Application for Business/Term Loan

15. Name of the Proprietors/partners/Directors of Company and Their

Sl.No Name Date of Birth Father/Spouse Academic Qualification Mobile No.
Sl.No PAN No. Residential Address Telephone No.(Residence) Academic Qualification Experience in the line of activity(Years)

Note : If Directors/Partners/More than 3 (Enter details who got maximum share holding)

17. Names of Associate Concerns and Nature of Association:

Name of the Associate Concerns Address of Associate Concerns Presently Banking with Nature of Association Extent of interest as a Prop/Partner/Director or just Investor in Associate Concern

18. Banking/Credit facilities (Existing) (Rs. In lakh)

Type of Facilities Limit(in lakh) Outstanding as on Presently Banking with Securities Rate of Interest Repayment Terms
Current Account
Cash Credit
Term Loan

It is certified that our unit has not availed any loan from any other Bank/Financial Institution in the past and I am not indebted to any other Bank/Financial Institution other than those mentioned in column No: 18 above.

19. Credit Facilities (Proposed)*

Type of Facilities Amount (in lakh) Purpose for which required Security Offered
Primary Security (Details with approx. value to be mentioned) Whether Collateral Security Offered (if, yes, then provide details on Column 21) (yes/No)
Cash Credit*
Term Loan

* Mandatory Fields

** Basis of Cash Credit Limit applied

Cash Credit Projected
Sales Working Cycle in months Inventory Debtors Creditors Other Current Assets Promoters Contribution

20. In case of term loan requirements, the details of machinery may be given as under:

Type of Machine/Equipment Purpose for which required Whether imported or Indigenous Name of Supplier Total cost of machine (in case of imported machine, the breakup of basic costs, freight,insurance and customs duty may be given) Contribution being made by the promoters Loan required

21. Details of Collateral Securities Offered, if any, including third party guarantee (As per RBI guidelines banks are not to take collateral security for loans up to Rs.10 Lakhs to MSME Units)

a) Third Party Guarantee:

S NO. Name of Guarantor Residential Address Telephone No.(Residence) Mobile No Net worth (in lakh) PAN No

b) Other Collateral Security:

S NO. Name of owner of Collateral Collateral Security
Nature Details Value (Rs.In lakh)

22. Past Performance / Future Estimates

Past Performance / Future Estimates (Actual performance for two previous years, estimates for current year and projections for next year to be provided for working capital facilities. However for term loan facilities projections to be provided till the proposed year of repayment of loan)

Rs. in lakh Past Year 1 (Actual) Past Year 2 (Actual) Present Year (Estimate) Next Year (Projection)
Net Sales
Net Profit
Capital (Net Worth in case of Companies)

23. Status Regarding Statutory Obligations: Statutory Obligation: Remarks( Any details in Connection with the relevant obligation to be given)

Whether Complied with (select Yes /No). If not applicable then select N. A.

1. Registration under Shops and Establishment ACT
2. Registration under MSME (Provisional /Final)
3. Drug License
4. Latest Sales Tax Return Filed
5.Latest Income Tax Returns Filed
6.Any other Statutory dues remaining outstanding

23. a.) ID Proof (Any of following):
Passport/ Voter Identity Card/ PAN Card/ Driving License / Job Card/ Aadhaar Card/ Identity Card (subject to the satisfaction of bank)

b.) Address Proof (Any of following ):
Electricity Bill/ Telephone Bill/ Bank Account Statement of any other bank/ Letter from reputed employer/ Letter from recognized public authority verifying the address of the customer to the satisfaction of the bank / Ration Card


I/We hereby certify that all information furnished by me/us is true; that I/We have no borrowing arrangements for the unit except is in the application; that there is no over dues/ statutory dues against me/us/promoters except as indicated in the application; that I/We shall furnish all other information that may be required connection with my/our application that this may also be exchanged by you with an agency you may deem fit and you, your representatives or Reserve Bank of India or any other agency as authorised by you, may at any time, inspect/ verify my/our assessment of account etc. in our factory/business premises as given above.

* Do you agree to our terms and conditions.