application for financial assistance by way of share capital contribution under state plan to PACS

Application for Availing Financial Assistance by way of

 Share Capital Contribution  under State Plan for  P A C S

a	Name and Postal Address of the  Society with Taluk and District Pin code
b	Registration No. & Date of Registration
c	Area of operation of the Society and whether its area overlapped by any other PACS
d	Board of Directors ( Elected ) Administrator ./ Administrators / Administrative Committee
e	Total Population within the area of operation as per Byelaw
f	Membership&Paidup Share Capital  as on 31-03-2009	No		Amount
i	A Class
ii	B Class
Iii	C Class
iv	D Class
	Total
Financial Position of the Society
1	Paid up Share Capital
2	Borrowings
3	Deposits
4	Loan Outstanding with members
a	Short Term Agriculture
b	Mid Term Agriculture
c	Others
5	Fixed Assets Movables / Immovable
6	Accumulated Profit / Loss
a	Audit Classification ( as per latest Audit Certificate )
7	Amount of Loan Out standing
a	To District Co-operative Bank ( Borrowings )
b	Demand under the above
c	Percentage of Overdue
d	Amount of Loan Outstanding with Members
8	If % of overdue is above 25% , action taken by the Society for reducing the overdue ( a brief note should be attached )
9 (a)	Amount required for meeting the credit requirements of the members during current year
(b)	Credit limit sanctioned
i	By the D C B
ii	Own funds with the society for meeting purpose
iii	Balance Amount required
10	Amount of Share Capital Contribution applied for
11 a)	Whether there is any Government dues pending to be remitted
b)	Whether the Society is free from corrupt practice s
c)	Whether the General Body Meeting convinced and Budget for the current year passed . If not specify the years  up to which General Body has been convince

……………………………….………………………………..…(President)…………….………………...…………………..( Secretary / M.D ) of the ………………………………………………………Service Co-operative Bank Ltd No. ……………request that the assistance by way of Share Capital  Contribution applied for in the above application may please be sanctioned

 We further agree to abide by the terms and condition of the assistance provided by the state Government  and to furnish all such reports / information s as may be prescribed by the Government / Registrar of Co-operative Societies

Signature of the President .

Board Members

1)

2)

Secretary / M D

                                           

                                                  Recommended that an Amount of  Rs………………………………Rupees…………………………………..only ) may be sanctioned to ……………………………………….Service Co-operative Bank Ltd No. as  Share Capital Contribution under State Plan of  Annual Plan 2009-2010

Assistant Registrar of C S ( G )

                                                                              ………………………….