PMEGP Financial Assistance Application Form
PMEGP Financial Assistance Application Form
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):
Taluk/Block: BADNAPUR
District: JALNA Pin: 431202
State: MAHARASTRA
Email: Mobile: 9762237455
4 Qualification
Academic Technical
10th Pass
Manu-
Whether the
Service
6 facturing
Unit
project (mark ) Unit
8 Name of the project / business activity proposed :
SHEEP & GOAT FRAM
Legal Status:
BUILDING DETAILS
Particulars Area Rate/Sq.ft Amount in Rs.
3000 250.00 750000.00
0.00
0.00
0.00
0.00
0.00
0.00
MACHINERY DETAILS
Particulars Qty. Rate Amount in Rs.
GOAT 150 4500.00 675000.00
SHEEP 50 7500.00 375000.00
OTHER 550000.00 550000.00 Male
0.00
0.00
0.00 KVIC
0.00
0.00 DIC
0.00
0.00
0.00 Rura
0.00
Total 1600000.00 No
f. Contingency/Others/Miscellaneous 60000.00
Own Contribution : 5%
Bank Finance : 95%
Margin Money (Govt. Subsidy) : 35%
Total 1477500.00
RAW MATERIALS
Particulars Unit Rate/Unit Reqd. Unit Amount In Rs.
165.00 974 160710.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total 160710.00
WAGES
No. of Wages Per Month Amount in Rs.
Particulars
Worker Total Month 12
6 7000.00 504000.00
0.00
0.00
0.00
0.00
0.00
0.00
Total 6 504000.00
SALARY DETAILS
No. of Wages Per Month Amount in Rs.
Particulars
Staff Total Month 12
0.00
0.00
0.00
0.00
0.00
Total 0 0.00
Stock in process
Finished goods
Receivable by
POWER ESTIMATE
Power Requirement 2HP
Depreciation
On Building
On Machinery
INTRODUCTION
Taluk/Block: BADNAPUR
District : JALNA
Pin: 431202 State: MAHARASTRA
E-Mail :
Mobile 9762237455
5 Product and By Product
8 Debt Service :
Coverage Ratio
10 Project : 0 Months
Implementation
Period
12 Employment : 6
3 COST OF PROJECT
A. Fixed Capital Investment
a. Land : 5000 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
Interest @
Year Opening Balance Installment Closing Balance
12.50%
1st 2375000 0 2375000 296875
2nd 2375000 475000 1900000 296875
3rd 1900000 475000 1425000 237500
4th 1425000 475000 950000 178125
5th 950000 475000 475000 118750
6th 475000 475000 0 59375
7th 0 0 0 0
8th 0 0 0 0
WORKING CAPITAL
Interest @
Year Opening Balance Installment Closing Balance
12.50%
1st 0 0 0 0
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
5 Rawmaterials :
Particulars Unit Rate/unit Reqd.Unit Amount in Rs.
0 0 165.00 974 160710.00
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 160710.00
5.1 Wages :
No. of Wages Amount in Rs.
Particulars Worker Per Month (Per Annum)
0 6 7000.00 504000.00
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 6 504000.00
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
Manufacturing Expenses
Raw Material 160710.00
Wages 504000.00
Repair & Maintenance 29550.00
Power & Fuel 44325.00
Other Overhead Expenses 14775.00
Affix latest
attested
Photograph
District : BADNAPUR
Pin: 431202 State: #REF!
Phone #REF!
E-Mail #REF!
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.
a Expansion / Mordenisation :
9.1 Capacity (Furnish the details of Installed capacity & production : (No. in Units/ Qty. in Kg./Volume in liter per annum)
Capacity is arrived at on the basis of Days working on shift basis
Product & Present Installed Maximum Prod. Proposed Installed Maximum Prod.
By-product if any Capacity Achieved Capacity of 1st Year envisaged
70.00% 527352
Administrative Manpower
Accounting personnel
Ancillary Building
Storage
9.9 Plant and Machinery Existing (Value in Rs.) Proposed (Value in Rs.)
Indigenous 1600000.00
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
Power
Water
Fuel
Others (Specify)
9.12 Environment Aspect of the Project :
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 875000.00 875000.00
State Government 0.00
14 Projected Cash flow Statement : Projected Cash flow Statement given in the
Detailed Project Report.
3. Occupation :
4. Details of movable & immovable
properties owned by him /her/other
family members
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.Board
#REF!
#REF!
#REF! State: #REF!
e-Mail:
Ph. No.: Fax: