Professional Documents
Culture Documents
BORROWER'S PROFILE:
Name
Phone #
Res.
National Identity Card #
Computerized National Identity Card #
Import Registration/Export Registration #
Address
Fax #
E-mail Address
Off:
National Tax #
Sales Tax #
Date of Establishment
Opening of A/C
Off:
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
%of shareholding
Off:
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
3
MANAGEMENT
A. EXECUTIVE DIRECTORS / PARTNERS
Name
1
2
B. NON EXECUTIVE DIRECTORS / PARTNERS
Name
1
National Tax #
%of shareholding
Off:
National Tax #
%of shareholding
Off:
National Tax #
%of shareholding
Off:
National Tax #
National Tax #
%of shareholding
Address
NIC#
Phone #
Address
NIC#
Phone #
CORPORATE STATUS
Sole Proprietorship
Partnership
NATURE OF BUSINESS
Industrial
Commercial
Agricultural
Services
Any Other
REQUESTED LIMITS
Amount
Tenor
Fund Based
Non.Fund Based
7
Exports
Amount
Status
Expiry Date
Regular
Fund Based
Non Fund Based
9
10
DETAILS OF PRIME SECURITIES MORTGAGED / PLEDGED
A).
AGAINST EXISTING FACILITIES
Name of Financial Institution
Nature of Security
1
B).
AGAINST REQUESTED / FRESH / ADDITIONAL FACILITIES
Name of Financial Institution
Nature of Security
1
2
3
4
11
DETAILS OF SECONDARY COLLATERAL MORTGAGED / PLEDGED
A) AGAINST EXISTING FACILITIES
Name of Financial Institution
Nature of Security
1
2
3
B)
AGAINST REQUESTED / FRESH/ ADDITIONAL FACILITIES
Name of Financial Institution
Nature of Security
1
2
12
13
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Rating
Name of Directors
Share holding
14
15
16
NIC#
NTN
Over dues
Defaults
Net worth
17
18
19
Market value
Particulars of liabilities
Amount
20
21
22
Memorandum and Articles of Association , By Laws etc to be submitted by the borrower along-with request I certify and undertake that the
information furnished above is true to the best of my knowledge.
BY
21
21