Loan Application Form

1. Name of the borrower …………………………………………………………………………………………………..

…………………………………………………………………………………………………..

2. Registered Office Address …………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

Phone no …………………………………………………………………………………………………..
Email-ID …………………………………………………………………………………………………..

3. Address of Corporate Office …………………………………………………………………………………………………..

and other Units …………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

Phone no …………………………………………………………………………………………………..
Email-ID …………………………………………………………………………………………………..
Website address …………………………………………………………………………………………………..

4. Constitution Public Ltd Co / Private Ltd Co / Partnership / Proprietorship / etc

5. Date of establishment/Incorporation in DD/MM/YYYY …………………………………………………………….

6. Name of the directors and their details as under :-

Name Date of Birth Academic Residential Telephone Total Years of PAN

(DD/MM/YY) Qualifications Address number Experience Number
7. Activity ( Manufacturing/Trading/others) …………………………………………………………………………………….

If manufacturing, then details of existing capacity and capacity utilization in % in last two years

……………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………..

8. Existing Credit Facilities (INR M) :-

Name Type of facility Approved Outstandings Securities Rate of Repayment

of the Fund based/ Limits as on date offered Interest Terms
Bank Non Fund
based

9. Credit Facility (Proposed): (INR M)

Type of facility Applied Limit Purpose Collateral Personal

Security Guarantee(s)

10. Latest shareholding pattern …………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..

…………………………………………………………………………………………………..
 11. Top 5 buyers and suppliers 1………………………………………………………………………………………………..

2………………………………………………………………………………………………..

3………………………………………………………………………………………………..

4………………………………………………………………………………………………..

5………………………………………………………………………………………………..

12. Details of associate/sister/subsidiary companies

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

13. List of pending litigation/court/legal cases , if any, against the company/directors /guarantors

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………………………………….

14. Status regarding Statutory obligations:

Statutory Obligation Whether complied Remarks

(Yes/No/NA)

Declaration
I / We hereby 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 an
agency you may deem fit and you, your representatives, representatives of the Reserve Bank of India or
any other agency as authorised by you, may, at any time, inspect / verify my / our assets, books of
account etc. in our factory, / business premises as given above.
Signature/s of Applicant/s with Names & Designations :

1………………………………………………………………………………………………………………………………………………….……………
………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………….

2………………………………………………………………………………………………………………………………………………….……………
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………………………………………………………………………………………………………………………………………………………………….

3………………………………………………………………………………………………………………………………………………….……………
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4………………………………………………………………………………………………………………………………………………….……………
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………………………………………………………………………………………………………………………………………………………………….

Date ………………………………………

Place……………………………………..

List of documents to be enclosed with the application :

1. Memorandum & Articles company / Partnership Deed
2. Last three years audited financials
3. Company profile and business model
4. Copy of latest External Rating
5. CA certified projections for the next two years
6. YTD financials numbers
7. Latest Net Worth Statement of promoter/guarantors ,

For Bank Use only

Date Application Received : …………………………………………………….

Signature of Official :………………………………………………………

Date Proposal Disposed :………………………………………………………

Signature of Official :………………………………………………………

Terms and Conditions

1. The interest rate chargeable on the facility will be linked to the Base Rate of the bank for all INR
based loans and LIBOR based for FCY based loans.

2. Processing Fees and other charges will be as per the standard tariff of the bank, except for any
special tariff which may be mutually agreed with the customer.

3. Statutory charges, as notified by government from time to time will be payable by the borrower,
wherever applicable.

4. Borrower declares that none of the existing director on its board has been identified/declared as
Willful defaulter. Borrowers covenants that it should not induct a person as a Director on its
Board who has been identified/ declared as Willful defaulter and in case any such person is
found on the Board or is later on identified/declared as willful defaulter, the Borrower shall take
expeditious and effective steps for the removal of such person from its Board.

5. The credit facilities shall be provided subject to the requisite receipt of information sought by
the bank and appropriate satisfaction of the bank on the specified terms and conditions. The
bank reserves the right to refuse the requested credit facilities without any risk & responsibility
on its part.

6. The Credit facilities shall be granted in accordance with / subject to the RBI directives issued
from time to time and also the bank’s internal credit guidelines.

Signatures of Applicant, signifying their understanding of the Terms & Conditions:

1………………………………………………………………………………………………………………………………………………….……………
………………………………………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………………………………………….

2………………………………………………………………………………………………………………………………………………….……………
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