Annexure

TEMPLATE I
(Basic information to be submitted by Implementing Agency to State/
Divisional Office of KVIC during submission of proposal for SFURTI cluster)

1) Name of the State . .

2) Name of State/Divisional Office
3) Type of the cluster (please tick): Khadi

Village Industries

Name of the cluster: .

4) Location of the Cluster:
a)

District:

(b) Block:

5) Area to be covered by the cluster:

Sr.

i.

No. villages to be covered: .

ii.

Name of the villages & artisans available

Village
Name

SC

Artisans available
ST OBC Minority Others Total

Male

Female

1
2
3
4
5
Total
iii.
Sr.

(enclose details in an Annexure in tabular Form):

Name
of the
Artisan

Contact
no.

Adhar
Card/
Election
ID No.

Skills

Livelihood
Levels

Existing
Employment
(No. of working
hours/No. of
days in a
month)

Average
Income
of Artisan
(p.m.)

1
2

6)

Artisans have the following:

i. Bank Passbook
ii.
Identity card
iii. Health Insurance
iv.
Janshree Bima Yojana
v. Pension coverage
vi.
Educational benefits availed for children

:
:
:
:
:
:

Yes
Yes
Yes
Yes
Yes
Yes

No
No
No
No
No
No

7)

Whether the cluster is existent/ functional? give details:

8)

Present Activities of the cluster (In case of Khadi Institution:-

9)

Spinning activities

Weaving activities

Processing activities

Products etc.

Details of Implementing Agency : Main / Associate

a) Complete postal Address:
District .. Pin Code......
Tel. NoFax No.
E-Mail I.D.: .
b) Affiliated to KVIC/KVIB: Certificate No.: .
Validity of Certificate (in case of KVI Institution)

Sr.

c) Details of Managing Committee Members including Artisans.

Name
Designation
Contact no.
e-mail id

d) Bank A/c details of the Implementing Agency:

i) Name of the Bank .
ii) A/c. No.
e) ISEC availed or not (in case of Khadi institution):
f) Amount of ISEC availed during last three years:
(2011-12: .., 2012-13: .., 2013-14: )

g) Budgetary Allocation & performance of Production and Sales of last

three years: ..
h) Experience in KVI or similar other programme: ... .. years
i) Activities proposed for implementation during 12th Five Year Plan
(as per the guideline of Revamped SFURTI Cluster)

10)

Fund Position of I.A. (As per Balance Sheet as on 31.3.2014)

a) Fixed Assets: ..
b) Current Assets:
c) Current liabilities.
d) Other Financial related issues:
e) Financial Status (Showing Profit/Loss for the last three years)

11)
Sr.
1
2
3

Name of other associated institutions who are willing to take

part in the cluster;
Name & address of
the associated IA

Affiliated to
KVIC/KVIB
Yes/No
Yes/No
Yes/No

Contact no.

e-mail ID

(All the associate institutions should submit information from Sl. No.
1 to Sl. No.10)

12)

Whether these institutions in the cluster are willing to form a

consortium to implement the cluster programme during 12th Five Year
Plan. If so, describe the role of consortium in a separate sheet
indicating the overall objective/outcome.

13)

Formation of Special Purpose Vehicle (SPV):

1. Whether the Implementing Agency is considered to be a
SPV Give details by furnishing the fair representation of
Artisans in the Managing Committee.

2.

Whether SPV is being separately Registered (in that case provide

the details as per 4.4.1 and 4.4.2 of the revamped SFURTI
guidelines).

14) Proposed Interventions in the Cluster

A.

Common Facility Centre (CFC)

Hard Intervention

a) Main/Lead institution
Sr.

Name of the equipment

& Machineries

Quantity
required

Cost

Time line for

installation

Remarks

Cost

Time line for

installation

Remarks

1.
2.
3.

Sr.

b) Associate institution
Name of the equipment Quantity
& Machineries
required

1.
2.
3.

B.

Replacement/Additional requirement of Charkhas (NMC/

Traditional) Looms (Improved/Traditional) etc.
i.

Sr.

Main/Lead institution
Name of the
Proposed
equipment/Tools
replacement (in No.)

Unit
Cost

Total

Timeline
(Yearwise)

1.
2.
3.

ii.
Sr.

Associate institution
Name of the
Proposed
equipment/Tools
replacement (in No.)

Total

Unit
Cost

Timeline
(Yearwise)

1.
2.
3.

C.
Sr.

Product Development & Design

i.
Main/Lead institution
Details of Machineries, Tools,
Name of the
Implements, Expertise
activity/input

Soft Intervention
Cost

Timeline
(Yearwise)

Cost

Timeline
(Yearwise)

1.
2.
3.
Sr.

ii.
Associate institution
Details of Machineries, Tools,
Name of the
Implements, Expertise
activity/input

1.
2.
3.

D.

Sr.
No.

Capacity Building Measures:

Soft Intervention
(Indicate training/exposure visit/ components mentioning all types
of training/duration/cost as per table)
i. Main/Lead institution
Type of
Skill/Managerial
Training/Workshop

No. of
beneficiaries
to be
covered

KVIC Training
Institute/ others

Cost

(Pl. Specify)

Timelines
(Yearwise)

1.
2.
3.

ii. Associate institution

Sr.
No.

Type of
Skill/Managerial
Training/Workshop

No. of
beneficiaries
to be
covered

KVIC Training
Institute/ others
(Pl. Specify)

Cost

Timelines
(Yearwise)

1.
2.
3.

E.
i.
Sr.

Market Promotion Assistance

Main/Lead institution
Name of the
activity/input

Soft Intervention

Details of marketing
strategies, Tools,
Components, Expertise etc.

Cost

Details of marketing
strategies, Tools,
Components, Expertise etc.

Cost

Timelines
(Yearwise)

1.
2.
3.

ii.
Sr.

Associate institution
Name of the
activity/input

Timelines
(Yearwise)

1.
2.
3.

15) Mobilisation of Working Capital

Hard Intervention

20% of hard interventions cost will be utilized towards working capital corpus as per
the guideline. Provide the projection of Working Capital based on related activities on
annual basis.

16) Details of the existing Cluster and the infrastructure facilities

available with I.A.
i. Source of raw materials within the cluster area
Sr.

Particular of the raw

materials

Source institution

Annual Quantity
(approx)

Cost

1.
2.
3.
4.

ii. Existing Facilities/infrastructure available in the cluster

i.
ii.
iii.
iv.

Land Area (sq. ft.)

Built up area (sq. ft.)
Machineries . .
Tools available with the artisans namely, .

v.
vi.
vii.
viii.

Charkhas (NMC ., Traditional .....)

Looms (Improved , Traditional ...)
Others .
Availability of raw materials within the cluster area
i)
ii) .

iii. Land to be arranged for CFC (where no land is available with I.A.)
iv. Quality control facilities & Lab
i)
ii)
iii)

ISO certified, ..
Agmark certificate, .. .. .
Lab facility with equipments, .

v. Skill up-gradation, if any

a) Types of training already imparted to the artisan;
.. .. .. .. ..
b) Further requirement of training: Please quantify;
.. .. .. ..
c) Give details indicating various types of training
.. .. ..
vi. Marketing facilities
i)
ii)
iii)
iv)
17)
Sr.

Market outlets: . ..
Computer & Bar-coding facilities;
Vehicles to transport raw materials and products; .
Any other facilities; ..

Indicate the Product to be manufactured under the cluster

and projection of Sale value and margin etc.
Name of the
Quantity
Overall
Proposed Sales Margin /Profit
Product to be
Production
Value
on monthly
basis
produced
Cost

1.
2.
3.
4.

18) Fixed cost to be incurred by I.A.:i)

Cost of Man Power :

No. of employee:

ii)

Utilities :

iii)

Other cost:

Full time:

Part time:

19) Projection for Production & Sales:

(Quantity: in nos, Value : Rs in Lakh)

Sr.

Name of the Products

20)
Sr.

Production
Quantity Value

Fund Requirement for the proposed cluster based on the

projection at Column No.14
Activity
Amount (Rs. in lakh)
Timeline
Main I.A.
Associate I.A.
IA
NA
IA
NA
From To
share

1
2
3
4
5
6
7
8
9

Sale
Quantity
Value

share

share

share

Capacity
building
&
exposure visits
Tools, equipments and
worksheds for artisans
Common Facility centre
PRODIP
Market promotion
Working
fund
/
Revolving fund
Cost of IA (Graded)
Cost of CDE (Graded)
Cost of TA / Project
Management
Service
Providers (PMSPs)
TOTAL

21) Projection of Artisan wages over the duration of the cluster

project:

22) Availability of Forward Backward Linkages(with assured target):

23)

Projection of the Marketing/Sales

Value of Sales
(Rs. in Lakhs)

Particulars
1.
2.

Retail sales through own Bhawans /Bhandars /sales

outlet
Whole Sales to Bulk buyers (Target)

3.

Sales through Exhibitions (Target)

Export (Target)

Any other

24) Proposed Implementation Frame Work

25)

a.

Time for conducting the DSR

b.

Time of conducting the DPR

c.

Approval at the level of SSC

d.

Formation of SPV

e.

Action Plan for carried out various

interventions in the Cluster

f.

Release of fund as per guideline

g.

Year-wise report of completion of

earmarked activities

Resolution of Implementing Agency:

(Enclose specific resolution approving the function of the cluster
along with all the target proposed as brought out in the proposal
under Template-I)

Treasurer (IA)

Secretary (IA)

Chairman (IA)

Supporting documents as under should be enclosed:

1. Balance Sheet and Statement of Accounts for the last 3 years (2011-12, 2012-13, 2013-14).
2. Registration Certificate of the Institution & its validity.
3. Details of land arrangement by I.A.
4. Details of SPV registration