Nomination Form | International Financial Literacy Conclave

Name ^*

Organisation ^*

Address ^*

Phone number ^*

Email ^*

Nominating ^* SelfInstitutionOther Person

Award Category ^* Institution
Individual

Working in this area since ^*

Describe yourself in points relevant as a nominee ^*

(200 words or less)

What was the nature of work? ^*

People involved from your agency

(Mention number of people working in this area with their profile)

Geographical Area

(Mention: State, District, Block or Cluster of Villages)

Period of time for the program/project

(In Months/ Years)

Total number of programs or initiatives done since inception

Total number of programs or initiatives done since last year

Number of beneficiaries impacted

Program Details

Rate the impact of your program or initiative on following scales

Improvement in Functional Literacy 50% & more
Less than 50%

Total Beneficiaries 50% & more
Less than 50%

Inclusion 50% & more
Less than 50%

Financial Inclusion: Please mention in specific

1. Bank Accounts Opened 2. Loans 3. Insurance 4. Investment 5. Others (specify)

Targeted Domain? Savings
Credit
Insurance
Financial Planning
Other financial services (such as remittances, payments, pension, investments etc.)

Industry Sector Specific Programs

Details of Income Enhancement to Total % of the population and Aided Livelihood to following sections of society

1. Daily Wage laborers 2. Beggars 3. Farmers 4. Small Business Enterprise 5. Other (Specify)

Mode of delivery of program Online program
Classroom Section
Collaboration with other organization
Under any Govt. Sponsored program

Scale of efforts to reach the numbers.

(Benefits of the intervention)

Out of own resources Knowledge
Technique
Logistics
Training Modules Developed

Borrowed Resources Knowledge
Technique
Logistics
Training Modules Developed

Collaboration with Government Knowledge
Technique
Logistics
Training Modules Developed

Donation on Loan grants Knowledge
Technique
Logistics
Training Modules Developed

Please provide a brief summary of the financial literacy Inclusion initiatives being undertaken by the nominee.

300 Characters or Less.

Which program yielded maximum return and is still in continuation? Reasons for the same.

Please provide any link of website or video related to your work ^*

Define the type of segment covered in your program.

Any books or articles published?

Mention the name of Newspaper/publisher, Date & Time.

Feedback; appreciation letter, testimonials, citation, mentioned in newspapers, social media, endorsements

Best practices followed/developed on your own. Did it impact mass? Do you have any documentary proof or paper coverage of the same?

If Any Award is received, then please mention

Name of the Award, the Date when received, Agency presented the award.

Please Upload a file of the Award/Citation received. ^*

Max 5 Files are allowed.

Mention 3 renowned referees aware of your work