TEMPLATE - I (A)

(Basic information to be submitted by Implementing Agency to State/Divisional Office of KVIC while

submission of Proposal for SFURTI cluster)

1 Cluster Category Regular Major

2 Name of Cluster
3 Location of the Cluster State ………………….
District ……………………… Block
Villages ………………
……………………………..
………………………………
Pin …………………………
Survey No. ……………………..

4 Industry Khadi Village Industry …………….. (Specify)

5 Current Product portfolio

6 Name of Implementing Agency (IA) with postal address

7 Project objectives
8 Key gaps Identified
9 Areas to be covered by the cluster
i. No. of villages to be covered
ii. Name of the villages & Artisan available
Sr. Village SC ST OBC Minorit Others Total Male Female
Name y
1
2
3
4
5

Total
iii. (Enclose details in an Annexure in tabular Form)
Sr. Name of Contact Adhar Skills Details of Livelihood Existing Average
No the Artisan No. Card/Election Bank A/c, if Levels Employment Income
ID No. available (No. of of Artisan
working (p.m)
hours/No. of
days in a
month)
1
2
10 Details of Artisans in respect of following documents (for
existing artisans)
i. Bank Passbook Yes NO
ii. Identity card Yes NO
iii. Health Insurance Yes NO
iv. Janshree Bima Yojana Yes NO
v. Pension Coverage Yes NO
vi. Educational benefits availed for Children under JBCRY Yes NO

11 Whether the cluster existent/functional or new one?

A. (In case of Khadi Institutional)
Spinning artisans :
Weaving artisans :
Processing activities :
Products etc :
B. (In case of activities under V.I Institution)
Processing activities :
Products, etc. :
12 Name of other associated institutions who are willing to take
part in the cluster; (applicable to only Khadi clusters)

Sr. Names & address of the associated Affiliated to Contact No. e-mail ID
No IA KVC/KVIB
1 Yes/No
2 Yes/No
3 Yes/No
(All the associate Institutions should submit information as per Template I (B)

13 Proposed
Interventions
a) Hard Interventions (New)
Infrastructure facility Constructed Machinery/ Cost
Area/CFC to be Equipment (Rs)
constructed
Hard CFC/RMB/Marketing Infrastructure
Interventions b) Replacement/upgradation of Charkhas/looms/tools
Replacement/up gradation of No. of Unit cost (Rs) Total
Charkhas/looms/tools beneficiaries cost
(Rs)
c) Any other
Soft Interventions Proposed No. of Cost
Interventions Activities beneficiaries to (Rs)
be imparted
training/involved
a) Skill training
 b) Capacity building
c) Market Promotion
d) Others
14 Total Project
cost (Rs.)
15 Detailed
Project cost
(Rs.) (Core
SFURTI)
16 Source of
Funds/Mean
s of Finance
(Rs)
17 Phasing of
the projet
18 Project @ Whether the IA is considered to be the SPV ………………. (give details) (only for KIS
implementati of KVIC
on @ Whether an SPV is being separately registered. If yes, give details along with
Framework/P proposed SPV structure
roposed SPV
Structure
19 Mobilization of Working Capital
20% of the hard interventions cost will be utilized towards
purchase of Raw Materials (RMB) as per the guidance. Provide
the projection of Working Capital based on related activities
on Quarterly/half yearly/annual basis

20 Details of the existing Cluster and the infrastructure facilities

available with I.A.
A. Existing infrastructure available with the I.A
i. Land Area
ii. Built up area
iii. Machineries ……………………….
iv. Tools available with the artisans namely (may vary based
on the activity)
v. Charkhas

vi. Looms …

vii. Others

B. Source of raw materials within the cluster are

Sr. Particular of the Raw Source Institution/Artisans/Local Annual Capacity Cost (Rs)
No materials
1
2
3
4

21 Indicate the “Product” to be manufactured under the cluster and projection of sale value and
margin, etc.
Sr. Name of the product Quantity Overall Proposed Margin/Profit on monthly basis
No to be produced Production Sale
Cost (Rs.) value
1
2
3
4

22 Projection of Artisan wages over the duration of

the cluster
23 a) Availability of Forward Backward Linkages
(with assured target)

b) Plan/Initiatives/schemes for convergence

c) Enhanced project cost and means of finance

24 Key Impacts
1.
2.
3.
4.
25 Resolution of Implementing Agency:
(Endorse specific resolution approving the
functions of the cluster along with all the target
proposed as brought out in the proposal under
Template -I (A) and I- (B)

Treasurer (IA) Secretary (I.A) Chairman (I.A)

Supporting documents as under should be enclosed:

1. Registration certificate of the Institution and its validity

2. Registration Form IA/NGO for Implementation of SFURTI scheme
3. Details of the land record owned by I.A. and Building construction if any
4. Details of “SPV” registration, if registered
5. Balance sheet and Statement of Accounts for the last 3 years and/or undertaking for contribution of
IA share
List of artisans (Village wise in the prescribed format)