Upload
raghava-naidu
View
214
Download
0
Embed Size (px)
Citation preview
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 1/44
NF 1010
LOAN APPLICATION FORM PRADHAN MANTRI MUDRA YOJANA(PMMY)
( To be submitted ao!" #it$ do%ume!ts as &e' t$e %$e% ist )
A Fo' o**i%e Use+
,!te'&'ise Name
A&&i%atio! - NoName o* t$e .'a!%$
Cate"o'/
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 2/44
-$is$u01is$o'0Ta'u!
. .usi!ess Information:(To be filled by applicant)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 3/44
Name of the
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 4/44
Enterprise
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 5/44Constitution
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 6/44
2
Proprietary
Partnership
Pvt. Ltd.
Ltd. Company
Any Others (specify)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 7/44
Current
Business
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 8/44
State
PIN Code
Address
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 9/44
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 10/44
Business Premises
2ented
O!ned
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 11/44
"e#ephone No.
$o%i#e No.
91
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 12/44
E&mai#'
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 13/44
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 14/44
Business
Eistin
Activity
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 15/44
Proposed
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 16/44
*ate of Commencement(**+$$+,,,,)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 17/44
-hether the nit is eistered
/
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 18/44
,es
No
If eistered (P#ease mention' eistration
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 19/44
no. And the Act under !hich reistered )
eistered office Address
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 20/44
Socia# Cateory
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 21/44
/SC
S"
OBC
$inority Community
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 22/44
If $inority/
Buddhists
$us#ims
Christians
Si0hs
1ains
2oroastrians
Community
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 23/44
C .a%"'ou!d I!*o'matio! o* P'o&'ieto' Pa't!e's Di'e%to's+
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 24/44
S.No
Name
*ate of Se
esidentia#
Academic
Eperience in
Birth
Address !ith3ua#ification
the #ine of
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 25/44
$o%i#e No.
activity (,ears)
4.
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 26/44
5.
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 27/44
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 28/44
S.No
Id proof
Id proof
Address
Address
PAN
e#ationship !ith the
no.
proof
proof no.
Card+*IN No.
officia#s+ *irector of the
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 29/44
%an0 if any
4.
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 30/44
5.
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 31/44
NF 1010
D. Names of Associate Concerns and Nature of Association:
Names of Address of Present#y
Nature of Etent of Interest as a
AssociateAssociateBan0in !ithAssociationProp.+Partner+ *irector or 1ustConcernConcern
ConcernInvestor in Associate Concern
, .a!i!"C'edit Fa%iities ,3isti!"+ (I! Rs)"ype of Present#yLimitOutstandinSecurityAsset
6aci#itiesBan0in !ithAvai#edAs on 77#odedc#assification
statusSavins Account
N. A.
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 32/44
N. A.
Current Account
N. A.
N. A.
Cash Credit
"erm Loan
LC+B8
If %an0in !ith this %an09 customer I* to %e iven here'
It is certified that our unit has not avai#ed any #oan from any other Ban0 + 6inancia# Institution in the past and I+!e am+are not inde%ted to any other Ban0 + 6inancia# Institution other than those mentioned
in co#umn no. E a%ove.
F C'edit Fa%iities P'o&osed+ (I! Rs)"ype of 6aci#ities
AmountPurpose for !hich
*etai#s of Primary Security Offered
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 33/44
e:uired
(!ith appro. va#ue to %e mentioned)Cash Credit
"erm Loan
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 34/44
LC+B8
"ota#
4 I! %ase o* 5o'i!" Ca&ita+ .asis o* Cas$ C'edit Limit a&&ied+ (I! Rs)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 35/44
Actua# Sa#es
Pro;ected
6,&6,&
Sa#es-or0inInventory*e%torsCreditorsPromoter<sLimits
Cyc#e in
Contri%ution
$onths
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 36/44
H I! %ase o* Te'm oa! 'e6ui'eme!ts7 t$e detais o* ma%$i!e'/e6ui&me!t ma/ be "i8e! asu!de'+
"ype of Purpose
Name of "ota# Cost of Contri%ution %einLoan e:uiredmachinefor !hichSupp#ier $achinemade %y the(s.)+ E:uipment
re:uired
promoters(s.)
Tota
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 37/44
epayment period !ith $oratorium period re:uested for
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 38/44
I Past Pe'*o'ma!%e Futu'e ,stimates+ (I! Rs)
Past Performance + 6uture Estimates (Actua# performance for t!o previous years9 estimates for current year and pro;ections for netyear to %e provided for !or0in capita# faci#ities. =o!ever for term #oan faci#ities pro;ections to %e provided ti## the proposed year of repayment of #oan)
Past ,ear&IIPast ,ear&I
Present ,ear
Net ,ear (Pro;ection)
(Actua#)(Actua#)
(Estimate)
Net Sa#es
Net Profit
Capita# (Net
-orth in case of
Companies)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 39/44
J -tatus Re"a'di!" -tatuto'/ Obi"atio!s+
-hether
emar0s
Comp#ied !ith
(Any detai#s inStatutory O%#iations
(se#ect ,es+No)
connection !ith the
If not app#ica%#ere#evant o%#iation to %e
then se#ect N. A.
iven )
4. eistration under Shops and Esta%#ishment Act
5. eistration under $S$E (Provisiona# +6ina#)
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 40/44
>. *ru License
?. Latest Sa#es "a eturn 6i#ed
@.Latest Income "a eturns 6i#ed
.Any other Statutory dues remainin outstandin
De%a'atio!+
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 41/44
I+-e here%y certify that a## information furnished %y me+us is true9 correct and comp#ete. I+-e have no %orro!in arranements for the unit ecept as indicated in the app#ication form. "here is+are no overdue+ statutory due o!ed %y me+us. I+-e sha## furnish a## other information that may %e re:uired %y Ban0 inconnection !ith my+our app#ication. "he information may a#so %e echaned %y you !ith any aency
you may deem fit. ,ou9 your representatives or eserve Ban0 of India or $udra Ltd.9 or any otheraency as authorised %y you9 may at any time9 inspect+ verify my+our assets9 %oo0s of accounts etc. inour factory+%usiness premises as iven a%ove. ,ou may ta0e appropriate safeuards+action for recoveryof %an0<s dues.
-&a%e *o' P$oto-&a%e *o' P$oto-&a%e *o' P$oto
(-i"!atu'es o* P'o&'ieto'&a't!e' di'e%to' #$ose &$oto is a**i3ed abo8e)
Date+9999999999999999999
Pa%e+9999999999999999999
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 42/44
CH,C LI-T+ (T$e %$e% ist is o!/ i!di%ati8e a!d !ot e3$austi8e a!d de&e!di!" u&o! t$e o%a'e6ui'eme!ts at di**e'e!t &a%es additio! %oud be made as &e' !e%essit/)
Proof of identity & Se#f certified copy of oter<s I* card + *rivin License + PAN Card +
Aadhar Card+Passport.
Proof of esidence & ecent te#ephone %i##9 e#ectricity %i##9 property ta receipt (not o#der than 5
months)9 oter<s I* card9 Aadhar Card Passport of Proprietor+Partners+*irectors.Proof of SC+S"+OBC+$inority.
Proof of Identity+Address of the Business Enterprise &Copies of re#evant #icenses+reistrationcertificates+other documents pertainin to the o!nership9 identity and address of %usiness unit.
App#icant shou#d not %e defau#ter in any Ban0+6inancia# institution.
Statement of accounts (for the #ast si months)9 from the eistin %an0er9 if any.
Last t!o years %a#ance sheets of the units a#on !ith income ta+sa#es ta return etc. (App#ica%#e for a##cases from s.5 Lacs and a%ove).
Pro;ected %a#ance sheets for one year in case of !or0in capita# #imits and for the period of the #oan incase of term #oan (App#ica%#e for a## cases from s.5 Lacs and a%ove).
Sa#es achieved durin the current financia# year up to the date of su%mission of app#ication.
Pro;ect report (for the proposed pro;ect) containin detai#s of technica# economic via%i#ity.
$emorandum and artic#es of association of the company+Partnership *eed of Partners etc.
In a%sence of third party uarantee9 Asset Lia%i#ity statement from the %orro!er inc#udin *irectors Partners may %e souht to 0no! the net&!orth.
Photos (t!o copies) of Proprietor+ Partners+ *irectors.
.....................................................................................................................................................................
..................................
A%!o#ed"eme!t -i& *o' oa! A&&i%atio! u!de' P'ad$a! Ma!t'i MUDRA Yo:a!a
O**i%e Co&/+App#ication (system
*ate of App#ication
enerated+manua#) Num%er
Name of the App#icant(s)
Loan Amt. e:uested for
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 43/44
Sinature of App#icant(s)
Sinature of Branch
officia#
.....................................................................................................................................................................
..............................................................
A%!o#ed"eme!t -i& *o' oa! A&&i%atio! u!de' P'ad$a! Ma!t'i MUDRA Yo:a!aA&&i%a!ts Co&/+
App#ication (system
*ate of App#ication
enerated+manua#) Num%er
Name of the App#icant(s)
Loan Amt. e:uested for
Sinature of App#icant(s)
Sinature of Branch
officia#
7/25/2019 PMMY Form.rtf
http://slidepdf.com/reader/full/pmmy-formrtf 44/44