ANNEXURE-II

Govt. Of ____________________
__________________Department

No._____________ Dated :

To

The Secretary,
Ministry of Tribal Affairs,
Govt. of India,
Shastri Bhawan,
New Delhi.

[Attn: Smt Sadhna Rout, Joint Secretary]

Subject: Proposal for Central Assistance under the Centrally Sponsored

Scheme of "Pre-Matric Scholarship for students belonging to
Schedule Tribes studying in Classes IX & X" .
*****

Sir,
With reference to D.O. letter No.19012/14/2008-Education, dated 10th
September, 2012 of the Joint Secretary, Ministry of Tribal Affairs on the
above subject, I am to convey concurrence of the State Government to
implement the above Scheme as per the Guidelines enclosed as
ANNEXURE-I to the above letter.

2. The State Government is presently implementing/not implementing a

Pre-Matric Scholarship Scheme for the ST students, studying in Class IX and
X. The position is reflected in PART-I.

3. Our proposal for claiming Central Assistance during 2012-2013 is at

ANNEXURE-II.

4. It is requested that central assistance under the Scheme may please

be released at an early date.

Yours faithfully,

(___________________)
Principal Secretary/Secretary to the Govt. of ______________
 PART-I

Format for sending proposal for getting Central Assistance (CA) under the Scheme of Pre-
Matric Scholarship for ST students studying in Classes IX & X.

Details of the existing Pre-Matric Scholarship Scheme for ST students, if any, being
implemented by the State Govt./UT

1. Whether, the State Govt. is already implementing

a Scheme of Pre-Matric Scholarship for ST students ......................

2. If yes, the Class-wise details of Scholarship rates/other allowances being paid under
the Scheme.

3. Actual physical coverage under existing Scheme of State Govt./UT during 2011-12:

Class wise Number of Hostellers

I–V VI-VIII IX-X I-X
Male
Female
Total

Class wise Number of Day-scholars

I–V VI-VIII IX-X I-X

Male
Female
Total

4. If the State Govt. is already giving pre-matric scholarship to ST students of classes

IX-X, please specify whether it has decided to:-

i) continue to provide scholarship at that rate, over and above the Scholarship
under the Centrally Sponsored Scheme,

or

ii) reduce its own expenditure on its Scheme and demonstrably utilize the saving so
effected only on other educational programmes for STs. **

**Please provide the complete details on a separate sheet.

Signature

Name & Designation

of the Competent Authority
 PART-II

Details of ST students with disabilities , studying in classes IX & X in private

un-aided recognized schools, eligible for allowances under this Scheme

Allowances for students with disabilities No. of Monthly Total

studying in Private un-aided Schools students allowance Amount for
being (in Rs.) 10 months
covered (In Rs.)
(i) Monthly Reader Allowance for Blind
students 160
(ii) Monthly Transport Allowance for students 160
with disabilities (as defined in the Persons with
Disabilities Act 1995), if such students do not
reside in the hostel which is within the premises
of the Educational Institution.
(iii) Monthly Escort Allowance for Severely 160
Disabled (i.e. with 80% or higher disability) Day
Scholars/Students with low extremity disability
(iv) Monthly Helper Allowance admissible to 160
any employee of the hostel willing to extend
help to a severely orthopaedically handicapped
student residing in the hostel of an Educational
Institution who may need the assistance of a
helper.
(v) Monthly Coaching Allowance to Mentally 240
Retarded and Mentally ill Students
TOTAL

Signature

Name & Designation

of the Competent Authority
 PART-III
Anticipated Expenditure during 2012-2013(Rs in lakh)

1. HOSTELLERS
(a) On Scholarships
(i) Classes IX to X @ Rs.350/- per month =
(ii) Adhoc grant of Rs.1000/- per annum =
Total Expenditure on Hostellers =

2. DAY SCHOLARS
(i) Classes IX to X @ Rs.150/- per month =
(ii) Adhoc grant of Rs.750/- per annum =
Total Expenditure on Day Scholars =

3. Total Expenditure on special allowance to

disabled ST students (as calculated in Part-II) =

4. Total Anticipated Expenditure on the =

Scheme for 2012-2013 (1+2+3)

5. Central Assistance due during 2012-13 =

6. Central Assistance already received during

2012-2013 if any, on ad-hoc basis =

7. Net Central Assistance required during 2012-13

(6 – 7) =

Signature

Name & Designation

of the Competent Authority
 PART-IV

District-wise details of proposed expenditure and proposed coverage under

the Scheme during 2012-13

Sl. Name & district 2012-13

Proposed Proposed
Expenditure(in Rs) beneficiaries
1.
2.
3.
4.
 PART-V

Details About Implementation of the Scheme

1. Name of the Department in the State/UT

implementing the Scheme:

2. Name, designation and address of the

Secretary and Director In charge:

3. Designation of Authority responsible

for sanction of scholarship; Head of
Education Institution/District level
Officer/Directorate. :

4. Mode of payment of Scholarship

(Cash/Cheque/Bank etc.) :

Certified that the proposed expenditure during 2012-2013, is in accordance with the
regulations governing the Scheme.

Signature

Name & Designation

of Competent Authority
 PART-VI
GFR 19-A
(See Rule 212 (1))
Form of Utilization Certificate

S.No. Letter No. and Amount (Rs) Certified that out of Rs. ………………. Of
Date Grants-in-aid sanctioned during the years
…………………….in favour of
……………………under this
Ministry/Department letter No. given in the
margin and Rs…………………….on account
of unspent balance of the previous year, a
sum of Rs.………………………has been
utilized for the purpose of
……………………..for which it was
sanctioned and that the balance of
Rs……………………….remaining un utilized
at the end of the year has been surrendered
to Government (vide
No…………………dated……………….)will be
Total adjusted towards the grants-in-aid payable
during the next year……………………………

1. Certified that I have satisfied myself that the conditions on which the grants-in-aidya
was sanctioned have been duly fulfilled/are being fulfilled and that I have exercised that
following checks to see that the money was actually utilized for the purpose for which it was
sanctioned.
Kinds of checks exercised.
1. Signature----------------------------
2. Designation--------------------------
3. Date------------------------------------
4.
5.
6.
Note:- To be submitted from 2013-14 onwards.