o ■ oicnlcro c r a t e oildBicrugo ojugMOtBpOOS c n s r u s l ((ftia6Bi3C/3 (CTOOcrrnaD^raraaaoJffl T.V IAS)
a/loiicQJo : ojcdI cot c/olad) afldfccrua) a ja jty' - cnooUSTDraB anglo - c^ocg' - S2l^ j0 010)105) C/0l^O jld0DCnJCT) 630nOl(rU(3 fflO(3 a6)1' - fiD6H3“ (STdClDQJGl^f jDoruwaf oj06)cij^anaaanra, oJCD0[Zk3 c/Do: 1.16/ 04/2019 «5)lGCM5)1cn)76)£J 1CDS-B7- 11332 / 18(1), ICDS-B7- 11332 /18(2 ) (Do. g05T5)0)OJc&>C^ 2. g ($q cro^tQoofDlQog 24 /02 / 2020 - 6)&j CRE 12/ 08/2018 - Creche- (Part-1) coo. 630(3 (U)(3 3 . CTO.g (croocuo)mo. 182/ 2020 /003 .0)1.01, 05)1(2 )05)1 11/ 04/2020 4.19/ 03/2020 05)103 )05)103 )16) ICDS/B7/ 5810/20 00011(3 00 (8^ 01(3 5. 21 / 01/2020 05)103 )05)1(2 )16) ICDS/B7/3009/19 0)011(8 d h m rf
gomnoor (noufl 1CDS/B7-314372020(1) (0)103)05)1: 23/04/2020
cnoo3d6rrxc3 crglo (njc&oc&o croocruncDcuro)' (ajojc3oM)l^ojo53ono
{&cty<&>ub
n£)CTT) QJ6)(dayg£ 20 £20(106)0505) GnO06TDGOOl(2)05ro)la)0(2)l 2,10,47,850/-(053aJ 6710X1)6)0^ NGOcfou8dE63o 1,78,20,000/“ (J^oJ OOlya GcfifllO OX)ffi1oj5]cy)o (2^(30505)' 3,88,67,850/-(J53oJ oJ0)0ffl(3c/0o 1 (Qjt&OOo (3730901(31.^ (D05rc5)C9OJ0CQ)]053O7d. 01.08.2017 q)0J)058 31.03.2019 016)0 Go00677)<200l(2)o 63tf>l6)c9)CS)fi363 c©>GO10677)C^cftt/8ce63o 01.04.2019 £§05)058 31.03.2020 OJ6)0(X§g3£ PSE d&lg" 6)£2CU)1ox51o8 c0d1o , CaD0dfe(8g)0(8d363g3g3 <2nO0677)(2OOl(2)o n£)OT)1 <03(2010677)0^0308 63ylQc93CQ)6363OJC0)o (3790901(31.^ O l^ d & O T) (0)10)0(2)1 nJ(d0C2(809o 2, 3 a§)C77)1oi(qJ c0dOOo an6n§ (STacrsaidl^ go5n5)oaioc2)1^6n§. aioomdioDo (5) (ojdeaooo 24/01/2020 o) CDPOs/Supervisors (^o^ca§1os8gdsotto I cq) co>ol|gg oJolGaaoa)a)6)(2) (©scScm” NGOs m s@ cm 83 (g^asoB (ojoj(3(070)a)(9no1o5)<2£20 oJolGoaococr) oroaieQxaiof (S7dSjqjl§l!| £3 £305)0(2(2)0 £20“ (STaoJOc03O5)d0DO8 g)g3g305)0(S)o ^S06)05) 9 d^^d&glosS 05) 00^ O§)o3(sooo3au or&)CQ)1|gg 8 (^,o^dft.a3 g^g05)00§o olsajocS^ 6) ^J0S)6)n:]§1|6n§u. si cn)0o0nl0^05ro)1053 (n_JC7^05) (^f^c0DOg 63 3,55,54,666/- (^ o J (STSaQOJdl^ 6XOT0)©QJ0dB3CTT5. ggko3 (£yn^ooj]j^1^§§ a (gjo^(aa3 (jb^an^aocnfl {^ojcSfMjil^lcracrn (&o&jcQ>§njlG&i OJ(8n3do <5)dQ) cmeeltoJOCOJo 2017 - 18 5528490/- oJ©lcsoaocjDOD (TUQKDjeorctf (Gjajf5cmu)00 td n fto G G io (m a s -q jl^ g g G O JJO crnsjco) (1/08/2017 igancoa (^rt^da.a3 63«n6)(&c^§§aj 2018-19 11232750/- nJOlGOSOOXT) CTUffiOOXCHD (qJOJC3(M5)OD ©odlcaiqjo (srasjJil^gg^o , 9 dB3§1dB>63l(08 (0)0© 2019 -2 0 18793426/- oJ©lGaaocucD crofflcoxarctf kjajriJcoirom ©odlcmqjo (i3©s^l§1|gg@ o , 9 cfe^ldfcglcoa (t»06)«> a£) 03(20003013 (5TQ)CQj1sgg@fflOGQ) (£)f^dfcu3 ©^©d&CqjggOKg PSE <&1o, ©ooiflmilaB & \o , Gouod^atootfdesgg CnO06T0GOOlCQ)o o0)(TT)1 dBaGCnJOGmC^d&OS GglQefeOQlg3g3Q] |Dm(5i5)1(53 NGOs m° (3idO5aj3l(Bc906n3 02 gDtfr)002 ) 3,55,54,666/- ((§01)° G aoltQjafltfccrocT) 63Oarflao(30O(3cd63(gioctoojg I ^ g(oroxoajOc9jcno. s ^ o aimlraio c/ol^aJlcOjcrocn 633^0100(303(3 (sraaoeiooxoo - (3) (ojc&oao CDPO 00(3 c00° g)dX> 00d&03(BO6n30)o jaJOJ0S nJ0O0(3O5lcO63OT) ml61OaX0a)dXCf3c96)° a il ec u 00)0002)1 CDPOiao(3 NGOc &>o3c6 0 ° gDcfc (51505QJg1 ^ m (53cc9>6n 3 0 >0 O6n)°. 1. (ajn^c9Da3 (T)S(OTO)OT) NGOc9do3 NGO-DARPAN CnJ0(3§ail(03 a ^ 1 crjj(3 6)nJ^)1^6)6n5oroo (rya^co) GoJO(3§all(o3 mlcrroo^jel^ Unique ID, eooajOfiold^QS Aadhar No., PAN No., Mobile No., E-mail id., n^croloj 1CDS BOcuolcrolfoS £ii3^03(!Q)1^06n3an° (j£oc$" ail(5)06m(oi5)1a)° q)o3n_T CDPO 0oc3 goajocstaasns^o |D(5)° aroosiucruil^j aoocOiO^nj^o cum aflmlGcoou) cr\)Oc9Ai^oj(®(S(oro)06)sonjo CDPO fflO(3 g^l^jo ojm1(o>o oslo^a/teaum 630aOl(TO<3fflO(3c963 O X)0(3^(Sc906173^)00611)° 2. m1&jafl(03 (ypOjjT (SlOCTCOJGlcOSlOT) C^o9jo9Dg1(03 n$0(5m1ejo (nJ(O(3(515)mc0iO00^jO(5)5) oJcfXOo C(aJ3(£/)0o 633n£fldOQ0S 0OJ0laril(Sce0oXId)° Oil (SCO02)0002)1 s i £Dca> 0 0 0 6 0 3 (3 0^JCB 0^6113 (5)0611)° 3. GdXOOflOJJ° - 19 6)6)0 1 0 0 0 ° 611100) ml0Q)(Q5)61T) (ojaJ0°(515)O)6513<30S (300)0002)1 oJ0O0(3(0o (4) OO(3c063£](3 (ajc&30o 2020 0O(3^f 20 l$(5)(53 31 OJ00 (^jn^cQj^QS (n_JOJ(3(515)d)o m1(3(5T5)l0OJ.aJ(5)1O)O(53(qJ0 ^ (5 ) cft.OGJOQ)gOJl6)&J 10 (q_JOJ(3(5T5)1 Gl(1)6513^ 16)(SoJOnOcfrOaDOO oilaOl(5)(5T5)105gg (q (£)(&>J0^ (5) 00000(515) 05000501 n03S2<3 (1)1 0(0^°cO j§1c&630S afl)61TQ (515)1 (T)° (515)O5oJ3(5)1cft>03OQ)1 (63(53 c03§1c00° G lO ldO o 12 (© rU O )l0c00l(53 103lOJOOG(515)Cgf 120 (@aJ aQClT) (1)1&JCQ)1(03) 2019-20 (0(3 0.00(515) (^)0ClJl(03 mlOTOo cEhOQJ° 0.aJQg)° m(53Gc056n3@o Si g)cfo 0006113(3 0^^(^6713^00610°. 4. 2019-20 Q](3nX30(515) (0)0(1^£Dc9 j Ofl(5)00O)o 0.aJG£g(KlOOa3 O^lo 0O(l)36TlU)o (515050001^ (rf^oiT(o JOJ(3(515)1^J cOJQ&IQ2)63Qj1(S£lg)gg (§)c£b 03(@ )o c§)(5)^0OQ2)1 cft)611)c00Oc30l (515(5)1(13 (aJcft,O0o (£0OO§° 0)1(5)0611)0 0.aJOgj 6DJ0c96)1 £2)c03 o (TDO0 T3(3 Q.oJ(BQ^6n3 (tf)06TTf. oJ0 Ol2 <3 (/Oo (5) Cq _JcBdO®o 24 / 01/2020 CD" CDPOs/Supervisors (g^cfrglaiS cDScoroflco) am(o1| g g oJColGC/ooaxnsxH) g)S(3 120(3 (DGf^6TT3£Do (5T3QJ G(g>0(Uflt&(Zfl.qj 0000)“ 3 0 (Dcft>o gal^jO OJ(Dl(5>0 cml^nflcd^arum 630a£fl(TD(3 (20(3 aocmod^Gogl^ &j@^iaoG«9S>6n3 @Q 06mw. 7. C D P O (20(3 CTD(2 (X2)6nJCrU)lKn(20 Qa)1 CDSnJSl(g>£26SI3(/3 rg(3 (5T5)lQ2 )Ot06)1 (3 I)CUl3 > fiD6n3 w ar006TT3(3 0 jJ(^CrDO)1CDOaK/E)^l2 OQa) oJOlGC/aoCOCD (5(&J0(J/)0o 630aio1cro(3i20(3 cnsGonDeregso CDSnJs1(3)[26ST3a3 tft>(3aocD(20co)1 CDld1cO19/lGc906TT3 @(2 O6TD" 8. NGO Oflar)1(5)f20 CD> 10% gDcfr 6DJ(TU)0 a:]§ (ri0)n^cfo(/3 36) 002)1 a/lcnlccEyocDl^fliQerecro" CDPO (20(3 QOa_f oKQiGmnGazanoGrrt'. g>O30a_|0S (2a0061D(200lQ2)o (Soft. Q2)mO(g)(2o 3,000/-(@ aJQ^o 1 ,5 0 0 /- (^oJQ^o (o_J(3)l(20(rO O)l(5c00l(O3 Si c&QGIC^gOflGGJCg)" 01(3(06X3, 0oO(O3aJ(3 120(3(06)" 01(3^(2002)1^001301)" CDPO 120(3 n_l(3l(2O30a)l_a/ (D0a_f oj(D3(B(aTa)6n§a5)06rT)". 10. sfl^p cumlcEDo ao1^ail(ft,cro(D eiOnOloD^ood}, CDPO oo<8 cnco^aD O/lO3(3OoO36313e30S (3T3SldDO0d)C313)l(O3 (1,3,6 0)011(3 0)1(3(2(300631303 (STaoQororal^f) cc^oaolcajQljy sfl^jo ca>ei UC o^crolai mo(gj)o OJ)Q2)Od^(20gl(BG1Cg)" C512Q2)^j0(03 (2(3)1(32)0(010. 6TUOc06)l G(56Uc0.o3 £2l^JQ 010)1(3)0 ool^o/lc&croo) 630a£f](TDl(33 (3)001) O^(01ifl(Bc06)6nS(£)o 630CU)1g" oj0l(Boooa)O)ca>(^(00" fiOO^0OGc006ine^(2O6n)” 11. (B(qJ 0 ^ ) 0o 630aJDlOTO(3aO(3, (T)0r&10TX33 (dl>nll" O^lo O\)o6TU0TU)ffl0Q2) C2O(3O)e06UQ^o, (T)SnJSl(£)(26ST303 dl^G^OQ^o CSl$(2c0flJnJ(3rinl(3)(20Oq}o aJ(3(3T3)lQ2)Oc063OD(3)lO)OOJO0^[2O(32) o0)^jOO/lU) CrOoDc03(36TT)OJo grfl^jO 010)1(3)0 0)102)OilcEb(TOO) 0OaO°lOrO(30O(3(00" 00(2^6113(3)0611)". 6D(3)1(8£J(g)" (315)0103^(2000) gDc&CQJOQQ) 3,55,54,666/- (q)(TT)" Cc&OSl (315011(013)1 (3136K&f GJc0i9d(O13)l (015011(013)1 CD3&13(32)1(5(010)1 (315Q(T15)^1 (STdQnJ (313)1 (315)0" (@nJ fflO(®o) 0)Sa_^ 01)0011(313)1(03 OJ(5n*l0(313) 6111230" 051(3 nHc&>12002) 2235-02-102-38 (P) 0)l013o 0/1(1)1(202)00)1(2(00603(3)0611)". (0 %r> 010)1(3) OO1^OJ1(0 dOD(T) (U)Q2)0(^^ 6moiD0fi_|§oj(3c00" o Jt& .d ia J'- 1. O^(o_)6113" - a 0 0ODc01lK l3 2. (r^(fy6ng" - n^ooiloo)" 001x58 3 . CBq^Oc 00” nOQQ)(33/ aOaOldO" GcfeOrJI (T^(aJ6113" CRECHES RUN BY NGOs, as per the inspection done by supervisors/C.D.P.O, which were excluded from Grant SI Name and Address of Creche Centre Implementing Agency ICDS Project N o THIRUVANANTHAPURAM Building No. 59, Ward III, Moonnukallinmoodu, Pathamkallu, CN Memorial Vanitha 1 Neyyattinkara Municipality, Aralumoodu Athiyannur Additional Samajam Block, Opp. CSI Church, Pathamkallu, Aralumoodu.P.0, TVPM Building No.2198, Ward XVII, Kurishadi, Vizhinjam Panchayath, Athiyannoor Block, Thiruvananthapuram 2 Carmal Mahilla Samajam Kottappuram, Near St. Mary's High School, Urban 1 Vizhinjam, TVPM Little Flower Church Compound, Cherupushpa Samoohya Perumkadavila 3 vilangumala, Vazhichal.PO, Samskarika Seva Additional Thiruvananthapuram Sangam, Vazhichal Building No. 162, Ward Viii, Charuvila, Indira nagar mahila 4 Kalavupara, Poovachal Panchayath, Vellanad Samajam, Charuvila Vellanad Block, Panniyode P.0, TVPM Building No. 416, WardXlII, Puthiyathura, Janatha Union Mahila Chakitta Attulin Veedu, Karumkulam 5 Samajam, Karumkulam, Athiyannur Panchayath, Athiyannoor Block, Pulluvila pulluvilla PO P.0, Neyyattinkara, TVPM BuildingNo. 381, Ward VI, Thekkupara Navodhaya vanitha 6 S.H. Convent, Thekkupara, Amboori Samajam, Thekkupara Perumkadavila Panchayath, Perumkadavila Block, TVPM P.0, Vellarada Building No.441, Ward IX, Bhaskar Nagar Sathyan Smaraka mahila Ward, Athiyannoor Panchayath, Samajam, Pattiyakala, 7 Athiyannoor Block, Near St. Mary,s Athiyannur Additional Nellimoodu PO, Church Parish Hall, Pattiyakala, Venpakal Kanjiramkullam P.0, TVPM Building No. 124, Ward 11, Kattakkode, St Joseph's Canossian Kattakkada Panchayath, Vellanad Block, 8 society, Kattakode, Near St. Antony Forona Church & UPS, Vellanad Kattakkada P.0 Kattakode, Kattakkada P.O,TVPM Building No. 124, Ward 11, Kattakkode, St Joseph's Canossian Kattakkada Panchayath, Vellanad Block, 9 society, Kattakode, Vellanad Near St. Antony Forona Church & UPS, Kattakkada P.0 Kattakode, Kattakkada P.O,TVPM Building No. 124, Ward II, Kattakkode, St Joseph's Canossian Kattakkada Panchayath, Vellanad Block, 10 society, Kattakode, Vellanad Near St. Antony Forona Church & UPS, Kattakkada P.0 Kattakode, Kattakkada P.O,TVPM Building No. 124, Ward II, Kattakkode, St Joseph's Canossian Kattakkada Panchayath, Vellanad Block, 11 society, Kattakode, Vellanad Near St. Antony Forona Church & UPS, Kattakkada P.0 Kattakode, Kattakkada P.O,TVPM Building No.KJ-XII/456, Ward XII, Nediyakalaward, Kanjiramkulam Vanitha Sishukshema panchayath, Athiyannoor Block, Kendram, 12 Athiyannur Kakkathottam, Poduval, Pulluvila, Chempakaramanthura, Thirupuram P.0, Chavadi- Kakkathottam Pulluvilla.PO road, TVPM BuildingNo. 11, Ward VIII, Karumkulam, 13 Karumkulam Panchayath, Athiyannoor Women's Welfare Block, Neyyattinkara Municipality, Near Centre, Medavilakom, Athiyannur St. Andrews Church, Karumkulam , Karumkulam, Thiruvananthapuram Puthiyathura P.0 KOLLAM Karunagappally Taluk Ward XVIII, Kadathoor, Kannampally Muslim Sadhu Purayidam, North of Govt. Coconut 14 Samrakhana Ochira Nursery, Thazhava Panchayath, Ochira Samithy, Chittumoola, Block, Kadathoor P.0, Kollam Thazhava P.0 Building No. 533, Ward V, Punnamoodu Kerala Aikya vedhi Town, Kulanjikombil, Near Manjipuha Mahila, Samajam, 15 Sasthamcotta Additional Transformer, Sasthamcotta Block, Muthupilakad, Muthupillakkadu P.O, Kollam Poruvazhy P.O ALAPPUZHA Building No. 304, Ward 7, Chingoli, Near Pandavath Sankara Chingoli Village Office, Chingoli Grama 16 Pillai Memorial Cultural Muthukulam Panchayath, Muthukulam Block, Chingoli Society, Chingoli P.O P.O, Alappuzha Building No. 90, Ward XI, Pappanmukku, Pandavath Sankara 17 Pallippattumuri, Thrikkunnapuzha Pillai Memorial Cultural Muthukulam Panchayath, Harippad Block, Alappuzha Society, Chingoli P.O Building No. 12, Ward X, Beach Road, Pandavath Sankara 18 North Near A.K.D.S-69, Thrikkunnapuzha Pillai Memorial Cultural Harippad Panchayath, Harippad Block, Alappuzha Society, Chingoli P.O Building No. 302, Ward XIII, Kallikkad, Padannayil House, Near St.Sebastian L.P. Pandavath Sankara 19 School, Arattupuzha Panchayath, Pillai Memorial Cultural Harippad Muthukulam Block, Kayamkulam Society, Chingoli P.O Municipality, Alappuzha Building No. 25, Ward XII, Beach Road Pandavath Sankara 20 North, World Vission, Thrikkunnapuzha Pillai Memorial Cultural Harippad Panchayath, Harippad Block, Alappuzha Society, Chingoli P.O Building No. 420, Ward X, Kottamuri, Near Pandavath Sankara 21 M.T.V.P School, Thrikkunnapuzha Pillai Memorial Cultural Harippad Panchayath, Harippad Block, Alappuzha Society, Chingoli P.O Priyadarsini Vanitha Building No. 220, Ward XXI, Samajam, Koorkkaparambil Building, Mararikulam 22 Chempakassery Aryad South Panchayath, Aryad Block, Behind Building, North of All Pollethai Church, S.L.Puram, Alappuzha India Radio, Pathirappally P.O Building No. A256, Ward X, Muthukulam Samoohya Vikasana H.S Jn., Near Kottaram L.P.S, Near 23 Samithi, Muthukalam Muthukulam Pandavankavu Temple, Muthukulam South P.O, Alappuzha Panchayath/Block, Alappuzha Building No. CSP-308, Ward XV1I1, Theeradesa Vanitha Lekshmi Sree Creche, Cherthala South 24 Samajam, P.B.No. 3, Kanjikuzhi Additional Panchayath, Manjikuzhy Block, Arthunkal Arthinkal P.O P.O, Kalarickal Junction, Alappuzha Ward X, Cherthala South, Narayana Creche, Theeradesa Vanitha 25 Nearesr C.S.G.H.S.S, Cherthala South Samajam, P.B.No. 3, Kanjikuzhi Additional Panchayath, Kanjikuzhi Block, Alappuzha Arthinkal P.O Building No. 188, Ward XI, Kannukulangara Creche, Ezhupunna Rajagiri College of 26 Pattanakkad Panchayath, Patlanakkad Block, Eramalloor Social Science P.O, Cherthala, Alappuzha All India Women Building No. 292, Ward VI, AIWC Unit -4, Conference (AIWC), Puthenkandathil Puthukundam, Near 27 South Kerala Branch, Harippad Chirayilpady Junction, Karthikapally Panangattethu Building, Panchayath, Harippad Block, Alappuzha Harippad All India Women Building No. 330, Ward I, AI WC Unit -7, Conference (AIWC), Puthenpurayil Building, Kattil Market, 28 South Kerala Branch, Harippad Kumarapuram Panchayath, Harippad Block, Panangattethu Building, Alappuzha Harippad All India Women Building No. 412, Ward I, AIWC U nit-10, Conference (AIWC), Kottapurathu Building, Olakettiambalam, 29 South Kerala Branch, Harippad South Olaketti Junction, Bharanikkavu Panangattethu Building, Panchayath/Block, Alappuzha Harippad All India Women Building No. 301, Ward VI, AIWC Unit 13, Conference (AIWC), Chirayil, SN Nagar, Valiyaparambu P.0, 30 South Kerala Branch, Harippad Near Gurumandiram, Thrikkunnapuzha Panangattethu Building, Panchayath, Harippad Block, Alappuzha Harippad KOTTAYAM Jawaharlal Memorial Building No. 196, Ward !X, Ummakkunnu, Social Welfare Public Near St. George Church, Thalayolaparambu Co-operation Centre, K 31 Kaduthuruthy Panchayath, Kaduthuruthy Block, Charuvil, S Piiram, Thalayolaparambu P.O, Kottayam Thalayolaparambu.P.O, Kottayam Jawaharlal Memorial Building No. 438, Ward II, Social Welfare Public Thalayolaparambu, Thalayolaparambu Co-operation Centre, K 32 Kaduthuruthy Panchayath, Kaduthuruthy Block, Market S Puram, Road, Kottayam Thalayolaparambu. P.O, Kottayam Infant Jesus Creche & Building No.365, Ward XIII, Aymanam Nursery School, Vimala 33 Kaduthuruthy Panchayath/P.O, Ettumanoor Block, Kottayam Mahila Samajam, Peruva Kasthurba Mahila Building No. 459, Ward 11, Samkranthi Unit Samajam, 34 I, Near Little Flower Church, Ettumanoor Perumbaikadu P.O, Pallom Additional Block, Perumbaikadu P.O, Kottayam Kumaranalloor, Kottayam Building No. 2, Ward 2, Elikulam Panchayath, Jaya Mahila Samajam, 35 Pampady Block, Near Govt. Hospital, Paika, Paika, Pambady Poovarani.P.O, Kottayam Poovarini Kasthurba Mahila Building No. 375-A, Ward 13, Kasthurba, Samajam, P&C Building, Near Marthoma Mariam 36 Perumbaikadu P.O, Ettumanoor Ferona Church, Kuravilangad Panchayath, Kumaranalloor, Uzhavoor Block, Kottayam Kottayam Jawaharlal Memorial Social Welfare Public Building No. 443, Ward VI, Thottaramittam, Co-operation Centre, K 37 Near SNLP School, Vaikaprayar, Vaikom S Puram, Udayanapuram Panchayath Thalayolaparambu.P.O, Kottayam Jawaharlal Memorial Social Welfare Public RGN Creche, Thirupuram Co-operation Centre, K 38 Vaikom KS puram S Puram, Thalayolaparambu.P.O, Kottayam IDUKKI Deepthi Centre for Building No. 97, Ward VI, Near to St. Marys Women, F.C Convent, Elamdesam 39 Church, Karimannoor Panchayath/P.O, Karimannoor P.O, Elamdesam Block, Thodupuzha, ldukki Thodupuzha, ldukki Building No. 748, Ward XVIII, Adoration Archana Mahila Convent, Vandanmedu Creche, Near St. Samajam, Adoration Kattappana Additional 40 Antonys High School, Vandanmedu Convent, Vandanmedu, Panchayath, Kattappana Block, Vandanmedu ldukki Thazhe, ldukki Ward VI, Chakkekkanam, Karunapuram Rose Charitable Trust, 41 Panchayath, Nedumkandam Block, Ramakkalmettu, Nedumkandam Kattappana, ldukki Ramakkalmettu P.O Building No. 412, Ward V, Pushpakandam, Rose Charitable Trust, 42 Thookkupalam (Via), Nedumkandam Ramakkalmettu, Nedumkandam Panchayath/Block, Kattappana, ldukki Ramakkalmettu P.O Wrd III, Thovalppadi, Thookkupalam (Via), Rose Charitable Trust, 43 Karunapuram Panchayath, Nedumkandam Ramakkalmettu, Nedumkandam Block, Kattappana, Idukki Ramakkalmettu P.O Ward IV, Ramakkalmettu (Balanpilla City), Rose Charitable Trust, 44 Karunapuram Panchayath, Nedumkandam Ramakkalmettu, Nedumkandam Block, Kattappana, Idukki Ramakkalmettu P.O Rose Charitable Trust, Ward VI, Ellikkanam (Thannimood), 45 Ramakkalmettu, Nedumkandam Nedumkandain Panchayath/Block, Idukki Ramakkalmettu P.O Building No. VP/V111-399, Naluthoone, Malanadu Yuvajana 46 Vathikudy Panchayath, Idukki Block, Samskarikavedi, Idukki Thopramkudy, Idukki Pandippara P.O, Idukki ERNAKULAM Building No. 979, Ward V, A.I.W.C Creche All India Womens (Unit 111), Kuttikattukara, Vanitha Samajam, Conference, Alwaye 47 Udyogamandal, Near IAC Company, Eloor, Alangad Branch, M.O Road, Aluva, Alupuram P.0, Eloor Municipality, Alangad Ernakulam Block, Ernakulam Building No. 107, Ward IX, Kunjatta AIWC All India Womens Creche (Unit IV), Udhaya Bhavan, Eloor, Conference, Alwaye 48 Udyogamandal P.O, Near ESI Hospital, Alangad Branch, M.O Road, Aluva, Eloor, Kuttikattukara, Eloor Municipality, Ernakulam Alangad Block, Ernakulam Rajagiri Out Reach Building No. 87, Ward VIII, Aniyel Beach, Society, Rajagiri College 49 Velyath House, Edavanakkad Panchayath, Vypin Edappally Additional Block, Ernakulam of Social Services, Rajagiri .P.O, Kalamassery Rajagiri Out Reach Building No. 20/8, ward No. 8, Kunjattukara Society, Rajagiri College 50 Creche, Arakkaparambil House Near Santhigiri Vazhakkulam Add! Ashram, Aluva, EKM of Social Services, Rajagiri .P.O, Kalamassery Building No. 36, Ward IX, Near Sacred Sacred Heart Nursery Moovattupuzha 51 Heart, Ayavana Panchayath, Muvattupuzha School, Ayavana P.O, Additional Block, Ernakulam Muvattupuzha, Ernakulam St. Marys Nursery School, Ward VIII, Near St. Mary's Church Campus, Nakapuzha, Nakapuzha Moovattupuzha 52 Kalloorkad Panchayath, Muvattupuzha P.O, (Via) Kalloorkad, Additional Block, Nakapuzha P.O, Via Ernakulam Muvattupuzha, Ernakulam Building No. 270, Ward 1, Dharmagiri Vikas Dharmagiri Vikas Society Creche, Near to Aluva Munnar Road, Social 8 c Family Welfare 53 Kothamangalam Thankalam, Nellikuzhy Panchayath, Centre, Kothamangalam, Kothamangalam Block, Ernakulam Ernakulam Ward 1, Bappuji Creche Unit, Chenkara, Kerala Educational Kothamangalam Society, Koothattukulam 54 Keerampara Panchayath, Kothamangalam Additional Block, Bhoothathankettu P.O, Ernakulam P.O, Ernakulam Building No. 381, Ward X, Nazreth The Institute of the Sisters Sisuvihar, Edakunnu, Near Nazreth OLPS- of Nazareth & the House of 55 Angamaly Paduapuram, Karukutty Panchayath, Aluva Refugee, Paduapuram P.O, Block, Paduapuram P.O, Ernakulam Karukutty(Via), Ernakulam Building No. 195, Ward XIII, Thuruthissery, Mar Athanasious Charitable Near Simhasana Church, Nedumbassery Society, Thruthissery 56 Parakkadavu Panchayath, Parakkadavu Block, Mekkad Simhasana Church, Mekkad P.O, Ernakulam .P.O, Ernakulam THRISSUR BuildingNo. 164, Ward 18, Samaritan Kuriakose Elias Creche, Wadakkanchery Block, Service Society, KESS 57 Wadakkanchery Thekkumkara Panchayath/P.O, Bhavan,Naickanal, Punnamparambu, Thrissur Thrissur Bharath Sevak Samaj Ward 49/1383, BSS Building, Olarikkara Baby Creche, 58 Puzhakkal Addl P.O, Pullazhi, Thrissur Corporation Olarikkara, Pullazhy P.O, Thrissur Kasthurba Gandhi Nedumbal, Near SNDP Hall, Parappukkara National Memorial 59 Panchayath, Irinjalakkuda Block, Thottippal Irinjalakkuda Trust, Kasthurbagram, P.O, Thrissur Nedupuzha P.O Building No. 454, Ward 2, Pariyaram Kuttikkad Mahila Panchayath, Chalakkudy Block, Kuttikkad Samajam, Kuttikkad 60 Chalakkudy Additional P.O, Near Manalay Bus Stop, Chalakudy, P.O, Chalakudy Via, Thrissur Thrissur Building No. 64, Ward XII, Ervakkad, Near Kasthurba Gandhi Maryamman Kovil, Nenmanikkara National Memorial 61 chalakkudy Additional Panchayath, Kodakara Block, Chittissery Trust, Kasthurbagram, P.O, Thrissur Nedupuzha P.O Building No.394, Ward 13, Kaiparambu Bharath Sevak Samaj Panchayath, Puzhakkal Block, Near St. Baby Creche, 62 Puzhakkal Mary's Church, Vrindavan Estate Road, Olarikkara, Pullazhy Peramangalam P.O, Thrissur P.O, Thrissur PALAKKAD Building No. 1433, Ward 12, Holy Family Isabel Service Centre, Holy 63 Bhavan, Vadakkencherry, Vadakkencherry Family Bhavan, Alathur Additional Panchayath, Alathur Block, Palakkad Vadakkancherry, Palakkad Building No. 1433, Ward 12, Holy Family Isabel Service Centre, Holy 64 Bhavan, Vadakkencherry, Vadakkencherry Family Bhavan, Alathur Additional Panchayath, Alathur Block, Palakkad Vadakkancherry, Palakkad Building No. 172, Ward 7, C/o Christ Church, Peoples Service Society, Puthukkod, Thachanadi, Kannambra Diocesan Pastrol Centre, 65 Alathur Additional Panchayath, Alathur Block, Puthukkod, chakknthara, Pallipuram Palakkad P.O, Palakkad BuildingNo.137, Ward IX, Karakurussi, Deepthi Creche, Near G.V.H.S.S, National Service Society of 66 Sreekrishnapuram Block, Karakurussi India, Mannarkkad P.O, Sreekrishnapuram Panchayath, Mannrkkad Municipality, Palakkad Palakkad M alappuram Building No. 72, Ward IX, South Puthalam, Elamaram Yatheem Khana, 67 Misbahul Huda Sangam, Areacode Vazhakkadu .P.O, Areacode Panchayath/Block/P.O, Malappuram Malappuram Building No. 501, Ward 15, Thadathil, Elamaram Yatheem Khana, Chengara, Munwirul Islam Building, 68 Vazhakkadu .P.O, Areacode Additional Kavanoor Panchayath, Areacode Block, Malappuram lruvetti P.O, Malappuram P.Sarojini Amma Smaraka Building No. 33/1845, Town Ward 33, Mahila Samajam, 69 Malappuram Urban Kovilakom Road, Manjeri, Malappuram Kovilakom Road, Manjeri, Malappuram Christian Agency for Rural Building No. 221, Ward XU, Uppada, Near Development (CARD), 70 Panchayath ground, Pothukallu Panchayath, Nilambur Additional Marthoma Sabha Office, Nilambur Block, Malappuram Thiruvalla, Pathanamthitta M.E.S Ladies Wing, Building No. 293 A, Ward XXV, Opposite korangath Juma 71 Opp.Korangath Juma Masjid, Muthoor Road, Tirur Masjid, Muthur Road, Tirur Municipality/Block, Malappuram Tirur P.O, Malappuram Building No. 202, Ward XXX, Parambolam, National Service Society, NSS Creche (Unit 1), Alsiraj Preschool Perinthalmanna, NSS 72 Building, Ambalaparamb, Near 110 KV Institute Building Jubilee Kuttippuram Substation, Thozhuvanoor P.O, Valanchery Junction, Calicut Road, Municipality/Block, Malappuram Malappuram Building No. 202, Ward XXX, Parambolam, National Service Society, NSS Creche (Unit 2), Alsiraj Preschool Perinthalmanna, NSS 73 Building, Ambalaparamb, Near 110 KV Institute Building Jubily Kuttippuram Substation, Thozhuvanoor P.O, Valanchery Junction, Calicut Road, Municipality/Block, Malappuram Malappuram Building No. 202, Ward XXX, Parambolam, National Service Society, NSS Creche (Unit 3), Alsiraj Preschool 74 Perinthalmanna, NSS Building, Ambalaparamb, Near 110 KV Institute Building Jubily Kuttippuram Substation, Thozhuvanoor P.O, Valanchery Junction, Calicut Road, Municipality/Block, Malappuram Malappuram Building No. 378, Ward 12, Division 17, Navadarsana Mahila Near Thulussary Ayyappa temple, Samajam, Vadakkeparamb 75 Kallikoodam Feroke Municipality, Kozhikode Rural P.O, Perumugham, Olippilpara Junction, Perumugham P.O, Kozhikode Kozhikode Building No. 586, Ward 13, Mahila Samajam Koodathai Mahila Building, Kodenchery Panchayath, Samajam, Maikavu P.O, 76 Koduvally Additional Koduvally Block, Maikavu P.O, Via Via Thamarassery, Thamarassery, Kozhikode Kozhikode WAYANAD Guru, Varuvilakom, D.No.X/201, John Kendy, Mutli! P.O, Near Union College, 77 Kalpetta Kuttamangalam, Wayanad Balaramapuram, Thiruvananthapuram Guru, Varuvilakom, Near Union College, 78 Muttil, Muttil P.O, Wayanad Kalpetta Balaramapuram, Thiruvananthapuram Building No. Vi-137, Ward VI, Kartikulam , Parathotlam Karshaka Kartikulam Creche Unit, Thirunelly Vikasana Samithi, 79 Mananthawady Panchayath, Mananthawady Block, Near Varayal P.O, G.H.S Kartikulam, Wayanad Thalapuzha, Wayanad Centre for Youth Building No. XIX/I77, Ward XIX, Karachal, Development, Building Kariyadakandi House, Cherimoola, No. 1/525, Service Co 80 Thalapuzha Via, Thavinjal Panchayath, operative Bank Old Kalpetta Mananthawady Block, Valad P.O, Valiya Building, Madakkimala Kolli Road, Wayanad P.O, Kalpetta, Wayanad Building No. XIII-248, Ward XIII, Peruvaka, Parathottam karshaka Peruvaka Road Unit, Near Manorama Office, Vikasana Samithi, Mananthawady Mananthawady Block, Wayanad Varayal .P.O 81 KANNUR Building No. 580, Ward A.P.XIV, Azhiiode South MKGS Valiyaparamba, Meenkummu, Azhikode Mahila Samajam, Kannur Rural Panchayath, Kannur Block, Azhikode South Azhikkode South P.O, P.O, Kannur Kannur 82 Bharath Social Service Building No. AP-8/27, Veerpad World Centre (IBSSC), 83 Vision, Ambalakandy, Aralam Panchayath, Iritty Paraniyam, Poovar Iritty Block, Aralam P.O, Kannur P.O, Trivandrum List of creches in which No. 0 Children below 9 Building 171, Ward VI, Near Milk Society Elluvila, Kuttukonam Road, Velatharakonam, Bharatha Yathra Center 1 Perunkadavila Kunnathukal Panchayath, Perumkadavila Block, Karakonnam Elluvila .P.O, TVPM Building No. 85, Ward II, Kaivanvila, Ringaltob Memorial Kanjiramkulam Panchayath, Athiyannoor Block, Mahila Samajam, 2 Athiyannoor Kaivanvila Junction, Venganinna, Ncllimoodu Kaivanvila, P.O, TVPM Kanj i ramku 1 lam. PO Building No. 25/161, Ward No. 25, Vellavoor Bodhini kalasamskarika 3 Junction, Thittamel, Near Railway Station, VediAfellavoor Chengannur Chengannur Block/P.O, Alappuzha junction,Chengannur Building No. 9/253, Ward IX, Sree Sankara Theeradesa Vanitha Creche, Cherthala South Panchayath, Kanjikuzhy 4 Samajam, P.B.No. 3, Kanjikkuzhi Addl Block, Tripoorakulangara, Kuruppankulangara Arthinkal P.O P.O, Alappuzha Building No. KP XIV/342, Ward XIV, Malanadu Yuvajana 5 Pandippara, Eattikavala, Kamakshy Panchayath, Samskarikavedi, Idukki Idukki Block, Thankamony P.O, Idukki Pandippara P.O, Idukki BuildingNo. 137, Ward XVI, A.I.W.C Creche All India Womens (Unit V), Vanitha Samajam Building, Near Govt. Conference, Alwaye 6 Vazhakkulam High School, Vazhakulam Panchayath/BIock, Branch, M.O Road, South Vazhakulam P.O, Aluva, Ernakulam Aluva, Ernakulam Vengoor Vanitha Building No. 228, Ward XI, Vengoor, Near Devi Samajam, Vengoor, 7 Temple & Viswajyothi School, Angamaly Angamaly addl Municipality/Block, Kidangoor P.O, Ernakulam Kidanagoor .P.O, Angamaly Building No. 208, Ward Vll, Bappuji Creche Kerala Educational Unit, Near Post Office, Pandappilly, Arakuzha 8 Society, Muvattupuzha Panchayath, Muvattupuzha Block, Pandappilly Koothattukulam P.O, Addl P.O, Ernakulam Ernakulam o District wise fund Allotment Annexure - II (g>0) CDo. 2017-18 2018-19 2019-20 Total 1. (U)l (53 QJ 00 05) oj (d o 1402601 2712329 4846133 8961063 2 . QcftOf^Jo 197635 463248 683899 1344782 3 . 476141 693994 1566087 2736222 4 . (2d&>0§OQ)o 706657 1528358 2428574 4663589 5 . fD§(SK)l 563202 1300982 1849133 3713317 6. o{j)O6TT)Od03§3o 716765 1579132 2628806 4924703 7. (g)@(3 517853 882922 ; 1605096 3005871 8 . oJ0&JdB6)0S 336250 622310 1237421 2195981 9 . O&JoJOo 363207 871661 1190246 2425114 10 . Gcft>0 NGO Total 5528490 112327501879342635554666 Project wise National Creche scheme-Fund Release - Project w ise list District Project 2017-18 2018-19 2019-20 Total Perunkadavila TV PM 234701 419213 706061 1359975 N e m o m 1 3 9 8 9 1 270490 399946 810327 T v m U rb a n 111 91440 172541 378302 642283 P a ra s s a la 180787 372269 774878 1327934 Tvm Urban 1 115027 236563 341237 692827 Athiyannoor 203098 307786 472133 983017 Chirayinkil 21494 a d d l 50774 95774 168043 N e d u m a n g a d a d d l 104918 182650 398520 686088 Athiyannoor A 121766 226454 324389 672609 V e lla n a d 68528 182650 354715 605893 Perunkadavila A d d l 51821 40666 85666 178152 N e d u m a n g a d 42989 148724 269050 460763 T V m U rb a n 11 14755 60883 129470 205109 Vellanad Addl 11386 40666 115992 168044 Total 1402601 2712329 4846133 8 9 6 1 0 6 3 Karunagappall 28234 Kollam i 70992 119361.6 218587 Vettikkavala 73315 158832 164592 396739 Sasthamkkotta 46358 131875 218506 396739 Sasthamkkotta A d d l 49728 101549 181440 332717 Page 1 Project wise 197635 463248 683899 1344782 Chengannur Alappuzha 7 6 6 8 5 54144 92405 223234 A1P Urban 8 3 4 2 4 128506 221875 433805 Aryad 8 8 0 7 0 125366 310910.4 524347 M uthukulam 4 1 7 1 2 70992 115992 228696 Kanj ikkuzhi -- A ddl 8 0 0 5 4 145584 310910 536548 Harippad 1 0 6 1 9 6 169402 413424 689022 476141 693994 1566087 2736222 Pallom Kottayam 5 3098 138614 265680 457392 M adappalli A ddl 2 4 8 6 4 60883 132840 218587 Kaduthuruthy 2 0 7 7 4 4 540749 663682 1412174 Pallom Addl 9 0 1 6 3 104918 231984 427065 V azhoor 8 1 3 3 1 192758 347976 622065 U zhavoor 3 4 973 87840 85665.6 208479 Ettum anoor 1 0 8 2 8 8 159062 314280 581630 Ettum anoor A ddl 4 5 0 8 2 47405 89035 181522 V aikkom 4 2 9 8 9 128506 174701 346195 Lalam 18125 67622 122731 208479 706657 1528358 2428574 4663589 Azhutha Addl Idukki 2 4 8 6 4 87840 129470 242174 E lam desom 128773 351360 470707 950840 Thodupuzha 1 0 4 9 1 8 263520 317650 686088 Page 2 Project wise N edum kando m 8 4 7 0 1 212976 310910 608587 Idukki 2 1 9 9 4 6 385286.4 620395 1225628 563202 1300982 1849133 3713317 Vazhakkulam Ernakulam A ddl 1 1 8 3 9 7 229824 331128 679349 Vazhakkulam 4 1 7 1 2 0 0 41712 A ngam aly addl 4 8 4 5 1 84470 115992 248913 Mulamthuruth y 14755 84470.4 89035 188261 Parakkadavu 7 7 9 6 2 236563 334498 649022 Kothamangala m 1 5 1 2 7 7 290938 542894 985109 Kothamangala m A ddl 155693 321019 476712 Kochi Urban 3 2 4 8 6 4 64253 78926 168043 A langad 1 1 386 67622 115992 195000 A ngam aly addl 8 0 0 5 4 81101 105883 267038 Muvattupuzha A ddl 3 9 6 1 9 121766 265680 427065 Muvattupuzha 4 1 7 1 2 60883 132840 235435 Pam bakkuda 6 6 5 7 6 101549 194918 363043 716765 1579132 2628806 4924703 Puzhakkal Thrissur A ddl 9 1 4 4 0 192758 324389 608587 A nthikkadu 4 1 7 1 2 57514 105883 205109 M ullassery 2 8 2 3 4 54144 105883 188261 Chalakkudy 1 7 1 4 9 4 294307 526046 991847 Thalikkulam 3 1603 60883 82296 174782 Page 3 Project wise C h ow an n u r addl 3 4 973 37296 95774 168043 Cherpu 2 1 4 9 4 70992 99144 191630 Ollukkara 9 6 903 115027 265680 477610 517853 882922 1605096 3005871 Alathur Addl Palakkad 5 9 8 3 7 125136 265680 450653 Mannarkkadu 5 9 8 3 7 98179 245462 403478 N enm ara A ddl 4 1 7 1 2 60883 132840 235435 Palakkad 1 0 1 5 4 8 186019 327758 615325 Sreekrishnapu ram 4 5 0 8 2 70992 132840 248914 Ottappalam 2 8 2 3 4 81101 132840 242175 336250 622310 1237421 2195981 A reakkode Malappuram A ddl 153369 351360 457229 961958 M alappuram Urban 2 8 2 3 4 87840 132840 248914 N ilam bur 3 4 973 87840 132840 255653 N ilam bur Addl 4 5 0 8 2 87840 105883 238805 A reacode 1 0 1 5 4 9 256781 361454 719784 363207 871661 1190246 2425114 K unnum m al 102514 Kozhikkode 4 5 0 8 2 87840 235436 K ozhikkode 92405 Urban 11 2 4 8 6 4 70992 188261 69946 158832 194918 423696 Kalppetta Wayanad 133152 341251 430272 904675 Panamaram | 4 5 0 8 21 77731| 132840 255653 Page 4 Project wise 178234 418982 563112 1160328 Sub total 5528490 11232750 18793426 35554666 Grant Total 35554666 Page 5 < D *». Statement-1 (To be submitted by CDPQs to DWCDO concerned) Year - 2017-18 SL.No. Name & Address of Name of Total Grant Grant issued Amount Reason for Surrender, if any Creche NGO released surrendered 1 i \ i i Total i , i 2018-19 SL.No. Name & Address of Name of Total Grant Grant issued Amount Reason for Surrender, if any Creche NGO released surrendered j < i i Total 2019-20 .i SL.No; Name & Name of No. of No. of Total Grant Grant SNP Fund Amount Reason for Address of NGO J children Children for released issued deducted for surrendered Surrender, Creche enrolled which Covid lock i SNP Fund down Period i 'i\ released j i ■1 it i r , i i Total, i i o Statement- 2 (To be submitted by CDPOs to DWCDQ concerned) Financial Year - 2017-18 Total Amount Received Amount issued as grant Amount Surrendered Financial Year - 2018-19 Total Amount Received Amount issued as grant Amount Surrendered No.of Children for which SNP Fund released i Financial Year - 2019-20 SL.No. Name of Component Amount Received Amount Amount Reason for i allotted to surrendered Surrender, if any ■i NGOs 1. Honorarium to Worker 2. Honorarium to Helper 3. Supplementary Nutrition „ . Total Amount Received Amount issued as grant SNP Fund deducted for Covid lock down Period Total Amount Surrendered / Place: Date : Child Development Project Officer Statement - 3 (Consolidated Statement by DWCDO as per the statement 1 & 2 from CDPOs; concern 2017-18 SL.No Name & Address of Name of Name of Total Grant Amount j Reason for Creche NGO the ICDS Grant Issued Surrendered 1Surrender, if any project Released To NGOs i 2018-19 SL.No Name & Address of Name of Name of Total Grant Amount Reason for Creche NGO the ICDS Grant Issued Surrendered i Surrender, if project Released To any NGOs i | 1 G 2019-20 SL.No. Name & Address of Name of No. of No. of Total Grant issued SNP Fund Amount Reason Creche NGO children Children for Grant deducted surrendered for s enrolled which released for Surrender, SNP Fund Covid lock if any released down Period , Statement-4 j li (Consolidated Statement by DW,CDO as per the statement 1 & 2 from CDPOs concerned) Financial Year - 2017-18 Total Amount Received Amount issued as grant Amount Surrendered i i Financial Year - 2018-19 Total Amount Received Amount issued as grant Amount Surrendered No.of Children for which SNP Fund released Financial Year - 2019-20 SL.No. Name of Component Amount Amount allotted Amount Reason for Surrender, if any surrendered i 1 Received to NGOs i Honorarium to Worker 1. I 2. Honorarium to Helper | 3. Supplementary Nutrition « Total Amount Received „ Amount issued as grant • SNP Fund deducted for Covid lock down Period . Total Amount Surrendered Place : Date : DWCDO croO(Bfld)Aj(@)o (CDPO cD)(£>ooOdas)l DWCDO Qgjv ------c&Of&^OaidUo gG5U6)C0 (^OCT^ QjlcO)06TDo 6).aJ(g mSgaSDCTD o#)^j0 NGOtft^o NGO-DARPAN GoJO(8§&j1cc3 ogalcr^cd 6).oJ<^1^6)6n3(TTdo (ajcr^co) Mobile No., E-mail id., a^crdloj n y o ce>o0^oej(n)(orofl(o8 Qjr^a)3cas)l (TX)0aBfld^ 6) f L j § @ m d . Date Name & Signature of CDPO CTU0d9fl^oJ(@)o (DWCDO 0)CQ^OOOt£6)1 OJDQ2)Oc^>«Jce5)' CTUQl(3o|Cd0S)6ng(Oi) ------sSlj=LjCQfl(lj3 CDPO 010(8 C$G6U6XD %f)OOg Ojl(0)©6TT)o 6).aJ (njcmcs) GoJO(8§&Hcq3 crilorreo ejfgljgj Unique ID, NGO G0©ai0no1ca>*a6>s Aadhar No., PAN No., Mobile No., E-mail id., a^crdlai enucruu©^ ICDS cfeoropejcojcoiate m^ciO(£0lcs3jl|6)6n§cnD Date Name & Signature of DWCDOOSl (51500(515)1 0Jr56mT £Jc0&l(515)1 (51500(515)1 Cl)O£JO(G)l0(515)1 (3TdQCrrO)£f| (315QoJ (515)1 (010)0° (£5)nJ 0O((5)o) (515056100X00 (2) (ajcft>30o S2l^j3 010)1(5)3