START UP VILLAGE ENTREPRENEURSHIP PROGRAMME
JAMMU & KASHMIR U.T. RURAL LIVELIHOOD MISSION
CEF APPLICATION FORM Paste here
Latest Picture
Entrepreneur ID…………….
Enterprise ID………………...
1. Name of the Block…………………………... District……………………….
2. Name of the SHG Group……………………. Name of V.O. ……………….
3. Name of SHG Members………………... ……
Members Position in Group President/Treasurer/Secretary/Member………………….
4. Group Member’s Position in V.O ………………………………
Group Member’s Position BLF/CLF ……………………………
5. Applicant’s relationship with Group Member……………………...
Name of Applicant…………………………………………...
Group Membership Date…………………………………….
6. Name of Husband/Father………………………………………
7. Applicant’s current Job/Work……………………………………
8. Current Income (Rs.) ………………..Expected Income (Rs.) ………………………
9. Complete Address…………………………... Post Office Name…………………….
Mobile Number……………………...… Pin Code………………………………….
10. Educational Qualification………… Previous work experience/Years……...Months….
Nature of work. Job/Labour/Others……………….…………(Specify)
11. Applicant’s Social Category GEN/OBC/SC/ST/Minority………………
Applicant’s Marital status Married/Unmarried/Separated/Divorce…………………
12. Gender Male/Female/Transgender…………………. Applicant’s Ration Card
APL/BPL/AY……………Card Number………………………………...
13. Pan Card Number……………………. MGNREGA Card No……………...
Artisans Card No…. ………….. Voting ID Number…………………….
14. Applicant’s Bank Details:
1). Bank Name……………………… 2). Branch Name ………………...
3). Name of Account Holder as per Bank Passbook………………………………...
4). Account Number………………………... 5). IFSC Code………………………...
6). Aadhaar Card Number…………………………….
7). Start-Up Date of Entrepreneurship……………… Own Capital Investment……….
15. Name of Project (Name of proposed activity) ……………………...
Business New/Existing………………………
Types Trading/Manufacturing/Service…………………………...
16. Resources availability of proposed business…………………………………
17. Project Cost (Rs.) ……………………………………………….
1). Land/Building………………(Own/Rented) …………………………...
2). Machine/Tools/Decoration……………………………
3). Working Capital Requirement……………………………...
4). Total……………………………………………………………
18. Proposed Financial Management………………………
1). Own Investment……………………………...
2). Requirement of CEF…………………………...
3). Expected bank loan requirement …………………………
Total………………………………………………………………
19. Duration of Loan Repayment……………………………(Months)
Announcement: The above details given by me from points 2 to 18 are true and no material or fact has been
concealed by me. In case the information given by me is found to be false or incorrect, it will be my responsibility
to cancel the application form. The entire responsibility of loan utilization and repayment will be my own.
Name of Applicant………………………………. / Signature…………………………….
Date (DD/MM/YYYY) ……………….
Name of SHG Member…………………. /Signature…………………… Date……………
Approval by CRP-EP
Availability of work space for the new unit/business, if the unit/business exists, past
performance/future projections
When did you start Initial Capital
the Business Investment (Rs.)
Last Year-1(Actual) Current Year Next Year Observe
(Assume)
Total Sales in Rs.
Total Profit in Rs.
Current Stock in Rs.
Comment by CRP-EP…………………………………………………………………………
Name of CRP-EP……………………………………………...
Signature ………………………………………………………
Date (DD/MM/YYYY) ………………………………………...
Approval by SELF HELP GROUP
Types of Credit in Loan Amount Outstanding as Details provide by
Rs. of today Candidate/SHG/VO
CIF
SHG loan
Others
This application is made by Mr./Mrs. …………………Date………………………discussed
in the group meeting of ……………………... (Rs.) was requested. In which all the members
present in the group unanimously approved/rejected only Rs………………………...
Comments by SHG……………………………………………………………………………
Signature of President/Treasurer/Secretary…………………………………………………….
Stamp…………………………………
Date (DD/MM/YYYY) ……………………………………
Approval by VILLAGE ORGANIZATION
This application is made by Mr./Mrs. …………………Date………………………discussed
in the VO meeting of ……………………... (Rs.) was requested. In which all the members
present in the VO unanimously approved/rejected only Rs………………………...
Comments by VO……………………………………………………………………………..
Signature of President/Treasurer/Secretary…………………………………………………….
Stamp…………………………………
Date (DD/MM/YYYY) ……………………………………
Approval by BLOCK RESOURCE CENTRE
This loan application is made by Mr./Mrs. …………………Date………………………
discussed in the BRC meeting of ……………………... (Rs.) was requested. In which all the
members present in the BRC unanimously approved/rejected only Rs………………………...
Comments by BRC…………………………………………………………………………….
Signature of President/Treasurer/Secretary…………………………………………………….
Stamp…………………………………
Date (DD/MM/YYYY) ……………………………………
Sr. Name of Required Sanctioned Stamp of BRC Number of
No Entrepreneur Amount Amount Instalments
Distribution of sanctioned amount of the project
Sanctioned amount of the project………………………. Rate of Interest in % ……….
Cheque Number…………………….
Accountant of BRC Name…………………. Signature……………………………
Date (DD/MM/YYYY) ……………………………
Attachments:
1. ……………………………..
2. …………………………….
3. ……………………………...
4. ………………………………
5. ……………………………….
6. ………………………………..
7. …………………………………
8. …………………………………..
