Personal Discussion Report:All Applicant(s)

Name of Applicant -
Branch -
Prospect ID -
Type of Locality - Commercial Industrial Village

Small Market Residential Semi Urban

No Particulars Findings / Information

□ Manufacturing □ Commission Agent
□ Wholesale □ Contractor
1
Type of business /Type of company □ Trading/Service □ Skilled Labour
□ Salaried □ Unskilled Labour
□ Other (Pls specify)

1.A Name of business and complete address with pin code

Does business have board? Yes / NO

2
If yes, name on board
3 Operating business from current premises since Years Months Days
Elaborate the nature of business
Products dealing with
4
Business activity
Peak business hours etc. Morning Afternoon Evening Late Evening
5 Business Stability Years Months

Details of business setup

□ Permanent structure □ Temporary setup
6 □ Tin Shaded □ In Open
□ Wheel/Hand Cart □ Redi/Patri/Thela

Business Premises Ownership Detail

□ Self-Owned □ Shared
7 □ Rented – □ Family Owned
(Rent Rs ) (Owner )
8 No. of customers observed during business visit
9 Business activity level with Nos customer attended daily High (20-25)
Medium (10-19)
Low (5-9) Poor
10 Overdues in electricity bill/Water bill/Telephone bill Etc. if
Yes please specify Amt and months
11 Is the firm registered under appropriate Authorities Yes / NO
If yes, Mention Details -

12 Does borrower have helper / laborer/ employee on salary / Yes / NO

wages? Permanent Contractual Total
Monthly salary paid –

Daily Wages paid

Is there any seasonal fluctuation in the business?

 If yes, what are their effects on monthly cash flow & how will
13 the applicant overcome this and manage the loan EMI?
14 Total family members including children

Sr No Dependent details Age Work/school Earning or Not

earning person
1
2
3
4
5
6
Examined financial details /business Income on daily as well as monthly basis/monthly salaried
15
Assessed Business Sale / Peak Normal Hours Daily Monthly
Income Hours

Cash balance with customer

at the time of PD
Salary
Total Assessed Sales / Income ( I )
LESS - Business Expenses:
Purchase cost of goods
Rent (Business Premises)
Salaries and Wages
Interest paid on loans (local lenders)
Transportation cost
Electricity bill
Local applicable taxes
Telephone /Mobile
Business promotion expenses
Other Please (Specify)
Total Business Expenses ( J )
( K ) Net Profit from business operation ( I-J )
Daily conveyance for Office
Details of Additional Income ( L )
Nature of Income Source Examined Through Amount
Rental Income
Agricultural income
Part time job income
Dairy income
Interest Income
Others Please (Specify)
Total (L)

2
 Other income details of applicant’s family ( M )
Relation with Income Source Examined through Amount
applicant (Salary/Business/others) (Dox/CPV/TPC)

Total ( M )
(N) Total Net Family Income (K+L+M)
Household Expenses ( O ) Monthly
Food / clothing and other necessary basic
expenses
Electricity & water exp.
Telephone/Mobile
Child Education fees
Medical expenses if any
Cable recharge exp.
Transportation expense
Monthly Rent paid
Others Please (Specify)
Total Loan EMI payment in a month
(O) Total Household Expenses
Net Disposable Income (N-O)

Give details of all borrowings from all sources -

16
Loan taken from (TWL/AL/ Amount EMI Amt Loan Balance Mode of Feedback on
(Financer) BL/PL/ financed Tenor Tenor Payment repayment
Etc) ECS / Cheque /
Cash

Total Loan /Borrowing Total EMI

17 Highlight the Savings / Assets acquired / Investment done by borrower -
In Saving Account: LIC Policy:
RD / FD: Asset purchase in last 1 yr:
Plot/Home purchase from last 1 yrs:
Chit Fund: Other (Specify) :
Committee / Lottery:
(Note - Collect document/s as evidence of above & enclose)
18 Essenctial Life style Television Eletricity
Indicator Refrigerator Toilet
Fan/Cooler/AC Smart Phone
Two Wheeler Washing
mechine
Four wheeler
3
 Give ready references of people who are related to business - suppliers / clients, Neighbor/Colleague

19 Reference(Customer):Name- Mobile no- Known since-

Reference (Supplier) : Name- Mobile no- Known since-

Reference(BusinessNeghbour):Name- Mobile no- Known since-

Salaried -Reference 1 (Colleague ):Name- Mobile no- Known since-

Salaried -Reference 1 (Colleague ):Name- Mobile no- Known since-

20 End use of loan

21 Loan amount requested
22 Residence from Since Years Months days
23 Does customer have own contribution ready
24 Source of Own Contribution
25 Comfortable EMI

Overall observation on business activities/setup/future scope/ etc

PD done by: Employee Code:

Designation: Signature

Date and time of PD

Additional Information for Cash and chqsalaried

Name of the Employer

Type of Employer Proprietor/partner/Pvt Ltd Etc.
Owner Name
Employee since
Salary
Designation
Bank details where cheque is appearing
Contact number of Employer

Address of Employer
Employer Feed back
4