| 1. |
Name of the Concern
& Constitution (in Block Letters)
(Proprietorship/Partnership/Pvt. Ltd./Public Ltd./HUF etc)
|
|
| 2. |
Address with
Telephone/Telex/Fax No.
|
|
|
2.1 Registered
Office or main place of business
|
|
|
2.2 Branch/Godown |
|
| 3. |
Details of
Registration/Licences as applicable under local laws e.g., (Xerox copies enclosed) |
|
|
- Trade Licence
- Shop and Establishment Act
- Sales Tax Registration
- Drug Licence for Retail Trade
- Rations and Civil Supplies
- Any other
|
|
| 4. |
Line of activities
|
|
| 5. |
Date of
Incorporation & Commencement of business |
|
| 6. |
Whether the proposal
in new/switch over from other Bank(s) ? Details to be given. |
|
| 7. |
Name of the present
Banker(s) and details of facilities enjoyed if any, with present outstanding |
|
|
Name of the Bank |
Amount of
Loan |
Present
Outstanding |
Amount of
default, if any |
| Branch & Address |
Funded |
Non Funded |
Funded |
Non Funded |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 8. |
Details
of Proprietor/Partners/Directors/Karta of HUF |
|
| Name |
Address |
Age |
Net Worth (Rs. in lacs) |
| |
|
|
|
| |
|
|
|
|
|
|
|
| (Details of Assts
& Liabilities shall be furnished scparately) |
|
| 9. |
Nature of Goods
traded |
|
| 10. |
Terms of Dealership
(supply arrangements, payment terms and validity period) |
|
| 11. |
Region/Area where
the product(s) is/are sold (mention name and address of major potential customers)
(For Wholesale/Distributors only) |
|
|
31.03………
(Actual) |
31.03………
(Actual) |
31.03………
(Projected) |
|
|
|
|
| 12. |
Past performance for
the last two years & projection for current year next few years covering the repayment
of Term Loan. |
|
|
12.1 Capital
& Reserves 12.2 Sales
as per Sales Tax Return or Sales Tax Assessment or IT Return or Balance Sheet
12.3 Net profit
12.4 Value of Stocks & Book-Debts
12.5 Net Worth (Tangible)
12.6 20% of Sales
|
|
| 13. |
Working Capital
facility applied for 13.1
Overdraft or Term Loan: Rs.
13.2 If Term Loan, period of repayment |
|
| 14. |
Details of
Securities Offered |
|
|
14.1 Mortgage
of Properties |
|
|
| Description of Security |
Owner |
Value (Rs in lacs) |
| |
|
|
|
|
14.2 Other
Securities |
|
|
| Description of Security |
Owner |
Value (Rs in lacs) |
| |
|
|
|
| 15. |
Particulars
of the Guarantor(s)
(Details of Assets & Liabilities shall be given separately) |
|
Name
& Address with
Telephone No |
Age |
Net Worth (Rs in
lac) |
| |
|
|
|
| 16. |
Details
of pending litigation, if any, against, proprietor/any of the partners/Karta of
HUF/directors/guarantors |
| 17. |
I/We
certify that all information furnished by me/us is true, that I/We have no borrowing
arrangements for the unit with bank except as indicated in the application, that there is
no overdue/statutory dues against me/us/promoters except as indicated in the application,
that no legal action has been/is being taken against me/us/promoters, that I/We shall
furnish all other information that may be required by you in connection with my/our
application, that this may also be exchanged by you with any agency you may deem fit, and
you/your representative, representatives of Reserve Bank of India or any other agency as
authorized by you, may at time, inspect/verify my/our assets, books of accounts etc. in
our Godown/Business Premises as given above. |
| 18. |
I/We
hereby agree as a pre-condition of loan/advances given to me/us by the bank that in case
I/We commit default in the repayment of the loan/advances or in the repayment of interest
thereon or any of the agreed installment of the loan on due date(s). the bank and/or the
Reserve Bank of India will have an unqualified right to disclose or publish my/our name or
the name of our company/firm/unit and its directors/partners/proprietors as defaulter in
such a manner and through such medium as the bank of Reserve Bank of India in their
absolute discretion may think fit. |
