Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
I certify that all information furnished by me is true; and that I and any of my dependent have not
borrowed any money under subsidy linked scheme from any Central / State Government or bank for
establishing any such project
Place:
Date: Signature of the Applicant
For Official Use only: (Rejected / to be placed before District Task force Committee)
Reason (if Rejected):
1.2
2 Gender Male
Select Gender from the list √ Female
3 Address of the Proposed location of Unit: Rural √ Urban
Taluk/Block:
District: Pin:
State:
Email: Mobile:
4 Qualification
Academic Technical
Select Academic
12th Pass Qualification from the list
176
227
228
229
230
231 INTRODUCTION
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248 ABOUT THE PROMOTER
249
250
251
252
253
254
255
256
257
PROJECT AT A GLANCE - TOP SHEET
3 Father's/Spouce's Name 0
4 Unit Address : 0
0
Taluk/Block: 0
District : 0
Pin: 0 State: 0
E-Mail : 0
Mobile 0
5 Product and By Product
8 Debt Service :
Coverage Ratio
10 Project : 0 Months
Implementation
Period
12 Employment : 0
13 Power Requirement : 0
3 COST OF PROJECT
A. Fixed Capital Investment
a. Land : 0 Own
Margin Money Subsidy received From KVIC will be kept in term deposit as per norms of
PMEGP in the name of Beneficiary for three years in the financing branch.
3.2 STATEMENT SHOWING THE REPAYMENT OF TERM LOAN & WORKING CAPITAL :
TERM LOAN
2nd 0 0 0 0
3rd 0 0 0 0
4th 0 0 0 0
5th 0 0 0 0
6th 0 0 0 0
7th 0 0 0 0
8th 0 0 0 0
WORKING CAPITAL
3rd 0 0 0 0
4th 0 0 0 0
5th 0 0 0 0
6th 0 0 0 0
7th 0 0 0 0
8th 0 0 0 0
Opening Balance 0 0 0 0 0
Depreciation 0 0 0 0 0
Closing Balance 0 0 0 0 0
MACHINERY @ 0.00%
Opening Balance 0 0 0 0 0
Depreciation 0 0 0 0 0
Closing Balance 0 0 0 0 0
TOTAL DEPRECIATION
Workshed 0 0 0 0 0
Machinery 0 0 0 0 0
Total 0 0 0 0 0
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
Total 0.00
Sales / Receipts 0 0 0 0 0
5 Rawmaterials :
Particulars Unit Rate/unit Reqd.Unit Amount in Rs.
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
0 0 0.00 0 0.00
Total 0.00
5.1 Wages :
Particulars No. of Wages Amount in Rs.
Worker Per Month (Per Annum)
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
Total 0 0.00
6 Administrative Expenses :
6.1 Salary
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
Total 0 0.00
Total 0.00
7
Capacity Utilization of Manufacturing & Administrative Expenses :
Particulars 1st Year 2nd Year 3rd Year 4th Year 5th Year
Capacity Utilization 70% 80% 90% 90% 90%
Manufacturing Expenses
Wages 0 0 0 0 0
Administrative Expenses
Salary 0 0 0 0 0
Workshed Rent 0 0 0 0 0
Total: 0 0 0 0 0
Manufacturing Expenses
Raw Material 0.00
Wages 0.00
9 Financial Analysis
9.1 Projected Profit & Loss Account :
Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Sales / Receipts 0 0 0 0
0 0 0 0
Manufacturing Expenses
Rawmaterials 0 0 0 0
Wages 0 0 0 0
Depreciation 0 0 0 0
Production Cost 0 0 0 0
Administrative Expenses
Salary 0 0 0 0
Workshed Rent 0 0 0 0
Administrative Cost 0 0 0 0
Term Loan 0 0 0 0
Cost of Sale 0 0 0 0
Net Profit 0 0 0 0
9.2
CALCULATION OF DEBT SERVICE CREDIT RATIO (D.S.C.R) :
Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Net Profit 0 0 0 0
Add :
Depreciation 0 0 0 0
TOTAL - A 0 0 0 0
Payments :
On Term Loan :
Interest 0 0 0 0
Installment 0 0 0 0
On Working Capital
Interest 0 0 0 0
TOTAL - B 0 0 0 0
Average D.S.C.R
Promoters Capital 0 0 0 0
Profit 0 0 0 0
Term Loan 0 0 0 0
Current Liabilities 0 0 0 0
Sundry Creditors 0 0 0 0
0 0 0 0
ASSETS :
Gross Fixed Assets : 0 0 0 0
Less : Depreciation 0 0 0 0
Current Assets 0 0 0 0
Cash in Bank/Hand 0 0 0 0
Total 0 0 0 0
Term Loan 0 0 0 0
Promoters Capital 0 0 0 0
Total 0 0 0 0
Repayment of WC Loan 0 0 0 0
Current Assets 0 0 0 0
Total 0 0 0 0
Opening Balance 0 0 0 0
Surplus 0 0 0 0
Closing Balance 0 0 0 0
Variable Cost 0 0 0 0
Total Cost 0 0 0 0
Sales 0 0 0 0
Contribution (Sales-VC) 0 0 0 0
Affix latest
attested
Photograph
5 Unit Address : 0
0
Taluk/Block: 0
District : 0
Pin: 0 State: #REF!
Phone #REF!
E-Mail #REF!
If the Proprietor /
7 Name of Business House/Group if any : Institution runs any other
existing activity which may
be clearly indicated here.
8.1 How the activity was financed so far : ( To be filled up in case of existining unit Only )
*Source of Funds Security Rate of Repayment per Present O/s Amount of Default
Interest Month ( Rs. in '000 ) (if any)
9 Project Details for Proposed New Unit : Copy of detailed project report is enclosed.
Enter 'Yes' or 'No'
a Expansion / Mordenisation :
9.1 Capacity (Furnish the details of Installed capacity & production : (No. in Units/ Qty. in Kg./Volume in liter per annum)
Enter no. of shift per day
Capacity is arrived at on the basis of Days
Enter no.working on
of working Single shift basis
Product & Present Installed days of the unit per
Maximum Prod. annum Proposed Installed Two Maximum Prod.
Three
By-product if any Capacity Achieved Capacity of 1st Year envisaged
Enter name of main Enter installed capacity Enter the value of Enter installed
Enter the capacity
value of
Product and by-product of existing unit. 70.00%
maximum production of proposed proposed new0production
unit as
if any seperately Otherwise enter NA. achieved under existing estimated
underinnew
the unit
project
as per
unit, otherwise enter report
project report
NA
Indicate briefly on
Specific processing technique of
the product.
Suitability/adoptability of the process at
the location.
Indicate briefly on
9.4 Has the proposed process ever been tried in the Specific processing technique of
country or newly adopted? : the product.
Suitability/adoptability of the process at
the location.
Indicate briefly on
9.5 Technical Arrangements : Satisfactory arrangement for Know-how
Collaboration involvement if any and financial
participation.
Details of consultants if any.
9.9 Plant and Machinery Existing (Value in Rs.) Proposed (Value in Rs.)
Indigenous 0.00
Imported
Total 0.00
9.11 Utilities (Furnish details on requirement, availability, adequacy, qualitative aspects etc..)
Particulars of Utilities Contracted Load Connected Load Further requirement
in HP/KW/W in HP/KW/W in HP/KW/W
Enter total requirement Enter Enter
connected
further
power
power
Power of power in HP/KW/W if any
connection
in HP/KW/Wif any in
HP/KW/W
Water
Fuel
Others (Specify)
9.12 Environment Aspect of the Project :
Brief here nature of atmospheric, soil
and water pollution likely to be created
by the proposed project and measures
proposed to control the same. Indicate
the clearance of pollution control board.
J Provision for
1. Buildings 0.00
2. Plant & Machinery 0.00
3. Other Fixed Assets 0.00
B Reserves 0.00
F Subsidy
Central Government 0.00 0.00
State Government 0.00
14 Projected Cash flow Statement : Projected Cash flow Statement given in the
Detailed Project Report.
Warning
15 Working Capital Required for the : Rs. 0.00 Do not enter any data
anticipated turnover here!
Enter here
5 Details of any other similar guarantees: The property details and
bank
if any, given to other institutions
18 Government Consents :
(Give deatails of various licenses / consents required to be obtained from various authorities for the proposed project)
19 DECLARATION
I / We hereby declare that the information given herein before and the statements and other
papers enclosed are, to the best of our knowledge and belief, true and correct in all particulars
Prepared By:
#REF!
Khadi & V.I. Commission
#REF!
#REF!
#REF! State: #REF!
e-Mail:
Ph. No.: Fax: