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    BBFS Me

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    snk298

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    © All Rights Reserved
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    BBFS Me

    Uploaded by

    snk298
    13 views4 pages

    Original Title

    BBFS-ME

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    © © All Rights Reserved

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    Copyright:

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    13 views4 pages

    BBFS Me

    Uploaded by

    snk298

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 4

    BORROWER’S BASIC FACT SHEET- FOR MEDIUM ENTERPRISES

    PRESCRIBED UNDER GENERAL REGULATION SME R-2

    Date of Request_

    (TO BE COMPLETED IN CAPITAL LETTERS OR TYPEWRITTEN)

    1. BORROWER’S PROFILE:
    Name Address

    Office Phone # Fax # : --- E-mail Address:


    National Tax # Sales Tax #
    Import Export Date of Date of opening of A/c.
    Registration # Registration # Establishment
    --- ---

    2. DETAILS OF DIRECTORS/OWNERS/PARTNERS:
    Name Address

    Phone # Fax # E-mail Address


    Office. Res. Cell. ----
    Computerized National Identity Card # National Tax #

    Share-holding Amount % of Share-holding

    Name Address

    Phone # Fax # E-mail Address


    Office . Res. Cell.
    Computerized National Identity Card # National Tax #

    Share-holding Amount % of Share-holding

    Name Address

    Phone # Fax # --- E-mail Address


    Office . Res. Cell. ---
    Computerized National Identity Card # National Tax #

    Share-holding Amount % of Share-holding

    3. MANAGEMENT:
    A) EXECUTIVE DIRECTORS/PARTNERS:
    Name Address CNIC # Phone #

    B) NON-EXECUTIVE DIRECTORS/PARTNERS:
    Name Address CNIC # Phone #

    4. CORPORATE STATUS:
    Sole Proprietorship Partnership Public / Private Limited Company

    5. NATURE OF BUSINESS:
    Industrial Commercial Agricultural Services Any other

    6. REQUESTED LIMITS:
    Amount Tenor
    Fund Based
    Non-Fund Based

    7. BUSINESS HANDLED/EFFECTED WITH ALL FINANCIAL


    INSTITUTIONS DURING THE LAST ACCOUNTING YEAR:
    Imports Exports Remittances effected (if any)

    8. EXISTING LIMITS AND STATUS:


    Status
    Amount Expiry Date Regular Amount Overdue
    (if any)

    9. ANY WRITE-OFF, RESCHEDULING/ RESTRUCTURING


    AVAILED DURING THE LAST THREE YEARS:
    Amount during Amount during Amount during
    1st Year 2nd Year 3rd Year
    Name of Financial Write-off Rescheduled/ Write-off Rescheduled/ Write- Rescheduled/
    Institution Restructured Restructured off Restructured

    10. DETAILS OF PRIME SECURITIES MORTGAGED/ PLEDGED:


    A) AGAINST EXISTING FACILITIES:
    Name of Financial Nature of Security Total Rank of Charge Net Realizable
    Institution Amount Value

    B) AGAINST REQUESTED/ FRESH/ ADDITIONAL FACILITIES:


    Name of Financial Nature of Security Total Amount Net Realizable
    Institution Value
    11. DETAILS OF SECONDARY COLLATERAL MORTGAGED/ PLEDGED:
    A) AGAINST EXISTING FACILITIES:
    Name of Financial Nature of Security Total Amount Rank of Net Realizable
    Institution Charge Value

    B) AGAINST REQUESTED/ FRESH/ ADDITIONAL FACILITIES:


    Name of Financial Nature of Security Total Amount Net Realizable
    Institution Value

    12. CREDIT RATING (WHERE APPLICABLE):


    Name of Rating Agency Rating

    13. DETAILS OF ASSOCIATED CONCERNS


    (AS DEFINED IN COMPANIES ORDINANCE, 1984):
    Name of Concern Name of Directors Share-holding % of Total Share Capital

    14. FACILITIES TO ASSOCIATED CONCERNS BY THE CONCERNED FI:


    Name of Concern Nature & Amount of Outstanding Nature & Value of Overdues Defaults
    Limit as on-------- Securities

    15. DETAILS OF PERSONAL GUARANTEES PROVIDED BY THE


    DIRECTORS / PARTNERS ETC. TO FIs TO SECURE CREDIT:
    Names of the Institutions/persons to whom Amount of Validity NIC NTN Net-
    Guarantors Guarantee given Guarantee Period # worth

    16. DIVIDEND DECLARED (AMOUNT) DURING THE LAST THREE YEARS:


    During 1st Year During 2nd Year During 3rd Year

    17. SHARE PRICES OF THE BORROWING ENTITY:


    Listed Company
    Current Price Preceding 12 Months Average Break-up Value of the Shares
    in case of Private Limited Company

    18. NET-WORTH (PARTICULARS OF ASSETS OWNED IN THEIR


    OWN NAMES BY THE DIRECTORS/PARTNERS/PROPRIETORS):
    Owner’s Name Particulars of Assets Market value Particulars of Liabilities
    19. DETAILS OF ALL OVERDUES (IF OVER 90 DAYS):
    Name of Financial Institution Amount
    N.A N.A
    20. Details of payment schedule if term loan sought. N.A.

    21. Latest Audited Financial Statements as per requirements of Regulation ME-4 to be submitted
    with the Loan Application Form (LAF). YES

    22. Memorandum and Articles of Association, By-laws etc. to be submitted by the


    borrower alongwith the request. YES

    I certify and undertake that the information furnished above is true to the best of my
    knowledge.

    CHIEF EXECUTIVE’S/
    BORROWER’S SIGNATURE &
    STAMP
    COUNTER SIGNED BY:

    AUTHORISED SIGNATURE & STAMP


    (BANK / DFI OFFICIAL)

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