FORMAT NO.

NATIONAL SCHEDULED CASTES FINANCE & DEVELOPMENT CORPORATION, DELHI

FORMAT OF APPLICATION
FOR
FINANCIAL ASSISTANCE FOR NON-FARMING AND OTHER ACTIVITIES

(THIS IS ONLY A FORMAT AND NOT AN APPLICATION FORM)

1. DETAILS OF THE PROMOTER(S) :

(Name, Age, Address, Present Occupation,
Present Income Level, Details of Family
Members)

2. PROPOSED ACTIVITY :
(Details of Activity, Location and
Area of Operation, Skill Level
Required for Operating the Activity &
Experience in the line)

1. COST OF PROJECT :
Sl. Particulars Cost
No. (Rs.)
(i) Building (to be supported by documents)

(ii) Plant and Machinery (to be supported with quotation)

(iii) Misc. Fixed Assets (to be supported with quotations)

(iv) Preliminary & Pre-operative expenses

(v) Contingencies and cost escalation

(vi) Others, if any (registration expenses, insurance expenses etc.)

(vii) Working Capital

(Details of requirement of working capital to be furnished)

TOTAL
4. MEANS OF FINANCE

Sl. Source Per %age Total for ___ Units

No. Unit (Rs.)
(i) Promoter’s Contribution
(ii) Subsidy
(iii) Margin Money Loan (SCA)
(iv) Term Loan/Seed Capital/Working
Capital - NSFDC
(v) Banks
(vi) Others, if any, specify
TOTAL

5. DETAILS OF PROFITABILITY :
(Please give details of sales revenue
and details of expenditure of operations
for a normal year of operation)

6. TECHNICAL DETAILS :
(Give technical details such as
skill requirement, raw material
requirement, power requirement
manufacturing process etc.
in 200 words)

7. MARKETING ARRANGEMENTS :
 FORMAT NO.2

NATIONAL SCHEDULED CASTES FINANCE & DEVELOPMENT CORPORATION, DELHI

FORMAT OF APPLICATION
FOR
FINANCIAL ASSISTANCE FOR FARMING AND OTHER ALLIED ACTIVITIES

(THIS IS ONLY A FORMAT AND NOT AN APPLICATION FORM)

1. DETAILS OF THE PROMOTER(S) :

(Name, Age, Address, Present Occupation,
Present Income Level, Details of Family
Members)

2 PROPOSED ACTIVITY :
(Details of Activity, Location and
Area of Operation, Skill Level
Required for Operating the Activity &
Experience in the line)

3. COST OF PROJECT :
PART-I – LAND BASED ACTIVITIES

Sl. Particulars Cost

No. (Rs.)
(i) Land (with full details of location and value)

(ii) Cost of Land Development

(iii) Provision for Irrigation Facilities

(to be supported with quotation)

(iv) Plant and Machinery (to be supported with quotation)

(v) Misc. Fixed Assets (to be supported with quotations)

(vi) Preliminary & Pre-operative expenses

(vii) Contingencies and cost escalation

(viii) Others, if any (registration expenses, insurance

expenses etc.)

(ix) Working Capital

(Details of requirement of working capital to be
furnished)

TOTAL
 PART-II – DAIRY

Sl. Particulars Cost

No. (Rs.)
(i) Building (to be supported by documents)

(ii) Cost of Animals (No. & Purchase Price/Animal)

(iii) Misc. Fixed Assets (to be supported with quotations)

(iv) Insurance Charges

(v) Working Capital

(Details of requirement of working capital to be
furnished)

TOTAL

PART-III - TRACTOR AND AGRICULTURAL IMPLEMENTS

Sl. Particulars Cost

No. (Rs.)
(i) Cost of Tractor and Agricultural Implements

(ii) Misc. Attachments (to be supported with quotations)

(iii) Others, if any (Transportation cost, registration cost,

insurance cost etc.)

TOTAL

4. MEANS OF FINANCE

Sl. Source Per %age Total for ___ Units

No. Unit (Rs.)
(i) Promoter’s Contribution
(ii) Subsidy
(iii) Margin Money Loan (SCA)
(iv) Term Loan - NSFDC
(v) Banks
(vi) Others, if any, specify
5. DETAILS OF PROFITABILITY :
(Please give details of sales revenue
and details of expenditure of operations
for a normal year of operation)

6. TECHNICAL DETAILS :
(Give technical details such as
skill requirement, raw material
requirement, power requirement
etc. in 200 words)

7. MARKETING ARRANGEMENTS :
 FORMAT NO.3

NATIONAL SCHEDULED CASTES FINANCE & DEVELOPMENT CORPORATION, DELHI

FORMAT OF APPLICATION
FOR
FINANCIAL ASSISTANCE FOR TRANSPORT ACTIVITIES

(THIS IS ONLY A FORMAT AND NOT AN APPLICATION FORM)

1. DETAILS OF THE PROMOTER(S) :

(Name, Age, Address, Present Occupation,
Present Income Level, Details of Family
Members)

2. PROPOSED ACTIVITY :
(Details of Activity, Location and
Area of Operation, Skill Level
Required for Operating the Activity &
Experience in the line)

3 COST OF PROJECT :

Sl. Particulars Cost

No. (Rs.)
(i) Cost of Vehicle (to be supported with quotations)

(ii) Misc. Attachments (to be supported with quotations)

(iii) Others, if any (Transportation cost, registration cost,

insurance cost etc.)

TOTAL

4. MEANS OF FINANCE

Sl. Source Per %age Total for ___ Units

No. Unit (Rs.)
(i) Promoter’s Contribution
(ii) Subsidy
(iii) Margin Money Loan (SCA)
(iv) Term Loan - NSFDC
(v) Banks
(vi) Others, if any, specify

TOTAL
5. DETAILS OF PROFITABILITY :
(Please give details of sales revenue
and details of expenditure of operations
for a normal year of operation)

6. TECHNICAL DETAILS :
(Give technical details such as
skill requirement, maintenance
and repair facilities requirement
etc. in 200 words)

7. MARKETING ARRANGEMENTS :
 ANNEXURE-V
AFFIDAVIT
(on Stamp Paper of appropriate value)

I______________________________________________________________
son/daughter/wife of _________________________________________________ residing
at ___________________________________________________________ do hereby
solemnly affirm and state on oath as follows:-

1. I, submit that I belong to___________________________ (Caste Name) which

comes under Scheduled Caste in the State of
___________________________________ .
2. Further, I submit that I am not an Income Tax Assessee and that my Annual
Family Income is Rs.__________ (in words) ______________________
_________from all sources. My family comprises of ________, ________, ______,
_____________.

3. The above declaration is given by me for the purpose of obtaining loan under the
scheme of _____________________________________________________ (SCA)
and National Scheduled Castes Finance and Development Corporation (NSFDC).
In case any of the facts declared by me as above are found incorrect, I fully
understand that I am liable for action in accordance with the Lending Policies of
SCA & NSFDC.

DEPONENT
Identified by me

SWORN TO, BEFORE ME

Place : Stamp

Date :
(NAME & ADDRESS OF NOTARY)
[Separate Affidavits of each Member of a Parntership Firm/Co-operative Society
etc.]