BANK FINANCE (REGP) APPLICATION FORM FOR THE UNIT UNDER MARGIN MONEY SCHEME Photo Khadi & Village Industries Board, SCO-841, Manimajra, Chandigarh. The Chief Executive, Sir, I/We, __________________________________________________________________ ________________ permanent resident of Village _________________ District ________ apply to the Khadi & Village Industries Board, Manimajra, Chandigarh to sanction a Margin Money Loan of Rs. _____________ ( Rupees________________________________________) and for issuance of an Eligibility Certificate to the Bank namely __________________________ to sanction a loan of Rs. ____________ ( Rupees _____________________________________) for setting up a village industries unot under MMS/ Rural Employment Generation Programme of Khadi and Village Industries Commission as per details and information giver below : Details of Project Cost (Rs. in Lakh) Means of Finance (Rs. in Lakh) (A) Capital Expenditure Own Contribution Rs. (i) Work shed/Building Rs. Term Loan for Fixed Rs. (ii) Machinery/ Equipment Rs. Capital (B) Working Capital Rs. Cash Credit for Working Rs. ____________ Capital ________ Total Cost Rs. Rs._____ Note : Cost of land should not be included in the project cost. The required information is given below : 1 (a) Full Name of the beneficiary / Society : ____________________________ Institution / Trust ____________________________ (b) Full Address : ____________________________ ____________________________ (c) Legal Status / Constitution : ____________________________ ( Partnership firms not eligible ) ____________________________ (d) Registration No. and Date, if any : ____________________________ 2. Location of the Unit ( Village, Tehsil, District and State) : ____________________________ 3. Description of goods to be manufactured. : ____________________________ 4. (a) General Category or ____________________________ (b) Whether belongs to SC / ST/ Minority/OBC/Ex-Serviceman/ PHC/Women or Weaker Section Area. _____________________________ 5. Per Capita Fixed Investment ( Should not exceed Rs. 50,000 per full time Worker) : ____________________________ 6. Employment envisaged i) Full Time : ii) Part Time : iii) Seasonal : 7. Own capital raised Rs. __________________ 8. Particulars of deposit of Own Contribution i) Nature of deposit : SB/OD with the Bank (attach proof) ii) Account No. : _____________ iii) Date of deposit : __________ iv) Amount deposited : __________ 9. Borrowing Capacity (9 times of generals & 19 times of other ______________________________ categories of their contribution ) 10. Annual target of production for first year ______________________________ 11. Source of procurement of raw material ______________________________ 12. Has any member of the institution received ______________________________ any loan from the KVIB in his individual ______________________________ capacity or as a member of other Institution/ Co-operative Society? If yes, give details thereof? 13. Details of project report ( with quotation ______________________________ attached) 14. Details of Loan already received from any ______________________________ other source i) Name of Agency ______________________________ ii) Amount raised ________________ Dated ____________________ iii) Purpose ______________________ iv) Amount overdue on the date of application 15. We submit the following documents a) Project Report b) Proof of the land c) Balance sheet as on the date of ______________________________ application and audited balance sheet, if any? d) Map of the workshop / shed with estimated cost. e) List of machinery with cost and ______________________________ quotations of machinery. f) Undertaking regarding arrangement of additional funds, if any, to set up the unit from its own resources which should not be more than 50% of the cost of the project. ______________________________ g) License, if required ? ______________________________ h) NOC from pollution Control Board. ______________________________ i) Experience certificate, if any? ______________________________ j) List of Members of the Institution/ Society with complete and permanent postal address. _____________________________ k) Attested copy of Memorandum of Association. _____________________________ l) Attested copy of Registration Certificate. _____________________________ 16. Details of loan to be released from the Bank a) Name of the Bank _____________________________ b) Amount of loan to be raised (Total) _____________________________ c) Work Shed / Building _____________________________ d) Machinery _____________________________ f) W. C. Loan _____________________________ 17. Undertakings i) The Borrower will submit Quarterly / Annual Progress Report to the Board regularly. ii) The concerned borrower will undertake to supply all the periodical statement or any other information called by the Board from time to time. iii) Borrower shall not undertake any new scheme other than the one(s) submitted by him to the Board. iv) The Board reserves the right to inspect the unit any time and check the Books of Accounts and working of the unit in respect of issue of G.C. for S.T. v) The beneficiary will pay 1% service charge to the Board as per decision of the Board. vi) Bank will appraise project technically as well as economically and take their own credit decision on the basis of viability of each project and KVIB has not undertaken this exercise. vii) Bank will initially sanction 90% or 95% of the project cost as case may be. viii) Once the Margin Money is released in favour of the loanee it should be kept in Term Deposited Receipt ( T.D.R.) for two years of branch level in the name of the beneficiary / institution. Interest accrued on such deposit will be utilized to service partial interest burden on the loan disbursed to the beneficiary / institution. Date : Signature of Applicant Address : 18. Recommendation of District Office __________ ANNEXURE 'A' CERTIFICATE TO BE OBTAINED BY STATE KHADI & V. I. BOARD FROM THE BANK Certified that ______________________________________________________ (Bank Branch name & address) has entertained/ financed the project of Shri/ Smt./ Kum/ Coop. Society/ Regd. Institution/ Trust / ____________________________________ (name & address of the beneficiary) under Margin Money Scheme of Khadi & Village Industries Commission and has claimed Margin Money only through Khadi & Village Industries Board, SCO No.841, Manimajra-Chandigarh. It is also certified that our Bank has not claimed Margin Money, from Nodal Branch of our Bank for the same case. Place: Date: Signature with seal of the Financing Bank Branch Manager ANNEXURE 'B' CERTIFICATE TO BE OBTAINED FROM THE BENEFICIARY __________________________________________________(Name & Address of the beneficiary) have submitted a V.I. Project under Scheme _________________ Industry_______________ which was sanctioned by the Bank__________________________________________________ through Khadi & Village Industries Board SCO-841 Manimajra-Chandigarh. (Name & Address of the Bank Branch/State KVIC Board). I hereby declare that the Margin Money has not been claimed either by me or by any other person of my family for the same project in the past. If at any stage it is noticed that the declaration made by me as above is false and or Margin Money is claimed more than once. I agree for such action penalty as deemed fit by the competent authority in the eyes of law. Place: Signature of the Beneficiary Dated: ANNEXURE 'C' CERTIFICATE TO BE OBTAINED FROM BENEFICIARY AS WELL AS FROM BANK 1. Certified that the unit sanctioned by our Bank/branch ___________________________ __________________ in favour of Sh./ Smt./ Kum./ Coop. Society/ Regds. Institution/ Trust is a new Village Industry unit and not an existing unit. Place: Dated: SIGNATURE WITH SEAL OF FINANCING BANK BRANCH MANAGER 2. Certified that the unit financed by the Bank_____________________________________ ________________________________ through Khadi & Village Industries unit and not an existing unit. It is also certified that the unit located at the address in the claim 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 Co. etc. It is also hereby declared that all facts furnished by me related to the unit are correct and if found false leading to misguiding the authorities by providing wrong information with ulterior motive of availing Margin Money then I should be subjected to any punishment as deemed fit in the eyes law. Place: Signature of the Beneficiary Dated: ANNEXURE 'D' (CERTIFICATE TO BE GIVEN TO THE BENEFICIARY) a) Certified that I have undergone_______________ months/ years necessary training _______________ under_________________activity/ Industry __________________ conducted by (Name & Address of the training Institute/during ___________________ (Period). b) I am willing to undergo training at my own cost under_________________ (activity/Industry) to be____________ conducted by ________________________ (Name & Address of the training institute) in connection with ________________ my__________ project___________ financed _________________by_______________ through Khadi & Village Industries Board (Bank/ KVIB with address) or I am also willing to undergo training under__________________________ (activity/Industry) whenever I am invited by KVIC/ KVIB _________________________ Bank at my own cost. c) Certified that I have undertaken the project _____________under __________________ (activity/Industry) since_______________ (date) and in view of my existing experience as (position in the units). I may not require any training for the same (attested copy of proofs enclosed.) Place: Signature of the Beneficiary Dated:
