Section 1
Section 2
Section 3
Section 4
Section 5
Section 6
Organization & Contact Details

Name of Organization:

Legal Status:

Registration Number:

Date of Registration:

Registered Address:

Operational/Head Office Address (if different):

Organization’s Mission Statement:

Vision Statement:

Contact Person 1:

Contact Person 2:

Key Areas of Work:

Eligibility & Risk Level

Years of operation (Minimum 2 years recommended):

Risk Level:

Number of Beneficiaries Reached (past year):

Annual Budget (past 3 years):

List of Operational States / Districts:

Core Standards & Policies
A. Beneficiary Centered Services

Do you have a Service Policy?:

Complaint Handling Mechanism in place?:

Summary of beneficiary safeguarding policy:

B. Staffing & Vetting

Summary of beneficiary safeguarding policy:

Staff Recruitment Policy in place?:

Staff Background Verification done?:

Training and Induction Process Description:

C. Health & Safety

Do you maintain a Health & Safety Policy?:

Do you have a documented Incident Register?:

Sustainability Plan in place?:

D. Governance & Leadership

Number of Board Members:

Frequency of Board Meetings:

Conflict of Interest Policy?:

Risk Management System in place?:

E. Financial Systems

Accounting System Used:

Latest Audit Completed (Year):

Auditor Name and Contact:

Financial Transparency Practices:

F. Monitoring, Evaluation, and Quality

Do you track outcomes/impact?:

Name tools used for M&E:

Frequency of Program Review:

Corrective Action Process:

G. Inclusion and Community Engagement (Optional)

Community Feedback Mechanism in place?:

Inclusion Policy:

Cultural Competence Trainings Conducted?:

Impact Reporting (SRS Format)
Project Name 1

Objective:

Inputs:

Outputs:

Outcomes (Changes brought):

Impact:

Challenges:

Learnings:

Project Name 2

Objective:

Inputs:

Outputs:

Outcomes (Changes brought):

Impact:

Challenges:

Learnings:

Supporting Documents Checklist

Registration Certificate: Download Now

Trust Deed / Memorandum: Download Now

Board Member List: Download Now

Annual Reports (Last 2 years): Download Now

Audited Financial Statements (Last 2 years): Download Now

Staff Vetting Records / HR Policies: Download Now

Client Complaints Policy: Download Now

Health & Safety Policy: Download Now

Monitoring and Evaluation Reports: Download Now

Impact Case Study: Download Now

Self-Assessment & Declaration

All core policies documented: YES

Board governance in place: YES

Financial systems in place: YES

Beneficiary safeguarding practices: YES

Risk management in place: YES

Status Details

Current Status:

Updated On:

New Status: