FORM-II A [See rule 21 (4)] Application for financial assistance from Sugar Development Fundtowards promoter's contribution for financing modernization/rehabilitation scheme 1. Name of applicant: 2. Address: (i) Registered Office: (ii) Location of the factory: 3. Constitution (whether co-operative society, private/ public Ltd. company, Joint Sector/ Public Sector Company): 4. Date of Incorporation/ Registration 5. Management: (a) Board of Directors: (b) Executive set-up 1. Particulars of the order of the Board For Industrial and Financial Reconstruction on the rehabilitation scheme sanctioned by it/ recommendations of the Committee for rehabilitation (enclose a copy of the Board For Industrial and Financial Reconstruction Order/ recommendation of the Committee for rehabilitation): 2. Brief description of the proposed project (Enclose a copy of the Project Report): 3. Actual performance and expected performance on completion of the Scheme/ project for which this loan application has been made please indicate in the manner below: (A) Salient production and Operation Results (a) Actual Performance (b) expected on completion of the scheme/ project for which loan application has been made Year ended 19 20 20 (1) Licensed crushing capacity (TCD) (2) Installed crushing capacity (TCD) (3) Area under sugarcane (Acres) (4) Average yield (tones/ acres) (5) Total production of sugarcane in the area (lakh tones). (6) Gross duration of the season (days) (7) Net duration of the season (days) (8) Percentage of hours lost to total available hours (9) Average daily rate of crushing (tones) (a) Including stoppages (b) Excluding Stoppages (10) Total cane crushed ((lakh tones) (11) PoI % cane (12) Total sugar losses% cane (13) Average sugar recovery % (14) Total sugar produced (Quintals) (15) Reduced mill extraction (%) (16) Reduced boiling House Extraction (%) (17) Reduced Overall Extraction (%) (18) Extra Fuel consumption % cane NOTE: (i) In case of the performance has not been up to the accepted norms and if then has been wide fluctuation in the performance, please state the reasons, in brief. NOTE: (ii) Please furnish installed capacity, Production and efficiency figures in respect of other activities, if any, such as distiller, paper unit etc. 9. Whether the project has been approved by the All-India Financial Institutions/ scheduled banks/ Technology Information, Forecasting and Assessment Council (TIFAC) for assistance under the SDF: (a) if so, enclose a certified true copy of the "Letter of Intent" issued by the Lead Institution. (b) List out any condition (s) of material nature stipulated by the Lead Institutions including Rate of interest, repayment period and security: 10. (a) What are the reliefs or concessions from the Central Government, State Government, Financial Institutions, Scheduled Bank, Other Banks, financial institutions or donations from the employees of the sugar undertaking & other agencies, if any included In the Order of the BIFR/ recommendation of the Committee for rehabilitation. (b) Whether the concerned agencies have agreed to provide these reliefs/ concessions to the sugar undertaking? If so, copies of the consent letters from the concerned agencies are to provide along with this application form. 11. Measures proposed to be taken by the sugar undertaking for rationalization of manpower and for reducing expenditure, particularly overheads. 12. Cost of the project (as approved by the all-India Financial Institutions/ scheduled banks/-Technology Information, Forecasting and Assessment Council (TIFAC). Please furnish break-up and certified true copy of the approval. 13. Means of Financing, Debt-Equity Ratio and Security margin (as approved by the all-India Financial Institutions/ scheduled banks/ Technology Information, Forecasting, and Assessment Council (TIFAC). (B) Working results: (1) Net Sales (2) Gross Profit/ loss (3) Interest on: (a) Term loans (b) Working capital (c) Total (4) Depreciation (5) Operation profit (loss) (6) Tax (7) Net Profit/ Loss (8) Cash accruals (9) Applicable statutory cane price fixed by the Government of India (Rupees per quintal) (10) Actual cane price paid (Rupees per quintal) (C) Financial position (1) (a) Gross fixed assets including work in progress (b) Less Depreciation (10) Share capital including share suspense and non-refundable deposits (11) Reserves and surplus (12) Deficit in Profit and Loss Account and Intangible assets. (13) Net Worth [(10+(ll)minus(12)] (?.) Net fixed assets . . (3) Investments (4) Current Assets (5) Current Liabilities (6) Net Working Capital [(4) minus (5)] (7) Net tangible assets [(2)+(3)+(6)] (8) Long-term liabilities . (9) Shareholder's worth [(7) minus 98)] 14. Percentage and amount of Promoter's Contribution stipulated by the all-India Financial Institutions/ scheduled banks/ Technology Information, Forecasting and Assessment Council (TIFAC). 15. Amount of assistance required from Sugar Development Fund towards promoter's Contribution along with justification therefore having regard to the financial position/ Resourcefulness of the applicant concern/ its promoters. 16. Security proposed to be provided for the loan applied for: (a) Bank Guarantee (b) State Government Guarantee (c) Creation of charge on assets 17. Schedule of implementation of the project 18. Please furnish a summary of the projected . profitability/ cash flow statements for 10 years after completion of the scheme (in the proforma at Annexure -I and II) along with critical assumptions. Place: Date: Signed by: Name: Designation: Name and address of the sugar undertaking (Occupier)