CORPORATION BANK

LOAN APPLICATION FORM FOR STAND UP INDIA SCHEME

[ ABOVE ₹10 LAKH TO ₹100 LAKH]

( To be submitted along with documents as per the check list )

A. For office Use:

Enterprise Name Application Sl. No. Name of the Branch Category
SC/ST/Woman
B. Business Information:
Name of the
Applicant /
Enterprise
Constitution √ Proprietary Partnership Pvt. Ltd. Ltd. Company Any Others (specify)

Business
Address State PIN Code
Business Premises √ Rented Owned
Telephone No. Mobile No. 91
E-mail:
Business
Activity Proposed
Date of Commencement(DD/MM/YYYY)
Whether the Unit is Registered √ Yes No
If Registered (Please mention: Registration
no. And the Act under which registered )
Udyog Aadhar Registration No. **
** Not Mandatory
Registered office Address
Social Category √ SC ST Minority Community
If Minority
√ Buddhists Muslims Christians Sikhs Jains Zoroastrians
Community
C. Background Information of Proprietor/ Partners/ Directors of Company and their addresses:
S.No Name Date of Sex Residential Academic Experience in
Birth Address with Qualification the line of
Mobile No. activity (Years)
1.
2.

S.No Id proof Id proof Address Address PAN Relationship with the

no. proof proof no. Card/DIN No. officials/ Director of the
bank if any
1.
2.
D. Names of Associate Concerns, if any, of JV Partner or Director of proposed Unit:

Names of Address of Presently Nature of Extent of Interest as a

Associate Associate Banking with Association Prop./Partner/ Director or Just
Concern Concern Concern Investor in Associate Concern

E. Banking/Credit Facilities Existing: (In Rs.)

Type of Banks Name and Limit Availed Outstanding

Facilities Branch As on ……
Savings Account N. A.
Current Account N. A.
Term Loan
If banking with this bank, customer ID to be given here:
It is certified that our unit has not availed any loan from any other Bank / Financial Institution in the
past and I/we am/are not indebted to any other Bank / Financial Institution other than those
mentioned in column no. E above.
F. Credit Facilities Proposed: (In Rs.)**

Type of Facilities Amount Purpose for which Security Offered

Required
Primary Security Whether Collateral
(Details with approx. Security Offered (If,
value to be yes, then provide
mentioned) details on column I)
(Yes/No)
Cash Credit**
Term Loan
LC/BG
Total
** Mandatory Fields
G. In case of Working Capital: Basis of Cash Credit Limit applied: (In Rs.)
Projected
Sales Working Inventory Debtors Creditors Promoter’s Limits
Cash Credit
Cycle in Contribution
Months

H. In case of Term loan requirements, the details of machinery/equipment may be given as

under:
Type of Purpose Name of Total Cost of Contribution being Loan Required
machine for which Supplier Machine made by the (Rs.)
/ Equipment required promoters(Rs.)

Total
Repayment period with Moratorium period requested for
I. Future Estimates: (In Rs.)

Future Estimates (Estimates for current year and projections for first 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)
Current Year First Year Second Year Third Year
(Estimate) (Projection) (Projection) (Projection)
Net Sales
Net Profit
Capital (Net
Worth in case of
Companies)

J. Status Regarding Statutory Obligations:

Whether Remarks
Complied with (Any details in
Statutory Obligations (select Yes/No) connection with the
If not applicable relevant obligation to be
then select N. A. given )
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

K. Declaration:

I/We hereby certify that all information furnished by me/us is true, correct and complete. I/We have no
borrowing arrangements for the unit except as indicated in the application form. There is/are no
overdue / statutory due owed by me/us. I/We shall furnish all other information that may be required
by Bank in connection with my/our application. The information may also be exchanged by you with
any agency you may deem fit. You, your representatives or Reserve Bank of India or any other agency
as authorised by you, may at any time, inspect/ verify my/our assets, books of accounts etc. in our
factory/business premises as given above. You may take appropriate safeguards/action for recovery of
bank’s dues.

Space for Photo Space for Photo Space for Photo

(Signatures of Proprietor/partner/ director whose photo is affixed above)

Date: ___________________

Place: ___________________
 Acknowledgement Slip for loan Application under Stand Up India Scheme

Office Copy:

Received form Mr/Ms/M/s ___________________ (Name & Address) an application dated ___________ for
Rs._____________ for _________________________ (mention purpose of loan).

All the required information / documents are also furnished on _______________ / yet to be furnished by the
applicant.

Date …………… OFFICER / MANAGER

Please Note that :

1. This is only an acknowledgement for having received the loan application and this should not be construed
as an indication of our acceptance of the proposal or willingness to sanction the loan applied for, a decision
on which will be taken only after due consideration of the proposal on its merit and / or on fulfilment of
conditions if any, that may be stipulated by the Bank.

2. The application will be taken up for consideration only after all the particulars / data / documents as may
be required are received by the Bank.

3. The application will be disposed off within ____________ days from the date of receipt of all the details
/papers/documents /clarifications sought by the Bank.

4. In case the loan proposal is rejected (is not considered for sanction) the reasons for the same will be
intimated to the loan applicant.
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CHECK LIST

1. Proof of Identity : Voter’s ID Card / Passport / Driving License / PAN Card / Signature identification
from present bankers of proprietor, partner of director ( if a company)
2. Proof of residence: Recent telephone bills, electricity bill, property tax receipt /Passport / voter’s ID
Card of Proprietor, partner of Director (if a company)
3. Proof of business Address
4. Applicant should not be defaulter in any Bank/F.I.
5. Memorandum and articles of association of the Company / Partnership Deed of partners etc.
6. Assets and liabilities statement of promoters and guarantors along with latest income tax returns.
7. Rent Agreement (if business premises on rent) and clearance from pollution control board if applicable.
8. SSI / MSME registration if applicable.
9. 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
10. Photocopies of lease deeds/ title deeds of all the properties being offered as primary and collateral
securities.
11. Documents to establish whether the applicant belongs to SC/ST Category, wherever applicable.
12. Certificate of incorporation from ROC to establish whether majority stake holding in the company is in
the hands of a person who belongs to SC/ST/Woman category.
 CORPORATION BANK

Branch :
Acknowledgement Slip for loan Application under Stand Up India Scheme

Applicants Copy:

Received form Mr/Ms/M/s ___________________ (Name & Address) an application dated ___________ for
Rs._____________ for ________________ (mention purpose of loan).

All the required information / documents are also furnished on _______________ / yet to be furnished by the
applicant.
Date …………… OFFICER / MANAGER
Please Note that :
1. This is only an acknowledgement for having received the loan application and this should not be construed
as an indication of our acceptance of the proposal or willingness to sanction the loan applied for, a decision
on which will be taken only after due consideration of the proposal on its merit and / or on fulfilment of
conditions if any, that may be stipulated by the Bank.
2. The application will be taken up for consideration only after all the particulars / data / documents as may
be required are received by the Bank.
3. The application will be disposed off within ____________ days from the date of receipt of all the details
/papers/documents /clarifications sought by the Bank.
4. In case the loan proposal is rejected (is not considered for sanction) the reasons for the same will be
intimated to the loan applicant
For Cases With Exposure above ₹ 25 Lakhs
1. Proof of Identity : Voter’s ID Card / Passport / Driving License / PAN Card / Signature identification
from present bankers of proprietor, partner of director ( if a company)
2. Proof of residence: Recent telephone bills, electricity bill, property tax receipt /Passport / voter’s ID
Card of Proprietor, partner of Director (if a company)
3. Proof of business Address
4. Applicant should not be defaulter in any Bank/F.I.
5. Memorandum and articles of association of the Company / Partnership Deed of partners etc.
6. Assets and liabilities statement of promoters and guarantors along with latest income tax returns.
7. Rent Agreement (if business premises on rent) and clearance from pollution control board if applicable.
8. SSI / MSME registration if applicable.
9. 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
10. Photocopies of lease deeds/ title deeds of all the properties being offered as primary and collateral
securities.
11. Documents to establish whether the applicant belongs to SC/ST Category, wherever applicable.
12. Certificate of incorporation from ROC to establish whether majority stake holding in the company is in
the hands of a person who belongs to SC/ST/Woman category.
11. Profile of the unit (includes names of promoters, other directors in the company, the activity being
undertaken addresses of all offices and plants, shareholding pattern etc.
12. Last three years balance sheets of the Associate / Group Companies (if any).
13. 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 of utilization assumed, production, sales, projected profit and loss and balance
sheets for the tenor of the loan, the details of labour, staff to be hired, basis of assumption of such
financial details etc.
14. 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.
.