SC/ST Coops. for Expansion of their business, marketing, supply

APPLICATION FORM

for availing financial  assistance by

SC/ST Coops. for Expansion of their business development, marketing, supply and distribution activities

NATIONAL COOPERATIVE DEVELOPMENT CORPORATION (NCDC)

Regional Office, 5^th Floor, Co-Bank Towers,  Palayam,  Trivandrum – 695033

Phone: (0471) 2318497  Fax: (0471)  2311673,Web site : www.ncdc.in

Email -  RO.TVM@ncdc.in

1.       a) Name and address of the society (with PIN code:

              and telephone no with STD code

          b) Date of registration                                                :

          c) No. of branches and purchase retail outlets       :

              with their locations.

2.       Area of operation of the society

          a) No. of villages covered

          b) Total   population of the area

          c) Tribal Population.

          d) No. of SC/ST families in the area

          e) No. of SC/ST families already enrolled as members:

          f) Steps taken/proposed to enroll the remaining

             SC/ST families as members of the society.

          g) Name of major agricultural crops/minor forest

              produce of the area with approx. arrivals in the

              market (in tones)

3.       Is the society affiliated to ST/ST Fedn. and if not,

               the reason thereof

         

4.       Membership and share capital (as on 31.03.2011)                       (Amount in lakhs)

Type of members	No. of Members	Paid up share capital
1. Individuals
a) Tribals
b) Scheduled Castes
c) Scheduled Tribes
c) Women
d) Coop. Societies
e) State Govt.
f) Others( Pl. specify)
Total

5. Financial Position of the Society

Sl No	Particulars	2008-2009	2009-2010	2010-2011
1	Profit/Loss
2	Reserves and other funds
3	Un-distributed profit, if any
4	Total owned funds (2+3)
5	Accumulated Loss, if any
6	Long term investments made from owned funds, if any
7	Net worth ((4-5)
	Net disposable owned funds  (4-(5+6)

Enclose a copy each of the balance sheet, profit & loss and trading accounts for the last three years. (audited / tentative)

6. Management of the society

a) Whether present Board is elected and if so,

    when elected and for what period?

b) If the Board is not elected, the date which the board

    has been superseded and nominated Board/

    Administrator/Person in charge appointed by State

    Govt. and reasons for such action.  When is the

    Elected Board likely to be restored?

c) Date of the last general body meeting

7. Audit of the society

a) Period for which audit has been completed and

    the audit classification.

b) If the statutory audit is in arrears, reasons for

    such arrears may be indicated.

8. Infrastructural Facitlites

a) Processing facilities with the society

Type of unit	Capacity ( in tones)	Qty. of raw material processed during 2010-11( in tones)	Year of establishment of the unit
1)
2)

9. Godowns  with the society

	No. of godowns with location	Capacity (in tones)
1) Own
2) Hired
3)Under Construction

10. Business Operations

Activity	Actual business undertaken during last three years			Realistic business target for next two years		Working capital required	% of margin money  required for raising w.c. from bank
	2008-09	2009-10	2010-11
ST & MT credit
Consumpti-on credit
Pledge Loan
Others
Total

11. Non-credit business

Activity	Actual business undertaken during last three years			Realistic business target for next two years		Working capital required	% of margin money  required for raising w.c. from bank
	2008-09	2009-10	2010-11	2011-12	2012-13
Mktg. of agr. produce
Sale of minor forest produce
Agr. inputs
Consumer articles
Others (pl specify)
Total

12. Percentage of recovery of ST and MT loans to      2008-09       2009-10       2010-11

     Demand during the last three years

13. Details of assistance received earlier under

      NCDC Schemes for                                                   Year             Amount

a) Share Capital
b) Godowns
c) Processing units
d) FSC Scheme
e) Consumer Scheme
f) Others, if any
Total

14. Requirement of Margin Money for raising working capital

Credit availed for non-credit business	Marketing of Minor Forest Produce	Agr. Inputs and consumer articles	Name of bank from which credit availed	% of margin prescribed by bank for credit limit
Credit limit sanctioned by bank during the year 2010-11
Maximum drawal against the sanctioned amt during 2010-11
Credit limit applied for 2011-12
Additional non-credit business proposed to be undertaken during the year 2011-12
Working capital required for undertaking additional non-credit business
Margin money required for raising w.c.

15. Amount available from net owned funds of the society

     Towards margin money required for non-credit business

16. Additional share capital required from State Govt. for

      Meeting the margin money gap for the society’s non-credit

     Business during the year 2011-12

                                                                   Signature:

                                                                   Secretary/Chief Executive of the society

                                                CERTIFICATE

This is certified that this society is not covered/assisted under NCDC’s ICDP/NABARD’s Pilot Project Scheme for selected districts.

                                                                             Signature

                                                                             Designation:  AR/DR