Annexure II
PROFORMA FOR RECOMMENDING NSS UNIT FOR AWARDS UNDER NATIONAL YOUNG LEADERS PROGRAMME (NYLP)
1. Name and Address of the College/School
2. Name of the Principal of the College/School
Contact No:
Mobile No:
E-mail ID:
3. Name of the NSS Programme Officer Contact No:
Mobile No:
E-mail ID:
4. Whether the NSS Programme Officer is Trained at Empanelled Training Institution?
5. Name/No. of the NSS Unit which is being recommended for NYLP Award
6. Volunteer strength of the NSS Unit Male Female Total 7. Name of the adopted Village
8. Significant achievement of the NSS Unit under NYLP- 100hrs of Shramdhaan (Manual Labour) beyond 120 hrs of NSS Regular activity –
Specify – List of suggested activities enclosed in Annexure -I
a) Nature of the activity conducted
b) No. of hrs involved in the work
c) Achievements
(* attach separate sheets wherever necessary)
d) Documentary evidence
attach photos (with a small write-up) (i)Before commencement of
the activity
(ii)During the activity (iii)After completion of the Activity
(iv)News Paper Clippings/
Media coverage etc.
9. Period of 100 hrs of work
Please specify the date & time and No. of hours of Shramdhaan
(Manual Labour)
10. Declaration by the Principal/Head of Institution Stating that 100hrs of Manual Labour devoted for a common/Social cause
11. Work completion Certificate received from the concerned authority viz.
Panchayat Leader, Counselor, Municipal/
Corporation authority, Local Leaders etc.
Signature of the P.O. Signature of the Principal
