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PMEGPscheme - Application

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Nishant Singh
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58 views2 pages

PMEGPscheme - Application

Uploaded by

Nishant Singh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICANT ID: (OFFICE USE)

APPLICATION FORM FOR FINANCIAL ASSISTANCE UNDER PRIME MINISTER'S


EMPLOYMENT GENERATION PROGRAMME (PMEGP)

Preference for sponsoring agency of the project to Bank : (mark )

KVIC KVIB DIC Rural Urban

TO

……………………………….

………………………………

Details in blocks should be entered in CAPITAL LETTERS only

1. Name of the applicant/ Institution Name

D D M M Y Y Y Y
2. Date of Birth

3. Sex Male Female

4.Father's name /Spouse‟s Name/ Contact Person Name (if Institution):

5. Communication Address:

Taluk/Block:
District:
Email: Contact No

6. Address of proposed location of unit : Rural Urban

Taluk/Block:
District:

7. Name of the preferred Bank Name & Address in the area for Project sanction

Bank Name:
Address:

Taluk/Block
District:
Branch Code:

8. Qualification
Academic Technical
9. Whether Entrepreneur Development Programme (EDP) Yes No
(at least 2 weeks) undergone: (mark )

Period of training Certificate Issue


Name & Address of Training Institute
From To Date

10. Whether the applicant belongs to (mark )


Ex-
SC ST OBC PHC Minority Hill Boarder Area General
Serviceman

11.Whether the project for Manufacturing Business/Service


(mark ) unit unit

12. Name of the project / business activity proposed:

13. Amount of loan required (in Rs.)


Building Capital Expenditure Loan
Type Working
(own/ Work shed, Machinery & . Pre capital/cash Total
leased/ Building etc equipment operative Cost credit Limit
Rented)

14. Details of earlier or current Loan/grant and subsidy availed from Central/state
Govt. Scheme/or any other similar scheme.
Activity of the Project with Amount( in Rs.) Year of Sanction Address

I certify that all information furnished by me is true; and that I and any of my dependent have not
borrowed any money under Subsidy Linked Scheme from any central/State Government or bank for
establishing any such project.

Date : Signature of the applicant

NOTE:
Own contribution must be invested 5% for SC/ST/OBC/PHC/woman/ Ex-serviceman/
North East Reason/Hill Boarder Area and 10% for General
Total Project Cost should not exceed 25 lakhs for Manufacturing unit and 10 lakhs for
Business/service unit.
Applicant will not be entitled for additional Margin Money(Subsidy) in case of Own
Contribution over and above the prescribed limit.
VIIIth pass for Manufacturing Unit above Rs.10 lakhs project cost and under Service Sector
above Rs.5 lakhs
Application should be submitted complete in all respect along with attested copies of
the following documents:
1. Certificate of qualification-academic and technical (if project cost above 5 lakhs under
business/service industry or above 10 lakhs under Manufacturing industry)
2. Relevant Certificate for SC/ST/OBC/Minority/Ex-Servicemen/PHC
3. if Entrepreneur Development programme(EDP) training undergone (at least for two weeks)
then submit photocopy of the certificate
For Official Use only (Rejected/ to be placed before District Task force committee) Reasons (if
rejected):
Place: Signature, Name and Designation of Officer
Date: KVIC/ KVIB/DIC

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