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Contents

s. No. Topics
Page No.
Abbreviations 03
2
Disclaime 04
Background 05
4 Eligibility Criteria 06
5 Proposal Processing Fee 07
5 Earnest Money Deposit (EMD) 08
Performance Security Deposit(PSD) 08
Duration of the Project 08
FundingPattern 08
10 Submission of Proposal 08
11 Evaluation of Proposal 10
12 Important Links 10
13 Checklist for proposal submission 12
14 Annexure 1: Format of Covering letter 13-14
15 Annexure 2: Applicant Details 15
16 Annexure 3: Financial Details 16
17
Annexure 3a: Existing RSLDC training partner details 17
18 Annexure 4: Details of 3 skill development centers in Rajasthan or five out of 18
state
19 Annexure 5: Training and Placement details with required documents
19-20
20 Annexure 5a: Training and placement details(RSLDC- Other than PMKVY) 21
21 Annexure 5b: Training and placementdetails (PMKVY CSSM, Rajasthan) 22
22 Annexure 6:An affidavit for not being blacklisted 23
23
Annexure 7: Self Declaration 24
24 Annexure 8: Past performance, placement linkages and key project plan of PMKVY
25-26
3.0(11)

02 of 26
1. Abbreviations:

. RSLDC Rajasthan Skill & Livelihoods Development Corporation

i. PMKVY Pradhan Mantri Kaushal Vikas Yojna
ii. STT Short Term Training
iv. EMD Earnest Money Deposit
V. PSD Performance Security Deposit
vi. SDC Skill Development Center
vii. CSSM Centrally Sponsored and State Managed
viii. TP Training Partner
ix. NSDC National Skill Development Corporation
X. MoU Memorandum of Understanding
XI. EOI Expression of Interest

03 of 26
2. Disclaimer:

2.1 All information contained in this document,

subsequently provided/clarified are in good
interest and faith. This is not an agreement and is not an offer or invitation to enter into
an agreement of any kind with any party. RSLDC reserves the right to cancel this document,
and/or invite afresh proposals with or without amendments to this document without
liability or any obligation for such document, and without assigning any reason. RSLDC
reserves the right to take final decision regarding award of contract. Submission of
proposal under this EOI mode does not guarantee allocation of target under PMKVY
3.0(STT).
2.2 Under no circumstances will RSLDC be held responsible or liable in any way for any claims,
damages, losses, expenses, costs or liabilities whatsoever (including, without limitation,
any direct or indirect damages for loss of profits, business interruption or loss of
information) resulting or arising directly or indirectly by application or non - application to
this EO1. Before applying, applicants are advised to go through the Guidelines for PMKY
3.0 (20-21).
2.3 The EOl is issued for empanelment of Training Partners to undertake the project under
Centrally Sponsored and State Managed Component under Pradhan Mantri Kaushal
Vikas Yojna (PMKVY State engagement) in the State of Rajasthan.
2.4 The Applicant has to follow PMKVY'S guidelines/ any circular issued by RSLDC
pertaining to CSSM component (as amended from time to time) for Training delivery
Assessment & Certification, Placement, Tracking, Payment disbursement etc.
2.5 RSLDC reserves the right to amend courses and guidelines from time to time.
2.6 RSLDC has full powers to decide about the number of candidates to be trained in a
particular course.
2.7 The decision will be binding on all organizations submitting the proposals
2.8 The Corporate/Agencies/Organizations which have already signed MoU with RSLDC
against general and sector specific Eols issued earlier are also to apply afresh.
2.9 In case of any contradiction between scheme guidelines and RSLDC directions the term &
conditions of RSLDC will prevail.
2.10 The EOl is for PMKVY 3.0 (phase ) for which targets to state has not yet allotted
however the same would be allotted to the shortlisted agencies once the same will be
allotted to RSLDC
2.11 In case of any wrong / incorrect declaration/information submitted by the Applicant, as
requested by RSLDC in the course of evaluation of the proposal, the proposal will be
rejected at any stage of evaluation or targets would be revoked (if already allocated)
during implementation.
2.12 RSLDC reserves the right to shortiist any or all of the applicant (Organizations), or reject
any or all applicants, without assigning any reason whatsoever. RSLDC also reserves the
right to postpone or cancel the procurement process at its sole discretion and without
assigning any reason.
2.13 The applicant must submit financial details of the selected three years (Consecutive
years i.e. 2017-18, 2018-19, 2019-20, 2020-21) and must ensure to submit relevant
documents. (E ligible agencies can submit the CA certified provisional balance sheet of
FY-2020-21).

04 of 26
 2.14 In addition to above eligible agencies can submit the CA certified provisional balance
sheet of FY-2020-21
3 Background:
along with balance sheet of FY- 2018-19 & 2019-20
3.1 Rajasthan Skill and Livelihoods Development Corporation (RSLDC) is mandated to
implement the sill development programmes in the State. RSLDC has been issuing EO0ls
under various central and state sponsored skill and livelihoods development programs
benefiting the unemployed youth of the state and to meet out the demand of skilled
manpower in various economic sectors by setting up Skill Development Centers (SDCs)
3.2 RSLDC is implementing skill training programmes in collaboration with large number of
gOvernment and private training partners. Rajasthan has been allocated target under
Centrally Sponsored and State Managed Component of Pradhan Mantri Kaushal Vikas
Yojna (PMKVY State Engagement). RSLDC is the executing agency for this scheme in
Rajasthan.
3.3 RSLDC invites the Expression of Interest (EOI) from interested and eligible agencies
for submission of proposal for empanelment to undertake project under CSSM
component of PMKVY for Short Term Training in the state.
4 Eligibility Criteria -

4.1 Should be an entity registered in India (including a firm registered under Indian
Partnership Act, 1932 or a Trust registered under the Indian Trust Act, 1882 ora trust act
applicable in a State in India or a Society registered under Societies Registration Act, 1860
or a company incorporated under the Companies Act, 1956 or 2013 or a LLP firm
registered under The Limited Liability Partnership Act 2008) in existence as such for a
period of at least five years. OR
Should be any organization (Company, Proprietor, Partnership, LLP, Private Limited etc.)
incorporated between 01 January 2016 to 31 December 2018 in the field of `killing/
Training/ Related segments etc.
4.2 The applying agency will submit the details of project with a covering letter Annexure-1
and submit applicant details with relevant documents as per Annexure-2.
4.3 In addition to above, agencles with background of skilling should
4.3.1 Have average annual turnover of Rs 50 lakh or more from skill development and
placement linked programs. Agency is required to submit copy of audited financials
for any three consecutive years (2017-18, 2018-19, 2019-20 & 2020-21) along with
Annexure 3
4.3.2 Have trained not less than 1200 youth and have provided placement to not less
than 840 youth in any three consecutive years i.e. from 2017-18, 2018-19, 2019-20 &
2020-21(Existing training partners of RSLDC should have trained 900 or more youth
and have provided placement to 630 or more youth in last 3 consecutive years).
Annexure-5
4.3.3 Agencies worked under PMKVY RSLDC must provide training and placemeht details
separately (Annexure-5b)
4.3.4 Client Certificate from respective state government is mandatory along with figures
of training and placement. Data of training and placement is required to submit as
per Annexure 5,5a and 5b.
4.4 All the agencies under mentioned above should:
4.4.1 Have been active and operational continuously anywhere in the country for the last
three years on the date of application.
4.4.2 The Applicant should not have been blacklisted/terminated by any Government
Agency/Public Sector Undertaking/autonomous bodies in last 3years. Aself-certificate
must be submitted as per Annexure-6.
4.4.3 Submit a self-declaration on assurance to follow RSLDC & PMKVY norms (as amended
from time to time) Annexure-7.
4.4.4 Submit past performance (program wise) Industry Linkages & basic project plan of
PMKVY (CSSM) information as per Annexure-8
4.4.5 Have positive net worth
consecutively from last two financial years.
4.4.6 Have state office in Rajasthan

4.5 Also, agencies without background of skilling under mentioned above should have
average annual turnover of Rs. 2.0 Crore or more from various
activities, in any past
three consecutive years from
2017-18, 2018-19, 2019-20 and 2020-21. (Eligible
agencies can submit the CA certified provisional balance sheet of FY-2020-21).

W
 4.6 Agency is required to submit copy of audited financials for past three consecutive
years along with Annexure 3. Existing partner of RSLDC is to be furnished as per
Annexure 3a.
4.7 During the sanctioning of the projects, preferences would be given to Government
Agencies and Agencies having captive placements. The trades in more demand in the
market may be prioritized. Sectors and job roles recommended by the District Skill
Committee formed at district level wll be considered.
4.8 Joint Ventures (UVs) and Consortium are also permitted to applyfor the program-
4.8.1 JV/ Consortium members will be jointly & severally be liable. Agreement
(undertaking) of JV/Consortium must be submitted along with the proposal. Further,
V/Consortium agreement should be submitted before the signing of MoU under the
project.
4.8.2 One organization must fulfil all financial requirements.
4.8 RSLDC will not be permitting franchisee/subletting of trainings by empaneled
partners under CSSM component of PMKVY.
4.9 Existing TP/PIAS working with PMKVY in any state may be given preference.
4.10 Government institutions may be empaneled directly and shall be exempted from all
the eligibility criteria.
4.11 Submission of proposal under EOl mode does not guarantee allocation of target under
PMKVY 3.0. This EOI does not encourage creation of any new training infrastructure
specifically for imparting training under the scheme. Any applicant organization that is
not qualifying the eligibility criteria wil be disqualified at any stage during evaluation or
due diligence. RSLDC shall in no case be responsible or liable for the conduct or outcome
of the proposal process.
4.12 Priority shall be given to the agencies establishing SDCs in
4.12.1 Aspirational Districts of the state.
4.12.2 Tribal districts of the state.
4.13 The proposals are invited to address following category under PMKVY in the state
4.13.1 Short Term Training.
4.13.2 Separate project proposals for persons with Disability(PWD)
4.13.3 Separate project proposals only for Minorities
4.13.4 Separate project proposals only for SC candidates
4.13.5 Separate project proposals only for ST candidates
4.13.6 Separate project proposals only for Females.

( Separate relaxation at the time of implementation may be given to the agencies applying project
dedicatedly for PWD/Minorities/ST/SC/Female, in such cases the agencies are directed to create
exclusive batches for the category in which project is allotted)

5. Proposal Processing Fee

All Applicants have to pay a non-refundable Proposal Processing Fee of Rs. 25,000/- (Rupees
Twenty Five Thousands only) which will be paid online through ISMS portal only. Proposals that
are not accompanied by the Proposal Processing Fee shall be rejected by RSLDC.
6. Earnest Money Deposit (EMD):
6.1 All Applicants are requested to submit a refundable Earnest Money
Deposit(EMD)
of Rs 5,00,000/- (Rupees Five Lakh only) which will be paid online through ISMS portal
only. Proposals that are not accompanied by the above Earnest Money Deposit (EMD)
shall not be considered.
6.2 The EMD of the unsuccessful agencies would be returned (without any interest
amount) and for shortlisted agencies, the amount would remain with RSLDC till signing of
the Mou.

6.3TheEMD willbe forfeited on accountofoneormore ofthefollowing reasons:

In case, applicant withdraws from an Eol during the period of validity of Eol (Eol
shall be valid for 180 days from date of submission of proposal).
i. In case, applicant does not participate in the subsequent process of kol
(Presentation before the committee, Signing of MoU) after having been
shortlisted.

Note: Government Institutions/organizationsshall be exemptedfrom EMD.

7. Performance Security Deposit (PSD)
The shortlisted agency should furnish a Performance Security Deposit (PSD) amount as
2.5% of project value/ budget allocated for each allotted skill development center
which will be paid online through ISMS Portal before commencement of batches. PSD
amount is exempted for aspirational districts in the state.

Note: GovernmentInstitutions/organizationsshallbe exempted from PSD.

8. Duration ofthe Project: 2021-2026

9. Funding Pattern: As per PMKVYs Norms and as per RSLDC'sguidelines/circulars (as

amended from time to time.
10. Submission of Proposal
10.1 Interested agencies fulfilling eligibility conditions as mentioned above must submit
their detailed proposal online as per timeline though the link available on RSLDC
portal and agency mustsubmit hardcopy(in spiral) for undertaking Pradhan Mantri
Kaushal Vikas Yojna (PMKY) under (CSSM) in the State to the Managing Director,
Rajasthan Skill and Livelihoods Development Corporation (RSLDC) Head Office, Jaipur
on or before 07th - May-2021 till 5 PM.
10.2 The proposals received after aforesaid date shall not be considered for this project of
assignment. Incomplete proposals with/ without processing fee payment within due
time or in any respect shall be summarily rejected. Proposal must be submitted in
both hard (in RSLDC) and soft copy(online).
10.3 The portal accepting applications will be closed at 5:00 PM on 30-April-2021. All
applicant organizations will be allowed to submit individual proposals independently
during the proposal receipt window before the deadline. Any application that has
been created/saved as a draft but not submitted by an applicant on the portal will be
considered as null and void. It is the duty of the applicants to verify whether the
proposal has been submitted or not. No proposal will be received or considered by
RSLDC after the deadline for submission of proposals prescribed in this document in
any form.
 10.4 Proposals submitted in both soft and Hardcopy will only be considered.
10.5 The proposal should be submitted online through RSLDC portal, that would be
accessible to applicant training providers as per the dates provided below:

S. N. Key Activities Dates

Release of notification for request of
proposals 09th- April-2021
2 Opening of EOI portal for applications 09th-April-2021
Closing of EOI portal (Online) i.e timeline
30th- April- 2021 till 5.00 pm.
tosubmit proposalthrough onlinelink:
Timeline to submitHardcopy 07-May-2021 till 5.00 pm

Address
Rajasthan Skill & Livelihoods
Address where hard copy is to be
submitted: Development Corporation
Kaushal Bhawan, EMI Campus, J-8-A,
Jhalana Institutional Area, Jaipur - 302004

10.6 The proposal should carry following documents as per checklist and annexures
given in the Eol:
A Covering Letter Annexure-
B Applicant details along with required documents Annexure-2
Copy of audited financials for the last 3years along with required
C Annexure-3
documents
D Existing RSLDC training patner details Annexure 3a
Details of 3 skill development centers in Rajasthan or five out of
E Annexure-4
Rajasthan
FTraining and Placement detailswith required documents Annexure-5
G Training and Placement details(RSLDC- Otherthan PMKV) Annexure Sa
HTraining and Placementdetails(PMKVY CSSM,Rajasthan) Annexure Sb
An affidavitfor notbeingblacklisted Annexure-6
JA self-certificate/declaration Annexure-7
Past performance of conducting similar skill development training in
K Annexure-8
last 3 years
Note- The Managing Director, RSLDC reserves the right to accept or reject any
proposal without providing any reason, what so ever. The decision of RSLDC shall be
final and binding upon the Company/Agency.
For further details, visit website www.livelihoods.rajasthan.gov.in.
11. Evaluation of Proposal

11.1 The Proposal Appraisal/ Evaluation Committee constituted by RSLDC shall evaluate the
Proposals and all supporting documents/ documentary evidence.
11.2 Presentation of the shortlisted applicants before
11.3 The decision of the Committee shall be final. The designated committee of RSLDC
Committee reserves the right to
any or all proposals on the basis of any deviations reject
11.4 The Committee, on approval by the MD,
RSLDC, may ask for clarifications and or
additional information from any or all applicants, if
11.5 The proposals would be evaluated based on
required.
11.6
eligibility
Post Approval by competent authority the successful
criteria.
applicant will be issued work
orders/Sanction order

12. Important links :

12.1 Online fee submission link (For EMD/Processing Fee):
12.2 RSDLC Website www.livelihoods.rajasthan.gov.in
12.3 Proposal
submission link

13.Applicant/ Training partner must strictly comply with all rules and regulations on
bribery,corruption and avoid unacceptable business practices.
Checklist
&
Annexures
 Checklist for proposalssubmitted inresponseto Expression of Interest(Eol)to undertake the project
under Centrally Sponsored and State Managed Componentunder PradhanMantri Kaushal Vikas Yojna
(PMKVY3.0)in the Stateof Rajasthan
S. N. DocumentDeseription Page Number
Covering Letter as per Annexure 1 of Eol document

2.
Applicant's Detailsas per Annexure2 of Eol document
Relevant document for Proprietorship/Partnership Firm/Private
Limited Company/ Public Limited Company/ Society/ Trust/
Association/ Government institutions/Public Sector Units/
Universities/ Higher educational institutes including technical and
professional institutes having affiliation or recognition of relevant
board or council
.Copy ofPAN Card
3.
Trade license/Sales tax registration/IT registration(if any)
Audited Financials for any three consecutive years along with
Annexure 3
Balance sheet of :
2017-18,
2018-19,
2019-20
2020-21 (provisional)

Income Tax Return Acknowledgement for last three years

for which net worth is shown :
2017-18,
2018-19,
2019-20
4. Details of 3 skill development centers in rajasthan or 5 SDC out of
rajasthan.as per Annexure-4

Training and Placement detailsas per Annexure-5, 5aand 5b

An affidavit for not being blacklisted as per Annexure-6
Self-certificate /declaration as per Annexure-7
Past Performance, Linkages, Strategy&Best Practices Annexure-8
9. Copy of Eol Document with sign and seal of Company Secretary
Authorized Representative and Signatory on each page of Eol
Document

For and on behalf of:

Signature:
Name:
Designation:
(Authorized Representative and Signatory)
Date and Place
 Annexure-1:
Eormat of theCovering Letter
The Covering Letter is to be submitted under the signature of Authorized Representative /Signatory of the
applicant agency on official Letterhead and official seat (Leter of authorization is also to be enctosed) >>

The Managing Director

Rajasthan Skill and Livelihoods Development
Corporation
Kaushal Bhawan, J-8A, Jhalana Institutional Area, Jaipur-
302004
Sub: Request for Empanelment under CSSM component in PMKVY 3.0 as RSLDC training
partner for project execution.
Project Applied for (STT/Minorities/ST/SC/Female/PWD)

Dea.
Sir,

éase find enclosed Copy of our Proposal in respect of the Empanelment for "Centrally Sponsored and
State Managed Component under Pradhan Mantri Kaushal Vikas Yojna (PMKVY 3.0) in
Rajasthan' in RSLDC, in response to the Expression of Interest (EOI) Document issued by the Rajasthan
Skill and Livelihoods Development Corporation (RSLDC), dated

We hereby confirm that:

I. The proposal is being submitted by . (name of the agency

who is the applicant, in accordance with the conditions stipulated in the EOI).Online date
submission is
2. We have read the guidelines and EOI document in detail and have understood the terms
and conditions stipulated in the EOI Document issued by RSLDC. We agree and undertake to
abide by all these terms and conditions along with subsequent communication from RSLDC. Our
Proposal is consistent with all the requirements of submission as stated in the EOI or in any of
the subsequent communications from RSLDC.
3. The agency has also read the detail guideline of PMKVY 3.0 (including its various components)
issued by MSDE, NSDC ,RSLDC and amended from time to time.
4. The information submitted in our Proposal is complete, is strictly as per the
requirements as
stipulated in the EOl, and is correct to the best of our knowledge and understanding. We would
be solely responsible for any errors/omissions/false information in our Proposal. We
acknowledge that RSLDC will be relying on the information provided in the Proposal and
the documents accompanying such Proposal for empanelment of the applicant for the aforesaid
programme, and we certify that all information provided in the application is true and correct;
nothing has been omitted which renders such information misleading; and all documents
accompanying such Proposal are true copies of their respective originals.
S. We acknowledge the right of RSLDC to reject our Proposal without assigning any reason
or otherwise and hereby waive, to the fullest extent permitted by applicable law, our right to
challenge
the same on any account
whatsoever.
6. We fulfill all the legal requirements and meet all the eligibility criteria laid down in the EOI.
7. This Proposal is unconditional and we hereby undertake to abide by the terms and conditions of
the Eol.
 8. We have not directly or indirectly or through an agent engaged or indulged in any corrupt practice
fraudulent practice, coercive practice, undesirable practice or restrictive practice.
9 In case
of project applied for (STT/Minorities/ST/SC/Female/PWD )candidates , hereby we
_(Agency name) confirms that we will run batch exclusively for
(STT/Minorities/ST/SC/Female/PWD) candidates
9. We are enclosing receipt of online payment EMD & processing fee as under:

Item Amount Receipt No. Date Bank

EMD Rs. 5,00,000/-
Processing Fee Rs. 25,000/
*Cheques/DD will not be accepted, only online payments are accepted.
This Proposal is made for the express purpose of empanelment under PMKVY programme of RSLDC as
following action plan

Proposed Target:
Name of Type of distriet #Training Center
Total Target Proposed
Proposed District (Aspirational/TADD/ Other) Proposed

Proposed Course Detail:

S.N. Sector Name Course Name ProposedTarget

For and on behalf of:

Signature:
Name:
Designation:
(Authorized Representative and Signature)
Date:
Place
 Annexure -2:

Applicant Details
Declaration to be submitted under the signature of Authorized Representative / Signatory of the
applicant agency on oficial Letterhead and official seal >>

S. No. Description Details

Name of Legal Constitution of Applicant
Status/ Constitution ofthe Firm
Name of Authorize Signatory (enclose letter
of authorization)
Contact number
E-mail Id
Registration Number
| Date of Registration
Place of Registration
PAN Card Number
Email Contact No
10 Primary point of contact
(For all sort of communication purpose)

Secondary Point of Contact Email Contact No

Npte: Please provide all the supporting document as per the above information.

For and on behalf of:

Signature:
Name: Designation:
(Authorized Representative and Signatory)

Date: Place:
 Annexure -3:
Financial Details
<< Declaration to be submitted under the signature of Chartered Accountant on Letterhead wilh his/her
dated Sign and Seal >>>

To whomsoever it may concern

On the basis of audited financial statements, we

hereby certify that (Name of Agency) having regi ered officea
(Office address) has an average annual turnover of Rs. 50 lakh or more from skill
linked programs OR Rs. 2.0 Crore or more from various
development and placement
activities, of any three consecutive years (2017-18, 2018-
19. 2019-20 2020-21). The details
of annual turnover are mentioned below:

Annual Turnover(A)
S. Financial (From skill development Annual Turnover (B)| Total Turnover
and placement linked Net Worth for
No. Year (From other various
programs) (A+B) the Year
activities)

Note: Audited financial statements for any three consecutive

should be submitted along with this annexure.
years (2017-18, 2018-19, 2019-20 & 2020-21)

Chartered Accountant: Signature with seal

Name
Registration No
FRN No.
Contact No.

Date
Place:
 Annexure -3a:
Empanelment Details for Existing TP/PIA'sof RSLDC
« Declaration to be submitted under the signature of
Authorized Representative /Signatony of the
applicant agency on official Letterhead and official seal >>

S.N. Particular Details

Partner under (Scheme name)
Sanction Order date &number
MoU Signing Date
MoU Valid Up to
Allotted sectors & Course
Allotted Districts
Allotted target
For all scheme a separate Annexure will be submitted.
**It is hereby declared that aforesaid MoU between RSLDC and (Applicant agency name) is presently valid
and not terminated as on date.

For and on behalf of:

Signature:

Name:
Designation:
(Authorized Representative and Signature)
Date:
Place
 .

Annexure-4
Training CentreDetails
< Declaration to he submitted under the signature of Authorized Representative / Signatory of the

applicant agency on official Letterhead and official seal >>

For each skill development centre:

S.N. Particulars Details

District/City
Name of the training Center
Full address and telephone number
Nearest landmark
Sector/coursesconducted
Number of Classrooms
Number of practical rooms
3. a) Separate Wash Rooms for Boysand Girls (Yes/No)
b) Lab infrastructure available (Yes /No)

9.a
Address of residential facility(if applicable)Residential
accommodation capacity Boys (lf applicable)
9.b Residential accor modation capacity -girls (If Applicable)
10. Current Status (Functional or Non-functional) *

*If not functional, please mention the date from which the centre was not functioning.

Notes:
1. Please enclose Documentary Evidences regarding training Infrastructure available in the form of

a Two photos per Training Center. In the case oftraining centers with Residential.Facilities
separate photos for Residential accommodation including facilities such as Kitchen, Dining
Hall and Living Room should be provided
b. The Training Provider should have its own / rented space and facilities for conducting the
Training Programmes. The Training Provider should provide proof of availability of the
facility to the Training Provider in the form of ownership document/ lease agreement. In
case the facility is proposed to be taken by the Training Provider, document evidencing
payment of token advance and/or firm letter of commitment by the owner of the facility
along with ownership document shal be provided. In addition to status of the lease /ent
agreement should also be provided.

2. The Evaluation Committee may also inspect the premises of each institute for verifying the
Infrastructure Presented in the proposal. The documentary proof has to be made available at
respective training centers also for verification
 Annexure -5:
Training and placement details

«Declaration to be submitted under the signature of Authorized Representative Signatory ofthe

applicant agency on official Letterhead and official seal >>
A. Trained and Placement in all projects other than PMKVY CSSM, Rajasthan:

Trained Youths Placed Youths

Details of Details of
Supporting
Financial Statecheme Total No, of document Total no. of candidates supporting
Year Name Candidate document
enclosed placed enclosed w ith
Trained
with the
the proposal
proposal

B. Trained and Placement in PMKVY csSM, Rajasthan (f Applicable):

Trained Youths Placed Youths

Details of Details of
Supporting
Financial
State
Scheme Total No. of document Total no. of candidates supporting
Year Name Candidate document
enclosed placed
Trained enclosed with
with the
the proposal
proposal

Note -Applicant is required to submit supportive documents of training and placement like Client
Certificate bystate government along with oU and Sanction order/ Work Order/allotment letter

For and on behalf of:

Signature:

Name:
Designation: (Company Seal)
(Authorized Representative and Signatory) Date:

Notes:

Please provide Supporting proof as given below:

For Trainings conducted self-attested copies of any of the following documents:
Certificate from Government bodies or international funding agencies indicating experience in conducting
similar Placement Linked Training Programme' in the related field ofSector withnumber of youths trained (selt.
attested.document of verifiable information from Government or agency OFFICE/websites or from the funding
agencies will be accepted) Copies of relevant pages duly attested by a Chartered Accountant.
For Placements conducted sel-attested copies of any of the following documents:

Centificate from Govemment bodies indicating experience in conducting 'Placement Linked Training Programme'
in the related field of Sector with number of youths placed (self-attested printouts of verifiable information from
Government websites will be accepted)
Letter from the employer confirming employment of Trainees from the institute or agency clearly indicating the
date numbers recruited and sector/category of work.
of recruitment,
Original Certificateby a Chartered Accountant defining the number of youth placed by the Training Provi
during any three consecutive years (3) years (2017-18, 2018-19, 2019-20 & 2020-21)
 Annexure -5a
Training and placement details
ss Declaration to be submitted under the signature of Authorized Representative/ Signatory ofthe
>>
Applicant agency on official Letterhead and official seal

Details of Training & Placement of Various Schemes Conducted by TPs(nalproieets.other thun PMKVY CSSM,Roiustham
Total No.
Placement Provided Total No.
Targets Sanctioned Total Target Achieved
No. of of of Placem Remar
Year Candidate Nameof Scheme Candidate ent % ks
Name of Scheme Target Name of Scheme DDU
DDU S ELSTP DDU Others 5 ELSTP Others S
ELSTP Others GKY
GKY GKY
1

Name of Placed Trained Place of Place of Salary Phone No. E-mail ID Aadhar No.
Sr.
No. trainee in trade training placement
trained (Yes/No)
District State District State
1

2
should submit the list of placed candidates in the format given above
state government along with Mot
Note -Applicant is required to submit supportive documents of training and placement like Clent Cernificate by
and Sanction order/ Work Order/ allotment letter
 Annexure -5b
Training and placement details (PMKVY CSSM, Rajasthan)

Declaration to he submited under the signature Representative /Signatory

of Authorized of the
Applicant agency on official Letterhead and officialseal>>
Details of Training & Placement in PMKVY CSSM, Rajasthan
Targets Sanctioned Placement
Target Achieved
Sr. Total Total No. Provided * Total No. Percentage
Year Nameof Scheme No. of of of of
No. NameofScheme Name of Scheme Remarkss
PMKVY 2.0 Targets PMKVY 2.0 Candidates PMKVY 2.0 Candidates Placement
(RSLDC) (RSLDC) (RSLDC)
1

*should submit the list of placed candidates in the format given below
Note- Applicantisrequired tosubmit suportve documents of training and placement like Client Cerificate by state government along with MoU and
Sanction order/ Work Order/ allotment leter

Sr. Name of| Placed Trained Place of Place of Salary Phone No. E-mail ID Aadhar No.
No. trainee in trade training placement
trained (Yes/No)
District State District | State
1

2
 Annexure 6
An affidavit for not being blacklisted

A n affidavit on a non-judicial stamp paper ofINR 1001- by Company Secretary/ Authorized Representative
and Signatory of the Applicant with his/her dated Sign and Seal >>

AFFIDAVIT

We, Mis Company name>, having its registered office at <<Office address>>, do hereby declare that the Applicant
hasn't been blacklisted/ debarred by any donor agency/ State Government/ Central Government authority for breach on our
part.

For and on behalf of.

Signature: Name: Designation:

(Authorized Representative and Signatory)

Date
Place:
 Annexure7
Self-Declaration

«Declaration to be submitted under the signature of Authorized Representative /Signatory of the

applicant agency on official Letterhead and official seal >>

To whomsoever it may concern

On the basis of registration document/certificates, we M/s (Name of agency), having office at (Office
address). hereby give our consent for following as per norms of RSLDC (As amended from time to time):

1. To set-up dedicated Skill Development Center (SDC) as per given specification in the guideline with specified
capacity
2. To arrange sufficient space, furniture, equipment, tools, trainers, training aids, raw material, electricity,
water supply and other essentials required for imparting training to youth in the proposed course(s).
To mobilize and counsel youth for training and taking up a job, wherever available (wage/self- employment)
after training.
To hire/engage competent and eligible trainer(s) to undertake training in the proposed courses.

5. To install Attendance system and bio-metric devices as per PMKVY 3.0 guideline
6. To arrange assessment and certification of trained youth through as per the applicable guideline
7. To arange employment for trained youth as per PMKVY 3.0 guideline
8. To ensure tracking of youth as per PMKVY3.0 guideline.
9 To maintain records of trainings including the expenditure made for setting up and conducts of skill'training
programmes at least for 3 years.

For and on behalf of:

Signature:

Name: Designation:
(Authorized Representative and Signatory)
Date:
Place:
 Annexure -8;
Past Performance, Placement Linkages & Key Project Plan of PMKVY 3.0
(CSSM)
«Declaration to be submitted under the signature of Authorized Representative /Signatory of
the applicant agency on official Letterhead and official seal >>

1. Training & Placement Performance:

Provide details of past experience of conducting similar skill development training in last 3 financial
years
Only trained and certified candidate details to be provided
(Candidate details may be verified on random basis and verification outcome may be used for the proposal
Evaluation purpose)

A. Central Govt. Funded Training Programs (excluding PMKVY , PMKVY 2.0)

Table 1: Past Perfommance Central Govt. Programs

Year Project Funding Key Project Total Total Placement Total Remarks
Name Ministry/ description duration Candidates candidates % candidates
Departments of (Start& Trained Placed (Placed/ tracked in
program End Certified) post
date) placement
serv
(PPS)

B. State Govt. Funded Training Programs

Table 2: Past Perfomance -State Govt. Programs
Year Prôject| Funding Key Project Total Total Placement Total Remarks
Name * | Ministry/ duration Candidates candidates
description candidates
Departments of (Start & Trained Placed (Placed/ tracked in
program End Certified) post
date) placement
service
(PPS)

C. PMKVY& PMKVY 2.0 Schemes

Table 3: Past Performance-PMKVY and PMKVY 2.0 Schemes
S.N Project Funding Key Project Total Total Placement Total Remar
Name* | Ministry/ description duration Candidates candidates % candidates S

Departments of (Start & Trained Placed (Placed tracked in

program End Certified) post
date) placement
service
(PPS)
 D. Industry Sponsored and Paid Training
Table 4: Past Perfomance-Industry Sponsored&Paid Training
Year Project| Funding Key Project Total Total Placement| Total Remarks
Name Ministry/ descriptio duration Candidates candidates % candidate
Department n of (Start Trained Placed (Placed s tracked
program &End n

date) Certified)| post

placemen
t service
(PPS)

*If project more than one in a year please furnished the information separately.
2. Industry Linkages:

Provide placement linkages / tie up's with industries for the purpose of providing placements
to the candidates
Only active linkages / tie-up's in last three years which led to candidate placements
should be reported
Industry linkage data may be verified on random basis and verification outcome may
be used for the proposal evaluation purpose
Attach supporting documents for the linkages tie-up's with the industry, i.e.
signed agreement/contract/ work order/ etc.

Table 5:Industry Linkages

Year Name of the Contact Contact Contact Sector/ Job role | No. of Remarks
organization/| person person person trade of offered candidates
company name designation mobile company placed
no.

3. Key plan under PMKVY 3.0 (CSSM), Rajasthan:

Note:- The shortlisted applicant will be required to make a detailed presentation to RSLDC aboutthe
Program/Project Plan.

For and on behalf of: Signature:

Name: Designation:
(Authorized Representative and Signatory)
Date:
Place: