APPLICATION FORMS Application Form For setting up/expansion/modernization of food processing industries covering all segments viz. fruits & vegetable, milk products, meat, poultry, fishery, cereal pulses, oil seeds and such other agrihorticultural sectors leading to value addition and shelf life enhancement including food flavors and colours, oleoresins, spices, coconut, mushroom, hops etc. A. Promoter 1. Name & Address (Telephone/Fax) 2. Background/Experience 3. Financial Status (Bankers Name, if any) 4. Existing Industry (If any) B. Project Description 1. Name of Project 2. Location/Area 3. Products/Byproducts (Their specifications & use) 4. Process (With flow-chart) 5. Technology (Source: indigenous/imported) 6. Capacity of Plant/Manufacturing unit (Per day/per year) 7. In case of expansion/modernization Existing capacity and proposed capacity After expansion/modernization C. Project Cost 1. Capital Investment (Fixed Capital) (a) Land Area Cost (b) Building (c) Civil works (d) Technical Civil works 2. Plant & Machinery (Indigenous) (Capacity/Specification/Cost) 3. Imported Machinery (Capacity/Specification/Cost) 4. Pre-operative expenses 5. Working Capital 6. Raw Material/Packaging (Source/Quantity/Cost) 7. Labour (Quantity/Cost) 8. Effluent disposal (Method/Machinery/Cost) D. Finance 1. Means of Financing a) Equity (Promoter/Foreign/Other) b) Loan (Term/Working capital) c) Assistance from other sources d) Fund requirement from Ministry (MFPI) 2. Financial Benchmarks a) Cash Flow b) Break Even Point c) Internal Rate of Return 35 36 d) Debt Equity Ratio e) Debt Service Coverage Ratio 3. In case of expansion/modernization All the above benchmarks to be given Separately - existing as well as projected E. Marketing a) Existing Market b) Future Demand c) Marketing Strategy F. Implementation Schedule Items of work Date of Implementation (Bar charts/Milestone charts may be enclosed) G. Personnel Details of technical & managerial personnel (operation, Maintenance, managerial, finance, marketing etc.) Required & Available. H. Attach following Documents a) Certificate of Incorporation / Registration / MOA b) Annual report / Audited statements of account for The last three year c) Detail Project Report d) Appraisal Report from a financial institution / bank e) Copy of sanction letter for term loan / working Capital from Bank / FI f) Evidence of promoter's ability to bring in their Contribution I. Employment Generation - Direct / Indirect Place: Date: Signature
