NATIONAL COOPERATIVE DEVELOPMENT CORPORATION Application Form for Availing NCDC's Financial Assistance by Cooperative Societies for Development of Poultry Activities in Clusters and Backyard (Rearing of Broiler Birds) General 1. Name of the application society with full address (with PIN Code) & tel no (with STD Code) if any: 2. Nearest Railway Station and its distance from the society: 3. No. and date of registration: 4. Area of Operation of the Society PI (also indicate the number of towns and villages): 5. Approx. Population residing in the area of operation of the society: 6. Whether the board is elected or nominated, if nominated, since when: 7. Date of last elections held: 8. Whether the society is located in tribal/hilly region : 9. Whether the society is a member of the State Poultry Federation. (Please also indicate the name & full postal address of the Federation): 10. Membership & Share Capital (As on 31/3): No Share Capital (Rs.): i. Individual Members. ii. General : iii. Scheduled Tribe : iv. Scheduled Caste : v. Of the above how many are woman members: vi. Poultry Societies : vii. State Government : viii. Any other, PI. Specify : Total: 11. (I) Financial Position (As on 31.3): (Rs. In lakhs) a) Paid up share capital : b) Statutory reserves : c) Accumulated profit (+)/Loss (-) : d) Other funds (pi. Specify) : Total: Profitability during the last 3 years (Rs. In lakhs): Years : Profit (+)/Loss (-): Depreciation: Cash Profit/loss: 12. The highlights of the financial position of the financial of the society as on 3Ist March during the last three years is as under: (Rs. in lakhs) S. No. Particulars Year I. Gross Block less depreciation Net Block II. Investment III. Total Fixed Assets (1+2) IV. Current Assets a) Advances b) Stock c) Debtors d) Cash & Bank Balances e) Other Current Assets Total: V. Current Liabilities: a) Pledge Loan from DCCB b) Arrears c) Purchase Tax & Tpt. Charges, if any d) Other liabilities e) Provision for tax, gratuity PF etc. Total: VI. Net current Assets (4-5) VII. Total Assets (3-6) VIII. Paid up share Capital IX. Non-Refundable Deposits (NRD) X. Reserves XI. Undisbursed Profit/Accumulated Profit XII. Net worth XIII. Current Ratio (4/5) 13. Demand and Supply of Poultry Meat i) Total annual demand in the area of operation S. No Item Quantity a) Broiler Meat (kgs) b) Any other ii) Total annual production in the area of operation S.No Item Quantity a) Broiler Meat (Kgs) b) Any other iii) Gap between annual demand and production, if any S. No Item Quantity a) Broiler Meat (KGs) b) Any other iv) How the gap between demand and production, if any, is being met at present? S. No Item Quantity a) Broiler Meat (Kgs) b) Any other v) Existing annual production of the society, if any S. No Item Quantity a) Broiler Meat (Kgs) b) Any other vi) Rates of poultry products. Please give average rates for the last 3 years. S. No Item Quantity a) Broiler meat (in kgs) b) Any other 14. Source of supply of day old chicks to existing poultry farms in the area of operation (give name of the Hatchery and rate per chick). a) Hybrid b) Low Technology 15. Project Details Proposed location of each of the 6 clusters of 5000 birds each to he established by the society along with list of members identified for manning these clusters (please indicate the name of the village, approx. distance from the nearest railway station under the head location). Cluster Location Indicating Name of Members proposed to be engaged for the cluster Name of the village Nearest Railway St. Distance from Railway Station i) ii) iii) iv) v) vi) In case more than 6 clusters are proposed to be established, indicate the relevant details as above. 16. Details of estimated project cost for rearing 5000 broiler birds in one cluster Project Cost for Rearing 5000 Broiler Birds (Rs. in lakhs) S. No. Item Area size Sq. mt. Rate per unit Cost i) land ii) Poultry shed iii) Worker's send 7 godowns iv) Tube-well with overhead tank etc. & electrification v) Margin Money vi) Misc. (please give break up) Total (A): Total Project cost for 6 clusters = ... B (6xA) 17. Project Cost for Establishment of Infrastructure At a central location by the society (Rs. in lakhs) S. No Item Area/Size in Sq. mt. Rate per unit Cost 1. Land 2. Feed godown & plant room 3. Office, lab & staff quarters 4. Feed mixing unit 5. Misc. Total (C): Grand Total = (B+C) Amount (Rs. in lakhs) 18) Proposed Financing of the Project Cost: i) Assistance from NCDC : a) loan (%age of project cost) : c) Subsidy (%age of project) : ii) State Govts. Share Capital : (%age of project cost) iii) Society's Contribution (%age) of seed project : 19.Utilities : i) Availability of Water Supply : a) Source b) Quantity available : c) Distance from site : d) Storage & Pumping Facilities : e) Cost of Supply ii) Availability of power: a) total installed load : b) normal operating load : c) source of supply : d) distance of the source from the proposed unit : e) capacity of the sub-station (KVA) : f) average power factor : g) average load factor : h) Provision regarding : transmission lines and Substation at site i) Position regarding firm commitments : To supply power from the authorities concerned (please enclose copies of agreement/ Correspondence) j) Load/power supply sanctioned : k) Rate per unit of electrical energy : 20) Marketing arrangements: i) Whether the society will : undertake bulk marketing/retail marketing ii) Place & location of retail market : iii) Present source of eggs/poultry : Meat to the consumers of the area 21) Sales Potential of poultry meat of the proposed unit : i) No. of broilers to be sold (per day) : ii) What is the channel of marketing? 22) Margin money for working capital : (A break up of the estimate as under) : Item Qts./No. Amount Bank (Margin Money required (in Rs. lakhs) (for 1 year requirement) (Rs in lakhs) i) cost of lady old chicks ii) cost of feed iii) medicine/vaccination iv) insurance v) transportation vi) wages vii) rent/rates/taxes viii) power/water & other consumables ix) miscellaneous (pl. specify) Total: B) Calculation of Debt Service Coverage Ratio S. No Item Year 1 2 3 4 5 6 7 1. Cash Accruals a) Operating profit + depreciation b) Interest on TL Total: 2. Debt payable a) Repayment of TL b) Interest on TL Total : 3. DSCR Average DSCR C) I.R.R S. No. Item Year 1 2 3 4 5 6 7 1. Cash Outflow 2. Cash Inflow I.R.R D. Break-Even Point th Sen. 4Year Rs. in Lakhs 1. Sales Income 2. Variable Costs a) Cost of chicks b) Cost of feed c) Cost of medicines d) Cost of electricity e) Insurance charges f) Interest on working capital Total Variable Costs: 3. Contribution (1-2) 4. Fixed Costs a) Salaries b) Repair & Maintenance c) Interest on term loan d) Depreciation Total Fixed Costs: 5. Break Even Point 6. Cash B.E.P (Excluding Depreciation 23) Economics of the Project A) Projected Profitability of the Society S. No. Item Year 1 2 3 4 5 6 7 Unit Qty. Rate 1. Income a) state of broiler birds b) Sale of manure c) Sale of empty bags Total Income: 2. Expenditure a) cost of chicks b) cost of feed c) cost of medicines d) cost of electricity e) cost of insurance Total Expenditure: 3. Salaries of Staff 4. Repair & Maintenance 5. Financial Expenditure a) interest on term loan b) interest on working capital Total 6. Depreciation on civil works 7. Total Expenses (2+3+4+5+6) : 8. Operating Profit (1-7) 9. Add. Depreciation 10. Cum profit (before depreciation) 11. Repayment of loan 12. Profit (9-11) 13. To reserve fund (25%) 24. Documents to be attached with the application form 1. List of members along-with their addresses identified for: a) rearing birds in clusters b) rearing low technology birds in their back yards 2. A list of members of the Board of Directors 3. Registered Bye-laws of the society 4. Resolution of the society for implementing the project 5. Balance sheet of the least 3 years 6. Borrowings during the last 3 years: 7. Load 8. Credit Limit 9. Layout plant of the project and estimates of building & civil works duly certified by the competent authority. 10. Quotations by the competent authority. 11. A note on the working of the Society Signature of the Chairman of the Society
