1.
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Name of the Enterprise *:
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2.
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Registered Office Address:
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3.
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Address of Factory/Shop
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4.
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Category
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5.
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Telephone No.
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#
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6.
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Email Address*:
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7.
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Mobile No.*
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#
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8.
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PAN Card No.*
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9.
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Constitution :
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10.
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Date of Establishment*:
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DD
MM
YYYY
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11.
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State :
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12.
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District where Loan is required
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13.
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Bank Branch where Loan is required
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Branch Address
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1ST FLOOR,BJP BHAVAN M.G RD,MIDDLE POINT
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14.
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Name of Proprietors/Partners/Directors of Company and their addresses:
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15.
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Activity
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Existing:
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Proposed :
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(If a different acivity other than existing activity is proposed)
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16.
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Names of Associate Concerns and Nature of Association:
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17.
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Credit Facilities (Existing) (Rs. in Lacs)
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If Banking with this Bank, Customer ID to be given here :
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It is certified that our unit has not availed any loan from any other Bank / Financial
Institution in the past and I am not indebited to any other Bank / Financial Institution
other than those mentioned in 17 above
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18.
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Credit Facilities (Proposed) (Rs. in Lacs)
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19.
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In case of term loan requirements, the details of machinery may be given as under:
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20.
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Whether loan is to be covered under CGTMSE
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Details of Collateral Security Offered, if any including third party Guarantee #
(# As per RBI Guidelines banks are not to take collateral security for loans upto
Rs. 10 Lakhs to MSME units)
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21.
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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)
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22.
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Status Regarding Statutory Obligations
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Statutory Obligation
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Whether Complied with
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Remarks (Any details in Connection with the relevant Obligation)
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1. Registration under Shops and Establishment Act
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2. Registration under SSI (Provisional/Final)
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3. Drug License
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4.Latest Sales Tax Return Filed
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5. Latest Income Tax Filed
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6. Any other Statutory dues remaining outstanding
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Select Identity Proof :
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ID Proof No :
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Select Address Proof :
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Address Proof No :
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Enter Text Shown Below:
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