ANNEXURE A

APPLICATION FORM
(Co-Applicant also needs to fill the Form separately in case of more than one
Applicant)

SHREEJI ASSOCIATES
102, Orchid Plaza, Off S. V. Road,
Behind Gokul Shopping Centre,
Borivali (W),
Mumbai – 400092

I/ We hereby apply for a loan of Rs…………………..(Rupees…………………………….

Only) for a term of months and furnish below the necessary particulars.

1. Purpose of Loan :
2. Full Name of the Applicant:
3. Permanent Address of Applicant/Registered Office:
4. Residence Address of Applicant/Branch Address:
5. Status and Nationality :
6. Date of Birth/Incorporation:
7. Education Details:
8. Nature of service/activity :
9. Age and Gender/Date of Incorporation :
10. Gross Annual Income :
11. Current Bank details:
12. Limits with other banks/ financial/ informal lending institutions

Name of bank/ Year Limits, if any Balance o/s

financial/
informal lending
institution

13. Payment of Income Tax for the last three years

First Year Second Year Third Year

(Year (Year (Year )
) )

Total Payments
14. Net worth of Applicant : Rs. (Enclose copies of relevant proofs)

15. Property Details to be Mortgaged

Built up
Property Year of and Present
Residential/Commercial
Address Construction Carpet Value
Area

Declaration:
 I/We hereby declare that the particulars given above are true and correct to
the best of my/our knowledge and belief.
 It will be in order for the “Shreeji Associates” and the Finance Company to
disqualify me/us from receiving any credit facilities from “Shreeji Associates”
in case it is proved that the declarations of my/our outside borrowings made
above contain misrepresentation of fact.
 I/We hereby declare that I/we have no borrowings from any other agency on
the date of application other than those mentioned in this Application and
that no legal action has been/is being taken against me/us; that I/we shall
furnish all the information that may be required by you in connection with
my/our application; that this may also be exchanged by you with any agency
you may deem fit, and that you, your representatives, or any other agency as
authorized by you, at any time, inspect/verify our assets, books of accounts,
etc.
 I/We undertake not to borrow from any other agency without the permission
of the “Shreeji Associates” and/or the Finance Company.
 I/We hereby undertake to abide by the terms and conditions that “Shreeji
Associates” may stipulate in sanction of this loan and inform “Shreeji
Associates” in the event of acquiring any other assets during the tenure of
the advance.
 I /We shall indemnify “Shreeji Associates” and/or the Finance Company to
make the loss good in the event of any loss / damage that may arise on
account of false / incorrect declaration by me / us.

Signature of the Applicant/co-Applicant:

Place:
Date:
 Details of Co-obligants/ Guarantor/s (separate sheet for each Guarantor)

1. Name :
2. Age :
3. Full Address :
4. Occupation :
5. Income :
6. Assets Owned :

Location (Specify
Present Market
Details Door No/Survey Annual Income
Value
No/Village No.

I/We offer to stand as Co-obligant/ Guarantor/s for the credit facilities to be

extended to

We certify that all the information furnished by me/us may also be exchanged
by you with any agency you may deem fit, and that you, your representatives, or
any other agency as authorized by you, at any time.

Signature of Co - applicant /Guarantor :

Place:

Date:
Sr. NO. DOCUMENT CHECKLIST
1 Brief Profile of the Business with ( a) Project Report (b) Brochures

2 List of Partners/Directors
Incl Pan No, Add & Tel No. (Resi & Mobile)

3 Shareholding Pattern on the Letterhead

4 Pan Card copy and Aadhar Card Copy of

a Company (only pan card required)
b All Director/Partner (pan card, Aadhar Card required)

5 Address proof of the Directors/Partner (any1)

Electricity bill
Society Maintainance Bill
Share Certificate

6 Address proof of the Office (any1)

Electricity bill
Rental Agreement
Maintenance Bill

7 Address proof of the Factory (any1)

Electricity Bill
Rental agreement
Maintenance bill

8 MOA & AOA ( in case of Ltd & Pvt Ltd Co.)

9 Partnership Deed (in case of Partnership firm)

10 ITR with Computation of Income,3CD/3CB,3CA, & Tax paid proof

2019-20
2018-19
2017-18

11 Provisional Balance Sheet as on 31/03/2019, with schedules

12 Audited B/S, P&L & Audit Report along with schedules
2019-20
2018-19
2017-18

13 Bank Stat for Last 12 Months for all banks (Savings Account and Current Account)
Eg. Jan-19 to DEC-19
14 Sanction Letter of all Banks & Financial Institutions

15 GST Registration Certificate and payment challans of 1 year

16 Shop Establishment Licence Copy.

17 Solvency certificate as per applicant’s profile.

The Application should be accompanied with the copies of all documents of

the Property to be mortgaged viz the following:
Sale Deed (All chain Agreement), Builder / Society NOC , Share Certificate, Blue
Print, Maintenance Slip, Index II, Project Report, All legal sanctioned copy of
project, Occupancy Certificate etc.
In case of agriculture Land or other land : All Sale Deed ( All Chain Agreement),
7/12, 8/12,6/12 Uttar Copy, Land Naksha and Land Photo

Signature: