A Details of the Applicant

Sr. No. Particulars

1 Name of the Applicant

Constitution Legal Status of Applicant :
(i.e. Govt. organization, NGO, Co-operative
2 society, Company, Partnership Firm,
Proprietorship firm, Individual, FPO, Self Help
Group, etc.)
3 Registration No. of Applicant/CIN
4 GST No. of Applicant
5 Date of Establishment/ Incorporation
6 Address of the registered office
7 PAN No. of Applicant
8 Address of the proposed site
9 District
10 State
11 Pin Code
12 Whether lead promoter belong to SC/ ST/
Woman/Minority

B Details of associates/allied firms, if any may also be provided

 Details

any may also be provided

Details of Promoter/Partners/Directors/Members

A Contact Details

Name of
Sr. No. Address Telephone No.
Applicant/Partner/Directors
1
2
3
4

B Personal Details

Name of
Sr. No. Aadhaar No. PAN
Applicant/Partner/Directors
1
2
3
4

C Relative experience of the Applicant/Promoter(s)/Partner(s)/Directors(s)/ Members

Sr No. Name of Details of experience Details of Turnover

Applicant/Partner/Directors (year wise)

D Details of Existing Banking and Credit facilities of the Applicant/ Promoter(s)/ Partner(s)/ Directors(s)

Name of Bank and

Sr. No. Type of facility Limits
Branch
1 Cash credits
2 Term loans
3 Others

*Information pertaining to credit rating (internal /external) may also be shared along with the aforementioned in

E Details of GST Returns submitted, if any or status of registration

 Mobile No. Email id Any other details

Academic qualifications Net worth DIN No. Credit Rating

Supporting Document
attached, if any
(Yes/No)

s)/ Partner(s)/ Directors(s)

Outstanding as on
Securities Rate of Interest Repayment terms
dd/mm/yyyy

ng with the aforementioned information

 Partner profit
Date of share holding
sharing ratio

Purpose
Project Details

Sr. No. Particular Detail

A Objective of Proposed project

B Category of proposed infrastructure as per the Scheme

Sr. No. Component Yes/No

1 Subsidy chain
2 Warehouses
3 Silos
4 Pack houses
5 Assaying unit
6 Sorting & Grading unit
7 Cold chain
8 Logistics facilities
9 Primary Processing centers
10 Ripening chambers
11 Organic input production
12 Bio stimulant production unit
13 Infrastructure for Smart and precision
agriculture
Projects identified for providing supply chain
14 infrastructure for clusters of crops including
export clusters

Projects promoted by Central/State/Local

15 Governments or their agencies under PPP
for building community farming assets or
post-harvest management projects.
16 Any other (please Specify)

C Type of Operating Model (Rental, PPP, captive, Lease, Franchise etc.) and details

Land Details

Sr. No. Particular Detail

1 Land Area
2 Status of Legal title & Possession
3 if leased, Period of lease
4 Coordinates of location
5 Details of CLU
6 Connectivity to roads i. State Highway (in
Km.) ii. National Highway (in Km.)
7 Availability of Water
8 Availability of Power
Proposed facilities

(i) Details of proposed facility

Sr. No. Type of facilities proposed to be created No. of Units

1 Warehouses
2 Silos
3 Pack houses
4 CA store
5 Cold Store
6 Frozen Store
7 Pre-cooling Chambers
Assaying, Sorting, Grading, Waxing,
8 Weighing, Packing facility [Modify as per
actual]
9 Ripening Chambers
10 IQF
11 Blast Freezing
12 Refrigerated Vehicles/ Reefer vans
13 Mobile Pre-coolers
14 Insulated/ non-insulated distribution vehicle
15 Irradiation Facility
16 Organic input production
17 Bio Stimulant production units
18 Others (Specify)

(ii) Details of technology

Particular Deatails

Details of technologies to be used/

alternative technologies

(iii) Flow chart of activity process

e etc.) and details
Total Capacity [MT, Ltrs,
No. of Days of operation of
MT/Hr. where ever,
each facility in a year
applicable]
 Detailed timeline for construction of proposed project and proposed date for
A commencement of operation

Sr no Particular Details
Proposed Project Financials

A Estimated project cost Details

Sr No. Items Amount (in Rs.)

1 Site development
2 Civil works
3 Technical Civil Works/Errection etc.
4 Plant & Machinery (P&M)
Fixed cost on power supply connection or/ and
5
Generator set/solar system etc.
6 Common Utilities like Water/ETP/ STP, etc
7 Pre-operative Expenses
8 Interest During Construction
9 Working Capital
10 Contingencies
11 Add other items not listed above
Total Project Cost

B Means of finance

Sr No. Items Amount (in Rs.)

1 *Promoter’s Equity
2 Capital Subsidy/ Benefit from other Central/ State
Scheme
3 Loan
Total

*The source of the owned funds and also the capacity of the promoter to support the project in the event of cost

C Basic Revenue Projections (₹ in lakh)

Sr No. Items Year 1

1 Turnover
2 Cost of Operation
3 Gross profit
4 Earnings Before Interest, Tax, Depreciation and
Amortization (EBITDA)
5 Profit before taxation
6 Profit after taxation

D Financial Parameters

Sr No. Partiulars Details (Ratio %)

1 Internal Rate of Return (IRR) [(a) With and (b) without
grant/ subsidy]
 2 Avg. Debt Service Coverage Ratio (DSCR)
3 Break Even Point (BEP)
4 Debt-Equity Ratio ( TTL/TNW)
5 Fixed Assets Coverage Ratio

E Credit Facilities proposed

Sr no Particulars Details

1 Fund Based
2 Term Loan
Working Capital (Attach Assessment of working capital,
3
if proposed)
4 Non Fund Based

F Collateral Security proposed to be offered and its approximate value for the applicable cases. (To be fu

Sr no Particular Deatails

1 Is security offered
2 Details of offered security
3 Approximate value of security

G Repayment schedule(Including moratorium period)

Sr. No. Repayment Amount Date of Payment

F Details of Statutory/other approvals/registrations (status)

Sr. No. Particular Details

 Percentage

t the project in the event of cost escalations due to time overruns should also be mentioned

Year 2 Year 3 Year 4 Year 5

 Additional Details

or the applicable cases. (To be furnished only in case of loans above Rs.2 crore)
 Availability of Raw Materials in the Catchment Area - provide details such
A as Adequate Volume, Wider Mix of Raw Materials, Days of Operation in a
Year along with supporting data. Based on this information
feasibility/viability of the project should be justified.

Sr no Particular

1 Adequate Volume
2 Wider Mix of Raw Materials
3 Days of Operation in a Year along with supporting data.

B Details of the catchment area of the Project

Location of the Catchment

SR No (Primary/Secondary
 Details

Name Quantities to be sourced

Village/Dist/APMC Commodities to be sourced (MT per annum)
 Details of existing demand of the product and marketing arrangements
A (including e-trading), possibility of for leasing with FCI/CWC/SWC/e-
commerce players / retailers for assured cash flows if any

Sr. No. Partiulars

1 Existing demand of the product

2 Marketing arrangements (including e-trading
possibility of for leasing with FCI/CWC/SWC/e-commerce players / retailers
3 for assured cash flows if any

B Employment Generation projections

Sr. No. Particular

1 Direct Employment: (Skilled and Semi-skilled)

2 Contractual Employment with no. of days:
3 Indirect Employment (specify):

Details of renewable/ alternate energy sources including solar energy, if any,

C proposed to be used for operating the project including inter alia, details of
power generation.

sr no Particular
Details

Details

Details
A.Details of pollution issues (if any) and adoption of modern technology for reducing the carbon footprints and in

Basic cost
Sr no Name of Technology/items
(Excluding taxes etc.)

B.List of Manufacturers/ Suppliers of P&M (enclose quotations

Sr no Particular Details
odern technology for reducing the carbon footprints and increasing operational efficiency:-

How the technology will help in reducing carbon footprint

and/or increase in operational efficiency