Format for Enrollment of children for SPONSORSHIP under Mission Vatsalya/

ICPS Scheme

1 Name of the District

2 Name of the ICDS Project
3 Name of the Mandal
4 i) Name of the Village
ii) Name of the Panchayat & Code/Ward and
Number
iii) Name of the Village /Ward Secretariat and ID

iv) Pin Code:

5 CHILD DETAILS:
i) Name of the Child (full name in Capital
letters)
Aadhar number of the child

Name of the Father

Aadhar number

Name of the Mother

Aadhar number

Name of the Guardian

Aadhar number

ii) Date of birth of the child and Age

iii) Gender M/F

iv) Name of the School and Class Studying

v) Caste

vi) Religion

vii) Contact Phone numbers 1. 2.

viii) Name of the Bank with IFSC Code & Branch

ix) Bank Account No. (child or joint A/c with
Father or Mother or guardian)
6 i) Name of the Deceased (Father or Mother)

ii) Date of death

iii) Reasons for death

iv) Relation of the deceased with Child

v) Death Certificate No.

7 i) Financial Status and Family income (Below
poverty line/Above Poverty line)
ii) Annual Income
iii) PDS Ration & Rice Card number
8. Is the child eligible for Sponsorship (Yes/No)
Give Justification

Enclosures

1 Date of birth certificate of the child Yes/No

Death certificate of Deceased (Father or Mother) Yes/No
2 Cause of death certificate Yes/No
certified by the Hospital or Medical Officer
3 Xerox copy of COVID positive test report Of Yes/No
Deceased (Mother or Father)
4 Xerox copy of Aadhar of the child Yes/No
5 Xerox copy of Aadhar of the father Yes/No
6 Xerox copy of Aadhar of the mother Yes/No
7 Xerox copy of Aadhar of the Guardian Yes/No
8 Xerox copy of PDS Ration & Rice Card Yes/No
9 Xerox Copy of the caste certificate Yes/No
10 Passport size photo of the Child Yes/No
11 Study Certificate of the Child Yes/No
12 Xerox Copy of the Bank A/c of the Child or joint Yes/No
account with father or Mother or guardian

Date:

Place:

Certified that the above information furnished by me is True & Correct

Signature of the Child Signature of the Father/Mother/Guardian

Certificate
This is certified that I have personally verified all the records of the child and the
child (Orphan/Semi Orphan) is eligible for Sponsorship as per Mission Vatsalya Guidelines.
Hence we recommended the application for sanction of Sponsorship under Mission
Vatsalya/ICPS Scheme.

MSK AWW Supervisor CDPO

 SPONSORSHIP: Provision of supplementary support, financial or otherwise,
to the families to meet the medical, educational and developmental needs of the
child. Under Sponsorship programme, the Mission shall supplement the biological
families or extended families of children in need of care or protection for adequate
care of the child. It shall be a conditional assistance, to ensure that children get the
opportunity to stay and grow within their social and cultural milieu in the
community, without displacement.

• A monthly grant of Rs. 4000/- per child shall be provided.

• Eligibility Criteria for Sponsorship

(1) Where mother is a widow or divorced or abandoned by family;
(2) Where children are orphan and are living with the extended
family;
(3) Where parents are victims of life threatening/terminal disease;
(4) Where parents are incapacitated or unable to take care of
children both financially and physically.
(5) Children in need of care and protection as per the JJ Act, 2015
namely without home, victim of any natural calamity, child
labour, victim of child marriage, trafficked child, HIV/AIDS
affected child, child with disabilities, missing or runaway child,
child beggars or living on the street, tortured or abused or
exploited children who require support and rehabilitation.
(6) Children covered under the PM CARES For Children Scheme.

• Economic Criteria for Preventive Sponsorship (Sponsorship support will

be provided to a vulnerable family to enable a child to continue to remain in
the biological family including extended family and blood relatives and to
continue his/her education).
• For preventive sponsorship, children in conditions of extreme deprivation
based on the “proxy parameters” of - types of residential locality, social
deprivation and occupation shall be selected, whose family income does not
exceed:
a) Rs. 72,000/- per annum for rural areas,
b) Rs. 96,000/- per annum for others.

• Duration of Sponsorship
The sponsorship can be extended up to 18 years of age based on reasons to
be recorded in writing by Juvenile justice Board, Child Welfare Committee,
or the Children’s Court. The duration of the sponsorship support shall be co-
terminus with the period of Mission Vatsalya.

❖ If at any point of time the child has to be institutionalized the sponsorship

assistance shall be discontinued.
❖ Sponsorship assistance will be reviewed and suspended, if the school going
child is found to be irregular for more than 30 days in school attendance
except in case of children with special needs.