The Karur Vysya Bank Ltd
---------------------- Branch
Loan Application form for MSEs
(To be submitted along with documents as per the checklist)
01. Name of the Enterprise:
02. Regd Office Address:
03. Address of factory / shop:
04. Whether belongs to SC/ST/OBC/Minority Community:
Telephone No: Email address
(Office)
Mobile No. PAN Card No.
05. Constitution: Proprietory / Partnership Firm / Pvt Ltd / Ltd Co / Co-op society
06. Date of Establishment:
07. Name of Proprietor / Partners / Directors of Company and their addresses:
Name Age Academic Residential Telephone
Qualifications Address no.
(Residence)
08. Activity: Existing:
Proposed:
09. Names of associate concerns and nature of association:
Name of Addresses of Presently Nature of Extent of interest as
associate concern associate banking with association a Proprietor /
concerns Partner / Director or
Just Investor in
associate concern
10. Is the applicant related to any of the Directors of our Bank / Other Banks (Sec 20
of the Banking Regulation Act)?
11. Credit facilities (Existing):
Type of Limit (in Oustandings Presently Security Rate of Repayment
facilities Lacs) as on banking lodged Interest terms
……… with
Current
account
Cash
Credit
Term
Loan
LC/BG
It is certified that our unit has not availed any loan from any other Bank / Financial
Institution in the past and we are not indebted to any other Bank / Financial Institution
other than those mentioned above.
12. Credit facilities (Proposed):
Type of facilities Amount Purpose for
Security offered
(in Lacs) which required
Primary security Whether collateral
(Details with security offered
approx value to (Please mention yes
be mentioned) or no) (If yes, then
provide details
below)
Cash Credit
Term Loan
LC/BG
Details of collateral security offered, if any, including 3rd party guarantee:
In case of term loan requirements, the details of machinery may be given as under:
Type of Purpose for Whether Name of Total cost of Contribution Loan
machine which imported or supplier machine (in being made required
required indigenous case of by the
imported promoters
machines, the
breakup of
basic cost,
freight,
insurance and
customs duty
may be given)
13. 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:
(Rs in lacs) Past year – II Past year – I Present year Next year
(Actual) (Actual) (Estimates) (Projections)
Net sales
Net profit
Capital (Net worth
in case of
Companies)
14. Status regarding statutory obligations:
Statutory obligation Whether complied with Remarks (Any details in
(write yes / no). If not connection with the relevant
applicable, then write NA obligation to be given)
a. Registration under Shops
and Establishment Act
b. Registration under SSI /
MSME (Provisional / Final)
c. Drug license
d. Latest sales tax returns
filed
e. Latest income tax returns
filed
f. Any other statutory dues
remaining outstanding
15.
Space for photo Space for photo Space for photo
Signatures of Proprietor / Partners / Director whose photo is affixed above
Only one photo of Proprietor / each Partner / each working Director is required to be
affixed.
16.
I / We certify that all information furnished by me / us is true; that I / We have no
borrowing arrangements for the unit except as indicated in the application; that there is
no overdues / statutory dues against me / us / promoters except as indicated in the
application; that no legal action has been / is being taken against me / us / promoters;
that I / We shall furnish all other 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 you, your representatives, representatives of the Reserve Bank of
India or any other agency as authorized by you, may, at any time, inspect / verify my /
our assets, books of account, etc in our factory / business premises as given above.
Date: Place:
Authorised signatory / ies
Check list (to be given to the new customers by branch) of data to be kept ready by the customer
01. Proof of identity – Voter’s ID card / Passport / Driving license / PAN card /
Signature identification from present bankers of proprietor, partner or Director (if
a Company).
02. Proof of residence – Recent telephone bills, electricity bill, property tax receipt /
passport / voter’s ID card of Proprietor, Partner of Director (if a Company).
03. Proof of business address
04. Proof of minority
05. Last three years Balance Sheets of the units along with income tax / sales tax
returns, etc. (applicable for all cases from Rs.2 lacs and above). However for
cases below fund based limits of Rs.25 lacs if audited Balance Sheets are not
available, then unaudited Balance Sheets are also acceptable as per extant
instructions of the bank. For cases of Rs.25 lacs and above, the audited Balance
Sheets are necessary.
06. Memorandum and Articles of Association of the Company / Partnership deed of
Partners, etc.
07. Assets and liabilities statement of promoters and guarantors along with latest
income tax returns.
08. Rent agreement (if business premises on rent) and clearance from pollution
control board, if applicable.
09. SSI / MSME registration, if applicable.
10. Projected Balance Sheets for the next two years in case of working capital limits
and for the period of the loan in case of term loan (for all cases of Rs.2 lacs and
above).
11. In case of takeover of advances, sanction letters of facilities being availed from
existing bankers / financial institutions along with detailed terms and conditions.
12. Profile of the unit (includes names of promoters, other Directors in the Company,
the activity being undertaken, addresses of all offices and plants, share holding
pattern, etc). (Applicable for cases with exposure above Rs.25 lacs).
13. Last three years Balance Sheets of the associate / group companies (if any).
(Applicable for cases with exposure above Rs.25 lacs).
14. Project report (for the proposed project if term lending is required) containing
details of the machinery to be acquired, from whom to be acquired, price, names
of suppliers, financial details like capacity of machines, capacity utilization
assumed, production, sales, projected profit and loss and Balance Sheets for the
next 7 to 8 years till the proposed loan is to be paid, the details of labour, staff to
be hired, basis of assumption of such financial details, etc. (Applicable for
cases with exposure above Rs.25 lacs).
15. Review of account containing monthwise sales (quantity and value), production
(quantity and value), imported raw material (quantity and value), indigenous raw
material (quantity and value), value of stocks in process, finished goods (quantity
and value), debtors, creditors, creditors, bank’s outstandings for working capital
limits, term loan limits, bills discounted. (Applicable for cases with exposure
above Rs.25 lacs).
16. Photocopies of lease deeds / title deeds of all the properties being offered as
primary and collateral securities.
17. Position of accounts from the existing bankers and confirmation about the asset
being Standard with them (in case of takeover).
18. Manufacturing process if applicable, major profile of executives in the company,
any tieups, details about raw material used and their suppliers, details about the
buyers, details about major competitors and the company’s strength and
weaknesses as compared to their competitors, etc. (Applicable for cases with
exposure above Rs.25 lacs).
(The check list is only indicative and not exhaustive and depending upon the local
requirements at different places addition could be made as per necessity)
