Ede Assignment 7

Practical No.
7
Collect loan application forms of nationalize banks/other financial institutions
Name of the Bank: …………
Application to the Committee for a Corrective Action Plan under
Revival & Rehabilitation of MSME
(For Existing Loan Exposure above Rs.10 Lakhs and up to Rs.25Crore)
( To be submitted along with documents as per the check list )
A. Brief Profile of the Enterprise:

Name of the
Enterprise
Constitution √ Proprietary Partnership Pvt. Ltd. Ltd. Company Any Others
Corporate office
/ Registered
Office address of
the
borrower
Contact No. E-Mail
Udyog Aadhaar No./Registration No.
Date of Incorporation / Establishment
Date of commencement of operations:
Activity Mfg./ Trading/ Services/Others
Banking with Us Since:
Banking arrangement : Sole Banking /Consortium/ /Multiple Banking
SMA Status
External Credit Rating Name of the Agency Current Rating Previous Rating
B. Details of Proprietor/ Partners/ Directors:

(Amount in Lacs)
Name of Proprietor/ Designation Residential Address PAN No. Net Worth
Partners/ Directors with Contact No. /DIN No. as on date
C. Details of Associate Concern /Sister Concern / Group Companies:

(Amount in Lacs)
Name of Associate Business Banking Loan Limit Financials as on ……
Concern / Sister Concern Activity With FB NFB Gross Sales PAT TNW
/ Group Companies
D. Social Category:
Physically
Social Category √ SC ST OBC Women Minority
Handicapped
If Minority
√ Buddhists Muslims Christians Sikhs Jains Zoroastrians
Community
E. Details of Existing Liabilities with the Bank: (Amount

in Lacs)
Sl. No. Nature of Facility Limit O/s Bal as on Over Dues
1. Fund Based
A. Working capital
B. Term Loan
Total (1)
2. Non Fund Based
Total (2)
3. Grand Total (1+2)
Reasons of Overdue/Default in Repayment:
F. Details of Other Liabilities: (Amount

in Lacs)
Details of Statutory dues remaining Details of Unsecured Creditors.
outstanding with State Government or Central (Furnish reason for incurring liability)
Government
G. Financials: (Amount
in Lacs)
Particulars Past Year- Past Present Next Year-I Next Year-
II (Actual) Year-I Year (Projection) II
(Actual) (Estimate) (Projection)
Net Sales
(including
Operating Income)
(%) growth in net sales
over previous year
Operating Profit (after
interest)
Operating Profit Margin
(%)
Other Income
Profit Before tax
PAT
Net Profit Margin (%)
Paid-up Equity Capital/
Tangible Net Worth
TOL/ TNW
Current Ratio
Debt Equity Ratio
Debt Service Coverage
Ratio
H. (a) Details of Existing Security: (Amount in Lacs)

Particulars of Primary Security Nature of charge Date of Valuation Value
Particulars of Collateral Security Nature of charge Date of Valuation Value
(b) Details of Proposed Additional Security to be offered:

Particulars of Primary Security offered Particulars of Collateral Security
(where applicable)
I. (a) Details of Existing Guarantors: (Amount

in Lacs)
Name of the Guarantors Age Occupation Annual Income Net Worth
(b) Details of Proposed Guarantors: (Amount
in Lacs)
Names of the Guarantors Age Occupation Annual Income Net Worth
J. Declaration: I/We hereby certify that all information furnished by me/us is true, correct
and completeto the best of my/our knowledge and belief. 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 any other agency as authorised by you, may at any time, inspect/ verify
my/our assets, books of accounts etc. in my/our factory/business premises. You may take
appropriate safeguards/action for recovery of bank’s dues.
Signature of Borrowers Signature of Existing & Proposed
Guarantors Date: …………………… Place: ……………………
CHECK LIST: (The check list is only indicative and not exhaustive and depending
upon the requirementsof banks addition/deletion could be made as per necessity)
1) Last two years audited balance sheets of the units along with income tax/sales tax
return etc.
2) Projected balance sheets for two years in case of working capital limits and for the
period of the loan in case of term loan.
3) Sales achieved during the current financial yearup to the date of submission of
application.
4) Asset & Liability statement ofProprietor/ Partners/ Directors.
5) If funds proposed to be infused by borrower, please specify Sources.
6) Detailed Particulars of securities primary/collateral proposed, if any.
7) Details of all liabilities of the enterprise, including the liabilities owed to the State
or Central Government and unsecured creditors, if any.
8) Detailed note on nature of stress faced by the Enterprise.
9) Suggested remedial measures with the estimated time frame by the Enterprise with
supporting details to justify the action plan /solution.duly supported/vetted by TEV as
the case may be.
Acknowledgement Slip for Application to the Committee for Corrective Action Plan
under Revival & Rehabilitation of MSMEs
Office Copy:
Received form
Mr/Ms/M/s…………………………………………………………………………………………
……………………………………………………………………………………..………………
……………………...(Name & Address)an application dated...........................for corrective
action plan under revival & rehabilitation of MSMEs.
All the required information / documents are furnished on............................................./ yet to be

furnished on....................................by the applicant.
Date …………… Officer / Manager
Please Note that :
1. This is only an acknowledgement for having received the application and this should not
be construed as an indication of our acceptance of the proposal, 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 proposal is rejected/not considered the reasons for the same will be
intimated to the applicant.
Customer copy:
Received form
Mr/Ms/M/s……………………………………………………………………………………
………………………………………………………………………………………….………
………...(Name & Address)an application dated...........................for corrective action plan
under revival & rehabilitation of MSMEs.
All the required information / documents are furnished on............................................./ yet to

be furnished on....................................by the applicant.
Date …………… Officer / Manager

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Practical No.

A. Brief Profile of the Enterprise:

B. Details of Proprietor/ Partners/ Directors:

C. Details of Associate Concern /Sister Concern / Group Companies:

E. Details of Existing Liabilities with the Bank: (Amount

F. Details of Other Liabilities: (Amount

H. (a) Details of Existing Security: (Amount in Lacs)

Particulars of Collateral Security Nature of charge Date of Valuation Value

(b) Details of Proposed Additional Security to be offered:

I. (a) Details of Existing Guarantors: (Amount

Signature of Borrowers Signature of Existing & Proposed

Guarantors Date: …………………… Place: ……………………

All the required information / documents are furnished on............................................./ yet to be

Date …………… Officer / Manager

Please Note that :

All the required information / documents are furnished on............................................./ yet to

Date …………… Officer / Manager

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