OBC :
(iv) Disabled
(v) Others :
6) Annual report of the activities carried
out : (attached separate copies if required)
(attached separate copies if required)
7) Details of any special activity carried out : ___________________________________________________
(a) Name of the training/programme : ___________________________________________________
(b) Duration / Tenure of the course :
(c) No. of beneficiaries
(d) Type of trainer required
(e) Raw Material required
(f) Time, venue & duration
(g) Any other specification
(refer key activity list for training
identification) :
8) Declaration:- I / we undersigned declare that the information furnished above is true to the best
of my / our knowledge and that I / we take entire responsibility for training / orientation of the
women for educating them for self employment and within the stipulated time limit.
Signature.
President / Chairman.
(with seal)
Place:- _______________
Date:- _______________
Copies enclosed:-
1. Registration Certificate.
2. List of m em bers of M ahila M andal.
3. Report of activities of M ahila M andal.
4. Audited/unaudited statem ent of incom e and expenditure if any.
5. Any other relevant inform ation copy/photos.
A N N E X U R E – II
APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER MAHILA MANDAL/SELF HELP GROUP
SCHEME
(Part II)
Nam e & address of the M ahila M andal/ _____________________________
SELF HELP GROUP _____________________________
Num ber of Beneficiaries _____________________________
Nam e & Designation of the Course __________________________
Details of the participants.
Sr.
No.
Nam e of the person. Address. Education. Signature.
1 2 3 4 5
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
President / Chairm an.
M ahila M andal.
(with seal)
--------------------------
A N N E X U R E – III
SCH EDULES O F ACTIVITIES.
Sr. No. Course Duration Candidates
1 Beautification. 15 days 20
2 Candle m aking 5 days 20
3 Bags m aking 5 days 20
4 Agarbatis Preparing 5 days 20
5 Pot Designing 5 days 20
6 Fresh Flowers m aking/Bookes 5 days 20
7 Glass Painting 5 days 20
8 Zardoshi 5 days 20
9 Tailoring Course 15 days 20
10 Chinese Cooking 5 days 20
11 Cake m aking 5 days 20
12 Jewellary m aking 5 days 20
13 M ehandi Designing 5 days 20
14 Rangooli Designing 5 days 20
15 Razai m aking 5 days 20
16 Cloth Painting (Em bossing) 5 days 20
17 Soft Toys m aking 5 days 20
18 Cotton Bags 5 days 20
19 A Flowers m aking (paper & cloth) 5 days 20
20 Hand Em broidery 5 days 20
21 Food & Nutrition 5 days 20
22 Bead W ork 7 days 20
23 M achine Em broidery 5 days 20
24 A Golden Tree 5 days 20
25 Sm ucking m aking 5 days 20
26 Fabric Painting 5 days 20
27 M ate m aking 5 days 20
28 Ice-Cread m aking 5 days 20
29 Snacks 5 days 20
Veg. Cutlets
Bom bay Veg. Sandwich
Kachori
Bom bay Pav Bhajee
30 Paneer Dishes 5 days 20
Paneer M akha
Peas Paneer Curry
Palak Paneer
Paneer Jalfrezi
Kadai Paneer
31 Vegetarian Delight 5 days 20
M alai Kofta
Veg. M akhanwala
Kaju Kofta Curry
M atar M ushroom
Veg. Korm a
32 Sweet Dishes 5 days 20
Kaju Katli
M ixed Fruit Custard
Carrot Halwa
M oogdal Halwa
Shrikhand
33 Soup 5 days 20
Hot & Sour Veg. Soup
Sweet Corn Soup
Tom ato Soup
Veg. M anchow Soup
Palak Soup
34 Chinese Dishes 5 days 20
Veg. Fried Rice
Egg Rice
Cauliflower (Gobi) M anchurian
Chicken Lollipop
Veg. Hakka Noodles
Szechwan Sauce
Red Chili Souce
Spring Roll
Veg. M anchurian
Chinese Fried Rice
35 Rice Dishes 5 days 20
Veg. Pulav
Bhutta Sim lam irchi Rice
Green Peas Pulav
M ashroom Dum Biryani
Chicken Biryani
36 Roti 5 days 20
M issi Roti
Aloo Paratha
Lacha Paratha
M akai Ki Roti
Naan
37 Bakery Products 5 days 20
Fruit Cake
Orange M uffins
Eggless Cake
Butter Buttons
Plain Sponge Cake
M adeleines
Butter Cake
M elting M om ents
Coconut Buns
Patis
Pizza (Base & Souce)
Chocolate Cake
Sultana Buns
Black Forest Cake
Dates & W alnuts Cake
38 Jute Bags 5 days 20
39 Vegetables 5 days 20
1. Stuff Gobi
2. Chole
3. M alai Kofta
4. Veg. Kadhai with Panir
5. Panir Bhurgi
6. Panir Pasanda
7. Palak Panir
8. Dahi Bhindi
9. Dal Fry
10. Dal M akhani
40 Stree Food 5 days 20
1. Pav Bhaji
2. Zunka Bhakar
3. Vada Pav
4. Fruit Salad
5.Ragada Pattice
6. Chole Puri
7. Dahi Batata Puri
8. Pani Puri
9. Usal Puri
10. Bhel
11. Aalu Chat
12. Kachori
13. M utter Kachori
14. Sam osa
15. Sev-Puri
41 Dhirada 5 days 20
1. Besan Dhirada
2. Jwari Dhirada
3. M ung Dhirada
4. Tom ato Dhirada
5. Dosa
6. M ung Dosa
7. Uttappa
42 Cutlet 5 days 20
1. Corn Cutlet
2. Chivada Cutlet
3. Vegetable Cutlet
4. Panir Cutlet
5. M atar Cutlet
6. Bread Rolls
7. Upvas Cutlet
8. Palak M ung Cutlet
43 Paratha / Puri 5 days 20
1. M ethi Paratha
2. Aalu Paratha
3. Palak Paratha
4. Kobi Paratha
5. Puran Poli
6. Hariali Paratha
7. Besan Paratha
8. Nachani Thalipit
9. Bhajani Thalipit
10. Panir Paratha
44 Chinese 5 days 20
1. Spring Roti
2. Veg. M anchurian
3. Veg. Garlic Balls
4. Veg. Chau Chau
5. Veg. Fried Rice
6. Chini M ini Shejvan Idli
7. Veg. Dry M anchurian
8. Veg. M anchau Soup
9. Sweet Corn Soup
10. Am erican Choupsee
45 Sarabat 5 days 20
1. Kairi Jira Sarabat
2. Lem on Ginger
3. Thandai
4. Keshar Sarabat
5. Shahi Lim bu Pani
6. Jaljira
7. Swasthya Vardhini
8. Trikut Sarabat
9. Kairi Panha
10. Orange M ilk
11. Pineapple Lassi
12. Bit Sarabat
13. M ocha Frost
14. Fruit Punch
15. W aterm elon Sarbat
16. Am rutkhand
17. Kokam Sarabat
18. Aawla Sarabat
46 Chatani 5 days 20
1. Kadilim b Chatani
2. Aam sul Chatani
3. M irchi Chatani
4. Tom ato Chatani
5. Kairi Pudina Chatani
6. Coconut Chatani
7. M adrasi Chatani
8. Harabhara Dal Chatani
9. Aam Ki Chatani
10. Raw Papai Chatani
11. Kairi Red Chatani
12. Safarchand Chatani
13. Khajur Chatani
47 Fasting Item s 5 days 20
1. Potato Rassa
2. Sabudana Potato Thalipit
3. Shengdana Aam ti
4. Rajgira Vada
5. Rajgira Shira
6. Shengadana Ladu
7. Sabudana Vada
8. Sabudana Khichadi
9. Batata Kis
10. Dahi Sabudana
48 Pickle 5 days 20
1. Peru Pickle
2. Carrot Pickle
3. Fodanichya M irchya
4. Aawla Sweet Pickle
5. Aawla Pickle
6. Lem on Sweet Pickle
7. Kairi Pickle (W /O Oil)
8. Kari Chunda
9. Kataki Kairi
10. Lem on Pickle
11. Lem on M irch Pickle
12. M etham ba
13. Gujarati Pickle
14. Kairi Pickle
15. Takku
49 Jam / M urrabba 5 days 20
1. Kairi M urrabba
2. Pineapple M urrabba
3. Banana M urrabba
4. Peru M urrabba
5. M ix Fruit Jam
6. Angoor Jam
7. Strawberry Jam
8. Pineapple Tom ato Lem on Jam
50 Low Calary Food 5 days 20
1. Chatpati Chat
2. Veg. Hotpot
3. Apt Rabadi
4. Baked Vegetable Roll
5. Crispy Cabbage
6. Papai Kawab
7. Spicy Corn M anchurian Balls
8. Spicy Sprout Sandwich
9. Soya Chana M asala
10. Carrot & Dal Cutlets
11. Veg. in Hot Garlic Sos
12. Bhajani Talipit
13. Palak Dosa
14. Handava
15. Corn & Veg. Kawab
16. Vafalalela Batata Vada
51 Starters 5 days 20
1. Cheese Cubes & Vegetables
2. M ini Sam osa
3. Cheese Shankarpale
4. Veg. Dry M anchurian
5. Nagpuri Vade
6. Spring Rolls
7. Veg. Garlic Balls
8. Cheese Pakoda
9. Rice Pattice
10. M akyache Cutlet
11. M ini Veg. Cutlet
12. Bangali Sam osa
13. Lokya Kofta
14. Zatpat M ini Pizza
15. Veg. Pattice
16. Shengadana M ini Bhaji
17. Coconut Batata Pattice
18. Aalu M ethi Cutlet
19. M oong Pakoda
20. Sabudana Cheese Tikka
21. Finger Chips
52 H ealthy Food 5 days 20
1. Bitroot Uttappa
2. Panir Balls
3. Bit-Applehlwa
4.M ix Dal Dosa
5. Bit Tawa Bhaji
6. Nachani Dhirda
7. Nachani Thalipit
8. Nachani Upam a
9. Pink Custard
10. Aalu M athi Paratha
11. M ix Veg. Soup
12. Palak Puri
13. Palak Dosa
14. Panir Tikka
15. Panir Veg. Cutlets
16. Shahi Panir
17. Panir Veg. Pizza
18. Palak M oong Cutlet
19. Carrot Soup
20. Dosa Sandwitch
53 Vegetables 5 days 20
1. Faldhari Kofta
2. Stuff Potato
3. Panir Kawab
4. Dam Aalu
5. M utter Panir
6. Kashm iri Dum Aalu
7. Veg. Kurm a
8. Navaratan Curry
9. M ethi M utter M alai
10. Panir Butter M asala
11. Dal Panir
12. Batata Shahi Curry
13. Besan Kofta Curry
A N N E X U R E – III
(AS AM M ENDED)
SCH EDULES O F ACTIVITIES.
54 G oans Special (Non Veg.) 5 days 20
1. Balchaow (Fish, Prawns)
2. Udda M ethi (M ackrel)
3. Xacuti
4. Kism ur
5. Fish Caldin
6. Chicken Cafrial
7. Fejaoada (Halsane)
55 G oans Special (Veg) 5 days 20
1. M uga Gati
2. Khatkate
3. Sogi
4. Sakhar Bhat
5. Kheer
6. M odak
7. M angane
8. Sukur unno
56. G oans Sweets
A B
5 days 20
1. Dodol 1. Pole
2. Bibinca 2. Patoleo
3. Dos 3. Panke
4. Newre 4. Chirm ule Ladu
5 . P a t o l e o 5 . Puff Rice
6. Sanna/M anos 6. Tawsali(Bhakri)
7. Ball 7. Shirwole
8. Done 8. Satva
9. Kaju Biya Ladu
57. Com puter Training (Basic) 15 days 20