15. Name of the Proprietors/partners/Directors of Company and Their
Note : If Directors/Partners/More than 3 (Enter details who got maximum share holding)
17. Names of Associate Concerns and Nature of Association:
18. Banking/Credit facilities (Existing) (Rs. In lakh)
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)*
* Mandatory Fields
** Basis of Cash Credit Limit applied
20. In case of term loan requirements, the details of machinery may be given
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:
b) Other Collateral Security:
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)
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.
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 /
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
* Do you agree to our terms and conditions.
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