The Branch Manager Sr No ____________
The United Bank of India/ State Bank of India/Axis Bank,/UTI etc
(Sr. no. to be entered by branch while giving acknowledgement)
| | Nature of facility | Existing (if any) | Present Request | O/s / Remarks |
| 1 | FUNDED LIMITSCash Credit /Overdraft Term Loan Domestic Bills Export Limits | | 10000 | |
| 2 | NON FUNDED LIMITSLetter of Credit Letter of Guarantee Forward Contract | | 10000 | |
| 3 | Total (1+2) | | | |
| Registration Number ( in case of company) | |
| Industry code | |
| Import - Export Code (IEC) | 012345678 |
| Small Scale Industry (SSI) Reg. No. | |
| Permanent Account Number (PAN) | ABCDER254CA |
| ISO /ISI Certification | ISO 1806, 2025,2659 and 2012 |
| Sales Tax Registration | MNC-I-2569 dtd.01.11.05 |
| NSE/BSE Registration / Code | NSC Code : ABCCORP / BSC Code : 125698 |
| Others | - |
OWNERSHIP AND MANAGEMENT : (Details Directors)
| Name & Qualification @ | Relationship* | Residential Address | Tel No With STD Code | PAN. No. | Date of Birth | Net worth as on 4 | Net worth (W/T asst.) as on # _______ | Income as per Asst. Order/ Return | % Share holding |
| Mr A Bhawani | Independent | 124 abc Mumbai -458765 | | ABNHC45CS | 25.05.1966 | | | | |
| Mr Amit Agarwal CFA | Independent | 2568 zxt Mumbai -458545 | | ABHC254CD | 28.12.1960 | | | | |
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| Mr Abitabh Bachchan C.A | Promoter | 125 Bandra Mumbai-546558 | | ABHC25SD | 15.08.1953 | | | | |
| Mr KC Somaya MBA | Executive | 265 Navi Mumbai -574648 | | ABCD12DS | 25.02.1959 | | | | |
Details of Experience & Quality of Management :
Whether the name(s) of Borrower / Director(s) / Partner(s) /
Whether the name(s) of Borrower / Director(s) / Partner(s) /
Proprietor appear(s) in the Specific Approval List / Caution List of ECGC. Ltd : Nil
| Sister / Associate / Group Concerns & Subsidiary | ||||
| Other Major Groups | ||||
| Financial Institutions | ||||
| Name of Share holder | Number of shares held | Paid up Value (Rs in Lacs) | Percentage to the total equity |
| Future Group | 100000000 | 10000 | 20.00% |
| XYZ Ltd | - | - | - |
| EFG Ltd | - | - | - |
| WXY Ltd | - | - | - |
| OPQ Ltd | - | - | - |
(i) Line of manufacture / Nature of business activity : Heavy Vehicles
: (Give details of major items manufactured /commodities traded)
| Major Buyers (Top 5) | Major Suppliers (Top 5) | ||||
| Name | Annual Sales ( Rs in Lacs) | % to total | Name | Annual Purchases ( Rs in Lacs) | % to total |
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| Name of the Bank / Financial Institution & Branch | Nature of facility | Limit | Present o/s Date 31.03.08 | Asset Class As On 31-03-08 | Interest Rate |
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| | (Audited) Year 2011 | (Audited) Year 2012 |
| Gross Sales (Turnover of the group) | | |
| PBIDT (profit before interest, depreciation & tax) | | |
| Profit Before Tax | As per Annexure | |
| Profit After Tax | | |
| Capital | | |
| Tangible Net worth | | |
| Name of party | Nature of facility | Limits | Asset Class On…………. | A/c last reviewed on….. | O/s on……. | Overdues/ Amount in default | |
| Our Bank | Other bank (Name) | ||||||
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| | | As per Annexure | | | | | |
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| | Year ended / ending March | |||
| | Audited (31.03.11) | Audited (31.03.12) | Estimated | Projected |
Gross Sales (excluding job work) | | | | |
| Export Sales (within gross sales) Sales projected at the time of last review % Change over previous year | | | | |
| Job work income | | | | |
| Gross Profit/(Loss) | | | | |
| GP % to net sales | | | | |
| Other income (Non-operating) | | | | |
| Profit before tax | | | | |
| Provision for tax | | | | |
| Net Profit (PAT) | | | | |
| % of NP to sales | | | | |
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| Cash Accruals | | | | |
| Capital / Paid up Equity | | | | |
| Intangible Assets | | | | |
| Tangible Net Worth | | | | |
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| Net Sales/Current Assets | | | | |
| Inventory Turnover Ratio | | | | |
| PBDIT/Net sales Ratio | | | | |
| | Target (for the year) | Actual (31.03.2012) | |
| | | Quantity | Value ( Rs in Lacs) |
| Production | | | |
| Purchases | | | |
| Sales : a. Export b. Domestic | | - | - |
| Profit | | | |
| S. no. | Description of property (plot area & constructed area) | Name of owner | Location & address | Whether let out or self occupied | Valuation as per report dated |
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| Name of the Guarantor(s) | PAN No | Date of Birth | Worth as on …… as per B/S, Stt., Wealth tax return | Relation-ship with Prop. / Partner / | Major items taken for computation of Worth | ||||
| | | Immovable Properties | Cash/ Bank Bal. | Investment in Shares/ Debentures Quoted Unquoted/ In associate Cos./firms | Liabilities | ||||
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Value of Connections & Ancillary Services Required from Bank : (Please give details of deposits, other ancillary business i.e. remittance, D-Mat Services, Merchant Banking Business, Any Where Banking, and any other services / facilities required from the Bank )
DEFAULT / OVERDUES / LITIGATION / CONTINGENT LIABILITY / DECREE / CLAIM :
(Pl give brief history estimated liability, present status of each item pertaining to firm, company, owners and guarantor)
Name (Liability of) | Claim / Liability to | Brief Details of dispute / court case | Estimated Liability | Status |
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Declaration : I/ We certify that all information furnished herein above in the application and in annexures/ documents enclosed, is true & correct to our knowledge and conform to the respective records. We have no borrowing arrangements except that already declared in the application form. No legal action has been initiated by any bank(s), Financial Institution (other than those stated in the application form) against me/ us. PF/ESI/IT/Other Statutory Liabilities are not overdue. I / we undertake to submit all other information that may be required by the Bank in this connection. This information may be exchanged /disclosed to Reserve Bank of India, Credit Information Bureau of India Limited (CIBIL) or any other agency /statutory body as may be required by the Bank in course of business.
The Bank at any time may inspect & verify securities, books of accounts, records or authorize any person, appoint auditor/ agency / valuer for the purpose at our cost. We / I have understood the Bank’s rules related to payment/refund of processing charges (as per schedule of charges of Bank). I / We are making this application with due authorization / approval of competent authority / Board of Directors. A copy of relevant document / resolution authorizing to make this application is enclosed.
Applicant / Authorized Signatory
LIABILITIES
ASSETS
TOTAL
| | | Debtors of upto 90 days | 91 days to 120 days | 121 days to 180 days | More than 180 days. | Total |
| 1. | Total outstanding Trade Debtors | - | - | - | - | - |
| | Out of Which: | | | | - | - |
| 1.1 | Debtors o/s from Sister / Associate Concern | | | | - | - |
| 1.2 | Debtors under dispute / litigation ( if any) | | | | | |
| 1.3 | Bills Drawn on Debtors Discounted from Bank / Under LC | | | | | |
| 1.4 | Debtors ( In respect of Loan & Advances) | | | | | |
| 2. | Trade Creditors | | | | | - |
| | Out of which: | | | | | |
| 2.1 | Trade Creditors o/s under LC & BG | | | | | - |
| 2.2 | Other trade creditors | | | | | - |
| 2.3 | Advance payment received from customers. | | | | | |
ANNEXURE-III
DETAILS OF EXPANSION PROGRAM & REQIREMENT OF TERM LOAN / DPG:
| S. No. | Details of Asset | Use / Purpose | Cost (Rs Lacs) | Make | Supplier * |
| 1. | | | | | |
| 2. | | | | | |
| 3. | | | | | |
| 4. | | | | | |
| 5. | | | | | |
| 6. | | | | |
| Cost Component | Total Cost Projected | Cost incurred up to……. | Cost yet to be incurred | Identified Over runs (if any) |
| Land & Site Development | | | | |
| Building | | | | |
| Plant & Machinery | | | | |
| Misc. Fixed Assets | | | | |
| Prel. & Preopt . Exp. | | | | |
| Others (Pl. specify)Adv Ag. Maschinery Security | | | | |
| Capital Cost of Project (A) | | | | |
| Margin for working capital (B) | | | | |
| Total Cost of Project (A+B) | | | | |
| | Total Projected | Actual Raised Up to…….. | Remaining Contribution | Shortfall / Excess |
| Promoter’s Equity/Capital | | | | |
| Public Issue | | | | |
| Internal Accruals | | | | |
| Central/State Subsidy | | | | |
| Term Loans from: | | | | |
| Financial Institutions | | | | |
| Banks | | | | |
| Others | | | | |
| Public Deposits | | | | |
| Unsecured loans | | | | |
| Any other (Pl. specify) | | | | |
| TOTAL | | | | |
| | Year (Rs. in Lacs) | ||||||
| YEAR ร | I | II | III | IV | V | VI | Total |
| Capacity Utilisation in % | | | | | | | |
| (a) Sales /Turnover | | | | | | | |
| (b) Cost of Sales | | | | | | | |
| (c) Profit bef.Tax (a-b) | | | | | | | |
| (d) Provision for Tax | | | | | | | |
| (e) Net Profit (c-d) | | | | | | | |
| (f) Add depreciation & non cash expenses | | | | | | | |
| (g) Cash Accruals (e+f) | | | | | | | |
| (h) Add interest on loan (existing + proposed) | | | | | | | |
| (i) Total Funds available (j) | | | | | | | |
| (k) Installments of loan (Existing + Proposed) | | | | | | | |
| (l) Interest on loan (Existing + proposed) | | | | | | | |
| (m) Repayment obligation (j + k) | | | | | | | |
| (n) DSCR item (i / l) | | | | | | | |
| Particulars of Asset | A Cost | B Margin | C Bank Loan (a-b) |
| Land | | | |
| Building | | | |
| Plant & Machinery | | | |
| Misc. Fixed Asset | | | |
| Others (if any to be specified ) | | | |
| Total | | | |
| S.No | Details | Approximate Present market Value ( Rs.) | Encumbrance, if any (furnish particulars) |
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| Nature of properties | Location and Boundaries | Purchase price Rs. | Approximate present market value Rs. | Details of document conferring right/title |
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