NATIONAL COOPERATIVE DEVELOPMENT CORPORATION
(M&I DIVISION)
Application for availing Working Capital Assistance/Margin money
A. GENERAL PARTICULARS
1.(i)Name of the Society & Address:(ii)Telephone/Fax No.
2. Date of Registration:
3. Year of commencement of operation:
4. Area of operation:
5. Activities undertaken:
B. Financial Position
1. Membership & Share capital (as on 31.3.-------) (Rs. in lakhs)
____________________________________________________________________
Type of Members* Number Paid up capital
____________________________________________________________________
___________________________________________________________________
Total:
____________________________________________________________________
* SC/ST/women members may be specified separately
2. Other Funds (as on 31.3. -------)
i) Reserves (excluding depreciation) :
ii) Undisbursed Profit :
iii) Others if any :
____________________________________________________________________
Total
____________________________________________________________________
3. Total Own funds (Item 1+2):
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4. Term Loans (as on 31.3.---- ) (Excluding cash credit limit etc).
____________________________________________________________________
Source Amount Purpose Amount Amount of Amount of
raised outstan- overdue instalment
ding installment due during
as on if any current year
31.3.----
______________________________________
Prin. Int. Prin. Int. Prin. Int.
____________________________________________________________________
(i) (ii) (iii) (iv) (v) (vi) (vii) (viii) (ix)
____________________________________________________________________
i. State Govt.
ii. Coop. Banks
iii. Commercial Banks
iv. Other, if any (Pl. specify)
__________________________________________________________________
Total:
__________________________________________________________________
5. Total Funds employed:
(as on 31.3.---- ) 3+4 (iv)
6. Investment in fixed assets, securities, share etc. (as on 31.3.----)
____________________________________________________________________
Type of investment Amount
1 2
____________________________________________________________________
i. Fixed assets, eg. land, building, furniture, plant and
achinery, transport vehicle(s).
ii. Investments in debentures, bonds, Govt. securities, etc.
of a long term nature.
iii. Investments in shares of other institutions.
iv. Any other investment of long term nature (Specify)
_______________________________________________________________
Total:
_______________________________________________________________
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7. Accumulated losses, if any (As on 31.3.----)
8. Amount blocked in bad/ Name of the Amount
sticky accounts,if any: debtors
(Details may be given ______________________
in proforma enclosed at 1.
Page 8) 2.
3.
4.
5.
6.
______________________
Total:
______________________
Note: A detailed note on above accounts considered bad/sticky may be furnished indicating complete details like since when blocked, reasons, steps taken for recovery etc. (as per appendix-I)
9. Funds available for current business operations 5 - (6+7+8)
10. Working Results for past 3 years: * Please specify the year also.
____________________________________________________________________
1st year* 2nd year * 3rd year *
____________________________________________________________________
Gross Cash Net Gross Cash Net Gross Cash Net
Profit Profit Profit Profit profit Profit profit profit Profit
____________________________________________________________________
____________________________________________________________________
Note: Certified copies of Balance sheet, trading account & profit & loss account for past 3 years may be furnished along with Analysis of the Balance sheet in the enclosed format (Appendix-II)
C. AUDIT & MANAGEMENT
1. Indicate the year upto which statutory audit has been completed :
and audit report issued. If the audit is in arrears, reasons may be
indicated. A copy of the last audit report alongwith compliance
report may also be furnished.
2. Audit classification (Year-wise) for the Preceding 3 years.
3. Details of Board of Directors & tenure of the existing Board. :
4. Whether elected or nominated
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5. If nominated, reasons for the same:
6. Date of Election/nomination:
7. No. of Directors:
8. Whether general body meeting is being held regularly?
If so, date of last 3 meetings:
9. Whether Chief Executive is on deputation or own employee?
10. Since when the present incumbent is in position?
D. Business operations and working capital.
1. LEVEL OF BUSINESS OPERATIONS:
(Rs. in lakhs)
____________________________________________________________________
Type of business Business Achievement Business programme Likely rotation in
during last three years* during next 2 years* each commodity
____________________________________________________________________
1st year 2nd year 3rd year 1st year 2nd year
____________________________________________________________________
1 2 3 4 5 6 7
____________________________________________________________________
MARKETING
a)Commercial/own
i. Wheat
ii. Paddy
iii. Other foodgrains
iv. (including pulses)
v. Cotton
vi. Jute
vii. Other crops
viii. (Pl.specify)
b)PSS/MIS operations
i.
ii.
iii.
c)Consignment/Jt. Venture/commission basis
i.
ii.
iii.
DISTRIBUTION OF INPUTS
i. Fertilisers
ii. Seeds
iii. Pesticides/Insecticides
iv. Agril. implements
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v. Other inputs (Cement, Iron
and Steel, Gunny bag etc.)
*Please specify the year also
DISTRIBUTION OF CONSUMERS GOODS
i. Levy sugar
ii. Non-levy sugar
iii. Controlled cloth
iv. Coal
v. Kerosene
vi. Other consumer goods
----------------------------------------------------------------------------------------------------------------
Sub Total:
----------------------------------------------------------------------------------------------------------------
INCOME FROM OTHER SOURCES (PL. SPECIFY)
i.
ii.
iii.
____________________________________________________________________________
Total:
____________________________________________________________________________
Note: In case of low achievement in business during last year, as against previous years, reason(s) for the same may be mentioned.
Page 5 of 13
2. Anticipated month-wise stock position during next 2 years. *Please specify year also.
1st year* (Rs. in lakhs)
____________________________________________________________________________
Sl. Commodity April May June July Aug. Sept. Oct. Nov. Dec . Jan. Feb . March
No.
____________________________________________________________________________
___________________________________________________________________________
_
Total:
____________________________________________________________________________
2nd year* (Rs. in lakhs)
____________________________________________________________________________
Sl. Commodity April May June July Aug. Sept. Oct. Nov. Dec. Jan. Feb. March
No.
____________________________________________________________________________
____________________________________________________________________________
Total:
____________________________________________________________________________
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3. Working capital loan position (as on …………….)
_________________________________________________________________________________
S.No .Source Purpose CC limit Rate CC Margin stipulated Amt. Out
sanctioned of limit by standing
interest availed Banks & n ature of
security
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Note: Copies of the sanction letters from the Banks regarding cash credit limit approved may be enclosed.
4. Working Capital requirement as indicated in D(2)
5. Requrement of margin money (To be furnished in
case the proposal is for m.m. assistance)
(Rs. in lakhs)
_________________________________________________________________________________
Sl.No. Commodity Peak level stock as Margin of Requirement of
indicated in D(2) security margin money
reqd. by
Banks
_________________________________________________________________________________
1
2
3
4
5
6
_________________________________________________________________________________
6. Funds available for meeting the working capital requirement:
a) Funds available from within (as indicated at B(9) }
b) Funds available from outside sources
(as indicated at D(3) }
c) Additional share capital proposed to be raised }
7. Net requirement (4-6) of working capital
8. Net requirement of margin money (5-6)-(To be furnished in case proposal is for m.m.)
9. Assistance Proposed to be availed: for working capital / margin money
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10. Whether proposed assistance approved by Board of Directors. If yes
i) Date of meeting:
ii) Resolution No.
(A copy of resolution may be enclosed)
11. Only in the case of direct funding proposal,
a) “No overdue certificate” is to be furnished as
Per proforma at Appendix-III.
b) Nature of securities proposed to be offered.
( Please specify clearly)
c) In case assets are proposed to be offered
As security, the details may be furnished in
Appendix-III.
Date : (Name and Signature of
Place: authorized signatory
(Seal of Socoety)
Page 8 of 13
Appendix-I
(Rs. in lakhs)
_________________________________________________________________________________
S.NoParty/Item Amount Blocked Period uptoAction takenWhether re-In caseofbadComments of Remarks,
if any
since which a/c including viewed by debts, whether S/Govt. reg
when reconciled statutory competent action taken settlement of
(date/yr.) with the for recovery authority for writing dues pending
parties to declare off such debts with various
(PCMS etc.) it doubtful/ especially deptts. of
bad which are over S/Govt.,if
3 years any.
_________________________________________________________________________________
1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
_________________________________________________________________________________
Page 9 of 13
Appendix-II
Analysis of the Balance Sheet
_________________________________________________________________________________
1. Summarized Profit & Loss Accounts of last 3 years. *Please specify the year also._________________________________________________________________________________
1.Business Turnover (Sales and
other income)
_________________________________________________________________________________
2.Gross Profit before Intt
Depreciation and tax.
_________________________________________________________________________________
3.Interest
_________________________________________________________________________________
4.Cash Profit(2-3)
_________________________________________________________________________________
5.Depreciation
_________________________________________________________________________________
6.Profit before tax (4-5)
_________________________________________________________________________________
7.Income Tax
_________________________________________________________________________________
8.Net Profit (6-7)
_________________________________________________________________________________
2. Summarized Balance Sheet of last 3 years. *Please specify the year also.
_________________________________________________________________________________
_________________________________________________________________________________
1.Gross Block
_________________________________________________________________________________
2.Depreciation
_________________________________________________________________________________
3.Net Block(1-2)
_________________________________________________________________________________
4.Work in Progress
_________________________________________________________________________________
5.Investments
_________________________________________________________________________________
6.Total Fixed assets
(3+4+5)
_________________________________________________________________________________
7.Current Assets
i) Cash, Bank balance & deposits
ii) Inventory
Sundry debtors
iii) Loans, advances and
prepaid expenses
iv) Others, if any
_________________________________________________________________________________
8.Current Liabilities
1. Working capital loan
2. Sundry creditors
3. Interest payable
4. Short term loans
5. Other provisions and liabilities
_________________________________________________________________________________
9.Net Working Capital(7-8)
_________________________________________________________________________________
10.Long term loans & deposits
_________________________________________________________________________________
11.Paid up share capital
_________________________________________________________________________________
12.Reserves (excluding depreciation)
_________________________________________________________________________________
13.Un-distributed profits (+)/Accumulated Losses(-)
_________________________________________________________________________________
14.Net worth (11+12+13) or (6+9-10)
_________________________________________________________________________________
15.Net disposable resources
(10+11+8+13-6)
(For margin money calculations
_________________________________________________________________________________
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_________________________________________________________________________________
1.Debt Equity Ratio
(10/(11+8+13)
_________________________________________________________________________________
2.Current Ratio (7/8)
_________________________________________________________________________________
3.Cash profit to Turnover Ratio(4/1)
_________________________________________________________________________________
4.Net Profit to Turnover Ratio (8/1)
_________________________________________________________________________________
Enclosures to be appended:
- Copies of Audited Trading Accounts, P&L A/Cs. & Balance sheet for the last three years* (Tentative if not finalized) along with necessary schedules
- Detail of deposits, if any specifying the nature of deposit i.e. whether refundable, non-fundable, convertible. Rate of interest payable on these deposits.
- Details of reserve funds indicating depreciation reserves, reserved for doubtful debts etc.
- Details of long term loan, short-term loan, medium term loan indicating the name of lending agency and
whether these loans are secured or un-secured, the rate of interest on the loans.
+++++
Page 11 of 13
Appendix –III
Certificate regarding overdues of the society to NCDC and other institutions
Position of default in repayment of dues by the society to NCDC and other institutions as on date is as follows:
_________________________________________________________________________________
Name of the | Loan received Principal | Outstanding dues
Lending | Paid |
_____________________________________________________________________
Institution/Bank| Date | Amount | Principal | Intt. | Total
____________|_____________________________________________________________________
| | Overdue | Not yet due |
____________|_____________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
2. It is also certified that other cooperatives on which Directors of our Board are Directors or associated with are not in default in repayment of loans and payment of interest to NCDC and any Financial Institution/Bank as on date. OR
Position of default in repayment of dues by the Cooperatives on which Directors of our Board are Directors or associated with is as follows:
Name of the Director
Name of defaulting Coop. Society
Nature of association of the Director with the defaulting society
Name of Financial Institution/
Bank
Amount of default
Reasons and period of default
(Chief Executive of the Society)
Place:
Date:
Note: Strike out which is not applicable.
Page 12 of 13
Page 13 of 13
Appendix-IV
4. Details of assets to be mortgaged (applicable in case of direct funding)
Description
Of Assets
Yr. Of
Acquisi-tion
Cost of
Acquisi-
tion
Deprecia-
tion
Book Value
Market
Value
Whether
Charged/mort-
gaged/free from
encumbrances
To Whom Mortgage
Against what
Amount of loan
i.
ii.
iii.
Total:
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