PROJECT LOAN APPLICATION FORM

GENERAL BACKGROUND INFORMATION

Date of Loan Application: / /

Name of the Industrial Concern:

(in block letters)

Constitution : Public Ltd. Co. Sector:

Public Sector

Private Limited Co. Joint Sector

Co-op Society Private Sector

Others, please Co-operative Sector

specify

Industry Classification:

Date of Incorporation / Registration: / /

Date of Commencement of Business: / /

Village Tehsil District State

Registered Office
Controlling (Head)
Office
Project Location

PROJECT PROFILE
Project Type: Greenfield Diversification Others (specify)
Expansion Modernisation

Description of Proposed Licensed Existing Proposed Maximum

Product(s) Capacity Installed Installed Envisaged
Capacity Capacity Production
Briefly state description of project (product, process, technology, first-time in the
country, special features in regard to any specific advantage, etc.)

Indicate the section-wise capacities for the major sections of the plant along with detailed calculations.
Explain the reasons for excess / inadequate capacity, if any, in any of the sections.

Give specifications of major products and by-products

Products / By Products Size Weight Chemical / Physical Industrial Uses
Properties
PART I – PROMOTER/ COMPANY INFORMATION

A. PROMOTER BACKGROUND (only required if applicant is a new company)

I-1 Provide the following information on the Main Promoter
Name & Address:

Age:
Educational Qualifications:

Relevant Industry Experience:

Name of the Brief Description (for the past 5 years)

company Promoted / of Company
Affiliated With

1 Sales
Net Profit
Networth
2 Sales
Net Profit
Networth
3 Sales
Net Profit
Networth

Names of Bankers with Whom

Enquiries can be Made :

Defaults on existing commitments to:

Amount (Rs. lakhs) Period of
default
Pri. Int. Other Total
IDBI
Other FIs
Banks

I-2 Provide a brief write-up on the activities and past performance of the company
(only required if promoter is a limited company)
Activities
Performance 19__ 19__ 19__ 19__ 19__
Sales
Gross Profit
Operating Profit
Net Profit
Share Capital
Networth

I-3 Describe any other expansion programme(s) contemplated (only required if promoter is a limited
company)
B. COMPANY BACKGROUND (only required if applicant is an existing
company)

I-4 Provide a brief history of the concern including any changes in names, business
management, etc. and indicate any mergers or reorganisations which took place

I-5 Provide a list of all subsidiary/ancillary companies

Names of Subsidiaries Percentage of Holding

I-6 Provide the following information on the Holding Company

Name of Holding Company:

Other Subsidiary Companies Paid-up Capital of Percentage Held by Holding

Under the Holding Company Subsidiaries Company
Equity Pref. Equity Pref.

I-7 Is the company regular in crediting its contribution and the contribution of its employees to the
Employees' Provident Fund's and meeting other statutory obligations?
Yes No
I-8 Describe manufacturing facilities separately at each plant as follows:
Plant Dates of Major Plant & Equipment Specification of Products
Installation and Design Normal Manufactured
Major Remodeling Capacity Capacity

I-9 Provide information on each major product / product group as follows:

Major Product / Licensed Installed Production Sales Sales
Product Group Capacity Capacity Quantity Value

I-10 Provide reasons for under-utilisation of capacity and significant variations in productions and sales

I-11 Describe locational advantages of the plant:

I-12 Indicate the existing requirement of raw materials, utilities and services
Raw Materials, Utilities Arrangements for Supply
and Services

I-13 Describe export sales over the last 5 years as follows:

Export Product Main Destination(s) Physical Volume Proceeds of Export
Sales
I-14 Provide the following details of insurance carried on fixed assets and inventories:
Covered Item Basis of Insurance Name of Insurer Risk Type Covered

I-15 Provide details of Pending Litigation either by or against the company

I-16 Furnish information on R&D activities as follows:

Nature of R&D Activities:

Total Amount of Capital Expenditure Incurred:

Annual Budget:
Number of Scientists / Technical Personnel Employed:

List of new Products / Processes Extent of Commercial Exploitation

Developed

I-17 Describe any assets that may have been revalued or written off at any time during the existence of the
company
Revalued or Written-off Assets Reasons

I-18 Provide the following information on the Company's tax status

Year up to which Company has been
assessed for Income Tax:

Estimated Unassessed Liability:

Concessions Available:

Basis for Tax Provisions:

Details of Unclaimed Tax Benefits:

I-19 Provide details of any other new / expansion projects which are under implementation or are planned to
be implemented by the company
Project Description Estimated Costs Means of Financing Present Status

I-20 Provide the following particulars for all existing debentures: (use additional sheets of paper if
necessary)
#1 #2 #3
Date of Debenture Trust Deed
Purpose for which Debenture was
Raised
Security Charged and Nature of
Charge
Trustees for Debenture Holders
Original Amount of Issue
Amount Outstanding

Rate of Interest

Amortisation Schedule

Conversion or Other Special

Provisions
Main Holders of Debentures

Restrictive Covenants

I-21 Provide the following particulars for all existing long term secured loans:
(use additional sheets of paper if necessary)
#1 #2 #3
Name of Institution Granting Loan

Purpose of the Loan

Original Amount

Amount Outstanding

Rate of Interest

Amortisation Schedule

Security Charged and Nature of

Charge
Date of Creation of Charge
 Any Defaults in Interest or
Principle Payments
Restrictive Covenants

I-22 Provide the following particulars for existing cash credit / overdraft agreements:
(use additional sheets of paper if necessary)
#1 #2 #3
Name of Bank

Nature of Facility

Maximum Limit

How and When Repayable

Particulars of Security

Stipulated Margin Percentage

Particulars of Guarantees (if any)
Rate of Interest

Value of Security and Drawing

Power
Amount Outstanding on Date of
Application
Negative Charge on Fixed
Assets?

C. MANAGEMENT STRUCTURE
I-23 Provide the following detail for each member of the Board of Directors:
(Use additional sheets of paper if necessary)

1) Director's Age:
Name:
Address:
Existing Shareholding: %

Proposed Shareholding:
%

Educational
Qualifications:
Relevant Industry
Expertise:

Affiliated /Group Nature of Any financial dealings Size of Turnover/

Companies Business with the company Networth

2) Director's Age:
 Name:
Address:
Existing Shareholding: %

Proposed Shareholding:
%

Educational
Qualifications:
Relevant Industry
Expertise:

Affiliated /Group Nature of Any financial dealings Size of Turnover/

Companies Business with the company Networth

3) Director's Age:
Name:
Address:
Existing Shareholding: %

Proposed Shareholding:
%

Educational
Qualifications:
Relevant Industry
Expertise:

Affiliated /Group Nature of Any financial dealings Size of Turnover/

Companies Business with the company Networth

4) Director's Age:
Name:
Address:
Existing Shareholding: %

Proposed Shareholding:
%

Educational
Qualifications:
Relevant Industry
 Expertise:

Affiliated /Group Nature of Any financial dealings Size of Turnover/

Companies Business with the company Networth

I-24 Provide a list of key executive and technical staff

Key Executive / Technical Age Qualifications and Experience Salary Length of
Staff Service

I-25 Provide a list of key administrative and accounting staff

Key Administrative / Age Qualifications and Experience Salary Length
Accounting Staff of Service

I-26 Furnish the number of personnel employed in each existing plant

Plant Supervisory Skilled Semi-Skilled Unskilled

I-27 Describe the proposed arrangement for executive management

of the concern both during the construction period and for regular operations thereafter

C. SHAREHOLDING PATTERN
I-28 Provide a list of shareholders owning or controlling 5% or more of equity shares
Shareholder Name Amount Owned Business Relationship

I-29 What is total number of shareholders?

Equity:
 Preference:

I-30 Provide detail on the distribution of shareholdings (only required for existing companies)
Equity Preference
Indian Promoters:
1)
2)
3)
4)
5)
Foreign Collaborators
Central Government
State Government
State Industrial Development Corporation

Financial Institutions:
IDBI
IFCI
ICICI
LIC
UTI
GIC
Banks
Others, (please specify)
Public

I-31 In respect of shares issued for consideration other than for cash, furnish the
following particulars:
Name of the Party No. of Value of Date of Issue Consideration for which
Shares Shares Issued Issued
Issued
PART II - TECHNICAL INFORMATION
A. TECHNICAL ARRANGEMENTS
II-1 Explain the technical process proposed to be employed, including reasons for
adopting this particular process

II-2 Has the proposed process ever been tried in this country? If yes, what were the results? Please indicate
performance of concerns adopting similar technology.

II-3 Explain technical arrangements made / proposed for implementation of project

II-4 In case any collaboration is involved, furnish the following information:

Collaborator Size and Turnover:
Company:

Describe major activities and performance of collaborator company

List particulars of existing plants

Describe other projects in India and abroad set up with same collaboration

II-5 Provide particulars of consultants employed

Consultant Scope of Work Fees Payable Particulars of Consultants
Assigned
II-6 Provide particulars of architects employed
Architect / Firm Scope of Work Fees Payable Past Experience
and Bio-Data of Senior Personnel

II-7 Provide the following particulars for main plant that was imported/ to be imported
for the project (Please furnish similar details for each equipment separately in annex) :
Description with Broad Specifications:

Name of Manufacturer:
Country of Origin:
Basis of selection of equipment
Source(s) of supply
Has the machinery already been imported? Yes No
If no, has the order been placed? Yes No
If yes, what is the order placement date? / /
What is the expected delivery date? / /
Port of Landing:
FOB Value
Basis of Valuation
Insurance & Freight: Rs. Import Duty: %

II-8 Provide the following particulars for main plant that was acquired/ to be acquired
indigenouly (Please furnish similar details for each equipment separately in annex):
Description with Broad Specifications:

Name of Manufacturer:
Basis of selection of equipment
Source(s) of supply
Has the machinery already been imported? Yes No
If no, has the order been placed? Yes No
If yes, what is the order placement date? / /
What is the expected delivery date? / /
Ex works FOR price
Basis of Valuation

B. Location and site

II-9 Indicate location of plant, requirements of land for the project and the arrangements made therefor.
Describe the locational advantages

II-10 Give the following particulars in respect of the land acquired / proposed to be acquired for the project:
Describe the extent of land and its cost:

What is the basis of evaluation?

 Has entire sale consideration / lease premium been paid ? Yes No

If yes, describe instalments?

What is the nature of the tenure of the land? Leasehold Freehold

What is the expected delivery date? / /

Has possession of the land been taken? Yes No

If yes, when was possession taken? / /

Previous Owners of the Land Relationship, if any, to Promoters / Directors

Give particulars of sale / lease deeds obtained

Most likely execution date if not already executed / /

Any restrictions against the mortgage of land? Yes No

If yes, has permission been obtained? Yes No

Is name of company / society mutated in Revenue Yes No

Records?

Is the land subject to any restrictions under local Land Yes No

Ceiling Laws?

Is land directly connected with the public road? Yes No

If no, has the Company / Society acquired or Yes No
purchased the land on which to
construct the approach road connecting the land to the
public road?

Has the land been acquired by the Company Society Yes No

under the Land Acquisition Act?
If yes, have all the requirements under the Act been Yes No
complied with?

Give particulars

Are all the original title deeds / documents, receipts, Yes No

etc. available?
 If no, give reasons

Are the provisions of Urban Land (Ceiling and Yes No

Regulation) Act applicable to the land?

If yes, have exemption under Section 20 and Yes No

permission to transfer under
Section 26 and 27 of the Act been obtained?

Are there any restrictions under local laws against the Yes No
land being used for non-agricultural / industrial
purposes?
If yes, has requisite permission for non-agricultural Yes No
use been obtained?
Is the land free from encumbrances? Yes No
If no, provide details

Are any suit / appeal or other proceedings pertaining to Yes No

the land pending in any Court?

Are any proceedings taken for recovery of land Yes No

revenue, rents, royalties or other taxes and dues of
public nature?

If yes, provide details

Describe type of soil and load bearing capacity

Describe water table

II-11 Explain the arrangements made / proposed for constructing each building as follows (please furnish
details for other civil works in the following format separately):
Description of the Building:

Type of Construction:
 No of Floors: Length: Breadth:
Avg Floor Ht Total Floor Area: Rate per sq. m.
Estimated Cost:

Name of Contractor:
Contract Date: / / Contract Amount:

Expected Date of Completion: / /

Remarks (Indicate the reasons for higher/ lower construction costs such as heavy foundation, special
construction, etc.)

C. INPUTS OF PRODUCTION
II-12 Describe indigenous raw material requirements
Name of Material / Specification Reqmt per Total Annual Unit Cost Basis of Cost
Chemical tonne of Reqmnt Estimate
Component Final Prod.

II-13 Describe imported raw material requirements

Name of Material / Specification Reqmt per Total Annual Unit Cost Basis of Cost
Chemical tonne of Reqmt Estimate
Component Final Prod.

II-14 Indicate principle

trade suppliers who have contracted/ agreed to supply
Name of Supplier Address Material(s) Agreed to Supply
II-15 Provide details on any price or distribution controls on any of the raw materials, if any

II-16 Indicate the arrangements made / proposed for obtaining raw materials
which are in short order or to be imported

II-17 In case of mining lease, provide the following details:

Location and Area of Mineral Bearing
Land:

Particulars of Minerals:

Principle Terms of the Mining Lease:

Estimated Future Reserves and

Quality of Reserves for Each of the
Minerals and Basis Thereof:
Means of Transport from the Mines to
the Factory

II-18 Describe the requirements and availability of labour, as well as training and development programmes
Total Require- Availability Training Programmes Manpower
ments Development
Programmes
Skilled

Semi-skilled

Unskilled

II-19 Furnish existing and proposed arrangements for housing the staff and workers
Senior Other Supervisors Labour
Executives Executives
No. of Quarters (existing)
No. of Quarters (proposed)
Floor Area (Existing)
Floor Area (Proposed)
 Unit Cost (Existing)
Unit Cost (Proposed)
Amount Proposed to be met
from Industrial Housing Scheme

II-20 Furnish the following details regarding power requirements:

Sources of Power and Supply Voltage
Purchased:
Own Generation:
Stand-by Arrangements:

Maximum Demand:

Connected:

Peak Hour Requirements:

Contracted Load:

Power Tariff:

Cost of Power per Annum at Maximum Capacity

Utilisation:

Provide Calculations

II-21 Furnish the following details regarding conservation of energy

(only required for hotel projects)
Indicate the efforts proposed for utilising alternate sources of energy for the following:
Improving power factor

Improving heating efficiency in kitchens, toilets, etc.

Describe the use of solar energy for low temperature heating requirements and whether siting /orientation of the
hotel building has been made to optimise the use of solar energy for the following:

Bringing down air conditioning loads

Optimising illumination from lighting fixtures

Indicate the efforts proposed for better power load management, including for evening out peak demand
requirements and cutting down non-essential loads

Indicate the efforts proposed for generally cutting down losses in the use of various utility services, namely
power, water and steam and maximum and efficient utilisation of waste heat

Indicate any other measures considered necessary or proposed to be taken in the context of energy conservation

Give particulars of the monitoring system to acquire the desired economy in use of energy

Indicate the savings achieved / proposed to be achieved by utilising alternative sources of energy

II-22 Furnish the following details regarding water requirements

Requirements of Water
Circulating:
Make-up:
Process:
Boiler Feed:
Drinking:
Cooling:

Sources of Water Arrangements Proposed:

Water Charges Payable:

Capacities of Tanks:

Capacities of Reservoirs

Describe proposed water treatment arrangements

II-23 Furnish the following details regarding steam requirements

Steam Requirements:
Steam Balance:

Type of Boiler:
 Capacity:

Provide detailed specifications

Consumption Total Energy Theoretical Requirements Expected Actual

Station Generated / of Energy (M.K.cal) Requirements
Purchases

If alternate processes are available, provide comparative energy consumption figures for the various processes

If the project is energy intensive, discuss the possibility of choosing alternative processes in order to make the
project less energy intensive

Describe the steps proposed to be taken by the company to improve energy efficiency and reduce energy losses
(such as power factor improvement, power load management, optimising illumination, waste heat utilisation, etc.)

Describe the scope for usage of solar / other renewable sources of energy

Describe any other measures contemplated in the direction of energy conservation and management

II-24 Furnish the following details regarding compressed air and fuel requirements
Requirement Sources Arrangements Cost at Site Detailed Cost
Proposed Calculations

II-25 Describe the arrangements proposed for carrying raw materials and finished
goods, provisions for own trucks, railway siding etc. and arrangements with private truck operators
D. IMPLEMENTATION SCHEDULE
II-26 Complete the following implementation schedule:
Commencement Date Completion Date
Acquisition of Land
Development of Land
Civil Works
Factory Building
Machinery Foundation
Auxiliary Building
Administrative Building
Miscellaneous Buildings
Arrangements for Power
Arrangements for Water
Erection of Equipment
Commissioning
Procurement of Raw Materials and Chemicals
Training of Personnel
Trial Runs
Commercial Production

Plant & Machinery Placement of Order Date Delivery at Site Date

Imported
Indigenous
PART III - MARKET INFORMATION
A. DEMAND OUTLOOK
III-1 Provide a brief note on the market for the proposed products
Proposed Major Uses Scope of Market Substitute Products Special
Product Features

III-2 Provide estimates of historic demand for each of the products proposed
to be manufactured (please mention source of information)
Product Year -5 Year -4 Year -3 Year -2 Year -1

III-3 Provide information regarding export possibilities and the nature of competition
to be faced in foreign countries

III-4 Give comparative data on the manufacturing costs and prices prevailing in selected competing countries
(domestic as well as export)

III-5 If there are any export commitments assumed by the company as part of the Government requirements,
indicate the arrangements proposed for meeting the same and the export incentives available

B. SUPPLY OUTLOOK
III-6 Provide estimates of historic supply of each of the products proposed to be manufactured
Product Year -5 Year -4 Year -3 Year -2 Year -1

III-7 Give an assessment of likely competition in the future and indicate any special features of the project
which may enable it to meet the competition
III-8 Specify the particulars of Government controls and restrictions, if any, on the sale price, distribution,
import, export of each of the products proposed to be manufactured
Proposed Products Government Controls and Restrictions

C. MARKET POTENTIAL
III-9 Provide estimates of the projected demand for each of the products proposed to be manufactured
Product Year -5 Year -4 Year -3 Year -2 Year -1

III-10 Provide estimates of the projected supply of each of the products proposed to be manufactured
Product Year -5 Year -4 Year -3 Year -2 Year -1

III-11 Provide current prices of proposed products

Proposed Product International CIF FOB Landed Cost

III-12 Give details regarding the trend in prices during the last five years. If the prices are controlled by the
Government or on a voluntary basis, indicate the basis on which the prices were fixed

D SELLING ARRANGEMENTS
III-13 List principle customers and particulars of any firm arrangements entered into with them
Principle Customers Particulars of Firm Arrangements
III-14 If sales are to be made directly by the company, provide information on the nature of the proposed selling
organisation for each product
Proposed Product Nature of Proposed Selling Organisation

III-15 If sales are to be made through distributors or selling agents, please provide the following particulars on
the selling arrangements
Proposed Product Proposed Selling Proposed Description of Selling
Arrangements in India and Commission Agent's Organisation
Abroad

III-16 If sales are to be made through any sole selling agents, please provide a description of remuneration,
reasons for appointment, relationship of directors with selling agent, the agent's past experience and the
adequacy of storage facilities for each sole selling agent
FINANCIAL INFORMATION
A. PROJECT COST
IV-1 Provide the following breakdown of project cost:
Rupee Cost Rupee Equivalent of
FE Cost
Land and Site Development
Buildings
Plant & Machinery
Imported
Indigenous
Technical Know-How Fees *
Expenses on Foreign Technicians and Training of Indian
Technicians Abroad *
Miscellaneous Fixed Assets *
Preliminary and Preoperative Expenses *
Provision for Contingencies *
Margin Money for Working Capital *
Total

* CALCULATIONS FOR ESTIMATION OF THESE COSTS MAY BE GIVEN IN

SEPARATE SHEETS AND ATTACHED TO THE APPLICATION.

B. MEANS OF FINANCING
IV-2 Provide a breakdown of the proposed means of financing:
Rupee Cost Rupee Equivalent of
FE Cost
Promoters' Capital
Public issue of Capital
Rupee Loan
Debentures
Foreign Currency Loan

Guarantee of Foreign Currency Loan / Deferred Credit

(Rs. equivalent at Market Rate)
Principal
Interest
Total
Guarantee to be Issued in Favour of
Internal Cash Accruals
Other (Specify)

IV-3 Provide details on proposals for raising share capital, loans and debentures:
Subscription / Loans
Underwriting of
Share Capital
Equity Pref. Rupee Foreign. Debenture Remarks
Curr.
Indian Promoters
In cash
For consideration
other than cash
Foreign Collaborator
State Government
 SIDC
IDBI
IFCI
ICICI
LIC
UTI
Banks
(Specify)
Insurance Co.s
(Specify)
Brokers

IV-4 Briefly describe the arrangements so far made for raising the finance and proposed arrangements

IV-5 List the particulars of foreign currency loans / guarantees applied for
Rate of Exchange Rupee Equiv. at
Currency Parity Market Parity Market
Rate Rate Rate Rate
Loan

Guarantee of Foreign Currency

Loan / Deferred Credit

IV-6 Indicate sources of foreign exchange and arrangements, if any, made from obtaining foreign exchange

IV-7 Indicate sources from which expenditures already incurred have been financed
Amount Rate of Other Terms and
(Rs.000) Interest Conditions
Payable
Share Capital
Equity
Preference
Long / Medium Term Loans from
Banks

Loans from Financial Institutions

Loans / Deposits from Promoters,

Directors, etc.
 Public Deposit

Other Sources (Specify)

IV-8 Calculate the following for Promoters' Contribution:

Promoters' Contribution to Project Cost: Rs.

Promoters' Contribution as % of Total Cost: %

IV-9 List the persons / firms who would be contributing to the promoters' share of the capital

Person / Firm Contributing to Promoters Share Amount

IV-10 Details of assistance sought from IDBI (Rs. lakhs)

Type of assistance Loan Underwriting Guarantee
Rupee
Foreign currency

IV-11 Provide details of security proposed

Loan

Guarantee for Deferred Payments on Plant and

Machinery
Guarantee for Foreign Currency Loans

Do you propose to offer a bank guarantee instead Yes No

of mortgage of fixed assets?
If Yes, please specify the bank name:

C. SOURCES AND USES OF FUNDS

IV-12 In case internal accruals are taken as a source of finance, explain the basis of estimation of internal
accruals by means of a suitable statement
D. PERFORMANCE INDICATORS
IV-13 Give estimates of cost of production for the first five years of operation
Year +1 Year +2 Year +3 Year +4 Year +5
Raw Materials, Chemicals,
Component & Consumable Stores
1)
2)
3)
4)
Total Material Costs (a)
Utilities
Power
Water
Fuel
Total Utilities (b)
Labour & Plant Overheads
Wages
Factory Supervisor
Salaries
Bonus
Provident Fund
Total Labour (c)
Factory Overhead
Repairs & Maint.
Light
Rent & Taxes on Factory Assets
Insurance
Misc Expenses
5% Contingency
Total Factory Overhead (d)
Estimate of Cost of Mfg
(a)+(b)+(c)+(d)

IV-14 Provide estimates of production and sales for the first five years of operation (if more than one product,
prepare each response for each product separately)
Year +1 Year +2 Year +3 Year +4 Year +5
Installed Capacity

No of Working Days

No. of Shifts

Estimated Production per day

(Quantity)
Estimated Annual Production
(Quantity)
Estimated Output as % of Plant
Capacity
Sales after adjusting stock (Quantity)
Unit Selling Price

Value of Sales
IV-15 Give estimates of working results for the first five years of operation
Year +1 Year +2 Year +3 Year +4 Year +5
Cost of Production - from Question
IV-12 (a)
Administrative Expenses
Admn Salaries
Remun to Directors
Professional Fees
Office Supplies
Insurance & Taxes
Miscellaneous
Total Adm.expenses(b)
Total Sales Expenses(c)
Royalty/Know How (d)
Total Cost of Production
(e)=(a)+(b)+(c)+(d)
Expected Sales - from Question IV-
13 (f)
Gross Profit Before Int. (g)=(f)-(e)
Financial Expenses
Interest on TL
Interest on WCL
Guarantee Comm.
Total Fncl Expense (h)

Depreciation (i)
Operating Profit (j)=(g)+(h)+(i)
Other Income, if any (k)
Prelim Exp Written off (l)
Profit / Loss Before Tax (m)=(j)+(k)+
(l)
Provision for Taxation (n)
Profit after Taxation (m)-(n)

IV-16 Give estimates of profitability for the project (only required for expansion / diversification of
existing companies)
Year +1 Year +2 Year +3 Year +4 Year +5
Cost of Production - from Question
IV-12 (a)
Administrative Expenses
Admn Salaries
Remun to Directors
Professional Fees
Office Supplies
Insurance & Taxes
Miscellaneous
Total Admin Expenses (b)
Total Sales Expenses (c)
Royalty/ Know How (d)
Total Cost of Production
(e)=(a)+(b)+(c)+(d)
Expected Sales - from Question IV-
13 (f)
 Gross Profit Before Int. (g)=(f)-(e)
Financial Expenses
Interest on TL
Interest on WCL
Guarantee commission

Total Fncl Expenses(h)

Depreciation(i)
Operating Profit (j) = (g) + (h) + (i)
Other Income, if any (k)
Prelim Exp Written off (l)
Profit / Loss Before Tax (m)=(j)+(k)+
(l)
Provision for Taxation (n)
Profit after Taxation (m)-(n)

IV-17 Provide a cash flow statement for the company as a whole for the first five years of operation
Year +1 Year +2 Year +3 Year +4 Year +5
Sources of Funds
Share Issue

Profit before Interest and Tax

Depreciation Provision

Development Rebate Reserve

Increase in Secured Medium and
Long-Term Borrowing for Projects
Other Medium / Long-Term Loans
Increase in Unsecured Loans and
Deposits
Increase in WCL
Increase in Liabilities for Deferred
Payments to Machinery Suppliers
Sale of Fixed Assets
Sale of Investments
Other Income
Total Sources

Year +1 Year +2 Year +3 Year +4 Year +5

Disposition of Funds
Capital Expenditure of the Project
Other Normal Capital Expenditures
Increase in Working Capital
All-India Institutions
SFCS
Banks

Decrease in Unsecured Loans and

Deposits
Decrease in WCL
Decrease in Liabilities for Deferred
Payments to Machinery Suppliers
Increase in Investments in Other
Companies
 Interest on Term Loans
Interest on WCL
Taxation
Dividends
Equity
Preferences
Other Expenditures

Total Dispositions
Opening Balance of Cash in Hand
and at Bank
Net Surplus / Deficit
Closing Balance of Cash in Hand
and at Bank

IV-18 Provide a projected balance sheet for ten operating years for the company as a whole

IV-19 At what capacity will the plant break-even? Provide detailed calculations

PART V - SOCIO-ECONOMIC IMPACT INFORMATION

A. ECONOMIC CONSIDERATIONS
V-1 Provide prices of competing import / export products
Competing Import / Export FOB CIF Landed Cost (incl Selling Price
Products import duty)

V-2 Provide detailed explanations for differences in selling prices of the products and those of imported
goods with quantitative data on differences in cost of production (such as scale of operation, differences in costs
of inputs and various local duties and taxes)
V-3 Provide prices of inputs which can be imported or exported
Inputs International CIF FOB

V-4 Explain in detail the various duties, taxes and incentives

Excise Duty

Export Duty

Export Assistance
Replenishment Loan

Duty Drawback

Cash Subsidy

Other

V-5 Provide a brief write-up on the economic benefits to the country in general
and the region in particular, on account of the proposed project

V-6 How far does the unit contribute to the establishment of ancillary industries
in the region?

B. SOCIAL CONSIDERATIONS
V-7 In case of agro-based / agriculture input industries, indicate in detail the company's scheme for educating
the farmers to use the product / to grow the produce required
C. ENVIRONMENTAL CONSIDERATIONS
V-8 Furnish details on the nature of the atmospheric, soil and water pollution likely to be created by the
project
Nature of Pollution Measures Proposed for Control of Pollution Necessary
permission for
Disposal of
Effluents Obtained?
Atmospheric

Soil

Water

D. STATUS OF GOVERNMENT CONSENTS

V-9 Indicate whether the various licenses / consents required for the project have been obtained from the
respective authorities
Date of Issue Present Status if not
already Issued
Letter of Intent
Industrial License
Capital Goods Clearance
Import License
Foreign Exchange Permission
Approval of Technical / Financial Collaboration
Clearance Under MRTP Act
Consent of the Controller of Capital Issues
Other (Specify)

V-10 Specify any special conditions attached to the licenses / consents and the undertakings given by the
company in connection with them