Application Form for Seeking Equity Grant by FPC
Name of the FPC : *
State :  *
District :  *
Correspondence Address : *
Contact No. :
Mobile No. :
Email ID :
Registration No. : *
Registration Date/ Incorporation of FPC(dd/mm/yyyy) :
Business of FPC : *
No. of Shareholder Members : *
No. of Small,Marginal and Landless Shareholder Members :
*
Authorised Capital (in INR) :  *
Paid Up Capital (in INR) : *
Amount. of Equity Grant Sought (in INR) : *
Maximum Shareholding of an Individual Shareholder Member: *
Maximum Shareholding of an Institutional Member :   *
Bank Name in which account is maintained :    *
Branch Name : *
Branch Address : *
Bank Email ID :
IFSC Code :   *
Account No. : *
No. of Directors : *
No. of Women Directors :   *
Dates of Board Meetings held in the last year(dd/mm/yyyy) :   *
No. of Functional Committees of the FPC :
(Mention the major activities of each committee)
*
Roles & Responsibilities of Board of Directors :   *
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
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