Application Form: MBMA Assistance for Food/Agro Processing Units across Meghalaya
Edit MBMA Survey details
Filled By:
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Self
Cluster Coordinator
Block Project Manager
District Project Manager
Common Services Centre (CSC)
Nature of Entity
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Select
Village Organisations
Trust
Sole Proprietorship
Society
SHG
Producers Groups
Private Limited Company
Partnership
NGO
Limited Liability Partnership
Cooperative Society
Registered / Unregistered
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Registered
Unregistered
Name
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Gender
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Male
Female
Age
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Registration No.
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Date of Registration:
District:
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Select
EAST GARO HILLS
EAST JAINTIA HILLS
EAST KHASI HILLS
NORTH GARO HILLS
RI BHOI
SOUTH GARO HILLS
SOUTH WEST GARO HILLS
SOUTH WEST KHASI HILLS
WEST GARO HILLS
WEST JAINTIA HILLS
WEST KHASI HILLS
Select Urban/Rural
Rural
Urban
Select Municipal Board/Town Committee
Select
Block:
Select
Village/Town:
Select
Locality:
Select
Postal Address:
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Name of Key Person (except for sole-propreitorship)
E-mail ID
Mobile Number:
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Activity Undertaken:
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Processing
Packaging
Sorting/Grading
Other,specify
What is your Product :
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Product
Sub Product
Where all do you sell your products?
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Within the Village
Within the Block
Within the District
Within Meghalaya
Within India
Outside India
What was the total sales in financial year 2019-20? (in Rupees)
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What kind of support do you require?
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Support for sourcing packaging materials
Support for sourcing machine
Support for quality assesment
Storage
Support for certifications/registration(FSSAI, Organic, GI, etc.)
Others
Specify descriptively what is the support required?* (This is a very important section. please fill this sincerely. This response to this question will be used to evaluate your application)
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Please attach copy of FSSAI Certificate or any other registration certificate of your product, if available
Document type allowed (pdf, jpg, jpeg and png only) and max size 500KB
Have you taken any bank loan?
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Select
Yes
No
Name of the Bank:
Principal Amount:
Year of Borrowing:
What purpose was it for?:
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