Beneficiary Name
*
Gender
*
Male
Female
Father Name
*
Husband Name
Application or Registration Number
*
Correspondence Address
*
Mobile Number
*
Format: (000) 000-0000.
Name of Selected industry or Business
*
Address of Established Industry or Business Unit
*
Total Sanctioned amount
*
Number of Instalments disbursed
*
First Instalment Amount
*
Date of First Installment Disbursement
*
-
Month
-
Day
Year
Date
Second Instalment Amount
*
Date of Second Installment Disbursement
-
Month
-
Day
Year
Date
Third Instalment Amount
*
Date of Third Installment Disbursement
-
Month
-
Day
Year
Date
Is the industry or business Unit functional
*
Yes
No
Has the machinery or raw materials been purchased according to the approved project
*
Yes
No
Valid Bill or Voucher for purchases made available
*
Yes
No
Is signboard available at the location
*
Yes
No
Is the Beneficiary running the business himself or herself
*
Yes
No
Geo tagged Photo of beneficiary with equipment
*
Inspecting Authority Remarks
*
Inspecting Authority Name
*
Inspecting Authority Designation
*
Bill or Voucher of Equipment and other materials purchased
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Rent Agreement or Land Ownership whichever is Applicable
*
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Upload filled up Inspection Form in Prescribed format with signature and seal of Inspecting Authority
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District
*
1. Araria
2. Arwal
3. Aurangabad
4. Banka
5. Begusarai
6. Bhagalpur
7. Bhojpur
8. Buxar
9. Darbhanga
10. East Champaran
11. Gaya
12. Gopalganj
13. Jamui
14. Jehanabad
15. Kaimur
16. Katihar
17. Khagaria
18. Kishanganj
19. Lakhisarai
20. Madhepura
21. Madhubani
22. Munger
23. Muzaffarpur
24. Nalanda
25. Nawada
26. Patna
27. Purnea
28. Rohtas
29. Saharsa
30. Samastipur
31. Saran
32. Sheikhpura
33. Sheohar
34. Sitamarhi
35. Siwan
36. Supaul
37. Vaishali
38. West Champaran
Details of Machinery and Assets in the prescribed format
*
Details of Machinery and Assets in the prescribed format in pdf form
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Preview PDF
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