APPLICATION FORM FOR AEFL/AIF/PMFME LOAN
(To be obtained one time or wherever there is change)
Date: ………………………………
The Branch Manager
State Bank of India
……………………………. Branch
1. Name of the Enterprise* ___________________________________________
2. Regd.Office Address*______________________________________________
Photograph to be pasted
3. Address of Factory/Shop*___________________________________________ at the time of signing of
the application in the
___________________________________________ designated branch
4. Whether belongs to SC/ST/OBC/Minority Community: Yes / No
If Yes, then Please Select:SC/ST/OBC/Minority Community
5. Telephone No.*_____________________________
6. e-mail Address _________________________________
7. Mobile No.*__________________________
8. PAN Card No.__________________________
9. Constitution (Please Select)*Individual/Joint/Prop.Concern/ ____________________________
Partnership/ Pvt. Ltd. Co./Limited Co./ Trust/others
10. Date of Establishment* ______________________________
11. State*_______________________
12. City where loan is required *________________________ District _________________________
13. Branch where loan is required _________________________________
14. Name of Proprietors/Partners/Directors of Companyand their Addresses.*
Sl.
Date of Father/ Academic
Name Mobile No.
Birth Spouse Qualification
No.
1.
2.
3.
Experience
Sl. in the line
PAN No. Residential Address Mobile No.
No. of activity
(Years)
1.
2.
3.
15. Activity *Existing __________________ since ___________________
Proposed #_____________________________
#if a different activity other thanexisting activity is proposed.
16. Names of Associate Concerns and Nature of Association:
Extent of
Interest as a
Prop. /
Address Partner/
Names of Presently
of Nature of Directory
Associate Banking
Associate Association or
Concerns With
Concerns Just
Investorin
Associate
Concern
Relationship of Proprietors/Partners/Directors with the officials of the Bank/Director
of the Bank : Please select (Yes/No) _____________
17. Banking / Credit Facilities (Existing) (Rs. In lakh)
Type of Limit Outstanding Presently Rate of Repayment
Securities
Facilities (in lakhs) as on Banking With Interest Terms
Current
Account
Cash Credit
Term Loan
LC/BG
Others
Total
(if bankingwith our Bank, customer ID be given here: _______________
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
column no. 17 above. 18. Credit Facilities (Proposed)*
Security Offered
Whether Collateral
Purpose for Primary Security Offered
Type of Amount
which Security (Details with
Facilities (in lakhs) (if, Yes, then provide
Required approx. Value to be details on column
mentioned) 20) (Yes/No)
Cash Credit**
Term Loan
LC/BG
Others
Total
* Mandatory Fields
** Basis of Cash Credit Limit applied
Projected
Cash
Working Other
Credit Inventor Promoters’
Sales Cycle in Debtors Creditors Current
y Contribution
Months Assets
19. In case of term loan requirements, the details of machinery may be given as under :
Total Cost of
Machine
(in caseof
Whether imported machine, Contribution
Type of Purpose
Imported Name of The breakup of being made Loan
Machine/ for which
or Supplier basic costs, by the Required
Equipment Required
Indigenous freight, insurance promoters
and customs duty
may be given)
20. Details of Collateral Securities Offered, if any, including third party guarantee
(As per RBI guidelines banks are not to take collateral security for loans up to Rs. 10 Lakhs to MSME
Units)
a) Third Party Guarantee:
Telephone Net
No.
Sl. Name of Residential (Residence) worth
Mobile No. PAN No.
No. Guarantor Address (Rs. in
lakh)
1.
2.
b) Other Collateral Security:
Collateral Security
Sl. Value
Name of owner of Collateral
No. (Rs.
Nature Details
in
lakh)
1.
2.
21. Past Performance / Future Estimates
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)
Past Year 1 Past Year 2 Present Year Next Year
Rs.in lakh
(Actual) (Actual) (Estimates) (Projection)
Net Sales
Net Profit
Captial (Net Worth in
case of Companies
22. Status Regarding Statutory Obligations:
Statutory Obligation: Remarks (Any details in Connection with the relevant obligation to be given)
Whether Complied with (select Yes/No). If not applicable then
select N.A.
1. Registration under Shops and Establishment
Yes No/NA
ACT
2. Registration under MSME (Provisional/Final) Yes No/NA
3. Drug License Yes No/NA
4. Latest Sales Tax ReturnFiled Yes No/NA
5. Latest income Tax Returns Filed Yes No/NA
6. Any other Statutory dues remaining
Yes No/NA
outstanding
22. a) ID Proof (Any of following):
Passport/Voter Identity Card/PAN Card / Driving Licence Job Card/ Aadhaar
Card/ Identity Card (Subject to the satisfaction of bank)
ID Proof No.______________________________________
b)Address Proof (Any of following).
ElectricityBill/Telephone Bill/BankAccount Statement of anyotherbank/Letter fromreputed employer/my/our
assessment of accountetc., in our factory/business premises as given above.
Signature of the Borrower/Unit
Date: ……………………………..
