Application ID: (For office use)

APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER PRIME MINISTERS

EMPLOYMENT GENERATION PROGRAMME (PMEGP)
12 Name of the project / business activity proposed :

13 Amount of loan required (in Rs.)

Capital Expenditure Loan
Working
Building Type Workshed Machinery/ Pre
Capital /
Building Equipment/ Operative
Cash Credit Total
etc. Furniture Cost
Limit
Rented 0 303200 19000 89000 411200
Details of earlier or current Loan/Grant and subsidy availed from
14 Central/State Govt. Scheme/ or any other Similar Scheme.
Activity of the Project with Address Amount Year of Sanction

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):

Place: Signature, Name & Designation of Officer

Date:
 NOTE

• Own contribution must be invested 5% for SC/ST/OBC/PHC/woman/ Ex-serviceman/ North

East Reason/Hill Boarder Area and 10% for General
• Total Project Cost should not exceed 25 lakhs for Manufacturing unit and 10 lakhs for
service unit.
• Applicant will not be entitled for additional Margin Money(Subsidy) in case of Own
Contribution over and above the prescribed limit.
• VIIIth pass for Manufacturing Unit above Rs.10 lakhs project cost and under Service Sector
above Rs.5 lakhs
• Application should be submitted complete in all respect along with attested copies of the
following documents:
1. Certificate of qualification-academic and technical (if project cost above 5 lakhs under
service industry or above 10 lakhs under Manufacturing industry)
2. Relevant Certificate for SC/ST/OBC/Minority/Ex-Servicemen/PHC
3. if Entrepreneur Development programme(EDP) training undergone (at least for two weeks)
then submit photocopy of the certificate
 DATA INPUT SHEET

Preference for sponsoring agency of the project to Bank: (mark √ )

KVIC KVIB DIC RURAL URBAN √
1.1 Name of the Applicant/Institution
Sandip Pandey
1.2
Fathers Name
2 Gender Male √ Female
3 Address of the Proposed location of Unit: Rural Urban √
Address of the Proposed location of Unit:

Taluk/Block: Chinsurah - Mogra

District: Hooghly Pin: 712502
State: West Bengak
Email: [email protected] Mobile: 9576944699

4 Qualification
Academic Technical
10th Pass NIELIT CCC

5 Whether the applicant belongs to (mark √)

Ex- Hill
SC ST OBC PHC Service Minority Boarder General
man Area
√

Manu-
Whether the
√
Service
6 facturing
Unit
project (mark √) Unit
8 Name of the project / business activity proposed :
CYBER CAFÉ AND BACK OFFICE SERVICES

Legal Status:

Land ###

BUILDING DETAILS
Particulars Area Rate/Sq.ft Amount in Rs.
Own Shop 140 0.00 0.00
0.00
0.00
0.00
0.00
0.00
0.00

MACHINERY DETAILS
Particulars Qty. Rate Amount in Rs.
Desktop Computer with UPS 5 28000.00 140000.00
All in One Color Printer 1 14500.00 14500.00
Xerox Machine 1 60000.00 60000.00 Male
Lamination Machine 1 4200.00 4200.00
All in One Laser Printer 1 14500.00 14500.00
0.00 KVIC
0.00
0.00 DIC (
0.00
0.00
0.00 Rura
0.00

Total 233200.00 No

d. Preliminary & Pre-operative Cost : 12000.00 SC

e. Furniture & Fixtures : 70000.00

f. Contingency/Others/Miscellaneous 7000.00

Working Capital : 89000.00

 Manu

Means of Financing ###

Own Contribution : 10%

Bank Finance : 90%
Margin Money (Govt. Subsidy) : 15%

DETAILS OF SALES Own

Rate/ Qantity Amount in Rs.
Particulars of Products
Unit
Xerox 1.00 70000 70000.00
Blank and White Print 5.00 1200 6000.00
Color Print 10.00 36000 360000.00
Lamination 15.00 15000 225000.00
Scan 5.00 9000 45000.00
Online Form Fillup 30.00 600 18000.00
Net Surfing 20.00 600 12000.00
AEPS, Mobile Recharge, Utilities etc 250000.00
Total 986000.00

RAW MATERIALS
Particulars Unit Rate/Unit Reqd. Unit Amount In Rs.
A4 Paper 7 rim rim 210.00 7 1470.00
Photo Paper 1 Packet pkt 40.00 1 40.00
Printer and xerox Machine Refilling 1250.00 1 1250.00
Lamination Sheet roll 150.00 1 150.00
Broadband Recharge 550.00 1 550.00
0.00
0.00
0.00
0.00
Total 3460.00

WAGES
No. of Wages Per Month Amount in Rs.
Particulars
Worker Total Month 12
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
0.00
0.00
0.00
0.00
0.00
Total 2 228000.00

SALARY DETAILS
No. of Wages Per Month Amount in Rs.
Particulars
Staff Total Month 12
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
0.00
0.00
0.00
Total 2 228000.00

WORKING CAPITAL ESTIMATE

Element of Working Capital No. of Days

Stock in process

Finished goods

Receivable by

POWER ESTIMATE
Power Requirement

Repair and Maintanance Rs. 600.00

Power and Fuel Rs. 0.00

Other Overhead Expenses Rs. 300.00

Telephone Expenses Rs. 0.00

Stationery & Postage Rs. 0.00

Advertisement & Publicity Rs. 0.00

Building Rent Rs. 3000.00

Other Miscelleneous Expenditure Rs. 0.00

Rate of Interest 12.00%

Depreciation
On Building 5.00%
On Machinery 10.00%

INTRODUCTION

ABOUT THE PROMOTER

 PROJECT AT A GLANCE - TOP SHEET
1 Name of the Entreprenuer Sandip Pandey

2 Constitution (legal Status) Individual

3 Father's/Spouce's Name Fathers Name

4 Unit Address : Address of the Proposed location of Unit:

0
Taluk/Block: Chinsurah - Mogra
District : Chinsurah - Mogra
Pin: 712502 State: West Bengak
E-Mail : [email protected]
Mobile 9576944699
5 Product and By Product

6 Cost of Project : Rs. 3,22,200

Name of the project / business CYBER CAFÉ AND BACK OFFICE SERVICES
activity proposed :
7 Means of Finance
Term Loan Rs. 2,89,980.00
KVIC Margin Money Rs. 48,330.00
Own Capital Rs. 32220.00

8 Debt Service :
Coverage Ratio

9 Pay Back Period : 5 Years

10 Project : 0 Months
Implementation
Period

11 Break Even Point :

12 Employment : 4

13 Power Requirement : 0

14 Major Raw materials : A4 Paper 7 rim,Photo Paper 1 Packet,Printer and xerox Machine Refilling

15 Estimated Annual : Rs. 736000.00

Sales Turnover

PMEGP Project Report Page 10

 DETAILED PROJECT REPORT
1 INTRODUCTION :

2 ABOUT THE PROMOTER :

3 COST OF PROJECT
A. Fixed Capital Investment
a. Land : 0 Own

b. Workshed Area Sq.ft Rate in Rs. Amt. In Rs.

Own Shop 140 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 0.00
#REF!
C. Machinery Qty. Rate Amount in Rs.
Desktop Computer with UPS 5 28000.00 140000.00
All in One Color Printer 1 14500.00 14500.00
Xerox Machine 1 60000.00 60000.00
Lamination Machine 1 4200.00 4200.00
All in One Laser Printer 1 14500.00 14500.00
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
0 0 0.00 0.00
Total 233200.00

PMEGP Project Report Page 11

 d. Preliminary & Pre-operative Cost : Rs. 12000.00

e. Furniture & Fixtures : Rs. 70000.00

f. Contingency/Others/Miscellaneous Rs. 7000.00

Total Capital Expenditure : Rs. 322200.00

Working Capital : Rs. 0.00

Total Cost Project : Rs. 322200.00

3.1 Means of Financing :

Own Contribution 10% Rs. 32220.00

Bank Finance : 90%

Term Loan Rs. 289980.00
Working Capital Rs. 0.00

Total Rs. 289980.00

Margin Money (Govt. Subsidy) From KVIC 15% Rs. 48330.00

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
12.00%
1st 289980 0 289980 34798
2nd 289980 57996 231984 34798
3rd 231984 57996 173988 27838
4th 173988 57996 115992 20879
5th 115992 57996 57996 13919
6th 57996 57996 0 6960
7th 0 0 0 0
8th 0 0 0 0

WORKING CAPITAL

Interest @
Year Opening Balance Installment Closing Balance
12.00%
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

PMEGP Project Report Page 12

3.3 STATEMENT SHOWING THE DEPRECIATION ON FIXED ASSETS:
WORKSHED @ 5.00%
Particulars 1st Year 2nd Year 3rd Year 4th Year 5th Year
Opening Balance 0 0 0 0 0
Depreciation 0 0 0 0 0
Closing Balance 0 0 0 0 0
MACHINERY @ 10.00%
Opening Balance 233200 209880 188892 170003 153003
Depreciation 23320 20988 18889 17000 15300
Closing Balance 209880 188892 170003 153003 137702
TOTAL DEPRECIATION
Workshed 0 0 0 0 0
Machinery 23320 20988 18889 17000 15300
Total 23320 20988 18889 17000 15300

4 Schedule of Sales Realization :

4.1 Details of Sales
Rate/ No. of Amount in Rs.
Particulars of Product Pair/Unit Pair/Unit
0
Xerox 1.00 70000 70000.00
Blank and White Print 5.00 1200 6000.00
Color Print 10.00 36000 360000.00
Lamination 15.00 15000 225000.00
Scan 5.00 9000 45000.00
Online Form Fillup 30.00 600 18000.00
Net Surfing 20.00 600 12000.00
Total 736000.00

4.2 Capacity Utilization of Sales

Particulars 1st Year 2nd Year 3rd Year 4th Year 5th Year

Capacity Utilization 70% 80% 90% 90% 90%

Sales / Receipts 515200 588800 662400 662400 662400

5 Rawmaterials :
Particulars Unit Rate/unit Reqd.Unit Amount in Rs.
A4 Paper 7 rim rim 210.00 7 1470.00
Photo Paper 1 Packet pkt 40.00 1 40.00
Printer and xerox Machine Refilling 0 1250.00 1 1250.00
Lamination Sheet roll 150.00 1 150.00
Broadband Recharge 0 550.00 1 550.00
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 3460.00
5.1 Wages :
No. of Wages Amount in Rs.
Particulars Worker Per Month (Per Annum)
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
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 2 228000.00

PMEGP Project Report Page 13

5.2 Repairs and Maintenance : Rs. 600.00

PMEGP Project Report Page 14

5.3 Power and Fuel : Rs. 0.00

5.4 Other Overhead Expenses : Rs. 300.00

6 Administrative Expenses :
6.1 Salary
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
0 0 0.00 0.00
0 0.00 0.00
0 0.00 0.00
Total 2 228000.00

6.2 Telephone Expenses 0.00

6.4 Stationery & Postage 0.00

6.5 Advertisement & Publicity 0.00

6.6 Workshed Rent 36000.00

6.7 Other Miscellaneous Expenses 0.00

Total 264000.00
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
Rawmaterials 2422 2768 3114 3114 3114
Wages 159600 182400 205200 205200 205200
Repairs & Maintenance 420 480 540 540 540
Power & Fuel 0 0 0 0 0
Other Overhead Expenses 210 240 270 270 270
Administrative Expenses
Salary 228000 228000 228000 228000 228000
Postage Telephone Expenses 0 0 0 0 0
Stationery & Postage 0 0 0 0 0
Advertisement & Publicity 0 0 0 0 0
Workshed Rent 36000 36000 36000 36000 36000
Other Miscellaneous Expenses 0 0 0 0 0
Total: 426652 449888 473124 473124 473124
8 Assessment of Working Capital :
Particulars Amount in Rs.
Sale 736000.00

Manufacturing Expenses
Raw Material 3460.00
Wages 228000.00
Repair & Maintenance 600.00
Power & Fuel 0.00
Other Overhead Expenses 300.00

Production Cost 232360.00

Administrative Cost 264000.00
Manufacturing Cost 496360.00

PMEGP Project Report Page 15

 Working Capital Estimate :
Element of Working Capital No of Days Basis Amount in Rs.
0 0 Material Cost 0.00

Stock in process 0 Production Cost 0.00

Finished goods 0 Manufacturing Cost 0.00

Receivable by 0 Manufacturing Cost 0.00

Total Working Capital Requirement Per Cycle 0.00

9 Financial Analysis
9.1 Projected Profit & Loss Account :
Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Sales / Receipts 515200 588800 662400 662400
515200 588800 662400 662400
Manufacturing Expenses
Rawmaterials 2422 2768 3114 3114
Wages 159600 182400 205200 205200
Repairs & Maintenance 420 480 540 540
Power & Fuel 0 0 0 0
Other Overhead Expenses 210 240 270 270
Depreciation 23320 20988 18889 17000
Production Cost 185972 206876 228013 226124
Administrative Expenses
Salary 228000 239400 251370 263939
Postage Telephone Expenses 0 0 0 0
Stationery & Postage 0 0 0 0
Advertisement & Publicity 0 0 0 0
Workshed Rent 36000 36000 36000 36000
Other Miscellaneous Expenses 0 0 0 0
Administrative Cost 264000 275400 287370 299939
Interest on Bank credit @ 12%
Term Loan 34798 34798 27838 20879
Working Capital Loan 0 0 0 0
Cost of Sale 484770 517074 543221 546942
Net Profit Before Tax 30430 71726 119179 115458
Less Tax 0.00 0.00 0.00 0.00
Net Profit 30430 71726 119179 115458

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 30430 71726 119179 115458
Add :
Depreciation 23320 20988 18889 17000
TOTAL - A 53750 92714 138068 132458
Payments :
On Term Loan :
Interest 34798 34798 27838 20879
Installment 0 57996 57996 57996
On Working Capital
Interest 0 0 0 0
TOTAL - B 34798 92794 85834 78875
D.S.C.R = A/B
1.54 1.00 1.61 1.68
Average D.S.C.R

PMEGP Project Report Page 16

9.3 PROJECTED BALANCE SHEET :
Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
LIABILITIES :
Promoters Capital 32220 32220 32220 32220
Profit 30430 71726 119179 115458
Term Loan 289980 289980 231984 173988
Working Capital Loan 0 0 0 0
Current Liabilities 0 0 0 0
Sundry Creditors 0 0 0 0
352630 393926 383383 321666
ASSETS :
Gross Fixed Assets : 303200 279880 258892 240003
Less : Depreciation 23320 20988 18889 17000
Net Fixed Assets 279880 258892 240003 223003
Preliminary & Pre-Op. Expenses 12000 9000 6750 5063
Current Assets 0 0 0 0
Cash in Bank/Hand 72750 135034 143380 98664
Total 352630 393926 383383 321666

9.4 CASH FLOW STATEMENT :

Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Net Profit 30430 71726 119179 115458
Add : Depreciation 23320 20988 18889 17000
Term Loan 289980 289980 231984 173988
Working Capital Loan 0 0 0 0
Promoters Capital 32220 0 0 0
Total 375950 382694 370052 306446

Total Fixed Capital Invested 322200

Repayment of Term Loan 0 57996 57996 57996

Repayment of WC Loan 0 0 0 0
Current Assets 0 0 0 0
Total 0 57996 57996 57996

Opening Balance 0 375950 700649 1012705

Surplus 375950 324698 312056 248450
Closing Balance 375950 700649 1012705 1261155

9.5 BREAK EVEN POINT AND RATIO ANALYSIS :

Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Fixed Cost 322118 331186 334097 337818
Variable Cost 185972 206876 228013 226124
Total Cost 508090 538062 562110 563942

Sales 515200 588800 662400 662400

Contribution (Sales-VC) 329228 381924 434387 436276

B.E.P in % 97.84% 86.72% 76.91% 77.43%

Break Even Sales in Rs. 504073 510578 509468 512911

Break Even Units 504073 510578 509468 512911

Current Ratio 0.00 0.00 0.00 0.00

PMEGP Project Report Page 17

 Net Profit Ratio 5.91% 12.18% 17.99% 17.43%

PMEGP Project Report Page 18

 This Project Report has been prepared based on the data furnished by the entrepreneur whose details are
given in the application.
Place :
Date:
Prepared by :
Full Name : SANDIP PANDEY

Signature of the Beneficiary

PMEGP Project Report Page 19

 PROJECT REPORT FOR

Affix latest
attested
Photograph

1 Name of the Entreprenuer Sandip Pandey

1
2 Constitution (legal Status) Individual

3 Father's/Spouce's Name #REF!

5 Unit Address : Address of the Proposed location of Unit:

0
Taluk/Block: Chinsurah - Mogra

District : Chinsurah - Mogra

Pin: 712502 State: #REF!
Phone #REF!
E-Mail #REF!

6 Background of the Proprietor/Partners/Directors : Furnished detailed information in the DPR

7 Name of Business House/Group if any :

8 Details Other Companies/Units in the group :

Other Companies / Units in the Group (Rs. in Lakhs)
Name & Address Business Equity Reserves Loans Turnover *P.B.T **P.A.T
of Company / Unit

* Profit Before Tax ** Profit After Tax

`

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)

8.2 If the Unit is an ancillary one, undertaking to

which it is catering and its address :
8.3 Employment : Present Proposed
Manager (Self) 1
Peon Cum Assistant 1
0 0
0 0
0 0
0 0
0 0
Manager (Self) 1
Peon Cum Assistant 1
0 0
0 0
0 0
Total 4

9 Project Details for Proposed New Unit : Copy of detailed project report is enclosed.
a Expansion / Mordenisation :

b Setting up of New unit :

c Activity for proposed new unit :

d Product / Item proposed to undertake :

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% 185972

9.3 State the manufacturing process in brief :

9.4 Has the proposed process ever been tried in the
country or newly adopted? :

9.5 Technical Arrangements :

9.6 Describe arrangement for Key Official

for managing the proposed unit :
Technical Manpower

Administrative Manpower

Accounting personnel

9.7 Particulars of Land Existing Proposed

Location of the Land :
Area of Land
Status of the Land
Nature of Land
Availability of Water :

9.8 Particulars of Building Existing Proposed

(Enclose the plan & Estimation for the proposed Building) Area Value in Rs. Status Area Value Status
Factory Building :

Ancillary Building

Storage

Total 0.00 0.00

9.9 Plant and Machinery Existing (Value in Rs.) Proposed (Value in Rs.)
Indigenous 233200.00

Imported

(Enclose the plan layout of the existing plant and machinery )

9.10 Rawmaterials / Components
Req. of Raw material/Components/Chemicals Qty. in Nos./Kgs./Ton Rate/Nos./Kgs/Tons Value in Rs.

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 :

9.13 Requirement of Manpower for the Project :

Particulars of Manpower Total Requirement Salary/Wages per month Cost per Annum
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
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
Manager (Self) 1 12000.00 144000.00
Peon Cum Assistant 1 7000.00 84000.00
0 0 0.00 0.00
0 0 0.00 0.00
0 0 0.00 0.00
Total 4 456000.00

9.14 Schedule of Implementation : BAR CHART

Activities Date of Commencement Expected Date of Completion
a. Acquisition of Land
b. Development of Land
c. Civil Works for Factory / Building
Machinery / Foundation etc..
d. Plant & Machinery
Imported
Indigenous
e. Arrangement for power
f. Arrangement for water
g. Errection of equipment
h. Commissioning
I. Procurement of Raw materials/Chemicals
j. Trail Runs
k. Commercial Production
10 Cost of Project :
(Rs. in '000)
Sr.No. Particulars Already Incurred To be Incurred Total Cost
A Land including Development 0.00 0.00

B Building & Other Civil Works 0.00 0.00

C Plant and Machinery

1. Indigenous 233200.00 233200.00
2. Imported 0.00

D Furniture & Fixture 70000.00 70000.00

E Testing equipment 0.00

F Miscellaneous Fixed Assets 0.00

G Errection & Installation Charges 0.00

H Contingency 7000.00 7000.00

I Preliminary & Pre-Op. Cost 12000.00 12000.00

J Provision for
1. Buildings 0.00
2. Plant & Machinery 0.00
3. Other Fixed Assets 0.00

K Working Capital for one 0.00 0.00

Operating Cycle

L Total 0.00 322200.00 322200.00

 11 Means of Financing :
(Rs. in '000)
Sr.No. Particulars Amount already Amount Proposed Total
Raised to be Raised
A Equity / Promoters Contribution 32220.00 32220.00

B Reserves 0.00

C Term Loans 289980.00 289980.00

D Unsecured Loans and Deposits 0.00

(Indicate sources, roi, repayment etc)

E Deferred Payment 0.00

Arrangements including Suppliers credit

F Subsidy
Central Government 48330.00 48330.00
State Government 0.00

G Seed Capital 0.00

H Internal Cash Accruals 0.00

I Other Sources (Specify) 0.00

J Total 0.00 322200.00 322200.00

11.1 In case internal accruals are taken as

source of finance explain the basis of
estimation of internal accruals :

11.2 Indicate source from which expenditure

already incurred has been financed :

11.3 % of Promoters contribution of the :

total cost of project
 12 Marketing & Selling Arrangements of the Product :

13 Projected Profitability : Projected Profitability Statement given in the

Detailed Project Report.

14 Projected Cash flow Statement : Projected Cash flow Statement given in the
Detailed Project Report.

% of Cash Sales in Total Sales :

Period in which payment is received Days

in respect of Credit Sales

Average Credit Available on Purchase : Days

15 Working Capital Required for the : Rs. 0.00

anticipated turnover

16 Repayment Programme : Detailed Repayment programme for Term loan and

Working capital loan have been given in the DPR.

17 Details of Securities to be Offered :

17.1 Primary ( Furnish details for term loan and : :

working capital loan separately )
17.2 Collateral, if any (Details) :

17.3 Details of Guarantor(s) :

1. Name
2. Residential Address :

3. Occupation :
4. Details of movable & immovable
properties owned by him /her/other
family members

5 Details of any other similar guarantees:

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

Date : 0 Signature of the Borrower

Place : 0 Name & Designation (In case of Regd. Inst.)
 Project Report on

Prepared By:
#REF!
District Industries Center
#REF!
#REF!
#REF! State: #REF!
e-Mail:
Ph. No.: Fax: