Application Form for Seeking Credit Guarantee Cover Under CGF
1.Bank Details
Bank Name* Address* Pin-code* Phone No.* Fax No. E-mail Id*
Details of the authorised person of the Bank submitting the Claim :
Name* Designation* Mobile No.* E-Mail ID*
2. Borrower FPC Details
Name* Constitution* Producer Company
Registered Office Address Details
Address* Pin-Code* Phone No* Fax No. E-mail Id*
Business Office Address Details(if any)
Address Pin-Code * Phone No Fax No. E-mail Id
Name of CEO* Mobile No.* Credit Facility for which guarantee cover sought*
Give details of components
Inputs Processing Marketing Total Investment
3.Banking Facilities Sanctioned by sanctioning authority(Rs. in Lakhs)
Term-loan Date of Sanction Amount Outstanding IRAC Status
Cash Credit Date of Sanction Amount Outstanding IRAC Status
Sanctioning Office Branch ZO/RO HO
Designation of Sanctioning Authority Sanctioning Authority approval vide      
Sanction/Appraisal Note No Date        
Agenda No./Minutes conveying sanction            
4. Controlling Office Details
Office Name Address Pin-Code * Authority Name Mobile No. E-mail Id
5.Present status of FPC Activity:(Give component wise details)
6. Status of Accounts
Term-Loan
Amount of Disbursement till date Outstanding as on date
First instalment due on (date) Last instalment due on (date)
Cash Credit
Limit Drawing Power Outstanding
Comments on Irregularity(if any)
Any adverse comments on the unit by inspecting official in last inspection report
7.
A.Cost of project(as accepted by sanctioning authority)(In Rs. Lakhs) B.Means of Finance(as accepted by Sanctioning Authority)(In Rs. Lakhs)
Give component wise details Term loan of Bank
Promoter Equity
Unsecured Loan
Other if any
Total Total
8.
A.Forward Linkages b.Backward Linkages with small/Marginal farmers
1 No. of members
2 Details of Primary and Collateral Securities taken by bank(if any)
3 a.Primary Securities b. Collateral Securities
4
5
6
(Please enclose details separarely
9.Name od the Consortium(if any) associated with Credit Facility with complete address contact details and email
Name Address Pin-code * Phone No. E-mail id

Request of Branch Head for Credit Guarantee:-
In view of the above information, we request Credit Guarantee Cover against Credit Facility of Rs (in Rupess ) to FPC (copy of sanction letter along with appraisal/process note competent authority is enclosed for your and record).
Further we Confirm that:

  • The KYC norms in respect of the Promoters have complied by us
  • Techno-feasibility and economic viability aspect of the project has been takrn care of by sanctioning authority and the branch.
  • On Quarterly basis, bank will apprise the SFAC about progress of unit, Recovery of banks's dues present status of account to SFAC
  • We Undertake to abide by the Terms & Conditions of the Scheme
10.Checklist
S.No ChecklistNote:
1)All checklist file must be in pdf file or image file.
2)Each file size must be less than 1 MB


1 Application is as per the prescribed format and bear signature with seal of bank.
2 Recommendations with amount of CGC sought on Bank’s letter head with date and dispatch number duly signed by the Branch Manager on each page
3 Sanction letter of Sanctioning authority addressed to the recommending branch.
4 Bank’s approved appraisal/process note bearing signature of sanctioning authority.
5 Potential impact –Social, Environmental, risk analysis report.
6 Promoter’s request letter addressed to the Bank Manager on original letter head of FPC.
7 Implementation schedule confirmed by the Bank.
8 Up to date statement of a/c of TL/CC if already sanctioned.
9 Equity/CA Certificate./ RCS Certificate
10 Form-2, Form-5 and Form-23 filed with RoC for Company / RCS
11 Affidavit of promoters that they have not availed CGC from any other institution for sanctioned Credit Facility.
12 Field inspection report of Bank Official as on recent date.
Note: Hard copies along with enclosure to be submitted separately to SFAC registered office NCUI Auditorium Building, 5th Floor, 3, Siri Institutional Area, August Kranti Marg, Hauz Khas, New Delhi - 110016. (T) +91-11- 26966017, 26966037, 26862365 (F) +91-11- 26862367
Checklist