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Page 1 of 21
PRADHAN MANTRI KAUSHALYA VIKAS YOJANA
(PMKVY 2.0) CENTRALLY SPONSORED STATE MANAGED (CSSM) COMPONENT
PROPOSAL TEMPLATE (3
nd Empanelment Round)
2018-19
Andhra Pradesh State Skill Development Corporation (APSSDC) Infosight building, G&J Infra, 3rd Floor, D No.-78/2, Near NH-5, 12th Block, Near Pathuru Road, Tadepalli, Guntur District, Andhra Pradesh – 522501
Page 2 of 21
1. Important Instructions: The Applicant should complete the relevant sections of the proposal template with supporting documents
attached. Information without proper supporting documents may not be considered for the proposal
evaluation. Proposal should carry the Covering Letter, as per the format enclosed at Form-A.
List of job roles available for target distribution for this empanelment round is enclosed at Form-E.
2. Registered Organization Name If Proprietorship Firm
o Copy of Certificate of the
Proprietorship duly certified by a
Chartered Accountant.
o Copy of trade license/sales tax
registration/IT registration
If Partnership Firm
o Copy of Registered Partnership
Deed / Certificate of the Partnership
duly certified by a Chartered
Accountant.
If Public/ Private Limited Company
o Copy of Registration/Incorporation
Certificate
If Society / Trust / Association
o Copy of Registration Certificate
(Bylaws of Society / Trust /
Association Optional)
3. Status of the Firm
(Organization type)
4. Registration Number
5. Date of Registration
6. PAN Copy of the PAN Card
7. Registered Address -
8. Corporate Head Office Address -
9. Website -
10. Whether active and operational in
Andhra Pradesh for the last 3 years
Relevant MOU/Agreements/work orders
11. Whether present in the
business/executing skill development
trainings. (Yes/No)
Relevant MOU/Agreements/work orders
12. Whether present in the business of
extractive, manufacturing or service
delivery in AP
Relevant Udyog Aadhaar/ Memorandum of
Association
13. Whether Government of India /state
governments have a stake (either
through equity or loan)
Relevant Memorandum of Association
14. National Skill Development
Corporation (NSDC) or (NSDA)
Partner (where NSDC has a stake,
Relevant supporting document/term sheet
Page 3 of 21
either through equity or loan)
15. Total candidates trained in last three
years (FY 2015-2018)
16. Total candidates certified in last three
years (FY 2015-2018)
17. Total candidates placed in last three
years (FY 2015-2018)
18. Average placement percentage in last
three years (FY 2015-2018)
19. No. of existing employment linkages
20. No. of students provided captive
employment in the agency
21. No. of owned training centres in India
22. No. of owned training centres in
Andhra Pradesh
23. Name & contact details of the
authorized signatory
Power of Attorney Name:
Designation:
Mobile No.:
Email ID:
Address:
24. Name & contact details of primary
point of contact:
- Name:
Designation:
Mobile No.:
Email ID:
Address:
25. Name & contact details of secondary
point of contact:
- Name:
Designation:
Mobile No.:
Email ID:
Address:
(Please provide the brief write-up on the nature of business of the applicant firm)
Page 4 of 21
3. Turnover of Organization: The Applicant should provide the supporting document for the below mentioned turnover details as per the Form-B.
Table 2: Turnover Details
S. No. Financial Year Annual Turnover (INR)
1 FY 2015-2016
2 FY 2016-2017
3 FY 2017-2018
4. Past Training & Placement Performance: a. Provide details of past experience of conducting skill development training in last 3 years (FY 2015-
16, 2016-17, 2017-18.
b. Only trained, certified & placed candidate details to be provided.
c. Candidate details may be verified on random basis and verification outcome may be used for the proposal
evaluation purpose.
d. Candidate details for each type of training to be provided as mentioned below format.
e. Project Award / Completion certificate (If any needs to be enclosed).
A. Central Govt. Funded Training Programs (excluding PMKVY and STAR)
Table 3: Past Performance - Central Govt. Programs
S.N Project
name
Funding
Ministry/
Dept.
/others
Key
Descriptio
n of the
Project
Project
Duration
(Start &
End Date)
Project
completion
certificate /
Mail Yes /
No
Total
Candidates
Trained
Total
Candidates
Certified
Total
Candidates
Placed
Placement %
(Placed) Remarks
1.
2.
3.
B. State Govt. Funded Training Programs
Table 4: Past Performance - State Govt. Programs
S.N Project
name
Funding
Ministry/
Dept.
/others
Key
Description
of the
Project
Project
Duration
(Start &
End
Date)
Project
completion
certificate /
Mail Yes /
No
Total
Candidates
Trained
Total
Candidates
Certified
Total
Candidates
Placed
Placement %
(Placed) Remarks
1.
2.
3.
Page 5 of 21
C. PMKVY 2.0 CSCM & CSSM components
Table 5: Past Performance - PMKVY 2.0
S.N Project
name
CSCM /
CSSM
Component
Project
Duration
(Start &
End Date)
Project
completion
certificate /
Mail
Yes / No
Total
Candidates
Trained
Total
Candidates
Certified
Total
Candidates
Placed
Placement %
(Placed) Remarks
1.
2.
3.
D. Industry Sponsored and Paid Trainings
Table 6: Past Performance - Industry Sponsored & Paid Programs
S.N Project
name
Industry
Sponsored/
Paid
Key
Description
of the
Project
Project
Duration
(Start &
End Date)
Project
completion
certificate /
Mail
Yes / No
Total
Candidates
Trained
Total
Candidates
Certified
Total
Candidates
Placed
Placement
% (Placed) Remarks
1.
2.
3.
5. Industry Linkages: a. Provide placement linkages / tie up’s with industries for the purpose of providing placements to the candidate
b. Only active linkages / tie-up’s in last three years (FY 2015-16, 2016-17 & 2017-18) which led to
candidate placements should be reported
c. Industry linkage data may be verified on random basis and verification outcome may be used for the proposal
evaluation purpose
d. Attach supporting documents for the linkages / tie-up’s with the industry, i.e signed agreement/contract/ work
order/ etc.
Table 7: Industry Linkages
S.No Name of the
Organization/Company
Contact Person
Name
Contact
Person
Designation
Contact
Person
Mobile
No.
Sector /
Trade of the
Company
Job role
offered
No. of
candidates
Placed
Remarks
1.
2.
3.
4.
Table 8: Captive Employment
S.No Contact Person / HR
Name
Contact Person / HR
Designation
Contact Person /
HR Mobile No.
Job Role
Offered
No. of candidates
Placed
Job Location
Address
1.
2.
Page 6 of 21
S.No Contact Person / HR
Name
Contact Person / HR
Designation
Contact Person /
HR Mobile No.
Job Role
Offered
No. of candidates
Placed
Job Location
Address
3.
6. Owned Training Centers in Andhra Pradesh: a. Provide details of owned training centers only , as per below format
Table 9: Owned Training Center Details in AP.
S.No
Training
Center
Name
Address District
Start
Date
(Month
&
Year)
Present Training
Center condition
(operational (or)
Non-Operational)
Current
Projects
Job Roles
being run
Residential/Non-
Residential
SPOC details &
contact number
1.
2.
3.
4.
7. Proposed Training Centers for undertaking training under CSSM
component of PMKVY: a. Provide details of owned training centers only, as per below format
Table 10: Owned Training Center Details for undertaking training under CSSM component of PMKVY
S.No District
Name &
Address of
Training
Center
SMART Portal
approved/under
process / New
Center
T.Center
ID
Star
Grade
Approved/ applied
job role aligned
with SSC
Job Role wise Max
No. of Batches
(Max batch size is
30 No’s)
Job Role wise
Capacity
1.
2.
3.
4.
Page 7 of 21
Form A: Format of the Covering Letter (The Covering Letter is to be submitted by Company Secretary/ Authorized Representative and Signatory on
Company’s Letterhead with his/her dated Sign and Seal)
To
The Chief Executive Officer & Managing Director,
Andhra Pradesh State Skill Development Corporation,
Infosight building, G&J Infra, 3rd Floor, D No.-78/2, Near NH-5, 12th Block,
Near Pathuru Road, Tadepalli, Guntur District, Andhra Pradesh – 522501
Dear Sir/Madam,
Sub: Request for empanelment (3nd
Round) to undertake the project under Centrally Sponsored and State
Managed Component under Pradhan Mantri Kaushal Vikas Yojna (PMKVY 2.0) in Andhra Pradesh
Please find enclosed Proposal in respect of the Empanelment (3rd
Round) to undertake the project under Centrally
Sponsored and State Managed Component under Pradhan Mantri Kaushal Vikas Yojna (PMKVY 2.0) in Andhra
Pradesh, in response to the Expression of Interest (EOI) Document issued by Andhra Pradesh State Skill
Development Corporation (APSSDC)
We hereby confirm that:
1. The proposal is being submitted by ___________________________ (name of the applicant agency, in
accordance with the conditions stipulated in the EOI).
2. We have examined in detail and have understood the terms and conditions stipulated in the EOI
document issued by APSSDC and in any subsequent communication sent by APSSDC. We agree and
undertake to abide by all these terms and conditions. Our Proposal is consistent with all the
requirements of submission as stated in the EOI or in any of the subsequent communications from
APSSDC.
3. The information submitted in our Proposal is complete, is strictly as per the requirements as stipulated
in the EOI, and is correct to the best of our knowledge and understanding. We would be solely
responsible for any errors or omissions in our Proposal. We acknowledge that APSSDC will be relying
on the information provided in the Proposal and the documents accompanying such Proposal for
empanelment of the applicant for the aforesaid program, 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.
4. We acknowledge the right of APSSDC 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.
5. We satisfy the legal requirements and meet all the eligibility criteria as laid down in the EOI.
6. This Proposal is unconditional and we hereby undertake to abide by the terms and conditions of the
EOI.
7. 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.
Page 8 of 21
8. We are enclosing DDs towards EMD & processing fee as under:
Item Amount DD No. Date Bank
EMD ₹ …………..
Processing Fee ₹ 10,000/-
In witness thereof, we submit this Proposal under and in accordance with the terms of the EOI document.
For and on behalf of:
Signature:
Name:
Designation:
(Company Seal)
(Authorized Representative and Signatory)
Page 9 of 21
Form B: Self-declaration for not being blacklisted (The Declaration Letter is to be submitted by Company Secretary/ Authorized Representative and Signatory
on Company’s Letterhead with his/her dated Sign and Seal)
To,
The Chief Executive Officer
Andhra Pradesh State Skill Development Corporation,
Infosight building, G&J Infra, 3rd Floor, D No.-78/2, Near NH-5, 12th Block,
Near Pathuru Road, Tadepalli, Guntur District, Andhra Pradesh – 522501
In reference to the EOI No. APSSDC/PMKVY 2.0/003/EOI/2018 dated ……….., as a representative(s) of
…………………………… (name of the applicant’s organization), I/We hereby declare that our organization
……………………………………………. is having unblemished past record and was not declared blacklisted or
ineligible to participate for bidding till the time of submission of response to this EOI by any State/Central Govt. or
PSU due to unsatisfactory performance, breach of general or specific instructions, corrupt/fraudulent or any other
unethical business practices.
For and on behalf of:
Signature:
Name:
Designation:
(Company Seal)
(Authorized Representative and Signatory)
Page 10 of 21
Form C: Turnover Details
(Declaration by Chartered Accountant on Letterhead with 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 registered office at
(Office address) has an average annual turnover of ……………………………… in the past three consecutive
financial years (2015-16, 2016-17, 2017-2018). The details of annual turnover are mentioned below:
S. No. Financial Year Annual Turnover (INR)
1 2015-2016
2 2016-2017
3 2017-2018
Note: Audited financial statements for the past three years (FY 2015-16, 2016-17, 2017-2018) should be submitted by
the Applicant.
(Chartered Accountant):
Signature
Name
Registration No
Contact No.
Seal
Date:
Page 11 of 21
Form D: Past Training Performance in last three years - 2015-2016, 2016-2017, 2017-2018:
S.No. Project /Program Name Candidate Name Candidate contact number Sector Job Role Trained Certified Placed Employer Name Employer
Contact No.
Updated Contact No.
(if Applicable)
1.
2.
3.
4.
Page 12 of 21
Form E: Self-declaration for SMART Portal approved training
centers which did not receive training mandate under CSCM
component of PMKVY (The Declaration Letter is to be submitted by Company Secretary/ Authorized Representative and Signatory
on Company’s Letterhead with his/her dated Sign and Seal)
To,
The Chief Executive Officer
Andhra Pradesh State Skill Development Corporation,
Infosight building, G&J Infra, 3rd Floor, D No.-78/2, Near NH-5, 12th Block,
Near Pathuru Road, Tadepalli, Guntur District, Andhra Pradesh – 522501
In reference to the EOI No. APSSDC/PMKVY 2.0/003/EOI/2018 dated ……….., as a representative(s) of
…………………………… (name of the applicant’s organization), I/We hereby declare that our organization
…………………………………………….’s following SMART Portal approved training centres did not receive any
training mandate under the Centrally Sponsored Centrally Managed component for Pradhan Mantri Kaushal Vikas
Yojana, till the time of submission of response to this EOI.
S.No
Training
Center
Name
Address District
SMART
Portal
approved
/ Under
process
T.C ID Star
Grade
Approved/
applied job
role aligned
with SSC
Approved/
applied Job
Roles
Job Role wise
Max No. of
Batches (Max
30 no’s)
Job Role
wise
Capacity
1.
2.
3.
4.
For and on behalf of:
Signature:
Name:
Designation:
(Company Seal)
(Authorized Representative and Signatory)
Page 13 of 21
Form F: List of Job Roles for Target Allocation:
SN SSC Name Job Role QP Code
1 Aerospace and Aviation Skill
Sector Council Airline Cargo Assistant AAS/Q0103
2 Aerospace and Aviation Skill
Sector Council Airline Baggage Handler AAS/Q0104
3 Aerospace and Aviation Skill
Sector Council Airline Customer Service Executive AAS/Q0301
4 Aerospace and Aviation Skill
Sector Council Airline Security Executive AAS/Q0601
5 Aerospace and Aviation Skill
Sector Council Airline Reservation Agent AAS/Q0302
6 Agriculture Sector Skill Council Animal Health Worker AGR/Q4804
7 Agriculture Sector Skill Council Aqua Culture Worker AGR/Q4904
8 Agriculture Sector Skill Council Artificial Insemination Technician AGR/Q4803
9 Agriculture Sector Skill Council Bamboo Grower AGR/Q6101
10 Agriculture Sector Skill Council Beekeeper AGR/Q5301
11 Agriculture Sector Skill Council Broiler Poultry Farm Worker AGR/Q4302
12 Agriculture Sector Skill Council Dairy Farmer/Entrepreneur AGR/Q4101
13 Agriculture Sector Skill Council Layer Farm Worker AGR/Q4307
14 Agriculture Sector Skill Council Floriculturist - Open cultivation AGR/Q0701
15 Agriculture Sector Skill Council Floriculturist - Protected cultivation AGR/Q0702
16 Agriculture Sector Skill Council Gardener AGR/Q0801
17 Agriculture Sector Skill Council Greenhouse Operator AGR/Q1003
18 Agriculture Sector Skill Council Hatchery Incharge AGR/Q4401
19 Agriculture Sector Skill Council Micro irrigation Technician AGR/Q1002
20 Agriculture Sector Skill Council Organic Grower AGR/Q1201
21 Agriculture Sector Skill Council Paddy Farmer AGR/Q0101
22 Agriculture Sector Skill Council Quality Seed Grower AGR/Q7101
23 Agriculture Sector Skill Council Seed Processing Worker AGR/Q7102
24 Agriculture Sector Skill Council Hatchery Operator AGR/Q4402
25 Agriculture Sector Skill Council Small poultry farmer AGR/Q4306
26 Agriculture Sector Skill Council Sugarcane Cultivator AGR/Q0203
27 Agriculture Sector Skill Council Tractor operator AGR/Q1101
28 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Export Assistant AMH/Q1601
29 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Hand Embroiderer AMH/Q1001
30 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Inline Checker AMH/Q0102
31 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Packer AMH/Q1407
32 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Pressman AMH/Q0401
33 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Production Supervisor (Sewing) AMH/Q2101
34 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Self Employed Tailor AMH/Q1947
Page 14 of 21
SN SSC Name Job Role QP Code
35 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Sewing Machine Operator AMH/Q0301
36 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Sewing Machine Operator- Knits AMH/Q0305
37 Apparel, Made-Ups & Home
Furnishing Sector Skill Council Washing Machine Operator AMH/Q1810
38 Automotive Skills Development
Council
Automotive Service Technician (Two
and Three Wheelers) ASC/Q1411
39 Automotive Skills Development
Council Automotive Service Technician Level 3 ASC/Q1401
40 Automotive Skills Development
Council Commercial Vehicle Driver Level 4 ASC/Q9703
41 Automotive Skills Development
Council Forklift Operator (Driver) ASC/Q9707
42 Automotive Skills Development
Council Sales Consultant (Automotive finance) ASC/Q2001
43 Automotive Skills Development
Council Sales Consultant Level 4 ASC/Q1001
44 Automotive Skills Development
Council Showroom Hostess/Host ASC/Q1103
45 Automotive Skills Development
Council Taxi Driver ASC/Q9705
46 Automotive Skills Development
Council Telecaller ASC/Q1105
47 Beauty & Wellness Sector Skill
Council Assistant Spa Therapist BWS/Q1001
48 Beauty & Wellness Sector Skill
Council Pedicurist and Manicurist BWS/Q0402
49 Beauty & Wellness Sector Skill
Council Assistant Nail Technician BWS/Q0401
50 Beauty & Wellness Sector Skill
Council Assistant Hair Stylist BWS/Q0201
51 Beauty & Wellness Sector Skill
Council Hair Stylist BWS/Q0202
52 Beauty & Wellness Sector Skill
Council Assistant Beauty Therapist BWS/Q0101
53 Beauty & Wellness Sector Skill
Council Beauty Therapist BWS/Q0102
54 Beauty & Wellness Sector Skill
Council Yoga Instructor BWS/Q2201
55 BFSI Sector Skill Council of India Goods & Services Tax (GST) Accounts
Assistant BSC/Q0910
56 Capital Goods Skill Council CNC Operator - Turning CSC/Q0115
57 Capital Goods Skill Council Draughtsman - Mechanical CSC/Q0402
58 Capital Goods Skill Council Fitter – Electrical and Electronic
Assembly CSC/Q0305
59 Capital Goods Skill Council Fitter - Fabrication CSC/Q0303
60 Capital Goods Skill Council Fitter – Mechanical Assembly CSC/Q0304
61 Capital Goods Skill Council Manual Metal Arc Welding/Shielded CSC/Q0204
Page 15 of 21
SN SSC Name Job Role QP Code
Metal Arc Welding Welder
62 Capital Goods Skill Council Metal Inert Gas / Metal Active Gas /Gas
Metal Arc Welder (MIG/MAG/GMAW) CSC/Q0209
63 Construction Skill Development
Council of India Mason General CON/Q0103
64 Construction Skill Development
Council of India Mason Tiling CON/Q0104
65 Construction Skill Development
Council of India Mason Concrete CON/Q0105
66 Construction Skill Development
Council of India Bar Bender and Steel Fixer CON/Q0203
67 Construction Skill Development
Council of India Shuttering Carpenter System CON/Q0304
68 Construction Skill Development
Council of India Scaffolder System CON/Q0305
69 Construction Skill Development
Council of India Assistant Electrician CON/Q0602
70 Construction Skill Development
Council of India Construction Painter and Decorator CON/Q0503
71 Construction Skill Development
Council of India Tack Welder CON/Q1251
72 Electronics Sector Skill Council of
India Assembly Operator - RAC ELE/Q3501
73 Electronics Sector Skill Council of
India CCTV Installation Technician ELE/Q4605
74 Electronics Sector Skill Council of
India
DTH Set Top Box Installation & Service
Technician ELE/Q8101
75 Electronics Sector Skill Council of
India Field Engineer - RACW ELE/Q3105
76 Electronics Sector Skill Council of
India
Field Technician - Computing and
Peripherals ELE/Q4601
77 Electronics Sector Skill Council of
India
Field Technician - Networking and
Storage ELE/Q4606
78 Electronics Sector Skill Council of
India
Field Technician - Other Home
Appliances ELE/Q3104
79 Electronics Sector Skill Council of
India Field Technician - UPS and Inverter ELE/Q7201
80 Electronics Sector Skill Council of
India
Installation Technician - Computing and
Peripherals ELE/Q4609
81 Electronics Sector Skill Council of
India IT Coordinator in School ELE/Q4701
82 Electronics Sector Skill Council of
India LED Light Repair Technician ELE/Q9302
83 Electronics Sector Skill Council of
India
Mobile Phone Hardware Repair
Technician ELE/Q8104
84 Electronics Sector Skill Council of
India Solar Panel Installation Technician ELE/Q5901
85 Electronics Sector Skill Council of
India TV Repair Technician ELE/Q3101
Page 16 of 21
SN SSC Name Job Role QP Code
86 Electronics Sector Skill Council of
India Wireman – Control Panel ELE/Q7302
87 Food Industry Capacity & Skill
Initiative
Assistant Lab Technician - Food and
Agricultural Commodities FIC/Q7601
88 Food Industry Capacity & Skill
Initiative Baking Technician FIC/Q5005
89 Food Industry Capacity & Skill
Initiative Butter and Ghee Processing Operator FIC/Q2003