STATE BANK OF HYDERABAD

Name of the Branch: ______________________________________

APPLICATION FORM FOR MICRO & SMALL ENTERPRISES

To be submitted along with documents as per the checklist

[For Office Use]

_________________________________________________________________________________

1. NAME OF THE ENTERPRISE

2. REGD. OFFICE ADDRESS

3. ADDRESS OF FACTORY/SHOP

4. WHETHER BELONGS TO SC/ST/

OBC/MINORITY COMMUNITY

TELEPHONE
EMAIL
NOs.
ADDRESS
[Office]
MOBILE NO. PAN CARD NO.

5. CONSTITUTION Proprietary/Partnership firm/ Pvt.Ltd./Ltd. Company/Co-op. Society

6. DATE OF ESTABLISHMENT

7. NAME OF PROPRIETOR / PARTNERS/DIRECTORS OF COMPANY AND THEIR ADDRESSES:

ACADEMIC TELEPHONE EXPERIENCE

RESIDENTIAL
NAME AGE QUALIFICATION No. IN THE LINE
ADDRESS
S [Residence] OF ACTIVITY
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8. ACTIVITY Existing

Proposed
(#):
# If a different activity other than existing activity is proposed

9. NAMES OF ASSOCIATE CONCERNS AND NATURE OF ASSOCATION:

EXTENT OF INTEREST
ADDRESSES AS A
PRESENTLY
NAME OF THE OF NATURE OF PROP./PARTNER/DIRECT
BANKING
ASSOCIATE CONCERN ASSOCIATE ASSOCIATION OR OR JUST INVESTOR
WITH
CONCERNS IN ASSOCIATE
CONCERN

Relationship of Proprietor/Partner/Director with the

10.
officials of the Bank/Director of the Bank

10(a) CREDIT FACILITIES [EXISTING]:

Outstandings
Type of Limit Presently Security Rate of Repayment
as on
facilities [In lacs] banking with Lodged Interest terms
……………
Current A/c
Cash Credit
Term Loan
LC / BG
If Banking with this Bank, customer No. be given here
It is certified that our unit has not availed any loan from any other Bank / Financial Institution in the
10(
past and I am not indebted to any other Bank / Financial Institution other than those mentioned in
b)
10(a) above.

11. CREDIT FACILITIES [PROPOSED]:

Security offered
Whether Collateral
Type of Amount Purpose for which PRIMARY SECURITY Security offered
facilities [in lacs] required [Details with approx. [Please mention yes or
value to be no] [If yes, then
mentioned] provide details in
column 12]
Cash Credit YES / NO

Term Loan YES / NO

LC / BG YES / NO

In case of term loan requirements, the details of machinery may be given as under:
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Total cost of
machine [in case
Whether of imported Contributio
Purpose imported machine, the n being
Type of Name of Loan
for which or breakup of basic made by
Machine supplier required
required indigenou cost, freight, the
s insurance and promoters
customs duty
may be given]

12. Details of Collateral offered, if any, including 3rd party guarantee *

[* As per RBI guidelines banks are not to take collateral security for loans upto Rs.5.00 lacs to MSME
Units]

13. 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]:
PAST YEAR – II PAST YEAR – I PRESENT YEAR NEXT YEAR
[Rs. in lacs] [Actual] [Actual] [Estimates] [Projections]
Net Sales

Net Profit
Capital [Net worth in
case of companies]

14. Status regarding Statutory Obligations:

Whether Complied with

Remarks (Any details in connection
(Write Yes / No.)
Statutory Obligations with the relevant obligation to be
If not applicable then write
given
N.A.
1. Registration under Shops
and Establishment Act
2. Registration under SSI
(Provisional / Final)
3. Drug Licence
4. Latest Sales tax return
filed
5. Latest Income tax returns
filed
6. Any other statutory dues
remaining outstanding

15 SPACE FOR PHOTO SPACE FOR PHOTO SPACE FOR PHOTO

SIGNATURES OF PROPRIETOR / PARTNER / DIRECTOR WHOSE PHOTO IS AFFIXED ABOVE

Only one photo of proprietor / each partner / each working Director is required to be affixed. Each
photo will be certified / attested by the Branch Team with name and signatures on the photograph
with Branch stamp. The concerned staff will put his name below the signatures.
 4

16. Date: Place:

I / We certify that all information furnished by me / us in true; that I / We have no borrowing

arrangements for the unit except as indicated in the application; that there is no overdues / 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 deemed fit and you, your representatives, representatives of the Reserve Bank
of India or any other agency as authorised by you, may, at any time, inspect / verify my / our assets,
books of account etc. in our factory / business premises as given above.

ANNEXURE

CHECK LIST [TO BE GIVEN TO THE NEW CUSTOMERS BY BRANCH] OF DATA

TO BE KEPT READY BY THE CUSTOMER

1. Proof of identity – Voter’s ID card / Passport / Driving license / PAN card /

signature identification from present bankers of proprietor, partner or
Director [If a company]

2. Proof of residence – Recent telephone bill, electricity bill, property tax

receipt / passport / voter’s ID Card of proprietor, partner or Director [If a
company]

3. Proof of business address

4. Proof of Minority

5. * Last three years balance sheets of the units alongwith income tax / sales
tax returns etc. [Applicable for all cases from Rs.2.00 lacs and above].
However, for cases below fund based limits of Rs.25.00 lacs if audited
balance sheets are not available, then unaudited balance sheets are also
acceptable as per extant instructions of the bank. For cases of Rs.25.00
lacs and above, the audited balance sheets are necessary.

6. * Memorandum and articles of association of the Company / Partnership

Deed of partners etc.

7. * Assets and liabilities statement of promoters and guarantors alongwith

latest income tax returns.
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8. * Rent Agreement [if business premises on rent] and clearance from

pollution control board if applicable.

9. * SSI registration if applicable.

10. * Projected balance sheets for the next two years in case of working capital
limits and for the period of the loan in case of term loan. [For all cases of
Rs.2.00 lacs and above]

11. * In case of takeover of advances, sanction letters of facilities being

availed from existing bankers / Financial Institutions alongwith detailed
terms and conditions.

12. * Profile of the unit [Includes names of promoters, other directors in the
company, the activity being undertaken, address of all offices and plants,
shareholding pattern etc.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

13. * Last three years balance sheets of the Associate / Group Companies [If
any].
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

14. * Project report [for the proposed project if term funding is required]
containing details of the machinery to be acquired, from whom to be
acquired, price, names of suppliers, financial details like capacity of
machines, capacity utilisation assumed, production, sales, projected profit
and loss and balance sheets for the next 7 to 8 years till the proposed loan
is to be paid, the details of labour, staff to be hired, basis of assumption of
such financial details etc.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

15. * Review of account containing month wise sales [quantity and value
both], production [quantity and value], imported raw material [quantity and
value], indigenous raw material [quantity and value], value of stocks in
process, finished goods [quantity and value], debtors, creditors, bank’s
outstandings for working capital limits, term loan limits, bills discounted.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

16. * Photocopies of lease deeds / title deeds of all the properties being offered
as primary and collateral securities.

17. * Position of accounts from the existing bankers and confirmation about
the asset being Standard with them [In case of takeover].
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18. * Manufacturing process if applicable, major profile of executives in the

company, any tie-ups, details about raw material used and their suppliers,
details about the buyers, details about major competitors and the
company’s strength and weaknesses as compared to their competitors etc.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

19. * Technical feasibility - Capacity of the machinery, number of working

days, number of shifts etc., and Economic feasibility - competition,
comments of the unit to meet competition, viz. advantages of the unit,
volume of orders on hand, Marketing arrangements etc.,

20. * Particulars of the family - Members of the family / Education / Family

income from all sources [For Micro Enterprises]

21. * Particulars of existing utilities in case of SSI units viz. Power, Water, Fuel
with comments on requirement, availability/adequacy, qualitative aspects
etc.

22. * In case of setting up of new SSI unit - Schedule of implementation.

23. * Allotment letter from DGFT allocating Export / Import code in case of
exporters.

[The check list is only indicative and not exhaustive and depending upon
the local requirements at different places addition could be made as per
necessity]