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Haryana Skill Development Mission KAUSHAL BHAWAN, PLOT NO – IP 2, NEAR MAJRI CHOWK
SECTOR -3, PANCHKULA (HARYANA) - 134109
www.hsdm.org.in
Request for Proposal (RFP)
For
Empanelment of Private Engineering
Colleges/Universities/Polytechnics/ITIs as a Training Provider
Established in the State of Haryana with Haryana Skill
Development Mission.
RFP No. : HSDM/SAKSHAM/RFP/1863
Issued on : 13/08/2019
http://www.hsdm.org.in/
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Haryana Skill Development Mission
Table of Contents
BACKGROUND ............................................................................................................................................... 4
RFP SCHEDULE SUMMARY ........................................................................................................................... 5
EMPANELMENT PROCESS ............................................................................................................................ 6
ELIGIBILITY CRITERIA .................................................................................................................................... 6
COMMON INSTRUCTIONS FOR THE APPLICANT (PRIVATE ENGINEERING/UNIVERSITIES): ................... 8
SUBMISSION OF PROPOSAL ........................................................................................................................ 9
TENDER COST & PROPOSAL PROCESSING FEES ...................................................................................................... 10 PERFORMANCE SECURITY DEPOSIT ....................................................................................................................... 10 TIME LINES ......................................................................................................................................................... 11 DURATION OF EMPANELMENT .............................................................................................................................. 11 TRAINING REIMBURSEMENT.................................................................................................................................. 11 TRAINING INFRASTRUCTURE ................................................................................................................................. 11 EMPLOYABILITY POTENTIAL MAPPING ................................................................................................................... 11 EVALUATION CRITERIA: ........................................................................................................................................ 12 PRIVATE ENGINEERING COLLEGES/UNIVERSITIES/POLYTECHNICS/ITIS ..................................................................... 12
ANNEXURE – 1: COVER LETTER .................................................................................................................. 15
ANNEXURE-2: APPLICANT DETAILS .......................................................................................................... 17
ANNEXURE-3: AFFIDAVIT FOR NOT BEING BLACKLISTED ....................................................................... 18
ANNEXURE-4: SELF-DECLARATION FOR AUTHORIZED REPRESENTATIVE ........................................... 19
ANNEXURE – 5: FINANCIAL CAPABILITY STATEMENT ............................................................................. 20
ANNEXURE – 6: FORMAT – TRAINING AND PLACEMENT RECORD IN HARYANA................................... 21
ANNEXURE-7: EMPLOYABILITY POTENTIAL MAPPING ........................................................................... 22
ANNEXURE-8: HUMAN RESOURCE DETAILS ............................................................................................ 23
ANNEXURE -9: NEW QP (SAKSHAM SKILL TRAINING) ............................................................................. 24
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Haryana Skill Development Mission
Request for Proposal (RFP) for Empanelment of Private Engineering
Colleges/Universities/Polytechnics/ITIs as Training Provider established in the
state of Haryana with Haryana Skill Development Mission
Background
Haryana Skill Development Mission (HSDM) established in May 2015 by the State Government aims to empower
the youth in the state to take part in the economic and overall growth of the state and the country at large. The
vision of the mission is: “To be a specialized agency to deliver quality skill training and professional knowledge to
the youth to enhance their employability and bridge the skill deficit with a view to meet burgeoning market demand
for skilled manpower”
HSDM is mandated by the Government of Haryana to formulate and steer skill development schemes across the
state. HSDM is working towards integrating the efforts of various State Departments towards achieving the skill
development target of the State. HSDM already has 80+ courses across 15+ sectors made available to the youth
of Haryana through its schemes, which are as follows:
1. SURYA: Skilling Upskilling Re-Skilling Youth and Assessment
2. PMKVY-CSSM: Pradhan Mantri Kaushal Vikash Yojna (Centrally Sponsored State Managed)
3. CoE: Centre of Excellence
4. Saksham Yuva Training
5. Driver’s Training
The Mission also has Entrepreneurship schemes currently being implemented through SVSU. Equipped with a
team of professionals and experienced Training partners, each program is implemented with the vision of
developing futuristic skills and thereby enabling the employment and entrepreneurship.
The Haryana Skill Development Mission (HSDM) invites proposals from reputed private engineering
colleges/Universities/Polytechnics/ITIs having a proven track record for Interested to empanelled with HSDM as
training providers for implementation of Saksham Yuva Skilling Initiatives of HSDM and for Aspirational district.
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Haryana Skill Development Mission
RFP Schedule Summary
S.No Information Details
1 Project Name/Name of the Work Request for Proposal (RFP) for Empanelment of Private
Engineering Colleges/Universities/Polytechnics/ITIs as Training
Provider established in the state of Haryana with Haryana Skill
Development Mission
2 RFP Reference No HSDM/SAKSHAM/RFP/1863
3 Ministry/Division Department of Skill Development and Industrial Training (SDIT)
4 Procuring Entity and Agency Name Mission Director, Haryana Skill Development Mission
5 Procurement Method Quality Base Selection
6 Mode of Tendering E-Tendering: https://etenders.hry.nic.in/nicgep/app
Visit on HSDM website www.hsdm.org.in
7 Tender Cost (Non-refundable) Non-refundable INR 50,000/- (Fifty thousand only) in the form of
Demand Draft from any scheduled commercial bank in favour of
“Haryana Skill Development Mission” payable at Panchkula
8 RFP Processing Fees (Non-refundable) Non-refundable INR 25,000/- (Twenty-Five thousand only) in the
form of Demand Draft from any scheduled commercial bank in
favour of “Haryana Skill Development Mission” payable at
Panchkula
9 e-Service fees (Non-refundable) Non-Refundable e-service fee of Rs. 1,180/- (One Thousand One
Hundred Eighty Only) in the form of crossed Demand Draft from any
scheduled commercial bank in favour of “Society for IT Initiative
funds for e-Governance” payable at Chandigarh.
10 Start Date of Proposal Submission 13/08/2019
11 Last Date of Proposal Submission 29/08/2019
12 Pre-bid meeting – Date, time and venue 26/08/2019, 11:00 AM at HSDM, Panchkula
Haryana Skill Development Mission (HSDM),
Kaushal Bhawan, Plot No – IP 2, Near Majri Chowk
Sector – 3, Panchkula (Haryana)- 134109 (Haryana)
13 Contact Details Mrs. Ambika Patiyal (Joint Director)
Email: [email protected], [email protected]
Special Instruction:
1. Bid should be inclusive all applicable taxes including GST.
2. All the pages of the bid/response should be numbered and signed by the authorised signatory.
3. Total number of pages should be indicated in the covering letter.
https://etenders.hry.nic.in/nicgep/apphttp://www.hsdm.org.in/mailto:[email protected]
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Haryana Skill Development Mission
Empanelment Process
The empanelment process will be done as following:
Private Engineering Colleges/ Universities approved by AICTE and UGC
Affiliation of Private Polytechnics Colleges by Haryana State Board of Technical
Education (HSBTE)
Affiliation of Private ITIs by National Council for Vocational Training (NCVT)
1. Private Engineering Colleges.
2. Private Colleges/ Universities
3. Private ITIs Colleges
4. Private Polytechnics Colleges
Under this category all the Private Engineering Colleges/ Universities/Polytechnics/ITIs who have physical
infrastructure available in Haryana can only apply. The Colleges/ universities must have physical infrastructure
available for the desired job roles within the campus. HSDM will give the preference to unutilized
institutions/colleges/universities having the well infrastructure in the state of Haryana. The
institutions/colleges/universities will have to establish the Industry connects and previous placement records to
HSDM during the submission of this RFP document.
Eligibility Criteria
1. Private Engineering/ Universities/Polytechnics/ITIs should have not been blacklisted by any State
Government/ Central Government/ any competent authority/Regulatory body of the Govt. of India.
2. The empanelment of training providers shall be based on evaluation of the technical and financial
capability of Bidders.
3. Bidders selected for empanelment pursuant to this RFP may be allocated work to impart skills training in
Haryana. Costing of sanctioned work shall be determined in accordance with the Common Norms notified
by the Ministry of Skill Development and Entrepreneurship (relevant extracts in Schedule-A) or as notified
by HSDM from time to time.
4. The Private Engineering/ Universities/Polytechnics/ITIs has to follow the Standard Operating Procedure
(SOP) of HSDM and respective schemes norms (as amended from time to time).
5. Any regulatory requirement from AICTE/UGC for running the vocational/Skill program is the responsibility
as per Clause No. 6.25 of approval of extension handbook 2019/20 of AICTE by the institutes.
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Haryana Skill Development Mission
The competent training partners eligible under the above categories can apply on monthly basis and selection
process will be done as per the process defined in this RFP. The bidders who have already empanelled under
HSDM should not be apply again.
Eligibility Criteria
S. No Criteria Private Engineering Colleges /Universities/Polytechnics/ITIs
1
Applicant organization Registration
Criteria
Engineering Colleges: Registered under AICTE, GoI.
Universities: Registered under UGC, GoI
ITIs Colleges: Affiliation by National Council for Vocational
training(NCVT)
Polytechnics Colleges: Affiliation by Haryana State Board of
Technical Education(HSBTE)
2
Annual Turnover for Proposing
Organization FY-2016-17, FY 2017-18 &
FY 2018-19 (Copy of audited balance
sheet need to be submitted)
2 crores or more per annum for Private Engineering
Colleges and Private Universities
1 Crores or more per annum for Private Polytechnics & ITIs
The Applicant should have positive net worth in each of FY-
2016-17, FY 2017-18 & FY 2018-19
as per Annexure-5
3
No Consortium or Joint Ventures shall be
allowed. Only Sole Applicants are
permitted
A certificate to this effect signed by the Authorized Signatory
must be provided.
4
The Applicant should have an experience
of implementing skill development
projects with Central/ State Government
Departments /Agency or Donor funded
project in India) as part of a contract in
the last 3 years with value (including
taxes)
Not required
5 LOIs for Employment / Apprenticeship Mandatory
6
A Notarized Affidavit stating that the
Proposing Organization and Partnering
Organizations have not been blacklisted.
Mandatory
As per Annexure-3
7
The Applicant should have placed at least
500 youth under Training and placement
Submit document as per Annexure-6
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Haryana Skill Development Mission
S. No Criteria Private Engineering Colleges /Universities/Polytechnics/ITIs
8
The Applicant should have trained at least
1000 youth under skill development
projects with Central/ State Government
Department /Agency or Donor funded
project in India in the last 3 years.
Not required
Common Instructions for the Applicant (Private Engineering/Universities):
1. Prohibition on sub-letting: The selected Agencies must run the program by themselves and any kind of
sub- letting or sub-contracting or franchisee arrangement for the conduction of training is strictly prohibited
under any circumstances.
2. No joint venture or consortium or association is permissible.
3. We propose to undertake the training ourselves on Job Roles mentioned in Annexure- 9
4. HSDM will verified the performance assessment of the agency on the following of points:
a) Attendance record of the enrolled students of the institutes
b) Feedback of the students
c) Apprenticeship record of the students
d) Employment /Placement & Post placement tracking
e) Self-employment (Ranking) as per check list:
S.No. Area of employment particulars Remarks
1 Number of Corporates Tie-Up 1. Number of Tie-Up/MoU
2. Tie-Up last Corporates/ industries
2 Placement Record:
1. Branch wise Placement
2. Salary Structure
# Last 3 FY record
3 Apprenticeship Number of Candidate register in
NAPS
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Haryana Skill Development Mission
4 Dedicated entrepreneurship Cell Record: No. of Students
Groomed/Trained/Established their
on venture
5 Incubation Centre Number of candidates Incubated
Note: Bidders are requested to furnish information in an organised manner as per the
mentioned above in the table and Duly signed by the Authorised Representative.
5. Verification of centre will be carried out either directly by HSDM or HSDM nominated Agency as per
stipulated norms and the accreditation standards for running a Job Role. The Agencies/TP must maintain
the required infrastructure and personnel at the centres always during training.
6. Merely fulfilling the eligibility criteria for selection of applicant under this EOI or getting empanelled, will not
guarantee allocation of work or award of target to the agency.
7. The selected organization must ensure uninterrupted power/ electricity during training and will have to
keep in place appropriate safety measures for the safety of the candidates, personnel deployed there in
and of the available infrastructures at their own cost and responsibility.
8. The empanelled Training Partners must ensure that, all the under-training candidates punch in and punch-
out their attendance on the AEBAS /Geotech real time attendance capturing system on regular basis. The
same attendance data will be used as means of verification for the payments to the Training Partners.
9. Duration of the Project: The agency will be empanelled for 3 years subject to annual renewal of
accreditation on the SMART Portal as per guidelines and standards of accreditation or any further circular
orders issued by the MD, HSDM.
10. Conduct of Training and Branding of program: The Applicant has to follow guidelines, circulars,
notifications etc. Issued by HSDM, MSDE, NSDC, respective SSCs, including cost and process norms for
Branding of the program, Training, Assessment & Certification, Placement, Tracking, Payment
disbursement etc.
11. The Mission Director, HSDM reserves the right to accept or reject any proposal without providing any
reason, what so ever. The decision of HSDM shall be final and binding upon the Private Engineering
Institution/Universities.
12. Jurisdiction: All disputes and differences, whatsoever shall be referred to the courts at Chandigarh,
Haryana which shall be the courts having jurisdiction to entertain and try the same.
Submission of Proposal
Only the interested Private Engineering Colleges/universities/ITIs/Polytechnics fulfilling eligibility conditions as
mentioned above can submit their detailed proposal for Empanelment of Private Engineering
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Haryana Skill Development Mission
Colleges/Universities/ITIs/Polytechnics as Training Provider with Haryana Skill Development Mission, State to the
Mission Director, Haryana Skill Development Mission (HSDM), Panchkula on or before 29/08/2019.
List of Document/Papers to be Submitted along with the Proposal
Covering Letter Annexure-1
Applicant details along with required documents Annexure-2
An affidavit for not being blacklisted Annexure-3
A self-declaration certificate Annexure-4
Copy of audited financials for the last 3 years along with required
documents
Annexure-5
Training and Placement details with required documents Annexure-6
Employability Potential Mapping Annexure-7
Staff/Human Resource Details Annexure-8
Note: The Mission Director, HSDM reserves the right to accept or reject any proposal without
providing any reason, what so ever. The decision of HSDM shall be final and binding upon the
Company/Agency.
For further details, visit website www.hsdm.org.in
Tender Cost & Proposal Processing Fees
All applicants are requested to submit a non-refundable Tender Cost of Rs. 50,000/- (Rupees Fifty Thousand only)
and Proposal Processing Fee of Rs. 25,000/- (Rupees Twenty five Thousand only). This will be paid in the form of
a Demand Draft Payable to ‘Haryana Skill Development Mission' payable at Panchkula, drawn on any scheduled
commercial bank and must accompany with covering Letter in cover of the Proposal Document. Further the bid
should also include a non-refundable e-service fee of Rs. 1,180/- (One Thousand One Hundred Eighty Only) as
crossed Bank Draft drawn in favor of ‘Society for IT Initiative funds for e-Governance’ payable at Chandigarh drawn
on any scheduled commercial bank. Proposals that are not accompanied by any of the above shall be rejected.
Performance Security Deposit
If work is sanctioned and work order is issued to the empanelled training partner, the TP would be required to
furnish a Performance Security Deposit (PSD) i.e. an amount of 10% of the work order issued for the specific
training centre during the submission of document for the centre approval. The PSD will be submitted in favour of
“Haryana Skill Development Mission” payable at Panchkula. This would be treated as one of the checklist for the
approval of training centre. The Performance Bank Guarantee of the TPs are permissible to release after approval
http://www.hsdm.org.in/
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Haryana Skill Development Mission
form the HSDM, The HSDM will write to bank for release the PSD for TP. The Validity of the Performance Security
Deposit (PSD) would be 2 yrs. form the date of TP empanelment.
Time Lines
Proposals received up to 29/8/2019 at 5:00 PM would be considered for first round of selection; however, this is a
rolling advertisement. Pre-Bid conference is scheduled for 26/8/2019 at 11:00 AM. Any clarification/corrigendum
will be issued in due course. The proposals received till 30th of every month from 01/09/2019 onwards shall be
considered for the next round of selection as per requirement. However, if it falls on any holiday the next working
day shall be taken into consideration.
Duration of Empanelment
The duration of the empanelment will be of 3 years and may be extended based on Training Partner’s performance.
The HSDM reserves all the rights to discontinue Training Partner any time in case of non-performance after due
show cause notices.
Training Reimbursement
It will be paid as per Common Cost Norms guidelines issued by MSDE as amended from time to time. No amount
will be paid over and above as mentioned under CNN guidelines.
1. The 1st, 2nd and 3rd trench of payment would be @ 30%, 30% & 40% respectively.
2. 30%: Within 10 days from the date of commencement of the batch, 30%: Within 10 days from the date of
certification of the batch & 40%: Post placement & retention record submission of the batch within 3 months
from the date of certification. Failing in submission of invoices on the requisite time, penalty will be imposed
0.5% for each consecutive week subject to maximum of 5%.
Training Infrastructure
To be provided by the Training Partner as per scheme/Sector Skill Council (SSC) Guidelines mentioned in space
norms, tool list and qualification & experience of Trainers.
Employability Potential Mapping
All the applicant (Private Engineering Colleges/Universities/Polytechnics/ITIs) must submit the local skill gap
analysis report along with the Job roles/QP in demand for the Industries existing in vicinity of the District and
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Haryana Skill Development Mission
placement opportunities available for the proposed Districts in Haryana. This analysis should be done in
consultation with local Industries, SSCs and District administration.
HSDM prefers that the placements shall happen in the same district or adjoining district where the training is being
imparted at the minimum wages prescribed by the Department of Labour, Haryana (as amended from time to time).
If the candidate can be placed above Rs. 15,000 p.m. then the relocation shall be allowed.
Evaluation Criteria:
Private Engineering Colleges/Universities/Polytechnics/ITIs
Particulars Criteria Maximum
Marks
Criteria for Scoring
Financial Strength Private Engineering
Colleges/Universities: =>2 Crore
Private ITIs /Polytechnics: =>1Crore
10 Private Engineering Colleges/Universities:
More than 2 Crore but less than 3 Crore (Private
Engineering Colleges/Universities) = 5 Marks
3 Crore or More than 3 Crore (Private Engineering
Colleges/Universities) = 10 Marks
Private ITIs /Polytechnics:
More than 1Crore but less than 2 Crore (Private
ITIs /Polytechnics) = 5 Marks
2 Crore but More than 2 Crore (Private ITIs
/Polytechnics) = 10 Marks
Specialized faculty as
per Sectors
As per common norms of the
Schemes in concerned Sector
25 More than 50% Resources = 25 Marks
40-50% Resources = 20 Marks
30-40% Resources = 15 Marks
20-30% Resources = 10 Marks
10-20% Resources = 5 Marks
Less than 10% Resources = 1 Marks
UGC registration
Grade/ AICTE
registration /Affiliation
of HSBTE/NCVT
1. Minimum NAAC B -Grade /NBA
accreditation for university.
2. AICTE approved/NBA
accredited for Pvt. Engineering
colleges
3. Affiliation of HSBTE for Private
Polytechnics colleges
4. Affiliation of NCVT for Private
ITIs Colleges
10 Accreditation Certificate for Universities:
At least one registration of NAAC B-
Grade/NBA accreditation for
University`(Available) = 10 Marks
NAAC B-Grade/NBA accreditation for
University (Not Available) = 0 Marks
Accreditation Certificate for Private Engg.
Colleges:
At least AICTE approved/NBA accredited for
Pvt. Engineering colleges (Available) = 10
Marks
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Haryana Skill Development Mission
AICTE approved/NBA accredited for Pvt.
Engineering colleges (Not Available) = 0
Marks
Affiliation Certificate for Private
Polytechnics Colleges:
Affiliation of HSBTE for Private Polytechnics
colleges (Available) = 10 Marks
Affiliation of HSBTE for Private Polytechnics
colleges (Not Available) = 0 Marks
Affiliation Certificate for Private ITIs:
Affiliation of NCVT for Private ITIs Colleges
(Available) = 10 Marks
Affiliation of NCVT for Private ITIs Colleges
(Not Available) = 0 Marks
State Ranking/Level 3
and above Minimum
Grading
1. State Ranking for All Private
Engineering
Colleges/Universities
2. In case of polytechnics the
standard parameters will be
evaluated according to facilities
/faculty and placements by the
HSDM Committee
3. In case of ITIs the level 3 and
above Minimum grading
5 State Ranking for Pvt. Engg.
Colleges/Universities:
State ranking (Available) = 5 Marks
State ranking (Not available) = 0 Marks
Level 3 & Above Minimum grading for ITIs:
Level 3 & above Minimum Grading (Available) = 5
Marks
Level 3 & above Minimum Grading (Not available)
= 0 Marks
Note: In case of polytechnics the standard
parameters will be evaluated according to
facilities /faculty and placements by the
HSDM Committee
Infrastructure
(Amenities & Facilities)
As per norms required for
course/Sector
Classrooms
Labs
Play Ground
Library
Study halls
Assembly area
Hostel facility
Transport facility
Cafeteria/Canteen
25 Criteria match as per regulatory body = 25 Marks
Criteria doesn’t match as per regulatory body =
0 marks
Placement record (Last
3 Years)
MoU Signed – 10
Placements Status- Offer letter
Company/Industry Tie-Up/CoE
Salary Structure
25 Placement Record:
More than 500 but Less than 1000 Candidates =
10 Marks
More than 1000 but less than 2000 Candidates =
15 Marks
2000 or More than 2000 Candidates = 25 Marks
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Haryana Skill Development Mission
Note:
1. Bidder scoring of minimum 60 marks out of the above mentioned 100 marks will only be
considered for further empanelment processes.
2. Scoring merely 60 or above marks will not entitle the bidder for empanelment with HSDM.
3. Placement require as per common norms.
4. Presentation will be called form the institutions who will be scrutinised for Empanellment.
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Haryana Skill Development Mission
Annexure – 1: Cover Letter
To,
Haryana Skill Development Mission (HSDM),
Kushal Bhawan, Plot No – IP 2, Near Majri Chowk
Sector – 3, Panchkula (Haryana)- 134109 (Haryana)
Subject: Empanelment of Private Engineering Colleges/Universities/Polytechnics/ITIs as Training Provider with
Haryana Skill Development Mission
This is in response to the RFP issued by the Haryana Skill Development Mission (Ref No.
……………………..........) dated ……………………. We …………………………………………………………………
(Name of the Bidder) are keen to get empanelled with HSDM as Training Provider and hereby express our interest
in being considered for the same.
We are enclosing non-refundable DD towards tender processing fees as below:
Particulars Amount (In Rs.) DD No Date Bank
Tender Cost 50,000
Processing Fee 25,000
e-Service Fee 1,180
1. The RFP is being submit ted by …………………………………………………… which i s the “Bidder” in
accordance with the conditions stipulated in the RFP.
2. We have examined in detail and have understood the terms and conditions stipulated in the RFP issued by
HSDM and in any subsequent communication sent by HSDM. We agree and undertake to abide by all these
terms and conditions. Our RFP is consistent with all the requirements of submission as stated in the RFP or
in any of the subsequent communications from HSDM.
3. The information submitted in our RFP is complete and correct to the best of our knowledge and
understanding. We would be solely responsible for any errors or omissions in our RFP. We acknowledge that
HSDM will be relying on the information provided in the RFP and the documents accompanying such RFP
for Selection of Bidders for empanelment of Training Providers to impart skill development training in Haryana,
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 RFP are true copies
of their respective originals.
4. We have done Skill Gap Assessment in all the locations as mentioned in the RFP. The report of the Skill Gap
Assessment in enclosed in Page number ………. To …….
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Haryana Skill Development Mission
5. We are also submitting …………………. numbers of MoU copies, which we signed with respective Industries
for regular placement as per their required job roles. The copies of MoU are enclosed in page number
………………….to …………….
6. We acknowledge the right of HSDM to reject our RFP without assigning any reason or otherwise and hereby
waive, fully permitted by applicable law, our right to challenge the same on any account whatsoever.
7. We declare that we satisfy all legal requirements and meet all the eligibility criteria laid down in the RFP.
8. This RFP is unconditional, and we hereby undertake to abide by the terms and conditions of the RFP.
9. We understand that any work sanctioned in pursuance to the empanelment process detailed in this RFP
shall be on the terms and conditions specified in the Letter of Award/ Work Order/ Agreement pertaining to
such work, which shall be thoroughly reviewed and accepted by us before undertaking such work.
10. 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.
For and on behalf of: Signature:
Name: Designation:
(Company Seal)
(Authorized Representative and Signatory)
Note:
The Covering Letter is to be submitted by Company Secretary/ Authorized Representative and Signatory on the
organisation’s letterhead with his/her dated signature and seal.
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Haryana Skill Development Mission
Annexure-2: Applicant Details
Declaration to be submitted under the signature of Authorized Representative / Signatory of the applicant
(Private Engineering Colleges/Universities/Polytechnics/ITIs) on official Letterhead and official seal
For and on behalf of: Signature:
Name: Designation:
(Company Seal)
(Authorized Representative and Signatory)
Please provide copy of the below mentioned:
Copy of Registration/Incorporation Certificate
Memorandum and Articles of Association (if any).
Copy of MoA and By laws (if any).
Copy of any other Registration Certificate which proves the legal identity of the agency.
Note: In addition to above documents, applicant needs to submit the copy of PAN Card & GST
Registration Number.
S. N Description Details
1 Name of the legal entity of the Applicant
2 Status/ Constitution
3 Name of the authorised Signatory
4 Details contact address along with Website address
5 Registration number of Society
6 Registration number of AICTE/UGC/HSBTE/NCVT
7 Date registration/ incorporation
8 Place of registration
9 PAN Card number of the organization/ institution
10 SPOC for this project (Contact number & Email id)
11 Secondary point of contact (Contact number & email id)
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Haryana Skill Development Mission
Annexure-3: Affidavit for not being blacklisted
(Affidavit on non-judicial stamp paper by Company Secretary/ Authorized Representative and Signatory of the
Bidder with his/her dated signature and company seal)
Affidavit
I/ We, on behalf of ........................................................ (Name of Bidder), with its registered office at
............................................................. do hereby declare that the above-mentioned Bidder has not been
blacklisted/ debarred by any State/Central Government authority / Donor Agency in Government of Haryana and
Government of India.
For and on behalf of: Signature:
Name: Designation: Date:
(Company Seal)
(Authorized Representative and Signatory)
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Haryana Skill Development Mission
Annexure-4: Self-Declaration for Authorized Representative
Self-Declaration
Declaration to be submitted under the signature of Authorized Representative / Signatory of
Colleges/Universities/Polytechnics/ITIs) on official Letterhead with seal
To whomsoever it may concern
Based on registration document/certificates, we M/s (Name of agency), having office at (Office address), hereby
give our consent for following as per norms of HSDM (As amended from time to time):
1. To set-up dedicated Skill Development Centre (SDC) as per given specification in the guideline with
specified capacity and get it affiliated from respective Sector Skill Council (SSC).
2. To arrange sufficient space, furniture, equipment, tools, trainers, training aids, raw
3. material, electricity, water supply and other essentials required for imparting training to youth in the
proposed course(s).
4. To mobilize and counsel youth for training and taking up a job, wherever available (wage/self-
employment) after training.
5. To hire/engage competent and eligible trainer(s) to undertake training in the proposed courses get them
certified from respective Sector Skill Council (SSC).
6. To install Attendance system and Aadhar based bio-metric devices as per Scheme guideline.
7. To install CCTV cameras with HD video and Voice recording, which can be accessed through internet.
8. To arrange assessment and certification of trained youth as per Scheme guidelines.
9. To arrange employment for trained youth as per scheme guidelines.
10. To ensure tracking of placement of youth as per scheme guidelines.
11. To maintain records of trainings including the expenditure made for setting up and conducts of skill training
programmes for 3 years.
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Haryana Skill Development Mission
Annexure – 5: Financial Capability Statement
Format – Financial Capability Statement
(Duly signed by the Authorised Representative and certified by a Chartered Accountant)
Based on audited financial statements, I/ We hereby submit that ................................. (Name of Bidder), having
registered office at .................................................................., has annual turnover, net profit / loss, net worth and
annual turnover from skill development activities, in past three consecutive financial years (2016-17, 2017-18,
2018-19), as follows:
S.
No.
Financial
Year
Annual
Turnover
(Rs. Lakhs)
Net Annual
Profit / Loss
(Rs. Lakhs)
Net worth
(Rs. Lakhs)
Annual Turnover from skill
development activities/
programmes (Rs. Lakhs)
1. 2016-17
2. 2017-18
3. 2018-19
TOTAL
AVERAGE
For and on behalf of:
Signature: Name: Designation: Date:
(Company Seal)
(Authorized Representative and Signatory)
Note:
1. Bidder is required to submit the audited financial statements for the past three years (2016-17,2017-
18 and 2018-19).
2. Bidders who have not been in existence for three financial years may provide details pertaining to
the duration of their existence.
3. All supporting documents should be duly certified by a Chartered Accountant.
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Haryana Skill Development Mission
Annexure – 6: Format – Training and Placement Record in Haryana (i) Training and Placement Record in Past 3 Financial Years
Name of
Sector
Details Total no. of
candidates trained
(A)
Total no. of
candidates
passed &
placed
(B)
Average salary
range of
placed
candidates (C)
Sector A
Name of program /
scheme
Name of program /
scheme
Name of program /
scheme
Total
Sector B
Name of program /
scheme
Name of program /
scheme
Total
Total (all sectors) for past 3
financial years
Note 1: Data may be provided for financial years 2016-17, 2017-18 & 2018-19
Note 2: Bidders are requested to furnish information in an organised manner as per the
format mentioned above and guidelines mentioned below Duly signed by the Authorised
Representative and certified by a Chartered Accountant.
Note 3: Please attach supporting Document corresponding to each item under A,B,C Duly
signed by the Authorised Representative and certified by a Chartered Accountant.
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Haryana Skill Development Mission
Annexure-7: Employability Potential Mapping
Employability Potential Mapping
Declaration to be submitted under the signature of Authorized Representative / Signatory of the applicant
agency on official Letterhead with seal
We, M/s ……………….name, having its registered office at , want to conduct the training in
the …………………………districts (no.) in …………………sectors (no.). We did the Employability Potential
Mapping based on …………………...Companies/Employer (no.) and …………………. youth (no.)
District Sector # Industries
Assessed
# potential job
offers to be made
(Annual)
Average Salary
to be offered
For and on behalf of: Signature:
Name: Designation: Date:
(Company Seal)
(Authorized Representative and Signatory)
-
Haryana Skill Development Mission
Annexure-8: Human Resource Details
Declaration to be submitted under the signature of Authorized Representative / Signatory of the
applicant agency on official Letterhead with seal
We, M/s ……………….name, having its registered office at , want to conduct the training in the
…………………………districts in …………………sectors (no.). The details of qualified & certified professionals for
conduct of training is given below:
Sector/Domain/ Soft Skill # Trainer/ Staff Available # Trainers/Staff certified as
per SSC standards
For and on behalf of: Signature:
Name: Designation: Date:
(Company Seal)
(Authorized Representative and Signatory)
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Haryana Skill Development Mission
Annexure -9: New QP (Saksham Skill Training)
Following are the New QP for Saksham Skill training:
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Haryana Skill Development Mission
-
Haryana Skill Development Mission
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Haryana Skill Development Mission
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Haryana Skill Development Mission