PROFORMA FOR CONSTRUCTION OF WORKSHED-CUM -HOUSING FOR HANDICRAFTS ARTISANS/HANDLOOM WEAVERS. 1. Name and address of the implementing agency : ................ .................................... 2. Location where the project is to be implemented: ................. 3. Financial status of the implementing agency (enclosed audited balance sheet for the last 3 years. : ................ 4. No. of craft persons to be covered : ..................... 5. Project viability: ............................. 6. Projections of anticipated expenditure (year wise) : ............... ................................... 7. Anticipated time for completion of the project :................ 8. Whether artisans,contribution has been ensured : ................ .................................... 9. Whether loan from HUDCO/other agencies has been arranged.:......... 10. Budget :................................ "Item Estimated Beneficiaries share of Loan from HUDCO/ cost contribution......Govt. of India.....other agency. 1. Workshed-cum-Housing 2. Workshed .............................. 'strike off whichever is not applicable 11. Lay out of the project certified by the civil Engineer(a copy to be enclosed) 12. Whether land has been acquired/is to be acquired 13. Source of balance funds, if required 14. Any other relevant information. . DECLARATION 1. The project is recommended by the State Govt. for implementation. 2. Certified that there is no duplication of efforts for the same beneficiaries. 3. Certified that no additional financial grant has been received from any other source for the same purpose(within the ceiling limit of the unit cost prescribed in the scheme). 4. Certified that provisions of the scheme have been fully understood and we take the responsibility for successful completion of the project. 5. Certified that all efforts will be made to allocate the units to the genuine craft persons. Signature........... Designation.......... Office Stamp........ Address......... ...................