S.No Particulars. A APPLICATION FORM Application- ID 11004 B PROOF OF IDENTITY (any one from 1 to 4) Voter ID Card Passport Driving Licence Aaadhar Card C PAN Card (Must) PROOF OF ADDRESS CHECKLIST FOR NEW SME LOANS Applicable? (Y/N) Date of receipt Residential (any one of the following for proprietor/ partner/ director (if company), latest document) Electricity bill Telephone bill Voter's ID card Aadhar Card Rental agreement, if rented house Business Office/ Registered Office (any one of the following) Electricity bill Telephone bill Lease agreement, if rented office Certificate of Incorporation in case of Company Certificate of Registration in case of partnership firms Business activity (factory/shed/unit) (any one of the following) Electricity bill Telephone bill Lease agreement, if rented facility Certificate of incorporation in case of Company Certificate of Registration in case of partnership firms 0 Remarks (Description / Observations/ Validity/ document no. etc.)
D E F PROOF OF REGISTRATION In case of Company Article of Association In case of Partnership If registered, Certificate of registration of firm with Registrar of firms In case of society/ Trusts Registration certificate from registrar of cooperative society In case of SME industries Entreprenueur Memorendum PROOF OF STATUS & NET-WORTH Assets and liabilities statement of promoters and guarantors along with following documents (Duly ceritified by Chartered accountant for exposure > 25L) Income tax returns for the last 3 years Audited balance sheet and P&L (along with auditor's report and relevant schedules) for last 3 years if the sales turnover is more than Rs 25 lacs in respective financial year Last 3 years balance sheets of the Associate/ Group Companies Statement of a/c with other Banks /FIs for last 6 months Copy of sanction letter of credit limits enjoyed with other Banks/ Financial Institutions Additional document in case of take over of loans Statement of accounts with other Banks/ Fis for last 1 year along with confimation from previous bank about the asset being standard with them Credit exchange information report from the existing bank (in the IBA prescribed format) Latest sanction letter of credit facilities being availed from existing bankers/ FIs along with all terms and conditions of sanction ELIGIBILITY If company, Memorandum of Association to check borrowing powers and restrictions if any
If partnership, Registered partnership deed to check any restrictive clause for borrowing If society, then bye-laws of society prescribing the activities and restrictive clause for borrowing Projections of profit and loss and balance sheet for next 2 years (along with DSCR calculations and assumptions underlying the calculations) in case of working capital requirement and the same for the entire period of term loan (CMA data) Project report for term loan covering 1) Information on the project 2) Project cost 3) Source of finance 4) Technical feasibility & economic viability report (applicable for >10 Cr. loans) 5) Implementation schedule 6) Current status of the project 7) Projected profitability statement 8) Projected cash flow statement and projected Balance Sheet covering the tenor of the term loan sought 9) Assumptions underlying the profitability estimates and DSCR calculations G Current year performance details (Month on month sales, till latest month) STATUTORY REQUIREMENTS In case of Manufacturing industries Clearance from pollution control board if applicable Power sanction letter Factory license for units under factories act VAT registration number Excise license/ registration (if required) Central Sales Tax registration number if applicable In case of service industries Service tax registration VAT registration number, if applicable Contractor license, for contractors
H I Trade license, for traders Municipal license, for hotels IE code for export/ import oriented units Professional qualification certificate, for professionals Permission from govt. depts, for educational institutions OTHERS Outside credit rating certificate if used VAT/ Sales tax receipts for last 3 years Supplementary information (as per prescribed format) PROPERTY/ SECURITY (Both Primary and Collateral Security offered) Mother deed/ Sale Deed/ Allotment letter/ Pocession certificate Latest property tax paid receipt Electricity Bill Approved plan, with license Certificate from municipal authorities (e.g Khatha certificate) Encumebernece certiifcate for 13 years NOC for mortgage from society / builder / or as may be the case or Deed of apartment in case of apartment Share certificate in case of society
To: The Branch Manager, Corporation Bank, Branch:... CORPORATION BANK (H.O.Mangalore) STATEMENT SHOWING ASSETS & LIABILITIES ( NET WORTH STATEMENTS) Name of the Applicant : Mr/Ms...Son/Daughter/Wife of... Name of the Co-Applicant : Mr/Ms...Son/Daughter/Wife of... Name of the Guarantor : Mr/Ms...Son/Daughter/Wife of... (Amount in Rupees lakhs) Immovable properties Applicant Co- applicant Guarantor Address of the Property with Survey. No/Door No etc Description: Land/Site/ Building Whether free hold / Lease hold Type of property Commercial/residential/agricultural Area /Extent of land Mortgaged for availing loan if any, details thereof Present market/assessed value ( 1 ) Rs. Rs. Rs.
Investment in Business Capital Applicant Co -applicant Guarantor Name of the Company/firm/ Concern in which investment is made Date of investments Present value of investments (2 ) Rs. Rs. Rs. Deposit held with Banks/ Companies/other lender,etc : Name of the Bank /Company where deposits are held Date of deposits Nature of deposits Present value of deposits ( 3 ) Rs. Rs. Rs. Government Securities / NSC/NSS etc Description Date of purchase Face value Present value of securities ( 4 ) Rs. Rs. Rs. Shares/Debentures/Mutual Funds/Units etc. Description Date of purchase Face value Present value. ( 5 ) Rs. Rs. Rs.
Life Insurance Policies Applicant Co- applicant Guarantor Policy Number/s Date of Policy Type of Policy Endowment/whole life etc. Annual Premium Sum Assured Surrender Value ( 6 ) Rs. Rs. Rs. Vehicles owned Model /Make Date of Purchase Whether Hypothecated for loan Details of loan against vehicle Present market Value ( 7 ) Rs. Rs. Rs. Other Assets: Furniture & Fixtures Rs. Rs. Rs. Cash in Hand Rs. Rs. Rs. Jewellery Rs. Rs. Rs. Plant & Machinery Rs. Rs. Rs. Other Assets if any (Specify) Rs. Rs. Rs. Total value of Other Assets ( 8 ) Rs. Rs. Rs. TOTAL ASSETS (Total 1 to 8 ) Rs. Rs. Rs.
LIABILITIES : (Please furnish loans availed from Banks/Financial Institutions & other borrowing) Applicant Co- applicant Guarantor Name of the Bank/Institution/ Nature/Type of Loan Date of Loan Amount of Loan availed Security offered if any. Amount outstanding ( 9 ) Rs. Rs. Rs. NET WORTH (ASSETS - LIABILITIES ) Rs. Rs. Rs. ANY OTHER USEFUL INFORMATION : We hereby declare and confirm that the assets furnished above are fully owned by me and these assets are not alienated or encumbered except to the extent furnished in the statement Further, I hereby undertake, not to encumber/alienate the said assets without prior intimation to the bank in writing till all my obligation to the bank as a Borrower/Guarantor are fully discharged. Place: Date: Signature of the Applicant Signature of Co applicant Signature of Guarantor We certify that we have verified the above information with the related records, wherever it is applicable & the assessment made is true & fair to the best of our knowledge & belief. Copies of supporting documents like title deeds. Orders, invoice, stamped receipts, RC books etc have been obtained and kept as branch records. Branch Manager
CERTIFICATE OF THE CHARTERED ACCOUNTANT (Applicable only in the case of credit limits of Rs.25 lakhs & above, & in case of Corp Home loan Rs.50 lakhs & above) Name & Address of the borrower/s: Mr/Ms. Place : Date : Signature of the Chartered Accountant with Seal
ID NO. 11004 (Processing fees / up front Fees are indicated in the Annexure and for the latest fees, the loan applicants may visit the Bank s website : www.corpbank.com] CORPORATION BANK Branch. APPLICATION FOR CREDIT FACILITIES TO MICRO & SMALL ENTERPRISES To be submitted along with documents as per check list Date of Receipt of application Received by Acknowledgement issued (For Office use only) : : : Yes/No 1. NAME OF THE ENTERPRISE 2. ADDRESS OF REGD. OFFICE 3. ADDRESS OF FACTORY/ SHOP ELEPHONE NOs.(Office) EMAIL ID : MOBILE NO. PAN 4. CONSTITUTION : Proprietory / Partnership Firm / Pvt. Ltd. Company / Co-op. Society 5. DATE OF ESTABLISHMENT 6. PERSONAL DETAILS OF PROPRIETOR/PARTNERS/DIRECTORS OF COMPANY: Name I II III IV Father's / Husband's Name Residential Address Date of birth Phone Mobile e-mail Phone Mobile e-mail Phone Mobile e-mail Phone Mobile e-mail Gender [ ] Male [ ] Female [ ] Male [ ] Female [ ] Male [ ] Female [ ] Male [ ] Female Occupation 349
Educational Qualification Religion Marital Status [ ] Single [ ] Married [ ] Divorcee [ ] Single [ ] Married [ ] Divorcee [ ] Single [ ] Married [ ] Divorcee [ ] Single [ ] Married [ ] Divorcee No. of Dependents Children... Others... Children... Others... Children... Others... Children... Others... Category [ ] SC [ ] ST [ ] OBC [ ] Minority [ ] Ex- servicemen [ ] others [ ] SC [ ] ST [ ] OBC [ ] Minority [ ] Ex- servicemen [ ] others [ ] SC [ ] ST [ ] OBC [ ] Minority [ ] Ex- servicemen [ ] others [ ] SC [ ] ST [ ] OBC [ ] Minority [ ] Ex- servicemen [ ] others PAN. Passport No. Voter Card No. Experience in the line of activity Annual Income Net worth 7. ACTIVITY : Existing Proposed (#) : # If a different activity other than existing activity is proposed. 8. NAMES OF ASSOCIATE CONCERNS AND NATURE OF ASSOCIATION: NAME OF ASSOCIATE CONCERNS ADDRESS OF ASSOCIATE CONCERNS PRESENTLY BANKING WITH NATURE OF ASSOCIATION EXTENT OF INTEREST AS A PROP./ PARTNER/ DIRECTOR OR JUST INVESTOR IN ASSOCIATE CONCERN 9. Relationship of Proprietor / Partner / Director with the officials of the Bank / Director of the Bank, if any? Name : Relationship : 10(a) CREDIT FACILITIES (EXISTING) : (Rs. in Lacs ) Type of facilities Limit Outstanding as on.. Presently banking with Security Lodged Rate of Interest Repayment Terms Current Account 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/We am/are not indebted to any other Bank / Financial Institution other than those mentioned in 10(a) above. 350
11. CREDIT FACILITIES (PROPOSED) : Types of Facilities Amount (In Lacs) Purpose for which required PRIMARY SECURITY (Details with approximate Value to be mentioned Security offered 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 LG / 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 12. DETAILS OF COLLATERAL SECURITY OFFERED, IF ANY (* As per RBI guidelines banks are not to take collateral security for loans upto Rs. 5 lakhs to MSME Units) 13. PAST PEPRFORMANCE/FUTURE ESTIMATES (Actual performance for two previous years, estimates for current year and projections 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 Obligation 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 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) 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 deemed 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. 351
15. SPACE FOR PHOTO SPACE FOR PHOTO SPACE FOR PHOTO SPACE FOR PHOTO SIGNATURUES OF PROPRIETOR / PARTNER / DIRECTOR WHOSE PHOTO IS AFFIXED ABOVE SIGNATURUES OF PROPRIETOR / PARTNER / DIRECTOR WHOSE PHOTO IS AFFIXED ABOVE SIGNATURUES OF PROPRIETOR / PARTNER / DIRECTOR WHOSE PHOTO IS AFFIXED ABOVE SIGNATURUES 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: 17. Particulars of Guarantor/s (only in case of loans for more than Rs.5.00 lakh): Name of the Guarantor/s Father s/husband s Name Residential Address I II Phone Mobile Phone Mobile E-mail E-mail Date of Birth Gender [ ] Male [ ] Female [ ] Male [ ] Female Marital Status [ ] Single [ ] Married [ ] Divorcee [ ] Single [ ] Married [ ] Divorcee Educational Qualification Occupation PAN. Passport No. Voter Card No. Annual Income Net Worth I am willing to stand as Guarantor/s Photograph of guarantor with signature Photograph of guarantor with signature Date : Place : Signature/s of Guarantor/s 352
CHECKLIST (TO BE GIVEN TO THE NEW CUSTOMERS BY BRANCH) OF DATA TO BE KEPT READY BY THE CUSTOMER 1. Proof of identity Voter's ID Card / Passport / Driving Licence / PAN Card / signature identification from present bankers of proprietor, partner or Director (if a company) 2. Proof of residence Recent telephone bills, electricity bill, property tax receipt / passport / voter's 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 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. 6. *Memorandum and Articles of association of the Company /Partnership Deed of partners etc. 7. *Assets and liabilities statement of promoters and guarantors along with 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 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, address of all offices and plants, shareholding pattern etc.) (APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs. 25 LACS) 13. Last three yeas 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 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 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 both), production (quantity and value), imported raw materials (quantity and value) indigenous raw material (quantity and value), value of stocks in process, finished goods (quantity and value), debtors, creditors, bank's outstanding 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 proprieties 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) ---------------------------------------------------------------------------------------------------------------------------------------------------------- ACKNOWLEDGEMENT SLIP Received from Mr/Ms/M/s...... (Name and Address ) an application dated... for Rs... for......(mention whether for working capital / project finance / non-fund based facility etc.) All the required information / documents are also furnished / yet to be furnished by the applicant. Date OFFICER / MANAGER This is only an acknowledgement for having received the loan application and this should not be construed as an indication of our acceptance of the proposal or willingness to sanction the loan applied for, a decision on which will be taken only after due consideration of the proposal on its merit and / or on fulfilment of conditions if any, that may be stipulated by the Bank. The application will be taken up for consideration only after all the particulars / data / documents as may be required are received by the Bank. 353