ANNEXURE-III

FORMAT NO.2

NATIONAL SCHEDULED CASTES FINANCE AND DEVELOPMENT CORPORATION,

NEW DELHI

FORMAT OF APPLICATION FOR FINANCIAL ASSISTANCE FOR FARMING AND OTHER ACTIVITIES

(THIS IS ONLY A FORMAT AND NOT AN APPLICATION FORM)

1. DETAILS OF PROMOTER(S)

(Name, Age, Address, Present Occupation, Present Income Level, Details of Family Members)

2. PROPOSED ACTIVITY

(Details of Activity, Location and Area of Operation, Skill Level Required for Operating the Activity & Experience in the line)

3. COST OF THE PROJECT:

PART -1 – LAND BASED ACTIVITIES

Sl.
No. / Particulars / Cost per Unit
(i) / Land (with full details of location and value)
(ii) / Cost of Land Development
(iii) / Provision for irrigation Facilities
(to be supported with quotation)
(iv) / Plant and Machinery
(to be supported with quotation)
(v) / Misc. fixed Assets
(to be supported with quotations)
(vi) / Preliminary & Pre-operative
(vii) / Contingencies & Cost escalations
(viii) / Others, if any (registration expenses insurance expenses etc.)
(ix) / Working capital (Details of requirement of working capital to be furnished)
TOTAL:
PART-II-DAIRY
Sl.
No. / Particulars / Cost per Unit
(i) / Building (to be supported by documents)
(ii)
(iii) / Cost of Animals (No.of Purchase Price/Animal)
Misc. Fixed Assets (to be supported with quotations)

(iv) Insurance Charges

(v) Working Capital (Details of requirement

of working capital to be furnished)

TOTAL :

PART-III-TRACTOR &AGRICULTURE IMPLEMENTS
Sl.
No. / Particulars / Cost per Unit
(i) / Cost of Tractor and Agricultural Implements
(ii)
(iii) / Misc. Fixed Assets (to be supported with quotations)
Others,if any (Transportation cost registration cost, insurance cost etc.)

TOTAL :

4. MEANS OF FINANCE

(Rs. in lakhs)

Sl. No. / Source / Amount / %age / Total for
__ Units
(i) / Promoter’s Contribution
(ii) / Subsidy
(iii) / Margin Money Loan (SCA)
(iv) / Term Loan – NSFDC
(v) / Banks
(vi) / Others if any, specify
Total

5. DETAILS OF PROFITABILITY :

(Please give details of sales revenue and details of expenditure of operations for a normal year of operation)

6, TECHNICAL DETAILS :

(Give technical details such as skill requirement, raw material requirement, power requirement etc. In 200 words)

7. MARKETING ARRANGEMENTS