FORMAT FOR CHAIRPERSON OR MEMBER OF THE CHILD WELFARE COMMITTEE(CWC) OF THE DISTRICT OFCUTTACK

APPLICATION SUBMITTED FOR THE POSITION………..

[Please indicate (i) Chairperson or (ii) Member or (iii) Both) ]

To,
The Collector-cum-District Magistrate
Cuttack.

Sub: Submission of application for selection as a Chairperson

or Member or boath of the Child Welfare Committee.

01. Name of the Applicant: Minati Bindhani

02. Mother’s Name: Late-Subarnamani Bindhani
03. Father’s Name: Late-Banshidhar Bindhani
04. Present Address: C/o-Women & Child Welfare Society,
At-Gamhandia New Colony,
Po-Buxibazar,
Dist & City – Cuttack – 753001, Odisha,
05. Permanent Address: At: Mangalabag
Ward No: 33, Holding No: 90
P.S: Mangalabag
Dist. & City: Cuttack-753001.
State: Odisha)
06. Date of Birth: 03/05/1966
07. Gender: Female
08. Nationality: Indian
09. Id, Type and Reference Number:
 Id. Type[Election’Photo
Identity Card/PAN/Adhar etc.

10.  Phone Number: Office: 0671-2414810, Mobile: 9337252333

 e.mail Id. wcwsminati@gmail.com/
gensecywcws1@hotmail.com
11. Details of Experience of working with children in the following field pertaining to children for last
seven years.
Subject. Activities in Brief along with name of the Year of Duration to be
organization, if any experience mentioned
In one or against each.
all subjects. (from—to---)
(i) (ii) (iii) (iv)
Education.  Vocational Training on Fabric Importtant Projects/ Programme has
Painting,Tailoring,Coir Products been accomplished in the state of
 Special Projects for Placement Linked Odisha by ‘Women & Child Welfare
Skill Development of Rural BPL Youths Society”, Organised/Conducted by
under Swarnajayanti Swarozgar Yojana Minati Bindhani General Secretary of
(SGSY). WCWS. between (1994-2017)
 Skill Training for Employment Promotion 22years.
Amongst Urban Poor(STEP-UP) under
SJSRY.
 Training Programme on Youth
Leadership, Community Development &
Swachha Bharat Abhiyan
 Neibourhood Youth Parliament & Yoga
Rehearsal
 National Integartion Camp
 Observation of Communal Harmony
Camapaign and Fund Rising Week
 Investor’s Education & Awareness
Programme
 “Let us Keep to Promises” towards
achiving the UN Millennium Development
Goal
 National Capacity Building Frame Work-
Field Level Training Programme for PRI
Members
 Camapaign Against Child Labour
 National Child Labour Project Special
School
 Non-formal Education Centre
 Children’s Library, Recreational Creach
Centre
 Bal Sanssad
 Awareness Generation Programme on
Social Rituals land custans like dowery
system,child marrage etc
 Workshop on Disaster Preparedeness &
Management
 Legal Awareness and Leadership
Development Programme, Legal
Awareness Camp & Free Legal Aid Advice
Cell
 Awareness Programme on Untochability
 Workshop on Facilities for persons with
Disability in Public Transport
 Road Safety Activities Observation
 of Oil & Gas Conservation Fortnight
 Energy & PCRA activities : Youth
Programme,Domestic
 Workshop,Agricultural Workshop,Kisan
Mela & Exhibation
 Consumer Awareness Programme for
Rural People and Related Activities
 National Environment Awareness
Campaign
 Environmental Education & Potection
Programme
 Nature Study & Biodiversity Activities
 Seminar on Climate Change
 “Technical Resource Centre” under
PROBR-Orissa Programme
(Meteorological Acivity on Weather Data
Collection and Annalisys)
 Promotion of VIPNET Network Science
Club under Vigyan Prasar,Department of
Science & Technology,Govt.of India, New
Delhi.
 Agrasar Lecture and Demonstration
Programme on”Global Warning and
Mitigation Options”
 Agrasar Lecture and Demonstration
Programme on “Climate Change:
Challenges and Opportunities”
 Agrasar Lecture and Demonstration
Programme on”Management of Scientific
Awareness of Emerging Adoescence
Problems”
 Organising theWelcome Programme
Science Express Bio-Diversity Special at
Cuttack Railway Station
 Public Library Services
Health.  Safe Motherhood Programme
 Total Santation Programme
 Safe Drinking Water & Sanitation
Programme
 Training Programme on Weste Water
Management & Malaria Prevention
 Programme on Slum Adolescents
 Awareness Programme for Rural and Poor
Women on Yoga & Naturopathy
 Medical Waste Management, Plantation
and Kitchen Garden Programme
 Promotion of Yoga & Naturopathy
 Training Programme for DOT Providers
 Bed Net Impregration Programme
 Immunisation Programme
 Drug Abus and AIIDs Control Programme
 Observation of World Health Day with
Free Health Check-up Camp
 Awareness Programme on Dengu &
Malaria
 RCH-Camp
 Observation of National Pollution
Prevention Day
 Seminar on Management of Plastic Waste
 Medicinal Plantation Programme
Welfare  Micro Enterprises Development
Programme (MEDP) for Mature SHG
Members “Fabric Painting Training”
 Child Labour & Imnmoral Traffics
 Gender Equaclity Awareness
 Family Welfare Consultancy Centre
 Observation of International Women’s
Day and Promotion of Cultural
Activities(Jhoti Comptition}
 Nursery Programme
 Rain Water Harvesting
 Commitment to Physically Challanged
 Care to Animals and Wild life
 National Livestock Census
 Peoples Audit for Health,Education and
Livehood (PAHELI) Survey
 Mapping of Municipality Hospitals and
Dispensaries
 Baseline Survey of Odisha Community
Tank Mannagement Programme
 Exhibition on Art & Crafts
 Celebration of Jay of Giving
 Relef Materials Distribution
Total Years: 22years.
12. Educational Qulafication:
(if applicant is a practing professional in child psychology or psychiatry or law or social work or sociology or
human development, details of Degree.)
Name of the University or Name Subject Year Present
recognized Institution. of the (Degree in Child psychology of Occupation
Degree or psychiatry or law or social Passing
work or sociology or human
development)
 Kaptipada College B.A 22 years experience in
At/Po: Kaptipada, Social Service, Presently
working as General
Dist: Mayurbhanj
Secretary of Women &
State: Odisha Child Welfare Society,
Cuttack, Odisha since
1994, in this connection
different projects and
activities implemented very
 successfully of Govt. of
India, Govt. of Odisha,
different Corporate Agencies,
Doner Agencies etc.
 Training/Seminar/Workshops attended:
Sl. Organization Year
No Topic
01 Sensitization programme on Rights of the Child National Institution of Public 1997
Cooperation and Child
Development(NIPCCD),Ne
w Delhi
02 Orientation Course on Micronutrients for -do- 1998
Personnel of Voluntary Organisations engaged
in Maternal and Child Health
03 Orientation Course for Functionaries of -do- 1999
Voluntary Organisation on Holostic approach to
the Development of Adolescent Girls
04 Course on Early Childhood Care & Development -do- 2004
for Voluntary Organisation
05 Orientation Programme on Child Labour for V.V.Giri National Labour 2004
NGOs Institute,
NOIDA
06 Capacity Building of Community Based National Institute of Rural 2005
Organisation for Participatory Development Development(NIRD),Hyder
abad
07 Capacity Building of VOs on Project Formulation National Institution of Public 2006
for Food Security and Nutritional Improvement Cooperation and Child
Development(NIPCCD),Ne
w Delhi
08 Workshop on Family News Service(FNS) Indian Red Cross Society, 2009
Orissa State Branch
09 State Level workshop on Right to Information Commonwealth Human 2003
& Electoral Reforms Rights Initiative,New Delhi
10 State Level Workshop on General Discrimination Society for Wraker 2005
on women in this present day society Community,Bhadrak
11 Para-Legal workers Training Course Orissa Legal Aid and 1997
Advice Board,
Cuttack
12 Regional Meet for VIPNET Clubs Vigyan Prasar,Dept.of 2012
Science &
Technology,Govt.of India
13 Fourth Global Meeting of Nongovernmental Global Alliance of NGOs for 2015
Organizations Advocating for Road Safety and Road Road Safety
Victims 13-14 March 2015 Zalagh Kasbar Hotel &
Spa Marrakech, Morocco Pre-conference 12 March
2015
14 Fifth Global Meeting of Nongovernmental Lotte Brondum 2017
Organizations Advocating for Road Safety and Road Executive Director, Global
Victims (Global Meeting), which will take place Alliance of NGOs for Road
from 3–6 April 2017 in Kuala Lumpur, Malaysia, Safety
15
04 Membership Status in different committees:
 Life Member of Indian Red Cross Society, Odisha Branch
 Member of District Road Safety Committee, Cuttack, Odisha
 Member of District Level M. T. P. Committee, Cuttack, Odisha
 Member of District Vigilance Committee under SC & ST, Cuttack, Odisha
 Member of District Vigilance Committee under Bonded Labour, Cuttack, Odisha
 Monitoring Committee Member of District Rogi Kalyan Samiti of District Headquater
Hospital (DHH), Cuttack, Odisha
 Member of Voice for Child Rights Orissa (VCRO), Cuttack, Odisha
 Member of International Naturopathy Organisation, Odisha Branch
 Member: Campaign Against Child Labour (CACL), Cuttack District Chapter
 Joint Secretary: Forum for Prevention of Road Accidents (FPRA), Cuttack
 Member: Committee for Legal Aid to Poor (CLAP) Legal Network, Cuttack
 Member: Vigyan O’ Paribesh Vikas Samiti (VPVS), Cuttack
 Member: Forum for Crèche and Child Care Services (FORCES), Orissa Chapter
 Asst.Coordinator: White Ribbon Alliance for Safe Motherhood, Cuttack Chapter
 Member: Internal Complaint Committee of Sexual Harassment of Women at Workplace,
DIG of Prison, Cuttack Range
 Member: Internal Complaint Committee of Sexual Harassment of Women at
Workplace,STA,Odisha,Cuttack
 Member of State Medicinal Plant Board.
 Nominated Member of SWARUPA (SHG Federation).
 Member of Mother & Teachers Committee in Gamhandia U.G.M.E School, Reserve
Police Line U.G.M.E School and Nilakantha Primary School, Cuttack, Orissa.
 Member of Task Force on Providing Facilities to Persons with Disabilities.
 Member of Youth Award Selection Committee of NYKS and District Administration.
 Member of Intenational Women Peace Group,Koria.
 Global Alliance of NGOs for Road Safety
Details about any major awards and recognitions received by Minati Bindhani, General Secretary of
the organization.
Best Road Safety Marwari Yuva Mancha, Mrs. Minat Bindhani, General Secretary
Activist Cuttack received the honour as a Best Road Safety
Activist-2016 from Marwari Yuva Mancha,
Cuttack.
Best Social Activist “Sakalasathi”, Odia New Mrs. Minat Bindhani, General Secretary
Paper, received the honour as a Best Social
Cuttack. Activist-2016 from “Sakalasathi”, Odia New
Paper ,Cuttack.
Best Road Safety District Administration, Mrs. Minati Bindhani, as a Joint
Activist Cuttack Secretary of FPRA & General Secretary,
WCWS, has been awarded by the
Hon’ble Minister of Panchayat Raj
Department Dr. Damodar Rout on the
occasion of Independence Day 2016 for
the Best organization for Road Safety
Awareness with certificate of merit and
memento was given.
Best Road Safety Regional Transport Authority, Mrs. Minat Bindhani, General Secretary
Award Cuttack. received the honour as a Best Road Safety

Jana Kalyan Jana Kalyan Club
Samman Unit:IX, Bhubaneswar
Best Road Safety Police Commissionerate,
Activist Bhubaneswar-Cuttack, Govt.
of Odisha.
Prativa Puja Centre for Youth and Social
Samman Awareness, Banra, Banki,
District: Cuttack
Prakruti Mitra Award Government of Odisha, Forest
and Environment Department,
Bhubaneswar.
Sevaratna Samman “Manswani” Pardeep,
Atharbanki, Jagatsinghpur &
”Bidutprava Routray Smruti
Parisad”, Bhubaneswar
Akhayatrutia Krusak Sambad, Cuttack
Samman
Best Social Activist Cuttack District Union of
Journalists
Mathasahi, Chauliaganj,
Cuttack
District Level Road District Administration,
Safety Award Cuttack
Road Safety State Transport Authority,
Appreciation Govt. of Odisha: Cuttack,
Award-2016 from Regional Transport
Authority, Cuttack.
Mrs.Minati Bindhani, General Secretary
of Women & Child Welfare
Society,Cuttack honour as a ”Jana Kalyan
Sanman” 2014 for Women
Empowerment, Youth & Community
Development works since 1994.
Mrs. Minati Bindhani, General Secretary
of Women & Child Welfare Society,
Cuttack has been adjudged as the Best
Road Safety Activist on the occasion of
24th National Road Safety Week-2013.
Mrs.Minati Bindhani, General Secretary
of Women & Child Welfare
Society,Cuttack honour as a ”Prativa Puja
Sanman” 2011 for life time Social Work
for Women Development activities since
1994.
General Secretary Mrs. Minati Bindhani
has received on behalf WCWS ‘Prakruti
Bandhu Award’ for the excellent work in
the field Nature & Environment
Conservation, from the Department of
Forest and Environment, Govt. of Odisha
for the year 2010-11.
General Secretary Mrs.Minati Bindhani
honour as a Sevaratna Samman-2009 for
the Social Work by Manaswini,
Paradeep &”Bidutprava Routray Smruti
Parisad”, Bhubaneswar
Mrs. Minati Bindhani General Secretary
honour as a Akhayatrutia Samman -2009
for the Social Work by Krusak Sambad,
Cuttack.
Mrs. Minati Bindhani,General Secretary
honour as a Best Social Activist-2009.
Mrs. Minati Bindhani, General Secretary,
WCWS, has been awarded by the
Hon’ble Minister of Industries and Law
Sri Biswa Bhusan Harichandan on the
occasion of Independence Day 2008 for
the Best organization for Road Safety
Awareness with certificate of merit and
shield was given.
WCWS has awarded by the Hon’ble
Minister of Transport Sri. Jayanarayan
Mishra on the occasion of 19th National
Road Safety Week-2008 for the area of
 Road Safety work in the state of Odisha
with Certificate of Appreciation.
Nyaya Jyoti Award Committee for Legal Aid to On the eve of 27th Foundation Day 2008
Poor, of Committee for Legal Aid to Poor
Cuttack (CLAP), General Secretary Mrs. Minati
Bindhani has been awarded by Nyaya
Jyoti Award for outstanding contribution
to CLAP for the promotion of Human
Rights and the Role of Law.
Rajiv Gandhi Rajiv Gandhi On the eve of 16th Death Anniversary of
Sadbhawana Award Forum,Odisha. Former Hon’bel Prime Minister of India
Bhubaneswar Late Rajiv Gandhi, the General
Secretary Mrs. Minati Bindhani has
awarded by ‘Rajiv Gandhi Sadbhawan
Award’-2007 for popular Women
Organizer for Environment Awareness
from Rajiv Gandhi Forum, Odisha.
Prakruti Bandhu Government of Odisha, Forest On the eve of World Environment
Award and Environment Department, Day2007, the General Secretary Mrs.
Bhubaneswar. Minati Bindhani has awarded by ‘Prakruti
Bandhu Award’ for the excellent work in
the field Environment, Education,
Conservation, etc. from the Department
of Forest and Environment, Govt. of
Odisha.
14TH Godfrey Philip Godfrey Phillips India Ltd. WCWS has honored with ‘14th Godfrey
Bravery Award New Delhi 110025 Philip Bravery Award’-2006 for social act
of courage from Godfrey Philip India Ltd,
New Delhi. The organization honored for
the sincere work for the cause of
environment protection, elimination of
child labour, women and children
belonging to the marginalized section. In
the form of a Bronze Medal and
Certificate the award was received from
Hon’ble Minister of Urban Development
Mr. Kanak Vardhan Singhdeo.
Best OrgnIzation of District Administration, On the eve of Republic Day-2006,
Environment Cuttack WCWS has awarded by Hon’ble Chief
Awareness Minister Sri. Nabina Pattnaik in the
presence of Collector, Cuttack and S.P.,
Cuttack. Certificate of Merit and Shield
was also given to the General Secretary.
Best Social Worker District Administration, Mrs. Minati Bindhani has honored from
Cuttack our Ex-collector Mr. Aswini Kumar
Vaishnaw, I.A.S as a Best Social Worker
with certificate of appreciation in the year
2003 for her sincere work and
contribution in Durga Puja, Kali Puja,
Baliyatra, etc.
Best Social Worker ‘Sabhyata’, Auli, Mrs. Minati Bindhani has honored from
 Kendrapara the organization ‘Sabhyata’, Auli,
Kendrapara, as Best Social Worker in
the year 2002.
Naba Krushna Bikash Yatra Secretariate, In the context of International Year of
Choudhury Samman CLAP, Volunteer (2001), Mrs. Minati Bindhani
36/7, Markat Nagar,Sector-6, honour as a Naba Krushna Choudhury
Cuttack-753014, Sanmman for outstanding contribution
as a volunteer by Bikash Yatra Confers
with shawl and certificate.
Siksha Yatra Bachpan Bachao Andolon Mrs. Minati Bindhani has received the
Appreciation [South Asia Coalition on Child ‘Siksha Yatra Appreciation’ certificate
Servitude], L-6,Kalkaji, from Bachpan Bachao Andolan (South
New Delhi-110019 Asian Coalition on Child Servitude), L-6,
Kalkaji, New delhi, for participating in the
Nation wide march aiming for free,
compulsory, meaningful and equal
education for all the children in the year
2001.
Bikash Yatra Bikash Yatra Secretariate, In the context of International Year of
Recognition CLAP, Volunteer (2001), WCWS awarded by
36/7, Markat Nagar,Sector-6, Bikash Yatra as Best Voluntary
Cuttack-753014, Organisation with Certificate of
Appreciation.
Best Social Activist Y.M.C.A, Cuttack Mrs.Minati Bindhani, General Secretary
of Women & Child Welfare
Society,Cuttack awarded ”Best Social
Activist” occassion of International
Womens Day2000 for life time Social
Work for Women Development.

Best Road Safety Activist 2016 Best Road Safety Activist 2016 Best Road Safety Activist 2016

Prativa Puja Sanman 2011 Prakruti Mitra Puraskar 2011 Junior Redcross Award for Road
Safety Activities 2010
 Junior Redcross Award for Road Akhshya Trutia Sanman 2009 Best Social Activist 2009
Safety Activities 2009

Seba Ratna Sanman 2009 District Level Road Safety Award 2008 Nayajyoti Award 2008

Road Safety Appreciation 2008 Rajiv Gandhi Sadvabana Award 2007 Prkruti Bandhu Award 2007

14th Godphery Philips Bravery Award Best Organisation Award for Best Social Worker Award 2002
2006 Environmental Awareness 2006

Nabakrushna Choudhury MemorialSanman2001 Mrs. Minati Bindhani, General Secretary WCWS successfully conducted NCLP special school
3terms(9years)at Gorakabar,Tulsipur & S.C.B Mediacal Sweeper Colony,Cuttack & awarded
 to students after H.S.C passed on occation of Vana Mohosthav at Sri Ramchandra
Bhawan,Cuttack
14. Whether she/he holds or previously held any position in CWC/JJBs, if yes mention: N/A
 Name of the district:
 Position:
 Tenure:

Place: Cuttack

Date; Signature in full:

DECLARATION
I, Mrs. Minati Bindhani, W/o: Mr. Keshab Chandra Maharana, At: Gamahandia New Colony, Ward No:33, Po: Buxibazar,
P.S: Mangalabag, Dist. & City: Cuttack-753001, State: Odisha do hereby declare that, Iam not disqualified in terms of the
stipulations made under sub section (4) of section 27 of the Juvenile Justice (Care and Protection of Children) Act. 2015
and sub-rule (3) of rule-15 of Juvenile Justice (Care and Protection of Children) Mdel Rules, 2016.

Signature in full:
CHECK LIST OF DOCUMENTS:
Photocopy of documents (self-attested) to be enclosed with the application:
1. Certificate indicating date of birth ( HSC Certificate/Birth
Certificate/PAN Card/Driving License/Any other document issued
by the authorities of the State Govt. or Govt. of India).
2. Proof of Identy ( Elctor’s Photo Identy Card/PAN/Adhar/DL etc.)
3. Certificate of experience against Sl. No.11 above.
4. Certificate of Educational Qualification against of Sl. No. 12 above.
5. Proof related to Sl. No. 13.
6. Documents related to Sl. No. 14, if any