smallscaleindust023288mbp.pdf

PJT 73444

a>SS^!^t-533 101

! COLLECTED BY

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PANUGANTl VENKATARAMANA,

FIRST EDITION- 1998

! PUBLISHERS

COVER DESIGN:

' TYPESETTING:PRINT

PRINTED AT.

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18

APPLICATION FOR EDUCATEDUNEMPLOYED YOUTH UNDER"PRIME MINSTER'S ROZGAR YOJANA"

SCHEME 199 -9

1 . Name of the applicant with Date

of Birth & Father/s Name :

2. Address for Corespondence :

3. Place of Residence during last three years :

4. Qualifications:

5. If unemployed furnish employment

exchange Regn. No. and Date :

6. Whether the applicant

belong toSC/ST/BC :

7. Type of industry/Service/Business

activity prpposed to be started and

proposed piece of estaablishment the

venture (brief project report and details

of experience in the proposed line of

activity to be given)'

:

8. Present annual income of the Family

duly supported by the Affidavit :

9. Amount of Loan required . :

a) Machinery & Equipment

b) Other Fixed Assets

c) Working Capital, Total :

10. Whether taken loan from any Bank/

Financial institution of State/

Central Government.

(Details in brief to be furnished) :

11.1 certify that all information

furnished by me is true :

12. Signature of the Applicant :

Note : Application should be submitted complete in al! respectsin Duplicate a long with attested copies of the followingDocuments.

1 . Age certificate

2. Certificate of Qualification - Academic and Technical.

3. Ration Card or any other proof of Residency for 3 years.

4. Experience certificate, if applicable.'

5. Passport size photograph to affix to application.

SPECIMEN OF AFFIDAVIT TO BE SUBMITTEDALONG WITH THE APPLICATION ON RS. 10 NONJUDICIAL STAMP PAPER DULY ATTESTED BY

OATH COMMISSIONER (NOTARY)

AFFIDAVIT

S/o., D/o. fW/oresident of District/State...

do hereby solemnly affirm and declare as under:-

1. That I am unemployed.2. That I am not in a position to muster my own capital for the

project.3. That I am a permanent resident of Since

years.

4. That the family iscome of my family which includes spouseand parents is Rs per annum from allsources such as salary, wages, agricultural, income,business, rent, interest, pension etc.,

5. That I have not defaulted in repayment of loan from anynationalised bank/ financial institution/Co-op. Bank.

6. That I shall abide by the rules framed under the Schemeof PMRY for Educated Unemployed Youth.

7. That I shall submit the progress report required by the Bank/Government.

DEPONENT

VERIFICATIONVerfied that the above contents are true and correct to the best ofmy knowledge and belief and nothing has been concealed there in.

Date:

DEPONENT

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