Download Application form for Sponsoring the Beneficiary for Undergoing EDP Training

Page 7 of 12 A&NI KVIB ANNEXURE - V FORMAT FOR SPONSORING THE BENEFICIARY FOR UNDERGOING EDP TRAINING a) Name & Address of the beneficiary : b) Name of the Activity : c) Location of the Unit : d) Whether the beneficiary belongs to SC/ST/OBC/Minority/Ex-Servicemen/ PHC/Women OR General : e) Name of Financing Bank with add : f) Total cost of the Project : C.E. : _______________ W.C. _______________ g) Amount sanctioned with date : h) If the beneficiary is from any Institution, Trust, Co-op. Society, Name & Designation of the Representative : a) Name ___________________ b) Designation ___________________ I hereby sponsor Shri/Smt./Kum. ______________________________________, S/o/W/o/D/o _____________________________ for undergoing EDP Training at your Training Institute. Place : Date : Signature of the Branch Manager (With Seal) To, The Director of Industries & Member Secretary, A&NI Khadi & V.I. Board, Udyog Prisar, Middle Point, Port Blair - 744101. A&N Islands (Certificate to be issued by Training Centre) Shri/Smt./Kum. ___________________________________, S/o/W/o/D/o ___________________ ____________ sponsored by [Name & Address of the Bank] _____________________________________ _________ has undergone ______ days EDP Training from _________________ to _________________. Kindly send the recoupment of the expenditure of Rs. _______________ at the earliest. Place : Date : Signature of the Principal / In-charge of the Training Centre To, The Director of Industries & Member Secretary, A&NI Khadi & V.I.Board, Udyog Prisar, Middle Point, Port Blair - 744101, A&N Islands. Copy to : The Branch Manager (Financing Branch),_____________________________ Page 8 of 12 A&NI KVIB .............................[Name & Address of the Bank] Ref. No. Dated, the 2009. To ......................, ......................, ......................, [Nodal Bank] Sub: Submission of Application form-cum-Receipt for claiming Govt. Subsidy for the project financed in favour of Shri / Smti / Kum. ................. Under PMEGP scheme of KVIC-reg. Sir Please find enclosed herewith an "Application form-cum-Receipt for claiming Govt. Subsidy" duly filled in all respects for the project financed in favour of Shri / Smti. / Kum. ............ ............., S/o / W/o / D/o ..................... R/o ........... ........... under PMEGP scheme of KVIC. The details of the project are as under :- Activity : Project Cost : Rs............. Own Contribution : Rs............. Bank Financed released so far : Rs............. Margin Money : Rs............. Undergone EDP training Period : Training Institute : In this connection I am also enclosing herewith the following documents for your ready reference : 1. Attested copy of Category Certificate for Special Category 2. Copy of Sanction Order 3. Certified copy of Ledger extracts 4. Attested copy of EDP training Certificate The Govt. subsidy amount of Rs. ......... may kindly be released at an early date. Yours faithfully Encl : As above. Br. Manager With Seal Copy to :- 1. The Director of Industries & Member Secretary, Udyog Parisar, Middle Point, Port Blair - 744101 2. The Lead District Manager, Lead Bank Office, SBI, Port Blair for information. 3. The Director [PMEGP], Khadi & Village Industries Commission, Gramodaya, 3, Irla Road, Ville Parle [West], Mumbai-56 for information. 4. The State Director, Khadi & Village Industries Commission, 6th & 7th Floor, 33, Chittaranjan Avenue, Kolkatta-12 for information. Br. Manager Page 9 of 12 A&NI KVIB Please Tick (?) One of No.1 and any one of Number 2 1 Male Female 2 Gen SC ST OBC Minority Ex-Serviceman PH HBA ..................... Bank H.O./C.O .................... (Application Form cum Receipt for claiming "Govt. Subsidy" from the A&N Islands Khadi & Village Industries Board by beneficiary and Bank - (TO BE FILLED IN BLOCK LETTERS OR TYPED) From Full Postal Address of the Branch The Branch Manager, ..............Branch Vill./Town .................. ..............Tehsil Road ....................... ..............District P.O............. Pin.......... .............State / UT District .................... ...............Pin State / UT ................ Ref. No............. Date ............... ?? The Director of Industries & Member Secretary, A&N Islands Khadi & Village Industires Board, Udyog Parisar, Middle Point, Port Blair. (THROUGH THE FINANCING BANK's NODAL BRANCH) Sub : Payment of "Govt. Subsidy" against the Bank Finance sanctioned under Prime Minister's Employment Generation Programme of KVIC - regarding. Sir, I / We, Shri / Smti. / Kum. .............................. son/ wife / daughter of ......................................... Secretary / Chairman / President / Managing Trustee / Proprietor of .................... hereby inform that a Village Industry project [Name of the activity ..................................] has been sanctioned in my / our favour under the captioned Scheme by ....... ................ (Name of the Financing Bank Branch .............. Tehsil... ......... District ..............State/UT ................. as detailed below:- Details of Project cost Amount Means of finance Amount A) Capital Expenditure i) Work shed Rs. Own Contribution Rs. ii) Machinery / Equipment Rs. Term Loan for Fixed Capital Rs. B) Working Capital Rs. Cash Credit for working Capital Rs. Total Rs. Total Rs. Note : 1. Cost of land should not be included in the Capital Expenditure under the project cost. 2. Total Cost of the project should not exceed Rs.25.00 lakh for manufacturing and Rs.10.00 lakh for Service Sector. I / We, therefore request you to please advise the Bank to disburse an amount of Rs........... (Rupees.................................... only) being the Govt. subsidy sanctioned by the A&N Island Khadi & V.I. Board, Port Blair. The detail of my / our project is as under: 2.1 a) Full Name of the beneficiary / Society / Institution / Trust : b) Father's Name (In case of Individual) : Signature of the Beneficiary........... Contd.. Page 10 of 12 c) Date of Birth of individual : d) Full Address (with Pin Code) : e) Legal Status / Constitution (Partnership firm not eligible) : f) Registration No. and date, if any : 2.2 Location of the Unit (Village, Taluka, Dist. and State with Pin Code) : 2.3 Village Industry Activity (Please specify) : 2.4 a) General Category : YES/NO or b) Whether the beneficiary belongs to SC / ST/ Minority / OBC/Ex-Servicemen / PHC / Women / HBA. (Please specify) : 2.5 Per Capita Fixed Investment (C. E. divided by full time employment equal to Rs. 1,00,000 in plain areas & Rs. 1,50,000 in hilly areas) : Rs. 2.6 Employment envisaged (Full time) : 2.7 Particulars of deposit of Own Contribution : a) Nature of Deposit : SB/CD b) Account No. : c) Date of deposit : d) Amount deposited : Rs. 2.8 Bank's Sanction Letter No. (Copy of sanction order to be enclosed) : a) Date of Sanction : b) Amount sanctioned : Rs. 2.9 Date and amount of first disbursement (Certified copy of ledger extracts to be enclosed) : 2.10 Whether the sanction is covered under Credit Guarantee Fund Scheme for Micro, Small Industries of CGTMSE : 3. I / We hereby agree to abide by the terms and conditions and instructions issued by the Khadi & V. I. Commission in this behalf from time to time and those to be issued in future with regard to PMEGP. I/We also agree to furnish quarterly progress report on production, sales, employment, wages paid etc. to the Bank which in turn will send the information on quarterly basis to the Khadi & V.I. Commission/Board for record and further information. 4. I / We hereby declare that the Govt. Subsidy has not been claimed either by me or by any other person of my family for the same or any other Project in the past and "one family one subsidy" norm has been followed. Further, the Bank credit has not been/will not be utilized to adjust or square off any previous loan / advance taken by me / us in the past. Signature of the Beneficiary........... Contd.. Page 11 of 12 5. Certified that the unit financed by .........................(Name of Financing Bank) ........................(Name of the Branch) in my / our favour under ................................ (activity/industry) is a new Village Industry unit and not an existing unit. 6.(*) It is also certified that the unit located at the address mentioned in the Govt. Subsidy is in my name only and I am the sole proprietor of this unit. It is also declared that, it is not a Partnership Firm/Private Company, etc. 7. Certified that I / We have already undergone necessary EDP Training of......Days / weeks / Months during the year ....... conducted by ...................... ............................(Name & Address of the training institute). OR 8. Certified that I / we shall display following sign-board at the main entrance of my / our project site:- 9. I / We are ready to bear the amount of Guarantee fee and Annual Service fee in respect of Credit Guarantee Fund Scheme for Micro, Small Industries operated by CGTMSE, if the Bank in its discretion decides to recover the same. 10. I / We, hereby undertake to refund proportionate amount of Govt. subsidy calculated on working capital loan/cash credit facility, if the said WC Loan / CC facility is not adequately utilized as per stipulated norms of KVIC. The average utilization of working capital during the first year of operation of the unit should not be less than 75% of the sanctioned limit and the limit should touch at least one peak level utilization of 100% within two years' period before the Govt. Subsidy amount is adjusted with the loan amount. 11. It is hereby declared that all facts furnished above by me/us in the Govt. Subsidy claim are correct and if any information is found to be false or leads to misguiding the authorities with ulterior motive of availing Govt. Subsidy, I /We should be subjected to any punishment as deemed fit in the eyes of law. 12. The Advance Stamp Receipt of Govt. Subsidy amount is also attached. Yours faithfully, Place: Date: Name & Signature of the Beneficiary SEAL Signature of the Beneficiary........... Contd.. ...........................(unit name) Financed by ...................... (Bank) under PMEGP Scheme of KVIC. COUNTERSIGNED BRANCH MANAGER (Seal of the Bank Branch) Page 12 of 12 RECEIPT Received Rs. ............ (Rupees....................... ......................only) from the Chief Executive Officer, Khadi and Village Industries Commission Mumbai-56, towards the payment of "Govt. Subsidy" in respect of project for.................................... sanctioned for Rs. ............. by................ Bank at .............. Branch. (Revenue Stamp) (Signature of the Applicant) Note:- In case of a Co. operative Society/Institution, Seal has to be affixed. (For the use of the Bank/Branch) 1. In consideration of the project of the above beneficiary / Institution, our Bank / Branch has sanctioned a loan of Rs. ............... after proper appraisal of the project at this end. As against a loan of Rs. .............. (C.E. Rs............ W.C. Rs...........) the Bank has released first installment / full lump sum amount of loan of Rs. ............ on ........... The Bank shall arrange to deposit the amount of Govt. Subsidy in Term Deposit in the name of the beneficiary for 3 years from the date of release of first installment of the loan. It is confirmed that no interest will be paid on the amount of TDR by the Bank and no interest will be charged on the corresponding amount of the loan for a period of 3 years. The Bank is aware, that if the advance goes "bad" before 3 years, Govt. Subsidy will be adjusted to liquidate loan liability of the beneficiary with interest. Recovery, if any, effected later will be remitted to the Commission. 2. Certified that the unit sanctioned by our Bank Branch in favour of Shri /Smti. / Kum. / M/s ................................... is a new unit and not an existing unit. The instant Govt. Subsidy claim is in conformity with the guidelines and instructions issued by RBI, KVIC and our Bank. The instant project has not been sanctioned for utilization / adjustment partly or wholly, of any debt deemed bad or doubtful of recovery or to adjust / liquidate any past loan / advance. 3. Certified copy of the Sanction order of the Bank and certified ledger extracts of the borrower's Term loan A/c and Cash credit account is / are enclosed. 4. Shri / Smti. / Kum. ....................... Son/wife/daughter of ........ ...........has been undergone EDP training and a copy of the certificate is enclosed . 5. Certified that the unit sanctioned by our Bank Branch in favour of Shri / Smti. / Kum. ............................................................... and Govt. Subsidy amount released to the unit will be proportionately recovered and remitted to KVIC if the unit does not adequately utilize the WC / CC facility as per KVIC norms i.e. the average utilization of WC during the first year of operation of the unit should not be less than 75% of the sanctioned limit and the limit should touch atleast one peak level utilization of 100% within 3 years' period before the Govt. subsidy amount is adjusted with the loan amount. Place: Date : (Signature & Designation of the Bank Official with Seal of the Bank) Signature Code / P.A. No....... Encl. : 1. Attested copy of Category Certificate for Special Category 2. Copy of Sanction Order 3. Certified copy of Ledger extracts 4. Attested copy of EDP training Certificate Signature of the Beneficiary...........