Application for Loan under Promotion of Dairy Entrepreneurship Scheme

To,
The Branch Manager,
Bank:
Branch:

Attested Photo

1. Name of the beneficiary:

2. Name of father/Husband:

3. Category / Age:

/

4. Occupation of the beneficiary:

5. Educational Qualification:

6. No. of family members:

7. Residential address/Address for communication:

8. Permanent address:

9. Contact no.:

10. Objective of the Project:

11. Location of the project (Village, Block, District):

12. Experience in dairy farming, if any:

13. Whether attended any project-orientation training, if any:

14. Annual Income:

[*Please attach a copy of Identity Card (Voter ID/PAN Card/Driving License/BPL Card/Bank Passbook/I-Card issued by local Sarpanch/any other)]

15. Sources of Income:

16. Immovable Property- (in Beneficiary' name)

(i) Details of House Property:

(ii) Land property:

Details of the Proposed Project-

17. Capacity of the farm:

18. Description of the animals:

(Crossbred/Red Sindhi/Gir/Rathi/Haryana/Sahiwal/Tharparkar/Indigenous descript/Graded Buffalo)

19. Source of procurement of animals:

20. Plan for procurement of 2^nd animal/2^nd lot of animals:

21. Details of milk yield:

22. Availability of feed/ fodder:

23. Availability of water and other inputs:

24. Availability of veterinary services, especially AI services and veterinary aids:

25. Status of milk route:

26. Market and marketing arrangement:

Whether through individual or cooperative- Furnish details including selling rate of milk, periodicity of payment.

27. Disposal of Cow dung:

28. Whether Vermicompost unit is proposed with scheme:

29. If yes cost of the vermicompost unit & other details:

30. Cost of the Project

Unit / Capital cost	Cost/Unit (Rs.)	Total (Rs.)
1. Civil work-Cow Shed (40 Sq ft/cow)
2. Calf Shed (20sqft/calf)
3. Cost of the animal
4. Transportation cost of the animal
5. Dairy equipment cost (Iron Chain, Bucket, Milk Cans, Weighing Scale, Manual chaff cutter etc.)
Recurring Cost (Capitalized)
6. Cost of fodder cultivation (0.25 acres irrigated land/two animal)
7. Feed for 1^st cow for one month @ 4 kg/day
8. Insurance cost (5% of the cost of the animal)
9. Veterinary aid cost
10. Miscellaneous cost
A. Total financial outlay of the project (TFO) = (1+2+3+4+5+6+7+8+9+10)
B. Margin money minimum (10% of the TFO)
C. Subsidy(Back ended capital subsidy) 25%- General, 33.33%- SC/ST
D. Bank loan(Minimum 40% of the TFO) = (A-B)

Note- All parameters given above are indicative and vary according to local conditions.

31. Sources of Margin Money:

32. Project implementation schedule:

33. Economics of the project (please furnish details)

(i) Total income (Per annum):

(ii) Total expenditure (Per annum):

(iii) Net income (Per annum):

34. Security details-

(i) Primary Security:

(ii) Collateral Security:

The above information is true to the best of my knowledge and belief. If any information on my behalf is found to be false and incorrect, I shall be liable to refund the entire subsidy received, forthwith and concerned authority may take all kinds of legal action against me.

....................................................
Applicant's Signature