I Ex-Officio Trustees I

1. PresidentRotary Club of Os'badMr.A.N. Mantri(Trust President)Mo 98225 53748

2. Immediate Past PresidentRotary Club of Os'badMr. B. M. BangadMo.94220 70105

3. President Elect.Rotary Club of Os'badDr.A. S. NaigaonkarMo 94220 69969

4. SecretaryRotary Club of Os'badDr.V. S. ShivpujeMo 94220 69801

Elected Trustees For 2006-June 2011

5. Trust SecretaryDr. R.K. BhansaliMo.94224 64142

6. Trust TreasurerMr. R.G. SalunkeMo.94220 69871

7. Mr.S.V. MehtaMo.94224 65560

8. Mr. P.V. NaldurgkarTel. (02472) 223077

9. Dr. V. H. MaindarkarMo.94226 54951

ROTARY SEVA TRUST(Reg.No.E/203, Os'bad Dt. 16-12-1998)

S.No. 170/3. Behind Nagar Parishad Water Filtration Plant, MIDC Road,Osmanabad-413 501. M.S. India.

Tel / Fax 011 -91-2472-226871, Mobile : 98606 73925 E-mail: rgsanar@yahoo.co.in

To,The President,Rotary Club of OsmanabadOsmanabad.

Dear Sir,

Re;- Participation in proposed Matching Grant Project to undertake500 Cataract Surgeries.

Our trust is sponsored by your club. We are a registered charitabletrust under Indian laws (B.P.T. Act 1956). We have created 25 beddedEye care hospital in the name & style “J.F. Ajmera Rotary NetraRugnalaya” at Osmanabad. The hospital has completed 2000 surgeries so far.

We are prepared to participate in the matching grant project forcataract surgeries. We shall undertake following responsibility in the project.

1 To undertake S.I. Cataract Surgeries for all patients brought inby your club, at our hospital, in a phased manner.

2 Out of 25 beds available, 10 beds will be reserved for patients underthis project.

3 We shall undertake each S.I. Cataract surgery at the cost of Rs. 1500/-per case.US $30/case. The detail break up of the cost is givenseparately.

4 The club will reimburse us the cost after successful operation,and on submission of our bills to them.

5 We shall maintain all records of patients for the time as required byyou.

6 We shall abide by any further conditions that may be laid down byT.R.F. in this regard.

7 We Shall also maintain all records pertaining to this project, forfinancial review of the project, by R.I.

Yours Faithfully,

For Rotary Seva Trust, Osmanabad

Trustee - Treasurer(R.G. Salunke)

Date: 05 / 07 / 2009

ROTARY SEVA TRUST

(Reg.No.E/203, Os'bad Dt. 16-12-1998) S.No. 170/3. Behind Nagar Parishad Water Filtration Plant, MIDC Road,

Osmanabad-413 501. M.S. India. Tel / Fax 011 -91-2472-226871, Mobile : 98606 73925 E-mail: rgsanar@yahoo.co.in

I Ex-Officio Trustees I

1. President Rotary Club of Os'bad S.A.Deshmane(Trust President)

2. Immediate Past President Rotary Club of Os'bad B.D.Deshmukh

3. President Elect. Rotary Club of Os'bad Krishnaraj Rao

4. Secretary Rotary Club of Os'bad Santosh Shete

Elected Trustees For 2006-June 2011

5. Trust Secretary Dr. R.K. Bhansali Mo.94224 64142

6. Trust Treasurer Mr. R.G. Salunke Mo.94220 69871

7. Mr.S.V. Mehta Mo.94224 65560

8. Mr. P.V. Naldurgkar Tel. (02472) 223077

9. Dr. V. H. Maindarkar Mo.94226 54951

(Rotary Seva Trust, Osmanabad) J.F. Ajmera Rotary Netra Rugnalaya

Details of cost estimate of S.I. cataract surgery

Cost Item

INR US $

1. lence 94 1.88 2. blade/sutures 59 1.883. Spects 117 2.344. Medicines 165 3.305. O.T.cost 117 2.346. Staff cost 493 9.867. diet 117 2.348. Linen & Utilities 59 1.189. Transport 141 2.8210. Laboratory Test Cost

141 2.82 3.66

Total(Rounded off) 1500 30.00

For J.F. Ajmera Rotary Netra Rugnalaya

For Rotary Seva Trust

Trustee (R.G.Salunke)

ROTARY CLUB, OSMANABAD

' Santosh Shete

Secretary

President Elect Rtn.Krishnaraj Rao

Vice President Ramnivas Modani

Treasurer Venkatesh Raghoji

Director Public Relations Anil Deshmane

Director Membership Ravindra Salunke

Director Human Dev. Anil Naikwadi

Director-The Rotary Foundation Vinod Mahindrakar

Immediate PP Balasaheb Deshmukh

Address : Venu Tile Industries, MIDC, Osmanabad - 413501. Tel. (094224-65224)

Rl DIST.: 3130 Club No. 26501

Sanjay Deshmane

President

Letter of Endorsement about Co- Operating Organization

The Rotary Seva Trust, Osmanabad is a law fully registered charitable trust at Osmanabad. It is working since 1998. It is well reputed Non Government Organization working in different areas of social service. Their Co-operation is being solicited for implementation of M.G. Project of Cataract surgeries by our club. The trustees have agreed to abide by the terms and conditions that may be prescribed for participation in the M.G.project, by us or by T.R.F.

For Rotary Club of Osmanabad

President (Sanjay A.Deshmane)

PROFILE OF ROTARY CLUB OF OSMANABAD

Chartered in 1989

Membership as on 30/06/2009 : 71 71

Paul Harris Fellows: Rotarian 13 12121212

Non Rotarian 2

Total 15

Sustaining PHF members 17

Classification of members

Doctors in various disciplines 10 10

Engineers 10 1011

Industrialists 07

Teachers, Govt. servants 17

Hoteliers 02

Business men, traders, etc, 25 25

Partners in service

Inner wheel club of Osmanaba 15

Donations to the Rotary Foundation

The club has so far donated a sum of about Rs. 13.00 lacs

To T.R.F. either by way of PHF contribution or SPHF contribution

or through DDF contribution in the district.

Our experience in M. G. Projects

We have successfully completed 3 M. G’. Projects in past as under.

1Providing clean drinking water to schools/colleges in Osmanabad (26 institutes)I

2.Providing clean drinking water to schools/ colleges in Osmanabad (26institutes)II

Both the projects were approved by clubs from Canada for participation. We have

saved an amount of Rs. 1.00 lacs from the funds received, and returned back the same to

T.R.F.

3.Providing eye care equipments to Rotary Eye Hospital to the extent of Rs. 14.70

lacs was the third M. G. Project completed by us on 31/3/2006. The Rotary District

5280 (USA) was our matching partner, along with R. I. Dist 3130.

OUR CENTENNIAL PROJECT- HIGHLIGHTS .

2002: Scientific survey of existing medical facilities in the district and assessment of

gray areas. Purchase of 1.2 hectares of land from member’s contribution for proposed

health complex. 2003 , Preparation of project report for M. G. Project, Creation of club

web site. Getting approval of foreign partnership from R.I. Dist 5280.

2004: Approval of M.G. by R.I., Selection of design and plan of the building by

conducting all India architectural competition. Fund raising efforts for the construction.

2005-June 2006: Fund raising and construction of two storied first phase of eye hospital.

Hospital commenced services after inauguration on 28th June 2006. We have already

identified many key villages in the district within a radius of 50 kms, where we are conducting

Vision Care Camps, for patients screening on regular basis. These centers are providing

us patients from rural areas, untapped so far.

Carpet area of the building 7000 sq ft. Cost of construction so far Rs.50.00 lacs.

Plant, machinery & equipments purchased worth Rs. 17.00 lacs.

Total investment in the project up to Mar.2009 is to the tune of Rs.115 lacs,

which was contributed as under.

Rotary members and their families Rs.24.00 lacs

The M.G.funding Rs. 16.00 lacs

Public donations over last 3 years and govt grant Rs.75.00 lacs

Rs.115.00 lacs.

IMPACT on the society

The publicity given to this project in last two years and our movement in the

entire district for fund raising, has yielded in to awareness of the Rotary’s basic

work.

Rotary is now looked after with great respect and affection. Many families have

come in to contact with the Rotary while implementing the project.

Govt agencies and politicians have taken a note of Rotary’s capacity to motivate

society for better cause. They are promising all possible help to the project in future.

The international contribution of funds have always been focused by us in all our

press meets, which has created good impact on the society.

OUR IMMEDIATE NEEDS TO RUN THIS PROJECT SUCCESSFULLY

1.Construction of one small canteen, servant’s room and retiring room for patient’s

relations accompanying them. Total area approx. 1000 sq ft. The approx. Cost Rs.

10.00 lacs.

3.Provision of one ambulance for doctor’s visit for eye ball collection, visit to

centers etc, on regular basis the approx. cost Rs.2.60 lacs.

4.Provision for purchase of specialty equipments as under

a. Zeiss OPML IFR Surgical microscope 3.90 lacs

b. Diode laser (Nidek) 12.00 lacs

c. Nd:yag laser (Nidek) 9.50 lacs

d. Phaco system Universal II (Alcon) 8.00 lacs

e. Zeiss MICROSCOPE 10.00 lacs

f. Pulse oximeter 0.50 lacs

g. Laminar flow hood 0.70 lacs

h. Specular microscope for eye bank 15.00 lacs

59.60 lacs

Total needs of the project as above will be to the tune of Rs. 72.20 lacs.

We are in need of a matching partner, a donor, a charitable institute which can participate

in this project, to meet the needs of the society.

The challenge of meeting the cost of operations conducted on poor patients is another

urgent need of our hospital. Every Individual is requested to donate generously for this

cause, to the best of his ability.

We spend about Rs. 1500/= per poor patient on the cost of his transport(to & fro)

from village, food, operation, medicines and goggle, for every cataract case.

You can donate for one operation of Rs. 1500 or 10 operations at Rsl5000/= or 100

operations at Rs 150,000/= in remembrance of your beloved ones on any auspicious day.

We also accept donation in multiples of Rs.150/- head, for provision of meals,

breakfast tea etc, to one patient. Our one day’s need for 20 patients comes to Rs 3000/=

only. You can donate for one day, one week or one month’s expenses as “Annadan”.

There is a huge back loge of cataract cases in the district, due to poverty and lack of

necessary infrastructure. Our centre is trying to fulfill this gap by providing these humane

services, to poor ones at charity.

Our other services:-

1. We also provide all eye care surgeries at very affordable rates toconsumers at the hands of experts in the field.

2. We conduct average 10 vision checkup camps at key villagesin the dist.every month and provide all possible further services to thepatients.

3. We undertake vision impairment detection camps in schools foryoung children and provide them further treatment.

4. We assist five rotary clubs in the vicinity to conduct vision carecamps and also provide operational services to needy patients,purely on charity if the clubs recommend that they can not affordthe cost of the treatment.

WILL YOU BE OUR FRIEND, PHILOSOPHER, GUIDE AND DONOR FORTHE JUST CAUSE?

For Rotary Seva Trust, Osmanabad

R.G.SalunkeExecutive Trustee and Treasurer,(J.F.Ajmera Rotary Netra Rugnalaya)

1

Rotary Seva Trust,Osmanabad. (Reg.No.E-203, Dt: 16/12/1998.) Note on activities of the trust since inception in 1998, in the field of Eye care-health services.

Year Activities of the trust 1998-99 1999-2000 2000-01 2001-02 2002-03 2003-04 2004-05

Squint eye corrective Surgery camp at civil hospital on 21.02.99. 30 patients screamed & 20 operated. Dr.mrs.Uma Pradhan, Dr.Albal, Dr.Kalyani, Dr.Raichur & Dr.Roy from Solapur attended the camp. Free Keratotomy camp for 16 to 25 yrs. age group girls, with the help of Dr.Prakash Kankariya & his team from Ahmednagar, at Sanjeevan Hospital, Osmanabad . At village Kasbe Tadwale, Opthalmic check up camp for 100 patients conducted by Rotarian doctors .30 Cataract patients directed to Civil Hospital. At village Yedshi, 125 patients were screened for eye related problems. About 21 cases of cataract referred to Civil Hospital. Health check up camp at village Bembali. 150 Ophthalmic patients checked. 30 cataract cases identified for operation. Health check up camp at Yedshi, 40 cataract cases referred to Civil Hospital. Health check up camp at Ter & Dhoki. Total 40 cases of cataract patients identified & referred to Civil Hospital. Camp at village Chikhali. Identified about 15 cataract cases for operation. Camp at village Bembali.105 cases of ophthalmic patients checked. Nearly 65 teachers from Osmanabad, trained in vision – check up, with the help of H.V.Desai eye Hospital Staff Nearly 2500 students in the age group of 6yrs to 14 yr checked for vision health. Patients directed to civil hospital. Eye care Hospital Bhoomipujan conducted. Matching Grant Project for eye care equipment sanctioned from TRF.

2

2005-06 2006-07

Construction of eye care Hospital building with generation of donations from public worth Rs.50.00 Lac. About 50 cataract cases from district operated at H.V.Desai Hospital, Pune with the help of clubs in district. 1) Eye care Hospital started functioning since August 2006, with total investment of Rs.75.00 lacs. 2) Health check up camp at Bembali. 3)Ophthalmic check up at 16 vision centers during August 06-July07 Total camps conducted 19. No.of patients identified for cataract about 1100. No.of operations conducted at hospital 524. Total no. of free operation up to July 07 310 4) Hospital O.P.D. services up to July07 2488

For Rotary Seva Trust, Trustee – Treasurer ( R.G.Salunke)

J.F.AjmeraROTARY NETRA RUGNALAYA

Performance up to 31.07.2007.

Total number of surgeries. --- 524 524524

ClassificationSICS with IOL 391 333913333333333

Phaco with IOL 97

Endonasal DCR. 16DCT. 03

Pterygium excision. 11

Squint & Others. 06524

Free operations conducted. 310Total new OPD patients 2488

ForJ.F.Ajmera

Rotary Netra Rugnalaya.

Executive Trustee

J.F. Ajmera Rotary Netra Rugnalaya

List of available Equipments for OPD

No. Name of Equipment Qty.

1) Ophthalmic Chair Unit 01

2) Autorefractometer Grand Seiko 01

3) Slit Lamp 01

4) Indirect Ophthalmoscope 01

5) Direct Ophthalmoscope 02

6) Streak Retinoscope 01

7) Keratometer 01

8) A scan Biometer 01

9) Applanation tonometer 01

J.F. AjmeraRotary Netra Rugnalaya

Executive Trustee

J.F. Ajmera Rotary Netra Rugnalaya

List of available Equipments in the Operation Theatre

No. Name of Equipment Qty.

1 Operation Tables 02

2 Operating Microscope 02

3 Phacoemulsifacation System 01

4 Electric Vitrectomy 01

5 Boyles Apparatus 01

6 Bipolar Cautery 01

7 Double Drum Autoclave 01

8 Single Drum Autoclave 01

9 OT Care 01

10 Air Conditioners (1.5 tones each) 02

11 Invertors (1.5 K.V.) 01

J.F. AjmeraRotary Netra Rugnalaya

Executive Trustee

J.F. Ajmera Rotary Netra Rugnalaya

List of Staff

Post Name of Occupent Qualification

Oph. Surgeon Dr. Pol Milind M.B.B.S. D.O.M.S.

P.R.O. Shri Kulkarni K.V. B.Com.C.A.I.I.B.

Oph. Technician Shri Gaikwad Govind H.S.C. (M.C.V.C.)

Oph. Technician Shri Panchal Amol H.S.C. (M.C.V.C.)

Staff Nurse Mrs. Bhosale M.M. A.N.M.

Clerk Shri Deshmukh A.K. M.C.S.

Comp.Operator Shri Kulkarni M.P. S.S.C. I.T.I. Electr.

O.T.Assistent Shri Pawar R.N. H.S.C.

Peon Shri Bhusare N.G. S.S.C.

Peon Shri Yedke V.D. H.S.C.

Driver Shri Esake S.M. H.S.C.

J.F. AjmeraRotary Netra Rugnalaya

Executive Trustee

DETAILS OF TRUSTEES, ROTARY SEVA TRUST,OSMANABADSr.No Name of Trustee Edu.Quali Experience Position in Position in Status Contact

Rotary Club Trust Mobile No.Osmanabad.

1 Shri. Ashok N.Mantri B.Sc L.L.B 25 years in business President President Ex-Officio 9822553748(for 1 Rotaryyear)

2 Dr.Vijay S.Shivpuje M.B.B.S., Running Hospital For 10 yrs. Secretary Trustee Ex-Officio 9422069801M.S.FICS, Specialist in Endoscopy/Gastro- (for 1 RotaryFAIS, FMAS scopy. year)FACRSI,

3 Shri. Subhash M.Gandhi H.S.C. 40 years in Kirana Trading Immediate Trustee Ex-Officio 9823128686Stockist and distributor Past President (for 1RotaryTrustee in Kunthalgiri Jain year )Devasthan, Kunthalgiri.Charter member of the club

4 Shri. Balasaheb D. Deshmukh D.M.E. 23 years experience in President Elect. Trustee Ex-Officio 9422465277Govt.Service. (for 1Rotary

year )

5 Dr.Radhakishan K.Bhansali B.A.M.S. 30 years practicing in town Member. Secretary Elected for 9422464142Executive Member of Mahe Past President Trustee 5 years wefshwari Sabha(M.S) . Since 01.07.2006Asstt governer R.I. Dist 3130 Inception

6 Shri.Ravindra G.Salunke M.Sc.Agri. Ex.Banker with 15 years Charter Member Treasurer Elected for 9422069871Experience in S.B.I. Past President Trustee 5 years wefRunning own S.S.I.unit Since 01.07.2006Sr.Vice President inceptionLaghu Udyog Bharti(M.S.)Ex- Asstt.Governer RI 3130

7 Shri.Prabhakar V.Naldurgkar B.E.Civil 40 years experience in Civil Member. Trustee Elected forconstruction in India & abroad 5 years wef 02472-223077 Trustee Vyankatrao 01.07.2006Naldurgkar Charitable Trust.

8 Shri.Shailesh V.Mehta B.Com 20 years experience in trading Charter Member. Trustee Elected forin machineries.ele.pumps etc. Past President 5 years wef 9422465560

01.07.2006

9 Dr.Vijay H.Mainderkar M.B.B.S. General SurgeonRunning own Member. Trustee Elected for 9422654951M.S. Hospital in town since 25 years. Past President 5 years wef

01.07.2006

The information Furnished above is true & correct, to the best of my knowledge.

Osmanabad. ( Ravindra G.Salunke) Trustee-Treasurer.

Date:- 28.12.2006.

Responsibility in J.F.Ajmera Rotary Netra Rugnalaya ( Established by Rotary Seva Trust,Osmanabad)

Sr Name Of Trustee Edu.Quali Responsibility ContactNo. Mobile No.

1 Shri.Ravindra G.Salunke M.Sc(Agri) Executive Trustee 9422069871(Finance & Administration)

2 Dr.Radhakishan K.Bhansali B.A.M.S. Trustee 9422464142(Hospital Management)

3 Dr.Vijay H.Maindarkar M.B.B.S. Trustee 9422654951M.S. ( Medical Services )

4 Mr.Prabhakar V.Naldurgakar B.E.(civil) Trustee 02472-223077( Co-ordination )

5 Mr.Shailesh V.Mehta B.Com Trustee( Public Relations & Rural 9422465560Contact )