A. General information about beneficiary /Organisations

1. Name of the Organization with address

2. Status

3. Name of the person whom correspondence to be made, together with his telephone and telegraphic address/ Fax number, if any

4. Year of establishment (Whether applicable)

5. Whether registered under the Registration of Societies Act, 1860 or any similar State statute (Registration number & date to be given) & attach a certificate by Gazetted officer in case of NGO’s. (Wherever applicable)

6. Major objectives of the organization. Attach certified copy of Bye-laws of the society by Gazetted Office in case of NGO’s (Wherever applicable)

7. Total number of the members in the organizations on 31st March (year to be mentioned) incase of NGO’s, Association of Growers (Wherever applicable)

8. Summary of the activities undertaken by the organization in the last year

9. Audited balance sheet of last 3 years duly certified by C.A. (Wherever applicable)

10. Other sources from which financial assistance is received by the organization

11. Whether the organization agreed to maintain a proper separate account of the grant sanctioned by the Board.

12. Whether applied for assistance already received from the Board, if any, and the purpose for which it was received.

13. Details of financial assistance already received from the Board, if any, and the purpose for which it was received.

B. Project Proposal

i) Details of the project proposal with justification for implementation

ii) Requirement of funds

iii) Total financial assistance sought from the Board

iv) Has any grant of the same purpose been applied for from any other sources, if so, please state

C. Supporting documents and annexures relating to project proposal

Certified that the information given above is correct and we agree to abide by the rules and regulations of the Board for utilization of the financial assistance sought for

Signature of Authorised person/Authority

(To be completed by the Executive/Officer of the Bank forwarding the Scheme)

Note : Tick ( ) in the boxes to signify that the relevant information has been furnished in the Scheme

1) GENERAL

a) Project background, specification of the scheme area and arrangements for acquisition of land

b) Nature and objective of proposed development and whether as an independent item or an integral part of the project

c) Name(s) of the financing bank(s) / branch(es)

d) Approval of the scheme by competent authority

e) Status of implementing agency / company / corporation / partnership firm / individuals, etc. and promoter’s bio-data

f) Approval of competent authority for setting up of processing unit, etc.

2) TECHNICAL ASPECTS

a) Market survey and assessment of the project at present in the locality viz-a-viz potential requirement of processing unit, etc.

b) Detailed cost estimates of the storage unit and auxiliary structures prepared as per approved schedule of rates applied to site

c) Details of drawings of various structures including lay out plans

d) Phasing of the programme with financial outlay

e) Comments on technical feasibility of the project

3) FINANCIAL ASPECTS

a) Lending terms : rate of interest, grace period, repayment period, down payment, nature of security, availability of government guarantee for bank loan / refinance (wherever applicable), source and extent of availability of subsidy, etc.

b) Year-wise physical, financial programme, bank loan and refinance requirement

c) Estimates of unit-wise aggregate income, expenditure and surplus from the storage, comments on financial viability of the project along with cash flow, B/C ratio, net present worth, financial rate of return, etc.

d) Comments on the financial position of the borrowers/implementing agency in case of companies, partnership firm, etc. an analysis of their financial position, debt-equity and profitability along with copies of audited financial statements, for last three years. 

Signature and Designation 
of Bank Officer

KNOW ALL MEN BY THESE PRESENTS THAT I/WE _______________, and ________________, the directors/promoters of M/s _________________ (name of applicant) having its registered office at _________ (Address of the applicant) (hereinafter referred to as ‘the applicant’) jointly and severally bind ourselves our respective heirs, executors, and administrators and our respective states and our effects firmly by these presents sealed with out seals dated

WHEREAS the applicant a company incorporated under the Companies Act, 1956/a proprietorship/partnership firm registered with the Registrar of firms having its registered office at ________ (Address of applicant) has applied to Coconut Development Board ‘CDB” directly for grant of subsidy aggregating Rs._______ (Rupees __________ only) under technology mission.

WHEREAS one of the conditions for eligibility of the applicant to make an application directly to Coconut Development Board having its office at _____________________ for grant of subsidy under technology mission for is that the applicant has not availed any financial bank and has arranged the whole sum of money invested or to be invested in the project from the personal sources of the promoters and/or directors/partners/proprietor and/or their friends and relatives.

NOW THEREFORE the condition of this undertaking and obligation such that:

1. We affirm that the applicant has not availed any financial assistance I the form of term loan, has not made any application to any financial institution(s)/ financial bank(s) which pending for disposal, for financial assistance in the form of term loan for setting up the above said project. 

2. The terms and conditions of the scheme of CDB under which an application is made by the applicant have been placed before us and we affirm that the same have been properly read and understood by us. We undertake that, he applicant shall abide by the terms and conditions of the scheme under which the application of grant of subsidy is made, including the one that applicant shall not make an application to any financial institution(s)/ financial bank(s) seeking financial assistance in the form of term loan for setting up the above mentioned project.

3. Where any of the above information is found to be untrue or incorrect or where the applicant fail to abide by any of the terms and conditions of the scheme under which the subsidy is granted by CDB, we undertake as bound, jointly and severally to abide by the following:

i. CDB would have the right to claim back the sum of subsidy which has been granted by CDB against the application made by the applicant along with an interest at the rate of 18 per cent annum for the period from the date of disbursement of subsidy till the date of repayment

ii. CDB would have right to claim such sum of subsidy from the sale proceeds of properties/assets of the applicant

iii. In the event of any default on the part of the applicant in repayment of any of the moneys referred to above, or in the event of any default on the part of the applicant to comply with or perform any of the terms and conditions of the scheme of CDB under which the subsidy is granted, we shall, upon demand, forthwith pay to CDB without demur all the amounts payable by the applicant under these presents.

NOTWITHSTANDING anything contained in any of the provisions above of these presents, we shall be render to prosecution under the provisions of Indian Penal Code where any of the information above is found to be untrue or incorrect or where the applicant fail to abide by any of the terms and conditions of the scheme under which subsidy is granted.

IN WITNESS WHEREOF, THESE PRESENTS HAS BEEN READ SIGNED SEALED AND DELIVERED ON . . . . . . . . . . . . DAY OF . . . . . . . . . . . . . BY ABOVE NAMES/ PARTIES.

Mr.______________                                            Mr.________________

(Designation)                                                          (Designation)

WITNESS

1.                                             2.