DPR Package

Application ID:
(For office use)
APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER PRIME MINISTERS

EMPLOYMENT GENERATION PROGRAMME (PMEGP)
Preference for sponsoring agency of the project to Bank: (mark )

KVIC
KVIB
DIC
RURAL
URBAN
TO
.
District Industries Center
PHOTO
State:
1
Name of the Applicant/Institution

7/2/1974
2
3
4
5
Date of Birth:
DD
2
MM
7
YYYY
1974
Age ( in Years)
41
Sex
Male
Female
Father's/Spouse's/Contact person Name (if Institution):
Khadi & V.I.

Khadi & V.I.
District Indu
District Indu
Communication Address:
Taluk/Block:
District:
Email:
Male
Female
Address of the Proposed location of Unit:
Pin
Rural
Urban
Contact No:
Rural
Urban
No
Yes
Taluk/Block:
District:
7
Name of the preferred Bank Name & Address in the Area for Project Sanction:
Taluk/Block:
District:
8
Pin:
Qualification
Academic
Under 8th
Branch Code:
SC
ST
OBC
PHC
Ex- Service
Minority
Hill Boarder
General
Technical
Manufactur
Whether Entrepreneur Development

programme (EDP at least 2 weeks)
under gone: (mark )
Yes
Certificate Issue ##
Date
Period of Training
Name & Address of Training Institute
No
From
To
Ex- Service
man
Minority
10 Whether the applicant belongs to (mark )

SC
ST
OBC
PHC
Hill
Boarder
Area
Whether the project

(mark )
Manufacturing Unit
Service
Unit
Post Gradu
12 Name of the project / business activity proposed :
Capital Expenditure Loan
Rented
Workshed Machinery/
Building Equipment/
etc.
Furniture
Pre
Operative
Cost
Working
Capital /
Cash Credit
Limit
Total
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:
For Official Use only:
Reason (if Rejected):
Place:
Date:
PhD
Own
Rented
Leased
13 Amount of loan required (in Rs.)
Building Type
Under 8th
8th Pass
10th Pass
12th Pass
Graduate
General
11
Service
Signature of the Applicant

(Rejected / to be placed before District Task force Committee)
Signature, Name & Designation of Officer
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

Legal Status:
Land
BUILDING DETAILS
Particulars
Area
Rate/Sq.ft
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Particulars
MACHINERY DETAILS
Qty.
Rate
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total
d. Preliminary & Pre-operative Cost :

e. Furniture & Fixtures
f. Contingency/Others/Miscellaneous
0.00
Working Capital
0.00
##
Means of Financing
Own Contribution
Bank Finance
5%
95%
Margin Money (Govt. Subsidy)
25%
DETAILS OF SALES
Rate/
Particulars of Products
Qantity
Unit
Stone carving products

Stone Artware & Decorative Prod.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total
Particulars
Amount in Rs.
0.00
RAW MATERIALS
Unit
Rate/Unit Reqd. Unit
Total
Amount In Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Particulars
WAGES
No. of
Wages Per Month
Worker Total Month
12
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total
0.00
SALARY DETAILS
No. of
Wages Per Month
Staff
12
Total Month
Particulars
Total
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
WORKING CAPITAL ESTIMATE

Element of Working Capital
Raw materials
No. of Days
Stock in process
Finished goods
Receivable by
POWER ESTIMATE
Power Requirement
Repair and Maintanance
Rs.
0.00
Power and Fuel
Rs.
0.00
Other Overhead Expenses
Rs.
0.00
Telephone Expenses
Rs.
0.00
Stationery & Postage
Rs.
0.00
Advertisement & Publicity
Rs.
0.00
Building Rent
Rs.
1000.00
Other Miscelleneous Expenditure
Rs.
0.00
Rate of Interest
Depreciation
On Building
On Machinery
5.00%
10.00%
Pay back period
Project Implementation Period
12
INTRODUCTION
ABOUT THE PROMOTER
Office Address:
.
0
0
0
State: 0
Name & Signature Incharge

with round seal
DISTRICT INDUSTRIES CENTER

PROJECT AT A GLANCE - TOP SHEET
1
Name of the Entreprenuer
Constitution (legal Status)
Individual
Father's/Spouce's Name
Unit Address
: 0
0
Taluk/Block 0
District :
Pin:
Phone
E-Mail
Product and By Product
Cost of Project
Means of Finance
Term Loan
KVIC Margin Money
Own Capital
0
0
0
0
State: 0
Rs. 0
Rs. 0.0
Rs. 0.00
Rs. 0.00
Debt Service
Coverage Ratio
#DIV/0!
Pay Back Period
10 Project
Implementation
Period
12
11 Break Even Point
#DIV/0!
12 Employment
13 Power Requirement
14 Major Raw materials
15 Estimated Annual
Sales Turnover
PMEGP Project Report
Years
Months
,,
Rs. 0.00
Page 10
DETAILED PROJECT REPORT

1
INTRODUCTION
ABOUT THE PROMOTER
COST OF PROJECT
A.
a.
Land
b.
0
0
0
0
0
0
0
Workshed
Fixed Capital Investment

:
0
Area Sq.ft
0
0
0
0
0
0
0
Rate in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Own
Amt. In Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total
0
C. Machinery
0
0
0
0
0
0
0
0
0
0
0
0
Total
Qty.
0
0
0
0
0
0
0
0
0
0
0
0
Rate
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Page 11
d. Preliminary & Pre-operative Cost :
Rs. 0.00
e. Furniture & Fixtures
Rs. 0.00
f. Contingency/Others/Miscellaneous
Rs. 0.00
Total Capital Expenditure
Rs. 0.00
Working Capital
Total Cost Project
Rs. 0.00
3.1 Means of Financing

Own Contribution
Rs. 0.00
:
5%
Bank Finance
Term Loan
Working Capital
95%
Total
Rs. 0.00
Rs. 0.00
Rs. 0.00
Rs. 0.00
Margin Money (Govt. Subsidy) From KVIC
25%
Rs. 0.00
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
Year
Opening Balance
Installment
Closing Balance
1st
2nd
3rd
4th
5th
6th
7th
8th
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Interest @
0.00%
0
0
0
0
0
0
0
0
WORKING CAPITAL
Year
Opening Balance
Installment
Closing Balance
1st
2nd
3rd
4th
5th
6th
7th
8th
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Interest @
0.00%
0
0
0
0
0
0
0
0
Page 12
3.3
STATEMENT SHOWING THE DEPRECIATION ON FIXED ASSETS:

WORKSHED
@
Particulars
1st Year
2nd Year
3rd Year
4th Year
Opening Balance
0
0
0
0
Depreciation
0
0
0
0
Closing Balance
0
0
0
0
MACHINERY
@
Opening Balance
0
0
0
Depreciation
0
0
0
Closing Balance
0
0
0
TOTAL DEPRECIATION
Workshed
0
0
0
Machinery
0
0
0
Total
0
0
0
4 Schedule of Sales Realization

4.1 Details of Sales
Rate/
Pair/Unit
0
Stone carving products
Stone Artware & Decorative Prod.
0
0
0
0
0
Total
Capacity Utilization
Rawmaterials
Particulars
0
0
0
0
0
0
0
0
0
Total
5.1 Wages
Particulars
0
0
0
0
0
0
0
Total
No. of
Pair/Unit
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0
0
0
0
0
0
0
0
0
Amount in Rs.
0
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1st Year
2nd Year
3rd Year
4th Year
5th Year
70%
80%
90%
90%
90%
Sales / Receipts
5
0
0
0
Particulars of Product
4.2 Capacity Utilization of Sales

Particulars
5.00%
5th Year
0
0
0
10.00%
:
Unit
0
0
0
0
0
0
0
0
0
:
No. of
Worker
0
0
0
0
0
0
0
0
Rate/unit
Reqd.Unit
0.00
0
0.00
0
0.00
0
0.00
0
0.00
0
0.00
0
0.00
0
0.00
0
0.00
0
Wages
Per Month
Amount in Rs.
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Amount in Rs.
(Per Annum)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Page 13
5.2 Repairs and Maintenance
Rs. 0.00
Page 14
5.3 Power and Fuel
Rs. 0.00
5.4 Other Overhead Expenses
Rs. 0.00
6 Administrative Expenses
6.1 Salary
0
0
0
Total
:
0
0
0
0
0
0
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
6.2 Telephone Expenses
0.00
6.4 Stationery & Postage
0.00
6.5 Advertisement & Publicity
0.00
6.6 Workshed Rent
12000.00
6.7 Other Miscellaneous Expenses

0.00
Total
12000.00
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
0
0
0
0
0
Wages
0
0
0
0
0
Repairs & Maintenance
0
0
0
0
0
Power & Fuel
0
0
0
0
0
0
0
0
0
0
Administrative Expenses
Salary
0
0
0
0
0
Postage Telephone Expenses
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Workshed Rent
12000
12000
12000
12000
12000
Other Miscellaneous Expenses
0
0
0
0
0
Total:
12000
12000
12000
12000
12000
8 Assessment of Working Capital
:
Particulars
Amount in Rs.
Sale
0.00
Raw Material
Wages
Repair & Maintenance
Power & Fuel
Production Cost
Administrative Cost
Manufacturing Cost
0.00
0.00
0.00
0.00
0.00
0.00
12000.00
12000.00
Page 15
Working Capital Estimate

Element of Working Capital
Raw materials
:
No of Day
0
Basis
Material Cost
Stock in process
Production Cost
0.00
Finished goods
Manufacturing Cost
0.00
Receivable by
Manufacturing Cost
0.00
Per Cycle
0.00
Total Working Capital Requirement

9 Financial Analysis
9.1 Projected Profit & Loss Account :
Particulars
0 Year
Sales / Receipts
Rawmaterials
Wages
Repairs & Maintenance
Power & Fuel
Depreciation
Production Cost
Administrative Expenses
Salary
Postage Telephone Expenses
Workshed Rent
Other Miscellaneous Expenses
Administrative Cost
Interest on Bank credit @ 0%
Term Loan
Working Capital Loan
Cost of Sale
Net Profit Before Tax
Less Tax
Net Profit
1st Year
0.00
2nd Year
3rd Year
4th Year
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
12000
0
12000
0
0
0
0
12000
0
12000
0
0
0
0
12000
0
12000
0
0
0
0
12000
0
12000
0
0
12000
-12000
0.00
-12000
0
0
12000
-12000
0.00
-12000
0
0
12000
-12000
0.00
-12000
0
0
12000
-12000
0.00
-12000
9.2 CALCULATION OF DEBT SERVICE CREDIT RATIO (D.S.C.R)

Particulars
0 Year
1st Year
Net Profit
-12000
Add :
Depreciation
0
TOTAL - A
-12000
Payments :
On Term Loan :
Interest
0
Installment
0
On Working Capital
Interest
0
TOTAL - B
0
D.S.C.R = A/B
#DIV/0!
Average D.S.C.R
Amount in Rs.
:
2nd Year
-12000
3rd Year
-12000
4th Year
-12000
0
-12000
0
-12000
0
-12000
0
0
0
0
0
0
0
0
0
0
0
0
#DIV/0!
#DIV/0!
#DIV/0!
Page 16
9.3 PROJECTED BALANCE SHEET

Particulars
LIABILITIES :
Promoters Capital
Profit
Term Loan
Current Liabilities
Sundry Creditors
:
0 Year
ASSETS :
Gross Fixed Assets :
Less : Depreciation
Net Fixed Assets
Preliminary & Pre-Op. Expenses
Current Assets
Cash in Bank/Hand
Total
9.4 CASH FLOW STATEMENT
Particulars
Net Profit
Add : Depreciation
Term Loan
Promoters Capital
Total
1st Year
2nd Year
3rd Year
4th Year
0
-12000
0
0
0
0
-12000
0
-12000
0
0
0
0
-12000
0
-12000
0
0
0
0
-12000
0
-12000
0
0
0
0
-12000
0
0
0
0
0
-12000
-12000
0
0
0
0
0
-12000
-12000
0
0
0
0
0
-12000
-12000
0
0
0
0
0
-12000
-12000
1st Year
-12000
0
0
0
0
-12000
2nd Year
-12000
0
0
0
0
-12000
3rd Year
-12000
0
0
0
0
-12000
4th Year
-12000
0
0
0
0
-12000
:
0 Year
Total Fixed Capital Invested
Repayment of Term Loan

Repayment of WC Loan
Current Assets
Total
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
-12000
-12000
-12000
-12000
-24000
-24000
-12000
-36000
-36000
2nd Year
12000
0
12000
3rd Year
12000
0
12000
4th Year
12000
0
12000
Opening Balance
Surplus
Closing Balance
9.5 BREAK EVEN POINT AND RATIO ANALYSIS :

Particulars
0 Year
1st Year
Fixed Cost
12000
Variable Cost
0
Total Cost
12000
-12000
-48000
Sales
Contribution (Sales-VC)
B.E.P in %
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Break Even Sales in Rs.
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Break Even Units
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Current Ratio
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Page 17
Net Profit Ratio
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
Page 18
This Project Report has been prepared based on the data furnished by the entrepreneur whose
details are given in the application.
Place : 0
Date: 30-Dec-99
Prepared by
:
.
0
0
0
State 0
Full Name :
e-Mail: 0
Ph. No.: 0
Signature of the Beneficiary
Fax: 0
Name & Signature Office Incharge

with round seal
Page 19
PROJECT REPORT FOR
Affix latest
attested
Photograph
Name of the Entreprenuer
Constitution (legal Status)
Individual
Father's/Spouce's Name
5 Unit Address
0
0
Taluk/Block:
Background of the Proprietor/Partners/Directors :
District :
Pin:
Phone
E-Mail
State:
Furnished detailed information in the DPR
Name of Business House/Group if any :
Details Other Companies/Units in the group

Name & Address
of Company / Unit
* Profit Before Tax
Other Companies / Units in the Group

Business
Equity
Reserves
Loans
Turnover
*P.B.T
(Rs. in Lakhs)
**P.A.T
** Profit After Tax
8.1 How the activity was financed so far :

*Source of Funds
Security
Rate of
Interest
8.2 If the Unit is an ancillary one, undertaking to

which it is catering and its address
( To be filled up in case of existining unit Only )

Repayment per
Present O/s
Month
( Rs. in '000 )
Amount of Default
(if any)
8.3 Employment
0
0
0
0
0
0
0
0
0
0
0
0
Present
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
9
Proposed
Project Details for Proposed New Unit

a
Expansion / Mordenisation
b
Setting up of New unit
Activity for proposed new unit
Product / Item proposed to undertake :
: Copy of detailed project report is enclosed.

:
:
:
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.
Maximum Prod.
Proposed Installed
By-product if any
Capacity
Achieved
envisaged
Capacity of 1st Year
70.00%
0
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

Location of the Land
Area of Land
Status of the Land
Nature of Land
Availability of Water
Existing
9.8 Particulars of Building
Existing
Area
(Enclose the plan & Estimation for the proposed Building)
Factory Building
Proposed
Value in Rs.
Proposed
Status
Area
Value
Status
Ancillary Building
Storage
Total
9.9 Plant and Machinery

Indigenous
0.00
Existing (Value in Rs.)
0.00
Proposed (Value in Rs.)

0.00
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
Total
0.00
9.11 Utilities (Furnish details on requirement, availability, adequacy, qualitative aspects etc..)
Particulars of Utilities
Contracted Load
Connected Load
in HP/KW/W
Power
Water
Fuel
Others (Specify)
Value in Rs.
in HP/KW/W
Further requirement
in HP/KW/W
9.12 Environment Aspect of the Project
9.13 Requirement of Manpower for the Project

:
Particulars of Manpower
Total Requirement
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total
0
9.14 Schedule of Implementation
Activities
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
Salary/Wages per month
Cost per Annum
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
BAR
Date of Commencement
CHART
Expected Date of Completion
10 Cost of Project
Sr.No.
Particulars
A
Land including Development
Already Incurred
To be Incurred
0.00
(Rs. in '000)
Total Cost
0.00
Building & Other Civil Works
0.00
0.00
Plant and Machinery

1. Indigenous
2. Imported
0.00
0.00
0.00
Furniture & Fixture
0.00
0.00
Testing equipment
0.00
Miscellaneous Fixed Assets
0.00
Errection & Installation Charges
0.00
Contingency
0.00
0.00
Preliminary & Pre-Op. Cost
0.00
0.00
Provision for
1. Buildings
2. Plant & Machinery
3. Other Fixed Assets
0.00
0.00
0.00
Working Capital for one

Operating Cycle
Total
0.00
0.00
0.00
0.00
0.00
11 Means of Financing
Sr.No.
Particulars
Equity / Promoters Contribution
Reserves
Term Loans
Unsecured Loans and Deposits
Amount already
Raised
Amount Proposed
(Rs. in '000)
Total
to be Raised
0.00
0.00
0.00
0.00
0.00
0.00
(Indicate sources, roi, repayment etc)
Deferred Payment
0.00
Arrangements including Suppliers credit
Subsidy
Central Government
State Government
0.00
0.00
0.00
Seed Capital
0.00
Internal Cash Accruals
0.00
Other Sources (Specify)
0.00
Total
0.00
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
0.00
0.00
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

in respect of Credit Sales
Days
Average Credit Available on Purchase :
Days
15 Working Capital Required for the

anticipated turnover
16 Repayment Programme
Rs.
0.00
: 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 :
Place :
0
0
Signature of the Borrower

Name & Designation (In case of Regd. Inst.)
Project Report on
Prepared By:
.
0
0
0
State: 0
e-Mail:
Ph. No.:
Fax:

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APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER PRIME MINISTERS

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

Name of the Applicant/Institution

Khadi & V.I.

Address of the Proposed location of Unit:

Whether Entrepreneur Development

Name & Address of Training Institute

10 Whether the applicant belongs to (mark )

Whether the project

12 Name of the project / business activity proposed :

Capital Expenditure Loan

Details of earlier or current Loan/Grant and subsidy availed from

14 Central/State Govt. Scheme/ or any other Similar Scheme.

13 Amount of loan required (in Rs.)

Signature of the Applicant

Signature, Name & Designation of Officer

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

DATA INPUT SHEET

d. Preliminary & Pre-operative Cost :

Margin Money (Govt. Subsidy)

Stone carving products

WORKING CAPITAL ESTIMATE

Repair and Maintanance

Power and Fuel

Other Overhead Expenses

Stationery & Postage

Advertisement & Publicity

Other Miscelleneous Expenditure

Pay back period

Project Implementation Period

ABOUT THE PROMOTER

Name & Signature Incharge

DISTRICT INDUSTRIES CENTER

Name of the Entreprenuer

Constitution (legal Status)

Product and By Product

Pay Back Period

11 Break Even Point

14 Major Raw materials

PMEGP Project Report

DETAILED PROJECT REPORT

ABOUT THE PROMOTER

Fixed Capital Investment

PMEGP Project Report

d. Preliminary & Pre-operative Cost :

e. Furniture & Fixtures

Total Capital Expenditure

Total Cost Project

3.1 Means of Financing

Margin Money (Govt. Subsidy) From KVIC

STATEMENT SHOWING THE REPAYMENT OF TERM LOAN & WORKING CAPITAL :

PMEGP Project Report

STATEMENT SHOWING THE DEPRECIATION ON FIXED ASSETS:

4 Schedule of Sales Realization

PMEGP Project Report

4.2 Capacity Utilization of Sales

5.2 Repairs and Maintenance

PMEGP Project Report

5.3 Power and Fuel

5.4 Other Overhead Expenses

6.2 Telephone Expenses