NATIONALCOOPERATIVEDEVELOPMENTCORPORATION

(SUGAR DIVISION)

Application for availing Working Capital Assistance

A.GENERAL PARTICULARS

1 / Name of the Society
2 / Address of the Society
3 / STD Code and Telephone No.
4 / FAX No.
4 / Email id
5 / Date of Registration
6 / Year of commencement of operation
7 / Area of operation
8 / Activities undertaken

B.FINANCIAL POSITION

1.Membership & Share capital(at the close of latest financial year)

Type of Members / Number / Paid up capital (Rs. in lakh)
Total

2.Other Funds (at the close oflatest financial year)

Particulars / Amount (Rs. in lakh)
i / Reserves (excluding depreciation)
ii / Undisbursed Profit
iii / Others if any
Total

3.Total Own funds (Item 1+2): Rs.______lakh

4.Term Loans (at the close of latest financial year) (Excluding c.c.limit etc.) (Rs. in lakh)

Source / Amountraised / Purpose / Amount outstanding / Overdueinstallment included in outstandingamountat (iv) / Amount of Installment dueduringcurrentfinancial year / Securityprovided
(i) / (ii) / (iii) / (iv) / (v) / (vi) / (vii)
P. / Intt. / P. / Intt. / P. / Intt.
State Govt
Coop. Banks
Commercial Banks
Others, ifany (Please specify)
Total

5.Total Funds employed (at the close oflatest financial year) 3+4 (iv): Rs.______lakh

6.Investment in fixed assets, securities,share etc. (at the close oflatest financial year)

Type of investment / Amount (Rs. in lakh)
i / Fixed assets, e.g. land, building, furniture, plant and machinery, transport vehicle(s)
ii / Investments in debentures, bonds, Govt. securities, etc. of long term nature
iii / Investments in shares of other institutions
iv / Any otherinvestment of longterm nature (Specify)
Total

7.Accumulated losses, ifany(at the close oflatest financial year): Rs.______lakh

8.Funds available for current business operations5 - (6+7): Rs.______lakh

9.Financial Results for past 3 years:-

200__-__ / 200__-__ / 200__-__
Gross Profit
Cash Profit
NetProfit

Note:Certified copies of Balance sheet, trading accountprofit & loss account for past 3 years maybefurnished alongwith Analysis of the Balancesheetin the enclosed format(Appendix-I)

C.AUDIT & MANAGEMENT

1 / Indicate the year up to which statutory audit has been completed and audit report issued. If audit is in arrears, reasons may be indicated. (Copy of the last audit report may also be furnished).
2 / Details of Board of Directorstenure of the existing Board:
3 / Whether elected or nominated
4 / If nominated, reasons for the same
5 / Date of Elections/nomination
6 / Whether general body meeting is being held regularly.
If so, dateof last meeting
7 / Whether Chief Executive is on deputation or own employee
8 / Since when the present incumbent is in position

D.BUSINESS OPERATIONS AND WORKING CAPITAL.

1.Working Results of the Mill:

S.
No. / Particulars / I / II / III / ProjectionsforCurrent Year
1 / Installedcapacity (TCD)
2 / No. of Days worked
3 / Cane crushed (LT)
4 / Capacity utilization (%)
5 / Recovery (%)
6 / Sugarproduction (L. Qntl)

Note:In case of lowachievement in businessduringlastfinancial yearas against previous years, reason(s) for the same may be mentioned.Copies of RT8(C) may be enclosed.

2.Anticipated month-wise sugar stock position:Actual duringlastcompletedfinancial yearand projectionsfornext 2 yearsas per proforma at Appendix-II

3.Particulars of outside Funds receivedduringprevious year

Source / Amount (Rs. in lakh) / Rate of interest

4.Particulars of outside Funds expectedtobereceivedduringthe year

Source / Amount (Rs. in lakh) / Rate of interest

Note:Copies of the sanctionlettersfrom the Banks regardingCashcredit limitduring last completed financial year and current year may be enclosed.

5.Working Capital requirement as indicated at D(2): Rs.______lakh

6.Funds available for meeting the working capital requirement: (Rs. in lakh)

a / Funds available from within (as indicated at B(8)
b / Funds likely to be received from outside sources (as indicated at D(4)
c / Additional share capital proposed to be raised
Total

7.Net requirement (5-6): Rs. ______lakh

8.Assistance Proposed from NCDC: Rs. ______lakh

9.Security for proposed assistance:

10.Whether proposed assistance approved by Board of Directors:

11.If yes,i)Date of BOD meeting:

ii)Resolution No.

(A copy of resolution may be enclosed)

(Name and Signature of

AuthorisedSignatory)

Date:

Place:

(Seal of Office)

List of Enclosures

1.Bye-laws of society

2.Audited/Certified copies of trading account and profit and loss account for past 3 years.

3.Copies of balancesheetasonlastworkingday of past3 years.

4.Copy of lastaudit report.

5.Copies of sanction letter(s) from Banks regardingcashcreditlimit

6.No overdue certificate (as per format at Appendix-III)

Appendix-I

Analysis of the Balance Sheet for last 3 years

A.Summarised Profit& loss account(Rs. in lakh)

Sl.
No. / Particulars / I / II / III
1 / Businessturnover
2 / Grossprofitbefore interest, depreciationTax
3 / Interest
4 / Cashprofit (2-3)
5 / Depreciation
6 / Profitbefore tax(4-5)
7 / IncomeTax
8 / NetProfit

BSummarised balancesheet of last three years

Sl.
No. / Particulars / I / II / III
1 / Grossblock
2 / Less:Depreciation
3 / Net block(1-2)
4 / Workinprogress
5 / Investments
6 / Totalfixedassets (3+4+5)
7 / Currentassets
a)Cash, bankbalance & Deposits
b) Inventory
c) Sundry Debtors
d) Loans, advances & prepaid exp.
e) Others ifany (Deferred expenses)
SubTotal (a to e)
8 / Current liabilities
a)Working capitalloan
b)Sundry creditors
c) Interestpayable
d)Short term loans
e) Other provisions, liabilities & RD
Subtotal : (a to e)
9 / Net workingcapital (7-8)
10 / Longterm loans & deposits
11 / Paid upsharecapital
12 / Reserves Dev. funds & NRD
(excl. Depreciation fund)
13 / Un-distributed profits(+)/Accumulated losses(-)
14 / Networth (11+12+13) OR (6+9-10)

Appendix –II

Position of production, sale, stockand value of sugar

Actualforlastcompletedfinancial year

Month / OpeningStock / Production / Sale / Closing Stock / Value (Rs. in lakh)
April
May
June
July
August
September
October
November
December
January
February
March

Projectionsforcurrent year

Month / OpeningStock / Production / Sale / Closing Stock / Value (Rs. in lakh)
April
May
June
July
August
September
October
November
December
January
February
March

Projectionsfornext year

Month / OpeningStock / Production / Sale / Closing Stock / Value (Rs. in lakh)
April
May
June
July
August
September
October
November
December
January
February
March

Appendix –III

NO OVERDUES CERTIFICATE

1.This is tocertify that ______(name of the society), ason date, is notindefaultin repayment of loans and payment of interest to NCDC and anyFinancialInstitution/ Bank

OR

Position of defaultinrepayment of duesby the societytoNCDCandotherinstitutions as on date is as follows:

Name of Lending Institution/Bank / Loanreceived / Principal repaid / Outstandingdues
Date / Amount / Principal / Interest / Total
Overdue / Not yet due

2It is alsocertified that other cooperatives on which Directors of our Board are Directors or associated with are notindefaultin repayment of loans and payment of interest to NCDC and anyFinancialInstitution/ Bank as on date

OR

Position of defaultinrepayment of duesby the Cooperatives on which Directors of our Board are Directors or associated with is as follows:

Name of Director / Name of defaulting cooperative society / Nature of Financial Institution/ Bank / Name of FinancialInstitution / Bank / Amount of default / Reasons andperiod of default

(Chief Executive of the Society)

Place:

Date

Note: Strikeout which is not applicable

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