ON LINE Application Form
For availing financial assistance under 'Venture Capital Fund for Scheduled Castes'


1. Particulars of the Company:

Name of the Applicant Company *
Promoters Details
* * *
Constitution of the business/company
*
Sector *
Industry
Registered/Corporate Office
* *
Company/ Office Phone No
Year of incorporation
*
Existing Banker
*
Email of company *
Details of Existing Business

2. Shareholding pattern of the company (Past Financial Year)

*
    DD/MM/YYYY
Salutations Name Number of Shares being held % of share holding Whether belongs to SC Category
* * * * *
Total Total

Shareholding pattern of the company ( Latest )

*
    DD/MM/YYYY
Salutations Name Number of Shares being held % of share holding Whether belongs to SC Category or not
* * * * *
Total Total

3. Project Details:

Status of Project: *
Proposed Project Location *
Brief About Project *
Project Cost (Break up Details):
Particulars In Rs. Lakhs
Land
Building/ Civil Work
Plant and Machinery
Total Fixed Cost
Working Capital ( Margin Money - 25%)
Interest During Construction
Pre-operative Expenses and Other Cost if any
Total Cost of Project
Means of Finance (Break Up Details):
Particulars In Rs. Lakhs
Proposed Contribution by promoters
Funds requested from Venture Capital Fund for Scheduled Castes
Banks/FIs
Total Means of finance
Following list of documents are required to be submitted along with Reference Application No. to IFCI Venture at following address:
IFCI Venture Capital Funds Limited
(Investment Manager – Venture Capital fund for Scheduled Castes)
IFCI Tower, 16th floor, 61 Nehru Place, New Delhi- 110019.










* Disclaimer: I/we agree that, I/ we have read the scheme documents uploaded in the website and understood the entire eligibility criteria and scheme details. I / We hereby declare that the information submitted by me / my company is correct and true. I/ we understand that, the submission of this application form is not construed as any approval / sanction for the financial assistance requested from Venture Capital Fund for Scheduled castes.