CO: MSMED CIRCULAR NO. ADV 181 /2019-20 dated 16.03.

2020_MSME LOAN PRODUCTS_MASTER CIRCULAR

Common Application Format for MSME Loans – IBA approved

Application for MSME Loan

Date: _______
Photograph to
1. Name of the Enterprise* _______________ be pasted at
the time of
2. Regd. Office Address* __________________ signing of the
3. Address of Factory/Shop* __________________ application in
the designated
4. Premises (Owned/Rented/Leased) ________________ branch.
5. Telephone No.* __________
6. E mail Address*_______________
7. Mobile No.* __________
8. PAN Card No. _______________
9. Constitution (Please Select)* Individual/ Joint/ Prop. Concern/Partnership/ Pvt Ltd Co/ Limited
Co/ Trust/ others
10. Udyog Aadhaar No. / Registration No. _______10.(a)GST No. (if applicable)________
11. Date of Establishment/Incorporation* ___________
12. State *__________
13. City where loan is required* __________ District_____________
14. Branch where loan is required. (If any) ___________
15. Name of Proprietors/ Partners/ Directors of Company and Their Addresses: *
S.No Name Date of Birth Father/ Academic Category Mobile No
Spouse Qualification SC/ST/OBC/
Minority/Women
1.

S.No PAN No. Residential Address Aadhar No./DIN Telephone No. Experience in the
No. (Residence) line of activity
(Years)
1.

16. Activity* Existing _______ since _________

Proposed# _________
#if a different activity other than existing activity is proposed/ New unit
 CO: MSMED CIRCULAR NO. ADV 181 /2019-20 dated 16.03.2020_MSME LOAN PRODUCTS_MASTER CIRCULAR

17. i) Whether the MSME unit is ZED rated (Yes/No) ________________________

ii) If yes, the gradation obtained by the MSME unit (Tick appropriate one)
Bronze Silver Gold Diamond Platinum

Names of Associate Concerns and Nature of Association:

18. Names of Associate Concerns and Nature of Association:

Name of Address of Presently Nature of Extent of Interest as a Prop./
Associate Associate Banking With Association Partner/ Director or Just Investor in
Concerns Concerns Associate Concern

19. Relationship of Proprietors/ Partners/ Directors with the officials of the Bank/ Director of the
Bank: Please select (Yes/ No) _____
20. Banking/Credit Facilities (Existing) (₹. in lakh)

Type of Limit Outstanding Presently Securities Rate of Repayment

Facilities (in lakh) as on Banking Interest Terms
With
Current
Account
Cash
Credit
Term Loan
LC/BG
Others
Total

If banking with our Bank, customer ID 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 am not indebted to any other Bank / Financial Institution other than those
mentioned in column no. 20 above.

21. Credit Facilities (Proposed)*

Type of Facilities Amount Purpose for Primary Whether Collateral Security Offered
(in lakh) which Required Security(Details with (If , yes, then provide details on
approx. value to be column--23)
mentioned) (Yes/ No)
Cash Credit**
Term Loan
LC/BG
Others
Total
*Mandatory Fields
 CO: MSMED CIRCULAR NO. ADV 181 /2019-20 dated 16.03.2020_MSME LOAN PRODUCTS_MASTER CIRCULAR

**Basis of Cash Credit Limit applied

Cash Credit Projected
Sales Working Inventory Debtors Creditors Other Promoters
Cycle in current Contribution
months assets

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

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

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

a) Third Party Guarantee:

S.No Name of Father Residential Telephone Mobile Net worth Aadhar PAN No
Guarantor / Address No. No. (₹. in No.
Spouse (Residence) lakh)
name
1.
2.
3.

b) Other Collateral Security:

S. No. Name of owner of Collateral Security
Collateral
Nature Details Value
(Rs. in lakh)
1.
2.
3.

24. 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 Past Year 2 Present Year Next Year Installed Utilized
(Actual) (Actual) (Estimate) (Projection) Capacity Capacity
Net Sales
Net Profit
Capital (Net
Worth in case
of
Companies)

25. Status Regarding Statutory Obligations:

 CO: MSMED CIRCULAR NO. ADV 181 /2019-20 dated 16.03.2020_MSME LOAN PRODUCTS_MASTER CIRCULAR

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 Yes/ No/ NA
2. Registration under MSME (Provisional /Final) Yes/ No/ NA
3. Drug License Yes/ No/ NA
4. Latest Sales Tax Return Filed Yes/ No/ NA
5.Latest Income Tax Returns Filed Yes/ No/ NA
6.Any other Statutory dues remaining outstanding Yes/ No/ NA

26. a.) ID Proof (Any of following): Passport/ Voter Identity Card/ PAN Card/ Driving Licence/
Job Card/ Aadhaar Card/
Identity Card (subject to the satisfaction of bank)
ID Proof No. ______________
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
Address Proof No:

Declaration:
I/We hereby certify/authorise that all information furnished by me/us is true, correct and
complete; 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 have not been declared as defaulter/wilful defaulter by any Bank/FS and
no Legal action has been taken/initiated against me/us by any Bank/FIsI/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; you may take
appropriate safeguards/action for recovery of Bank’s dues including publication of defaulters
name in website/submission to RBI; further agree that my/our loan shall be governed by the
rules of your Bank which may be in force from time to time.

Signature:

To be signed at the designated branch only’

 CO: MSMED CIRCULAR NO. ADV 181 /2019-20 dated 16.03.2020_MSME LOAN PRODUCTS_MASTER CIRCULAR

CHECK LIST
1. Proof of Identity : Voter’s ID Card / Passport / Driving License / GST No. / Udyog Aadhaar
No. /PAN Card / Signature identification from present bankers of proprietor, partner of director
( if a company)(not mentioned at 26 A above)
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 (The list differs from 26 B above)
4. Applicant should not be defaulter in any Bank/F.I.
5. Last three years balance sheets of the units along with income tax / sales tax returns etc.
(Applicable for all cases from ₹. 2 lakh and above) However, for cases below fund based limits
of ₹. 25 lakh if audited balance sheets are not available, then unaudited balance sheets are also
acceptable as per extant instructions of the bank.
6. Memorandum and articles of association of the Company / Partnership Deed of partners etc.
7. Assets and liabilities statement of promoters and guarantors along with latest income tax
returns.
8. Rent Agreement (if business premises on rent) and clearance from pollution control board if
applicable.
9. SSI / MSME 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 ₹ 2 lakh and above).
11. In case of takeover of advances, sanction letters of facilities being availed from existing
bankers/ Financial Institutions along with detailed terms and conditions.
12. Photocopies of lease deeds/ title deeds of all the properties being offered as primary and
collateral securities.
13. Position of accounts from the existing bankers and confirmation about the asset being
standard with them (in case of takeover).

For cases with exposure above ₹ 25 Lakhs

14. The audited balance sheets are necessary.
15. 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.
16. Last three years balance sheets of the Associate / Group Companies (if any).
17. 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 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.
18. 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 good (quantity and value), debtors,
creditors, bank’s outstanding for working capital limits, term loan limits, bills discounted.
19. 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.

{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). Data /information mentioned a point no.
17,18,19 may be sought from unit requesting limit of Rs. 50 lacs and above}