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 2333942 15000 29942 2378884
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
HUMA PARVEZ KHAN
1.2
PARVEZ KHAN
2 Gender Male Female
3 Address of the Proposed location of Unit: Rural Urban
PLOT NO.22 MAHMODPURA HARSUL ROAD AURANGABAD

Taluk/Block: AURANGABAD
District: AURANGABAD Pin: 431001
State: MAHARASTRA
Email: k.parvez@yahoo.com Mobile:

4 Qualification
Academic Technical
Graduate

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 :
AYURVIDIC MEDICINE MFG

Legal Status:

Land 4000 ###

BUILDING DETAILS
Particulars Area Rate/Sq.ft Amount in Rs.

0.00
0.00
0.00
0.00
0.00
0.00

MACHINERY DETAILS
Particulars Qty. Rate Amount in Rs.
1) SIFTER 1 100000.00 100000.00
2) MILLING MACHINE 1 75000.00 75000.00
3) TRAY DRYEAR 1 100000.00 100000.00 Male
4) HIGH SHEAR MIXER 1 200000.00 200000.00
5) POWDER FILLING MACHINE 1 215000.00 215000.00
6) COMPRESSION MACHINE 1 350000.00 350000.00 KVIC
7) CAP FILLING MACHINE 1 450000.00 450000.00
8)BLISTER MACHINE 1 400000.00 400000.00 DIC
9) LIQUID FILLING MACHINE 1 252000.00 252000.00
10) LIQUID MFG.VESSEL 1 177000.00 177000.00
0.00 Rura
0.00

Total 2319000.00 No

d. Preliminary & Pre-operative Cost : 10000.00 SC

e. Furniture & Fixtures : 14942.00

f. Contingency/Others/Miscellaneous 5000.00

Working Capital : 29942.00

 Manu

Means of Financing ###

Own Contribution : 5%
Bank Finance : 95%
Margin Money (Govt. Subsidy) : 25%

DETAILS OF SALES Own

Rate/ Qantity Amount in Rs.
Particulars of Products
Unit
TABLET 75.00 20000 1500000.00
CAP 100.00 19000 1900000.00
POWDER BOTTLE 120.00 8000 960000.00
LIQUID BOTTLES 75.00 7000 525000.00
0.00
0.00
0.00

Total 4885000.00

RAW MATERIALS
Particulars Unit Rate/Unit Reqd. Unit Amount In Rs.
HARBEL EXTRACT 500.00 700 350000.00
PACKING MATERIALS 500.00 1250 625000.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total 975000.00

WAGES
No. of Wages Per Month Amount in Rs.
Particulars
Worker Total Month 12
20 8000.00 1920000.00
0.00
0.00
0.00
0.00
0.00
0.00
Total 20 1920000.00

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

WORKING CAPITAL ESTIMATE

Element of Working Capital No. of Days

Stock in process 10

Finished goods 3

Receivable by 1

POWER ESTIMATE
Power Requirement 10 HP

Repair and Maintanance 3.00% Rs. 146550.00

Power and Fuel 1.00% Rs. 48850.00

Other Overhead Expenses 1.00% Rs. 48850.00

Telephone Expenses 1.00% Rs. 48850.00

Stationery & Postage 1.00% Rs. 48850.00

Advertisement & Publicity 4.00% Rs. 195400.00

Building Rent Rs.

Other Miscelleneous Expenditure 1.00% Rs. 48850.00

Rate of Interest 12.50%

Depreciation
On Building
On Machinery

INTRODUCTION

ABOUT THE PROMOTER

 PROJECT AT A GLANCE - TOP SHEET
1 Name of the Entreprenuer HUMA PARVEZ KHAN

2 Constitution (legal Status) Individual

3 Father's/Spouce's Name PARVEZ KHAN

4 Unit Address : PLOT NO.22 MAHMODPURA HARSUL ROAD AURANGABAD

Taluk/Block: AURANGABAD
District : AURANGABAD
Pin: 431001 State: MAHARASTRA
E-Mail : k.parvez@yahoo.com
Mobile 9130299273
5 Product and By Product

6 Cost of Project : Rs. 25,00,000

Name of the project / business AYURVIDIC MEDICINE MFG
activity proposed :
7 Means of Finance
Term Loan Rs. 23,75,000.00
KVIC Margin Money Rs. 6,25,000.00
Own Capital Rs. 125000.00

8 Debt Service :
Coverage Ratio

9 Pay Back Period : 5 Years

10 Project : 0 Months
Implementation
Period

11 Break Even Point :

12 Employment : 20

13 Power Requirement : 10 HP

14 Major Raw materials : HARBEL EXTRACT ,PACKING MATERIALS,

15 Estimated Annual : Rs. 4885000.00

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 : 4000 Own

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

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 0.00
#REF!
C. Machinery Qty. Rate Amount in Rs.
1) SIFTER 1 100000.00 100000.00
2) MILLING MACHINE 1 75000.00 75000.00
3) TRAY DRYEAR 1 100000.00 100000.00
4) HIGH SHEAR MIXER 1 200000.00 200000.00
5) POWDER FILLING MACHINE 1 215000.00 215000.00
6) COMPRESSION MACHINE 1 350000.00 350000.00
7) CAP FILLING MACHINE 1 450000.00 450000.00
8)BLISTER MACHINE 1 400000.00 400000.00
9) LIQUID FILLING MACHINE 1 252000.00 252000.00
10) LIQUID MFG.VESSEL 1 177000.00 177000.00
0 0 0.00 0.00
0 0 0.00 0.00
Total 2319000.00

PMEGP Project Report Page 11

 d. Preliminary & Pre-operative Cost : Rs. 10000.00

e. Furniture & Fixtures : Rs. 14942.00

f. Contingency/Others/Miscellaneous Rs. 5000.00

Total Capital Expenditure : Rs. 2348942.00

Working Capital : Rs. 151058.00

Total Cost Project : Rs. 2500000.00

3.1 Means of Financing :

Own Contribution 5% Rs. 125000.00

Bank Finance : 95%

Term Loan Rs. 2231495.00
Working Capital Rs. 143505.00

Total Rs. 2375000.00

Margin Money (Govt. Subsidy) From KVIC 25% Rs. 625000.00

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
12.50%
1st 2231495 0 2231495 278937
2nd 2231495 446299 1785196 278937
3rd 1785196 446299 1338897 223150
4th 1338897 446299 892598 167362
5th 892598 446299 446299 111575
6th 446299 446299 0 55787
7th 0 0 0 0
8th 0 0 0 0

WORKING CAPITAL

Interest @
Year Opening Balance Installment Closing Balance
12.50%
1st 143505 0 143505 17938
2nd 143505 28701 114804 17938
3rd 114804 28701 86103 14351
4th 86103 28701 57402 10763
5th 57402 28701 28701 7175
6th 28701 28701 0 3588
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 @ 0.00%
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 @ 0.00%
Opening Balance 2319000 2319000 2319000 2319000 2319000
Depreciation 0 0 0 0 0
Closing Balance 2319000 2319000 2319000 2319000 2319000
TOTAL DEPRECIATION
Workshed 0 0 0 0 0
Machinery 0 0 0 0 0
Total 0 0 0 0 0

4 Schedule of Sales Realization :

4.1 Details of Sales
Rate/ No. of Amount in Rs.
Particulars of Product Pair/Unit Pair/Unit
0
TABLET 75.00 20000 1500000.00
CAP 100.00 19000 1900000.00
POWDER BOTTLE 120.00 8000 960000.00
LIQUID BOTTLES 75.00 7000 525000.00
0 0.00 0 0.00
0 0.00 0 0.00
0 0.00 0 0.00
Total 4885000.00

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 3419500 3908000 4396500 4396500 4396500

5 Rawmaterials :
Particulars Unit Rate/unit Reqd.Unit Amount in Rs.
HARBEL EXTRACT 0 500.00 700 350000.00
PACKING MATERIALS 0 500.00 1250 625000.00
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 975000.00
5.1 Wages :
No. of Wages Amount in Rs.
Particulars Worker Per Month (Per Annum)
0 20 8000.00 1920000.00
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 20 1920000.00

PMEGP Project Report Page 13

5.2 Repairs and Maintenance : Rs. 146550.00

PMEGP Project Report Page 14

5.3 Power and Fuel : Rs. 48850.00

5.4 Other Overhead Expenses : Rs. 48850.00

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

6.2 Telephone Expenses 48850.00

6.4 Stationery & Postage 48850.00

6.5 Advertisement & Publicity 195400.00

6.6 Workshed Rent 0.00

6.7 Other Miscellaneous Expenses 48850.00

Total 341950.00
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 682500 780000 877500 877500 877500
Wages 1344000 1536000 1728000 1728000 1728000
Repairs & Maintenance 102585 117240 131895 131895 131895
Power & Fuel 34195 39080 43965 43965 43965
Other Overhead Expenses 34195 39080 43965 43965 43965
Administrative Expenses
Salary 0 0 0 0 0
Postage Telephone Expenses 34195 39080 43965 43965 43965
Stationery & Postage 34195 39080 43965 43965 43965
Advertisement & Publicity 136780 156320 175860 175860 175860
Workshed Rent 0 0 0 0 0
Other Miscellaneous Expenses 34195 39080 43965 43965 43965
Total: 2436840 2784960 3133080 3133080 3133080
8 Assessment of Working Capital :
Particulars Amount in Rs.
Sale 4885000.00

Manufacturing Expenses
Raw Material 975000.00
Wages 1920000.00
Repair & Maintenance 146550.00
Power & Fuel 48850.00
Other Overhead Expenses 48850.00

Production Cost 3139250.00

Administrative Cost 341950.00
Manufacturing Cost 3481200.00

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 10 Production Cost 104642.00

Finished goods 3 Manufacturing Cost 34812.00

Receivable by 1 Manufacturing Cost 11604.00

Total Working Capital Requirement Per Cycle 151058.00

9 Financial Analysis
9.1 Projected Profit & Loss Account :
Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Sales / Receipts 3419500 3908000 4396500 4396500
3419500 3908000 4396500 4396500
Manufacturing Expenses
Rawmaterials 682500 780000 877500 877500
Wages 1344000 1536000 1728000 1728000
Repairs & Maintenance 102585 117240 131895 131895
Power & Fuel 34195 39080 43965 43965
Other Overhead Expenses 34195 39080 43965 43965
Depreciation 0 0 0 0
Production Cost 2197475 2511400 2825325 2825325
Administrative Expenses
Salary 0 0 0 0
Postage Telephone Expenses 34195 39080 43965 43965
Stationery & Postage 34195 39080 43965 43965
Advertisement & Publicity 136780 156320 175860 175860
Workshed Rent 0 0 0 0
Other Miscellaneous Expenses 34195 39080 43965 43965
Administrative Cost 239365 273560 307755 307755
Interest on Bank credit @ 12.5%
Term Loan 278937 278937 223150 167362
Working Capital Loan 17938 17938 14351 10763
Cost of Sale 2733715 3081835 3370580 3311205
Net Profit Before Tax 685785 826165 1025920 1085295
Less Tax 0.00 0.00 0.00 0.00
Net Profit 685785 826165 1025920 1085295

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 685785 826165 1025920 1085295
Add :
Depreciation 0 0 0 0
TOTAL - A 685785 826165 1025920 1085295
Payments :
On Term Loan :
Interest 278937 278937 223150 167362
Installment 0 446299 446299 446299
On Working Capital
Interest 17938 17938 14351 10763
TOTAL - B 296875 743174 683799 624424
D.S.C.R = A/B
2.31 1.11 1.50 1.74
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 125000 125000 125000 125000
Profit 685785 826165 1025920 1085295
Term Loan 2231495 2231495 1785196 1338897
Working Capital Loan 143505 143505 114804 86103
Current Liabilities 0 0 0 0
Sundry Creditors 0 0 0 0
3185785 3326165 3050920 2635295
ASSETS :
Gross Fixed Assets : 2333942 2333942 2333942 2333942
Less : Depreciation 0 0 0 0
Net Fixed Assets 2333942 2333942 2333942 2333942
Preliminary & Pre-Op. Expenses 10000 7500 5625 4219
Current Assets 143505 143505 114804 86103
Cash in Bank/Hand 708338 848718 602174 215250
Total 3185785 3326165 3050920 2635295

9.4 CASH FLOW STATEMENT :

Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Net Profit 685785 826165 1025920 1085295
Add : Depreciation 0 0 0 0
Term Loan 2231495 2231495 1785196 1338897
Working Capital Loan 143505 143505 114804 86103
Promoters Capital 125000 0 0 0
Total 3185785 3201165 2925920 2510295

Total Fixed Capital Invested 2348942

Repayment of Term Loan 0 446299 446299 446299

Repayment of WC Loan 0 28701 28701 28701
Current Assets 143505 143505 114804 86103
Total 143505 618505 589804 561103

Opening Balance 0 3042280 5624940 7961056

Surplus 3042280 2582660 2336116 1949192
Closing Balance 3042280 5624940 7961056 9910248

9.5 BREAK EVEN POINT AND RATIO ANALYSIS :

Particulars 0 Year 1st Year 2nd Year 3rd Year 4th Year
Fixed Cost 518302 552497 530905 475117
Variable Cost 2215413 2529338 2839676 2836088
Total Cost 2733715 3081835 3370580 3311205

Sales 3419500 3908000 4396500 4396500

Contribution (Sales-VC) 1204087 1378662 1556825 1560412

B.E.P in % 43.05% 40.07% 34.10% 30.45%

Break Even Sales in Rs. 1471931 1566126 1499284 1338654

Break Even Units 19626 20882 19990 17849

Current Ratio 0.48 0.19 0.16 0.13

PMEGP Project Report Page 17

 Net Profit Ratio 20.06% 21.14% 23.33% 24.69%

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 : HUMA PARVEZ KHAN

Signature of the Beneficiary

PMEGP Project Report Page 19

 PROJECT REPORT FOR

Affix latest
attested
Photograph

1 Name of the Entreprenuer HUMA PARVEZ KHAN

1
2 Constitution (legal Status) Individual

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

5 Unit Address : PLOT NO.22 MAHMODPURA HARSUL ROAD

AURANGABAD
0
Taluk/Block: AURANGABAD

District : AURANGABAD
Pin: 431001 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
0 20
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
Total 20

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% 2197475

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 2319000.00

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
0 20 8000.00 1920000.00
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
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 20 1920000.00

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 2319000.00 2319000.00
2. Imported 0.00

D Furniture & Fixture 14942.00 14942.00

E Testing equipment 0.00

F Miscellaneous Fixed Assets 0.00

G Errection & Installation Charges 0.00

H Contingency 5000.00 5000.00

I Preliminary & Pre-Op. Cost 10000.00 10000.00

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

K Working Capital for one 151058.00 151058.00

Operating Cycle

L Total 0.00 2500000.00 2500000.00

 11 Means of Financing :
(Rs. in '000)
Sr.No. Particulars Amount already Amount Proposed Total
Raised to be Raised
A Equity / Promoters Contribution 125000.00 125000.00

B Reserves 0.00

C Term Loans 2375000.00 2375000.00

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 625000.00 625000.00
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 2500000.00 2500000.00

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. 151058.00

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: