CSR 111
CSR 111
Project Title :
1. Details of the implementing agency:
Email:
Phone no:
1.3 Name of the account, Type, Name of the Bank, Address, IFSC code, MICR
code, Mode of transfer (ECS/RTGS/NEFT etc,)
1.4 Whether CSR grants or any other funds received from Any Govt. / PSU /
Quasi Gov. / from other organization for the similar proposals. If yes details : Yes /No
1.5 Undertaking that the Benefit of CSR project shall not be used for commercial : Letter to be
purpose, propagation of any religion or promotion of any personnel agenda. enclosed
1.6 Details of the major Project presently under execution by the agency: : Report profile to
a)Name of the project b)Objective c)Location e)Project cost f)Funding be submitted
agency
1.7 Other relevant details like year of establishment, Date of registration, : To be enclosed
Governing body etc,. as applicable.
NOTE: a) Applicable Supporting documents of all the above to be enclosed by the Agency. b) To be
submitted in Letter Head & Soft copy duly filled in to be sent by Email: rinlcsr@vizagsteel.com
4. Need of the Project -Baseline Survey/Need Assessment Study report to be submitted for
proposed project.
5. Section of the Society to be benefited for proposed project and total beneficiaries
7. Details of project schedule and phase wise requirement of CSR fund for implementing the project.
( a brief write- up on the modus operandi to implement the proposed project with starting date/End date, time
line schedule and resources involved etc,.)
8. Reciprocity/Visibility to RINL-VSP.
I / We do here by declare that the above information is true to the best of my / our knowledge.
Further I/ We undertake to submit “Utilization Certificate” of the receipt of any amount sanctioned
after completion of project and progress can be updated as and when required.
(Official seal)
Signature of the Applicant
Full name_____ Name:
Designation: