STATE BANK OF HYDERABAD

Name of the Branch: ______________________________________

[For Office Use]




_________________________________________________________________________________


1. NAME OF THE ENTERPRISE



2. REGD. OFFICE ADDRESS



3. ADDRESS OF FACTORY/SHOP



4. WHETHER BELONGS TO SC/ST/
OBC/MINORITY COMMUNITY



TELEPHONE NOs.
[Office]

EMAIL ADDRESS

MOBILE NO.

PAN CARD NO.



5. CONSTITUTION Proprietary/Partnership firm/ Pvt.Ltd./Ltd. Company/Co-op. Society


6. DATE OF ESTABLISHMENT


7. NAME OF PROPRIETOR / PARTNERS/DIRECTORS OF COMPANY AND THEIR ADDRESSES:

NAME AGE
ACADEMIC
QUALIFICATIONS
RESIDENTIAL ADDRESS
TELEPHONE No.
[Residence]
EXPERIENCE IN
THE LINE OF
ACTIVITY




2
8. ACTIVITY Existing

Proposed
(#):
# If a different activity other than existing activity is proposed


9. NAMES OF ASSOCIATE CONCERNS AND NATURE OF ASSOCATION:

NAME OF THE ASSOCIATE
CONCERN
ADDRESSES OF
ASSOCIATE
CONCERNS
PRESENTLY
BANKING WITH
NATURE OF
ASSOCIATION
EXTENT OF INTEREST AS A
PROP./PARTNER/DIRECTOR
OR JUST INVESTOR IN
ASSOCIATE CONCERN


10.
Relationship of Proprietor/Partner/Director with the officials of the
Bank/Director of the Bank



10(a) CREDIT FACILITIES [EXISTING]:

Type of
facilities
Limit
[In lacs]
Outstandings
as on
Presently
banking with
Security Lodged
Rate of
Interest
Repayment
terms
Current A/c

Cash Credit

Term Loan

LC / BG

If Banking with this Bank, customer No. be given here

10(b)
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 10(a) above.


11. CREDIT FACILITIES [PROPOSED]:

Type of
facilities
Amount
[in lacs]
Purpose for which required
Security offered
PRIMARY SECURITY [Details
with approx. value to be
mentioned]
Whether Collateral Security
offered [Please mention yes or
no] [If yes, then provide
details in column 12]
Cash Credit

YES / NO
Term Loan

YES / NO
LC / BG

YES / NO


In case of term loan requirements, the details of machinery may be given as under:

Type of
Machine
Purpose
for which
required
Whether
imported or
indigenous
Name of
supplier
Total cost of machine
[in case of imported
machine, the breakup
of basic cost, freight,
insurance and
customs duty
may be given]
Contribution
being made
by the
promoters
Loan
required





3
12. Details of Collateral offered, if any, including 3
rd
party guarantee *
[* As per RBI guidelines banks are not to take collateral security for loans upto Rs.5.00 lacs to MSME Units]


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
[Actual]
PAST YEAR I [Actual]
PRESENT YEAR
[Estimates]
NEXT YEAR
[Projections]
Net Sales

Net Profit

Capital [Net worth in
case of companies]



14. Status regarding Statutory Obligations:

Statutory Obligations
Whether Complied with
(Write Yes / No.)
If not applicable then write N.A.
Remarks (Any details in connection with the
relevant obligation to be given
1. Registration under Shops and
Establishment Act

2. Registration under SSI
(Provisional / Final)

3. Drug Licence

4. Latest Sales tax return filed

5. Latest Income tax returns filed

6. Any other statutory dues
remaining outstanding



15

SPACE FOR PHOTO








SPACE FOR PHOTO







SPACE FOR PHOTO







SIGNATURES OF PROPRIETOR / PARTNER / DIRECTOR WHOSE PHOTO IS AFFIXED ABOVE
Only one photo of proprietor / each partner / each working Director is required to be affixed. Each photo will be
certified / attested by the Branch Team with name and signatures on the photograph with Branch stamp. The
concerned staff will put his name below the signatures.

16. Date: Place:


I / We certify that all information furnished by me / us in 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 deemed 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.








4
ANNEXURE

CHECK LIST [TO BE GIVEN TO THE NEW CUSTOMERS BY BRANCH] OF DATA
TO BE KEPT READY BY THE CUSTOMER

1. Proof of identity Voters ID card / Passport / Driving license / PAN card / signature
identification from present bankers of proprietor, partner or Director [If a company]

2. Proof of residence Recent telephone bill, electricity bill, property tax receipt / passport /
voters ID Card of proprietor, partner or Director [If a company]

3. Proof of business address

4. Proof of Minority

5. * Last three years balance sheets of the units alongwith income tax / sales tax returns
etc. [Applicable for all cases from Rs.2.00 lacs and above]. However, for cases below
fund based limits of Rs.25.00 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.25.00 lacs and above, the audited balance sheets are necessary.

6. * Memorandum and articles of association of the Company / Partnership Deed of
partners etc.

7. * Assets and liabilities statement of promoters and guarantors alongwith latest income
tax returns.

8. * Rent Agreement [if business premises on rent] and clearance from pollution control
board if applicable.

9. * SSI 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.2.00 lacs and above]

11. * In case of takeover of advances, sanction letters of facilities being availed from existing
bankers / Financial Institutions alongwith detailed terms and conditions.

12. * Profile of the unit [Includes names of promoters, other directors in the company, the
activity being undertaken, address of all offices and plants, shareholding pattern etc.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

13. * Last three years balance sheets of the Associate / Group Companies [If any].
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

5
14. * Project report [for the proposed project if term funding 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 utilisation 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.25.00 LACS]

15. * Review of account containing month wise sales [quantity and value both], 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, banks outstandings for working capital limits, term loan limits, bills
discounted.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 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 tie-
ups, details about raw material used and their suppliers, details about the buyers, details
about major competitors and the companys strength and weaknesses as compared to
their competitors etc.
[APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25.00 LACS]

19. * Technical feasibility - Capacity of the machinery, number of working days, number of
shifts etc., and Economic feasibility - competition, comments of the unit to meet
competition, viz. advantages of the unit, volume of orders on hand, Marketing
arrangements etc.,

20. * Particulars of the family - Members of the family / Education / Family income from all
sources [For Micro Enterprises]

21. * Particulars of existing utilities in case of SSI units viz. Power, Water, Fuel with comments
on requirement, availability/adequacy, qualitative aspects etc.

22. * In case of setting up of new SSI unit - Schedule of implementation.

23. * Allotment letter from DGFT allocating Export / Import code in case of exporters.

[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]