ABG-APL-CORP

APPLICATION FORM FOR OTHER THAN INDIVIDUALS

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. CATEGORY 1. Caste: SC ST OBC Others

2. Ex-Serviceman: Yes No
3. Physically handicapped: Yes No SC ST OBC
Others
5. RELIGION Christians Muslims Buddhists Sikhs Zoroastrians
Hindus Others
6. MARITAL STATUS: Married Unmarried Divorcee
7. NO. OF DEPENDENTS:

8. GENDER : Male Female

9. TELEPHONE NOs. (Office)

10. MOBILE NO.

11. EMAIL ADDRESS
12. PAN CARD NO.
13. DATE OF ESTABLISHMENT

14. CONSTITUTION Proprietary Partnership firm Pvt. Ltd. Ltd. Company Co-op. Society
 ABG-APL-CORP

15. NAME OF PROPRIETORY/ PARTNERS/ DIRECTORS OF COMPANY AND THEIR ADDRESSES

NAME AGE ACADEMIC RESIDENTIAL TELEPHONE EXPERIENCE IN

QUALIFICATIONS ADDRESS NO. THE LINE OF
(Residence) ACTIVITY

16. Activity:

Existing
Proposed (#)

# If a different activity other than the existing activity is proposed.

17. NAMES OF ASSOCIATE CONCERNS AND THE NATURE OF ASSOCIATION:

NAME OF ADDRESSES OF PRESENTLY NATURE OF EXTENT OF INTEREST AS A

ASSOCIATE ASSOCIATE BANKING WITH ASSOCIATION PROP./ PARTNER/
CONCERN CONCERNS DIRECTOR OR JUST
INVESTOR IN ASSOCIATE
CONCERN

18. Relationship of Proprietor/ Partner/ Director with the

officials of the Bank/ Director of the Bank

19. (a) CREDIT FACILITIES (EXISTING): (Rs. In lakh)

Type of Limit (In Outstanding Presently Security Rate of Repayment
facilities lakh) as on... banking with Lodged Interest with terms with
interest reset tenure
details, if
any.
Current
account
Cash Credit
Term Loan
LC/ BG
 ABG-APL-CORP

If Banking with this Bank, customer No. be given here.

19.(b) 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 12(a)
above.

20. CREDIT FACILITIES (PROPOSED):

Type of Amount (In lakh) Purpose for Security offered
facilities which required
PRIMARY SECURITY Whether Collateral
(Details with Security offered (Please
approx. value to be mention yes or no) (If yes,
mentioned) then provide details in
column 14)
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:
Type of Purpose Whether Name of Total cost of machine Contributio Loan
machine for which imported supplier (in case of imported n being required
required or machine, the breakup made by the
indigenous basic cost, freight, promoters
insurance and customs
duty may be given)

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

22.
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 – II PAST YEAR – I PRESENT YEAR NEXT YEAR
(Actual) (Actual) (Estimates) (Projections)
Net Sales
Net Profit
Capital ( Net worth
in case of
companies)

23. Status regarding Statutory Obligations:

Statutory Obligations Whether Complied with Remarks (Any details in connection with
(Write Yes/ No). If Not the relevant obligation to be given)
applicable then write N.A
1. Registration under Shops and
Establishment Act
2. Registration under SSI
 ABG-APL-CORP

( Provisional/ Final)
3. Drug Licence

4. Latest Sales tax returns filed

5. Latest Income tax returns filed

6. Any other statutory dues

remaining outstanding

24.
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 with name and signatures on the photograph with Branch stamp. The concern staff
will put his name below the signatures.

Date: Place:

I/We hereby certify that all information furnished by me /us is 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 an 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 are given above.

(Signature of the Borrower)

 ABG-APL-CORP

CHECKLIST 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 licence/ PAN Card/ signature identification from
present bankers of proprietor, partner or Director (if a company).

2) Proof of residence – Recent telephone bills, 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 lakh and above). However, for cases below fund based limits of Rs.25 lakh if
audited balance sheets are not available, then unaudited balance sheets are also accepted as per extant
instructions of the bank. For cases of Rs.25 lakh 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.

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 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) * 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. (APPLICABLE FOR CASES WITH
EXPOSURE ABOVE Rs. 25 LAKH).

13) * Last three year balance sheets of the Associate/ Group Companies (If any). (APPLICABLE FOR CASES
WITH EXPOSURE ABOVE Rs.25 LAKH)

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 LAKH)

15) * Review of account containing monthwise 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 limit, term loan limits, bill discounted. (APPLICABLE FOR CASES WITH EXPOSURE ABOVE
Rs.25 LAKH)

16) * Photocopies of lease deeds/ title deeds of all the properties being offered as primary and collateral
securities.
 ABG-APL-CORP

17) * Position of accounts from the existing bankers and confirmation about the asset being Standard with
them. (In Case Of takeover).

18) *Manufacturing process is applicable, major profile of executives in the company, any tieups, details
about raw material used and their suppliers, details about the buyers, details about major competitors
and the company’s strengths and weaknesses as compared to their competitors etc. (APPLICABLE FOR
CASES WITH EXPOSURE ABOVE Rs.25 LAKH)

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