Rashtriya Sahakari Vikas Nigam National Cooperative Development Corporation 4, Siri Institutional Area, Hauz Khas, New Delhi

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1 1. Name of the Society Complete Address Rashtriya Sahakari Vikas Nigam National Cooperative Development Corporation 4, Siri Institutional Area, Hauz Khas, New Delhi PIN Code Taluka & District State Telephone 2. Registration No. & Date 3. Area of operation Application for Availing Financial Assistance by Fisheries Cooperative Societies 4. Membership and Funds: (Rs. in lakhs) i. Authorised Share Capital Rs. ii. Membership and paid up Share Capital Category/ Type of Members As on 31/3/200 As on 31/3/200 a. Fishermen - SC - ST - Others - Non-Fishermen b. Fisherwomen c. State Govt. d. NCDC through State Govt. e. Other Institutions (Please specify) Total (ii) No. of Members Share Capital No. of Members Share Capital Particulars As on As on iii. Reserves & other funds iv. Undistributed profits v. Total owned funds (ii + iii + iv) vi. Accumulated losses, if any vii. Long term investments viii. Net disposable funds (v - vi - vii) Page 1 of 5

2 5. Audit classification Year during last 3 years Classification A/ B/ C/ D A/ B/ C/ D A/ B/ C/ D 6. Net Profit/Loss Year during last 3 years Profit/Loss Rs. Rs. Rs. 7. Board of Directors: i. No. of Directors a. Elected b. Nominated ii. Date of election of the present Board Tenure of the Board iii. If the Board is not elected, reasons for the same and likely date for holding the elections Years 8. Performance of the Society for the last 3 years: (Rs. in lakhs) a. Marketing of Fish and fish products b. Supply of fishery requisites (Nets, engines, diesel, boats spare parts etc.) c. Distribution of consumer articles (both controlled and non-controlled) d. Others (specify) Total 9. Business for the current financial year (expected) and next 2 years (projected): (Rs. in lakhs) Type of business i. Marketing of Fish and fish products ii. Supply of fishery requisites iii. Distribution of consumer articles iv. Others (specify) Total 10. Insurance (last 2 years): (a) Fishermen i. No. of fishermen insured ii. No. of claims during the year (b) Boats i. No. of boats insured ii. No. of claims during the year Page 2 of 5

3 11. Existing Fishing Boats owned by the members of the society: (Rs. in lakhs) Type of boats No. Size Cost Source Value of fish catch of funds a. Mechanised b. Non-mechanised 12. Existing Transport Vehicles: (Rs. in lakhs) Particulars No. Capacity Cost Source of Expenditure Income (in tons) Capital a. Trucks b. Insulated vehicles c. Pick-up vehicles d. Motor boats/ launches for transport 13. Existing Processing Units: (Rs. in lakhs) Type of Unit Capacity Block Cost Source of Value of Processed Products by the units (Rs.) funds a. Fish pulverising unit b. Fish curing unit c. Ice plant d. Cold Storage e. Freezers f. Others (specify) 14. Existing Diesel/Petrol Pumps: (Rs. in lakhs) Particulars Cost of Source Fuel/Oil distributed Installation of capital i. Diesel/Petrol pump ii. Others 15. Existing Godowns: (Rs. in lakhs) Particulars Cost (Rs.) Source of capital Capacity Location Capacity utilisation Page 3 of 5

4 16. Existing Freshwater/Brackishwater Resources: Particulars a. Total Area (ha) b. Location c. Area used for Prawn/Fish culture (ha) d. Capital invested (Rs. in lakhs) e. Source of Funds f. Fish/Prawn Production (in tons) g. Expenditure (Rs. in lakhs) h. Income (Rs. in lakhs) i. No. of fishermen engaged on whole time basis j. Income for fishermen/year k. Other details, if any 17. Fish Marketing: Particulars a. No. of retail outlets b. Location of the outlets c. Fish Marketed in retail i. Quantity (in tons) ii. Value ( Rs. in lakhs) d. Fish marketed in wholesale i. Quantity (in tons) ii. Value ( Rs. in lakhs) 18. Repayment of earlier loans obtained from NCDC through State Govt.: a. Purpose b. Loan Amount Rs. c. Loan demand Rs. (up to 31/3/200 ) d. Loan Repaid Rs. (up to 31/3/200 ) e. % of Repayment (Attach Boat Performance Report in respect of Mechanised Fishing Boats) Page 4 of 5

5 19. Financial assistance required: (Rs. in lakhs) a. Name of the Project b. Total Block Cost Rs. c. Funding proposed from Loan Rs. State Govt. Subsidy Rs. to the Society Share Capital Rs. SRSC Rs. Total Rs. d. Funding proposed Loan Rs. from NCDC Subsidy Rs. to State Govt. Total Rs. 19. Enclosures a. Audited financial accounts of Society (Trading Account, Profit & Loss Account and Balance Sheets) for the last 3 years (if audit is not completed, last audited and provisional for other years). b. Details of the project with justification, project costs, economics, operational details, and cash flow statements. c. Quotations/ invoices/ detailed estimates. d. Boat Performance Report (BPR) in respect of Mechanised Fishing Boats. e. Resolution of the Board of Directors of the Society to avail the assistance. Place : Date : Signature of the President/Chairman with seal Counter Signature of the District Fishery Officer/ Asst. Director of Fisheries verifying the above details Page 5 of 5

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