M

146kB Size 6 Downloads 12 Views

APPLICATION FOR SHORT TERM FINANCE. The Managing Director, M.P. Financial Corporation, ... Name of business house/group to . which the concern belongs :
M.P.F.C. CAPITAL MARKETS, INDORE {A Division of Madhya Pradesh Financial Corporation}

APPLICATION FOR SHORT TERM FINANCE

|The Managing Director, |Details of scrutiny fee | |M.P. Financial Corporation, |paid: | |`Finance House', A.B. Road, | | |INDORE - 452 001 | | |Madhya Pradesh | | | |Cheque No | | | |Date | | | |Amount | | | |Drawn on | |

Sir,

I/We hereby apply for financial assistance in the form of short term loan under Short Term Finance Scheme for an aggregate sum of Rs. lakhs from the Corporation on the terms and conditions to be stipulated by the Corporation.

I/We tender herewith prescribed scrutiny fees of Rs. as non-refundable scrutiny fee.

I/We authorise the Corporation to forward to our bankers a copy of this loan application for obtaining their opinion and consent for such facility to be availed by the company from the Corporation.

Thanking you,

Yours faithfully,

For and on behalf of M/s.



(Signature of Applicant)

Date:



Note: 1. In case of partnership firm, all partners must sign the loan application form. 2. In case of limited companies, the authorised director(s) should sign the application form and also furnish to the Corporation extract of resolution passed by the Board of Directors authorising him/them for signing the application form and/or dealing with the Corporation.

FOR OFFICE USE ONLY

|Appln |Sent for |Technical |Received at |Compl-eted | |received on |Technical |Comments on |HO for |on | | |comments on |comp on |Appraisal on | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |

FORM FOR SHORT TERM FINANCE

Amount of loan required: ____________________

1 Name of industrial concern :

2 a] Constitution :

b] Date of establishment :

3 Location

a] Registered office :

b] Factory (indicate whether : in backward region)

4 a] Nature of industry :

b] Products :

5 a] No & date of SSI Registration :

b] Other Registration, if any :

6. Name of business house/group to which the concern belongs :

7 Name(s) of related concerns with addresses

…………………………………………………………………………………………………………………………………………… Name of the Engaged in Place of Profit (Loss) Financed Default Concern activity by (if any) 1998-99 1999-00 ……………………………………………………………………………………………………………………………………………

I

II

III ……………………………………………………………………………………………………………………………………………

8 a] List of partners/directors …………………………………………………………………………………………………………………………………………… S.No Name Age Father’s Name Address Qualifi Financial Fixed Latest IT -cation Asset Income Assmt ……………………………………………………………………………………………………………………………………………





……………………………………………………………………………………………………………………………………………

b] List of chief executives

…………………………………………………………………………………………………………………………………………… S.No Name Age Designation Address Qualifi Phone Numbers -cation Office Residence ……………………………………………………………………………………………………………………………………………





……………………………………………………………………………………………………………………………………………

9 a] Existing assistance availed by the company if any

…………………………………………………………………………………………………………………………………………… Sanctioned Disbursed O/s (Latest) Overdue Security Year Amount Year Amount Amount Amount Charged …………………………………………………………………………………………………………………………………………… I All India Institutions - IDBI - IFCI - ICICI - Bank

II State level Institutions M P F C - I - II - III

M P A V N - I - II

III Commercial Bank(s) Fund based Non fund based ……………………………………………………………………………………………………………………………………………

b] Particulars of defaults, with MPFC if any:

…………………………………………………………………………………………………………………………………………… I II III Total …………………………………………………………………………………………………………………………………………… I Principal II Interest III Others …………………………………………………………………………………………………………………………………………… Total ……………………………………………………………………………………………………………………………………………

10. Proposed Scheme

a] Short term fund required for …………………………………………………………………………………………………………………………………………… S.No. Purpose Period Amount Remarks ……………………………………………………………………………………………………………………………………………



……………………………………………………………………………………………………………………………………………

b] Details of bills/orders for which finance is required

…………………………………………………………………………………………………………………………………………… S.No. Name of the concern Item Bill/Order Amount Quantity Due Date ……………………………………………………………………………………………………………………………………………





……………………………………………………………………………………………………………………………………………

c] Security offered to secure the loan

…………………………………………………………………………………………………………………………………………… Particular Type of security Amount Mortgage/Pledge/Hypothecation ……………………………………………………………………………………………………………………………………………

1.

2.

3.

…………………………………………………………………………………………………………………………………………… Total ……………………………………………………………………………………………………………………………………………

d] Details of existing status of the unit

…………………………………………………………………………………………………………………………………………… Product Regd. Installed Selling P r o f i t A f t e r T a x Capacity Capacity Rate 1996-97 1997-98 1998-99 1999-00 …………………………………………………………………………………………………………………………………………… I

II

III

……………………………………………………………………………………………………………………………………………

e] Details of existing working capital limit :-

I] Name and address of the Banker. II] Sanctioned amount of working capital. III] Type of assistance sanctioned. Fund based Non Fund based IV] Security offered to the bank.

f] Current Asset Details

…………………………………………………………………………………………………………………………………………… As on As on 31.03.2000 Application Date ……………………………………………………………………………………………………………………………………………

i. Total Current Assets ii. Total Current Liabilities iii. Bank Limit availed iv. Fund based limit availed Non-Fund based limit availed v. Current Ratio vi. Existing Turnover vii. Projected Turnover viii. Projected Current Ratio ……………………………………………………………………………………………………………………………………………

g] Other Details

…………………………………………………………………………………………………………………………………………… As on As on 31.03.2000 Application Date ……………………………………………………………………………………………………………………………………………

i. Capital ii. Term loan & Outstanding iii. Reserves & Surplus iv. Net Worth v. Cash Profit vi. Interest payment vii. Repayments viii. Projected Interest ix. Projected repayments DECLARATION

We hereby declare that the information given herein before and the statements and other papers enclosed are, to the best of our knowledge and belief, true and correct in all particulars and in the event of any of the statements being found to be untrue, the facilities granted on the basis of our assertion would be liable to be repaid forthwith interest and other costs accrued thereof to the lender.



For and on behalf of

(Name of concern)

Place : (Signature) Name and Designation

Date :

Comments