APPLICATION FORMS

Category 5: Innovative financial access solutions for FPOs and agri-enterprises

Welcome Innovators! The Government of Karnataka, GAIN, NC, TTC, and ABWCI invites formal applications for innovative financial access solutions that enable farmers, FPOs, and agri-enterprises to reduce post-harvest losses in horticultural value chains.

Please complete this application form accurately. Ensure your responses adhere to the specified word limits and are backed by uploaded evidence where requested.

Note: For uniformity, all typed text will automatically convert to UPPERCASE. Mandatory questions are marked with a red asterisk (*).

Document	Format Accepted
Registration Certificate (or document specifying date & type of registration)	PDF, JPG, PNG
Audited Financial Statements for last 2 years – or Bank Statements (for MSMEs & FPOs)	PDF, JPG, PNG, XLS, XLSX

Optional Documents

Product documentation or regulatory approvals
Market research / lending data / field-level documentation
Borrower impact data / loan utilisation analysis / case studies
Demand validation / LOIs / distribution agreements / pilot records
Financial model / unit economics / revenue & cost projections
Expansion plan / partnership agreements / distribution model

Eligibility Checker

Please confirm your eligibility before proceeding to the main application:

EL1. Are you applying as a legally registered organisation? *

Yes

EL2. Is your financial product already tested or ready to be deployed in the market? *

Yes

EL3. Does your solution directly enable farmers, FPOs, or agri-enterprises to invest in reducing post-harvest losses? *

Yes

EL4. Does your organisation have audited financial statements for the last 2 years, or bank statements for MSMEs and FPOs? *

Yes

Part A: Organisation Details

A1. Name of the representative of the organisation *

A2. Contact Number *

A3. Full Name of the Organisation *

A4. Date of Organisation Registration *

Mandatory Evidence: Upload your registration certificate or a document specifying the date and type of registration.

A4a. Please upload your audited financial statements for the last 2 years, or bank statements (for MSMEs and FPOs). *

Upload financial statements or bank statements (PDF, Excel, or image formats accepted). *

A5. Geographic Presence (Pan-India) *

State / Union Territory	Description of Work	Start Year	Action

Part C: Scalability & Market Viability

C1. What financial benefit does a borrower gain by accessing your product? (Max 250 words) *

Optional Evidence: Borrower impact data, loan utilisation analysis, or case studies.

C2. How will your target users discover, access, and start using this financial product? (Max 300 words) *

Optional Evidence: Demand validation data, letters of intent, distribution agreements, or pilot records.

C3. Is your business model financially self-sustaining without long-term grants or subsidies? *

Yes

Part D: Cross-Crop Replicability & Transferability

D1. Can your financial product be adjusted to serve farmers and FPOs working with each of the 7 challenge crops — Onion, Mango, Banana, Tomato, Grapes, Pomegranate, and Pineapple — without significant rebuilding? If so, what specifically changes per crop? (Max 250 words) *

Part E: Execution Capacity & Vision for Karnataka

E1. Is your organisation prepared to scale operations and market presence specifically within Karnataka? *

Yes

E2. What are the 2–3 key operational challenges you face in scaling up your solution in Karnataka? (Max 300 words) *

E4. What is your strategy to expand access to this financial product across farmers and FPOs in Karnataka? (Max 250 words) *

Optional Evidence: Expansion plan, partnership agreements, or distribution model.

E5. Does your organisation currently have any ongoing partnerships, MoUs, or collaborations with state agencies, agri-institutions, or FPOs in Karnataka? *

Yes

Part F: Mandatory Compliance Declarations

Please confirm your adherence to the following stipulations. All checkboxes must be selected to proceed with the submission.

F1. We declare that our organisation's founders, directors, and key managerial personnel are NOT currently undergoing any criminal prosecution. *

F2. We declare that our organisation DOES NOT operate within, promote, or derive revenue from the tobacco, alcohol, or other prohibited sectors. *

F3. We declare that our organisation is NOT blacklisted or debarred by any financial, regulatory, or government institution. *

F4. We certify that all information provided herein is accurate and that the submitted innovation constitutes the original intellectual property of the applicant. *