APPLICATION FORM FOR
SEEKING ASSISTANCE UNDER
CREDIT LINKED CAPITAL
INVESTMENT SUBSIDY SCHEME FOR
CONSTRUCTION, RENOVATION/ EXPANSION OF GODOWN
FOR PRIMARY
COOPERATIVE SOCIETIES (PACS)
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Regional Office, 5th
Floor, Co-Bank Towers, Palayam, Trivandrum – 695033
Phone: (0471) 2318497 Fax: (0471)
2311673,Web site
: www.ncdc.in
Email - RO.TVM@ncdc.in
PART – I
(1) Details
of the Society :
a)
Name of the
Society
b)
Postal Address
c)
Area of
operation of society
d)
Date of
Registration
(2)
Membership and own funds of society for the last two years
Rs
in lakhs
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Particulars
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Year -
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Year -
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No. of
Members
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Paid-up
Share capital
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No. of
members
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Paid-up
Share capital
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a) Individual
(Agriculturists)
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b)
Scheduled Castes
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c) Scheduled Tribes
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d) Women
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e) Others
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Non-agriculturist
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Cooperative
Societies
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State
Government
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TOTAL
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(3)
Financial position for last 3
years
(Rs. in lakhs)
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Particulars
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Year -
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Year –
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Year -
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Reserve
and other funds
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Un-distributed
profits
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Owned
funds
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Cumulative
losses, if any
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Long
term investments made
From
own funds
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Net
disposable funds
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Income
during the year
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Expenditure
during the year
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Net
profit/loss during the year
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NB :
Attach copy of financial accounts audited / tentative (P&L, Trading &
Balance sheets for above years
(4) Other
details of Society
·
Whether elected board (Yes/No)
·
Date of last
election held
·
If Board is not
elected
Indicate reasons for supersession
· Likely time for restoration of Board
· Manager (own/cadre)
· Date of last
AGM held
· Year till when audit completed
(5) Business undertaken for last 2 years and Projections for next 5 years
(Rs. In
lakhs)
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Actual
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Projections for next 5 years
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Years
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Credit
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i)
S.T. Credit
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ii) M.T. Credit
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Non-credit
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a)
Marketing of
Agri.
produce
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b)
Supply of
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i) Fertiliser
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ii) Other inputs
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iii)
Consumer
articles
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c) Others
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(6) Recovery/Repayment position for the
last 2 years
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Particulars
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Demand
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% recovery to demand
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Remarks
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Year
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Year
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Year
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Year
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Recovery
position
From
members to
Society
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Repayment
perform
mance
by society
To
CCB
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PART – II
Please
submit following information in respect of component for which assistance is
proposed to be availed.
In
case assistance is required for construction of godown
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(A)
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Godowns
available with Society
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No
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Capacity
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a) Owned godowns
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b) Hired
godowns
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c) Godown under construction, if
any
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(B)
Rent paid for hired godowns
during last 2 years
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Year
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Year
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a)
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Rent
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b)
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Transportation/handling/other
Charges
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Total
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( C )
Percentage utilization of owned godown (s) during last 3 years
Year 1 :
Year 2 :
Year 3 :
( D )
Whether approval of SLCC is obtained in case
Godown is above 1000 MT capacity
(Yes/No) :
(E)
Project proposed
a)
Capacity of
godown proposed for construction (in M.T) :
b)
Proposed
location of godown (Name of village/block etc.) :
c)
Whether land is
available for proposed godown (Yes/No) :
If
yes
i)
Area of land
available
:
ii)
Whether land is
located outside the municipality
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Limits
(Yes/No)
d)
Estimated cost
of construction
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NB
: Enclose detailed plan and cost
estimates
In case assistance is required for
renovation/expansion of existing godowns.
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Sl.No.
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Godown - 1
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Godown -
2
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1.
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Location of godown
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2.
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Capacity (in
MT)
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3.
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Godown completed on
(date/year)
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4.
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Cost of godown completed
(Rs./lakhs)
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5.
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Godown loan re-paid
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6.
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Godown loan outstanding
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7.
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Percentage utilization of
godown
During last 3 years
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Year
1
Year
2
Year
3
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8.
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Proposed cost of
renovation of godown
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9.
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Proposed cost of
upgradation of godown
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10.
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Total cost of
renovation/upgradation
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Enclose separate sheets if renovation
proposed for more than 2 godowns
NB
: Enclose detailed plans and cost
estimates
( F )
Financing of the Project for construction/renovation/expansion
of godown
(Rs. In lakhs)
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Amount
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Total project cost
i) For construction of godown
ii)
For renovation/expansion of existing godowns
a) For normal areas
i) Loan from State Govt. (50% of block cost)
ii) Subsidy from State Govt. (25% of block
cost)
iii) Share capital from State Govt. (15% of
block cost)
iv) Society’s own contribution (10% of block
cost)
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b) For
Hilly areas */S.C/S.T. Societies
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Amount
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i) Loan from State Govt. (50% of block cost)
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ii) Subsidy from State Govt. (33.33% of block
cost)
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iii)
Share capital from State Govt. (6.67% of block cost)
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iv)
Society’s own contribution (10% of block cost)
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*
Where site is located at a height more than 1000 meters above mean sea
level
Signature
of Secretary/Manager of the Society
alongwith the Seal of the Society
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