CORPORATE BORROWERS -(APL-2)

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1 CORPORATE BORROWERS -(APL-2) APPLICATION FORM FOR LOAN OF ABOVE RS 15 CRORE TO RS 40 CRORE FOR WORKING CAPITAL (FUND BASED/ NON FUND BASED) & TERM LOAN BORROWER PROFILE : Name Constitution Date of incorporation/ Date of Establishment Registered Office Corporate Office Company Identification Number (CIN)/ Registration Number in case of Partnership Banking with us since/new Relationship. Names of Partners/ Main Promoters Manufacturing Facility (Locations) Name of the Contact person & phone no. E-Mail Id Partnership/Private Ltd/Public limited Name, address &membership number of the Company s Statutory Auditors / Name, address &membership number of the Firm s Auditors 2. EXTERNAL RATING ( Rs 1000 Lacs& above) Agency Rating Date of Rating Purpose Valid up to Denoting 2a. FACILITIES PRESENTLY ENJOYED (Amtin crore) Nature of Limit O/S as on Rate of Interest Name of the Bank Facility

2 2b. Industry Line of Activity Facility Arrangements Sole/Consortium/Multiple Whether Sensitive Sector: Real Estate /Capital Market /NBFC 2c Share holding pattern as on: Name of Promoters/ Major share holders* 1 Number of Shares 2 Rs. in Crore 3 Promoters % Holding 4 Total *In case of partnership firm, names of partners & their investment and share in % should be given in the above table in points 1,3&4 2d.Whether Shares pledged to any Yes /No Bank/FI/Others If Yes, Percentage of share pledged Purpose Institution 3. Brief History:- 3a. Board of Directors/Partners S.No Name Designation DIN PAN UID 3.b:Brief Profile of Partners/ Directors:

3 4. OTHER DETAILS: (4.a)Whether any of the Partner/ Firm, Director/Company appearing in Caution Advices circulated by the Bank from time to time/rbi s Willful defaulters list/ Caution list of ECGC/CIBIL etc (4.b)Whether any of the partner/firm, Directors/Company is connected in the past with any One time settlement/suit filed account/non performing assets with any Bank/Financial Institution (4.c)Whether any of the partner/directors is related to Directors/Senior Officers of Central Bank of India/Other Banks (4.d)Whether there has been any change in the partnership /Management during last one year. (4.e)Whether there is any litigation initiated against the Borrower by any Bank/FI/others (4.f) Whether activity undertaken and borrowings sought are as per borrowing powers vested to the Board by Memorandum & Article of Association. 5. PRESENT REQUEST: ( Rs in crore) Nature Fund Based Limit requested Margin Rate of Intt/Com requested Our Proposed Share in % in consortium Total FBWC Term Loan Non Fund Based LC LG Total (FB+NFB) Forward Contract

4 5.a: SUB LIMITS Within CCH Within Bills Within LC/LG Within Term Loan Transfer of D.P. If request is for fresh sanction/enhancement in working capital limits (Fund based/non fund Based) Information as per annexure -1 should be given here. If request is for fresh term loan, information as per annexure -2 should be given here. 6. PRIME SECURITY OFFRED: Nature / Description of WDV Security Market Value & Basis of valuation (Rs in lacs) (6.a)Collateral Security offered: Nature / Description of WDV Security Market Value (Rs in lacs) (6.b)Time Period required for perfection of security: (6.c) Personal Guarantee Offered: Name Relationship with Company/Firm Net Worth as on 7.Information in case of Term Loan: Existing Proposed Nature Book Value FACR Book Value FACR on project completion Primary (7.a) Debt Profile as on : (Rs in crore)

5 Facility Fund Based Non- Fund Based Total Limit O/s Limit O/s Limit O/s Our Bank W.C. Term Loan Sub Total Other Banks FIs TOTAL (7.b) Details of Short Term Loans /Adhoc availed during last 12 months if any. Date of sanction and name of the Bank. Amount in crore Period ROI Date of adjustment / Roll over (7.c) Details of Working Capital limits/ Term Loans from other Banks. (Mention whether Consortium / Multiple Banking Name of the Bank/FIs Existing Share% Proposed share ROI FB NFB FB NFB FB NFB FB NFB 8. Details of Associate Concerns Subsidiary, if any: Profile in Brief (each group company),synopsis of last 3 years B/S, Banking arrangements as per Annexure-3 ANNEXURE 1 Details required if request is for working capital finance (Fund/Non fund based) Assessment of Working Capital Limits: Actual Sales of the last year ended Estimates for the current year ending Projections for the following year Actual Sales achieved up to completed Months: In case sales are not as per estimates on pro-rata Basis, reasons thereof and efforts being made to achieve the targets Present installed Capacity Capacity Utilization last 3 years

6 (both in terms of % and units produced) Proposed Capacity utilization for next 2 years Details about proposed capacity addition,if any Details of Other Current Assets(OCA) Details of Other Current Liabilities(OCL) Proposed Inventory and Receivables Levels: Actual Level 1 st year Actual Level 2 nd year Estimates Following year Raw Material Imported Raw Material Indigenous Work In Progress Finished Goods Store & Spares Receivables Sundry Creditors Export Domestic Months Value (In crore) Months Value (In l crore) Months Value (In crore)

7 ANNEXURE 1 Assessment and Justification for Non fund based limits. Assessment of Letter of Credit: Particulars ILS(indigenous) FLC(Imported) 1 Total purchases during the year 2 Purchases proposed against LC (FOB/CIF Value) 3 RM requirement against LC per month 4 Usance period in months 5 Lead period in months 6 Total period in months 7 LC requirement (3x6) Assessment of Bank Guarantee: 1 Limit Required 2 Guarantees required to be issued during the yr. 3 Average period for which guarantees to be issued 4 Purpose 5 Beneficiary(s) 6 Margin proposed 7 Security 8 Justification for the proposed limit Assessment of Standby Letter of Credit: Assessment of Deferred Payment Guarantee: ANNEXURE-2

8 In case of Fresh Term Loan information should be given in the following table : Purpose of Term Loan : Project Information Memorandum : (PIM) by TEV study carried out by, if any, and : conclusions made in the report (Rs. in crore) Cost of Project Rs. Total Debt Rs. T/L from our Bank Rs. DE Ratio IRR ( Rs 1000 lacs& above) Proposed Share % *Tied up Portion Maximum DSCR Minimum DSCR Average DSCR Repayment Door to Door Tenor Zero date Implementation period Schedule date of Completion of project COD Moratorium Actual Repayment Period Whether Mthly/Qtrly/HY/Yrly installment : : : : : : Years :

9 ANNEXURE -2 TERM LOAN POPOSAL: Purpose About the project : Need for the project ( in case of expansion project- existing capacity utilization etc.,) Summary of Cost of Project & Means of Finance: (Rsin crore) Cost of Project Means of Finance Source of promoter s contribution, Upfront contribution to be brought and the time schedule for the remaining contribution. Status of tie up of loans Brief about major items of cost of project, reputation of suppliers, availability of performance guarantee from suppliers, EPC contract etc. along with comments on the technology used. Comments in brief on aspects like locational advantage, availability of infrastructure facilities.( Coal/Fuel linkage in case of Power projects/right of way in case of Road Projects) Status of various statutory approvals and clearances. Present physical and financial status. Implementation schedule. Activity Starting Date Completion Date Draw Down Schedule Quarter wise. Period of Draw Down Quarter ending Quarter ending Amount in lacs Important Note: To enclose the following: Projected Balance Sheet, Profit & Loss, Cash Flows covering repayment period., working of DSCR, Sensitivity Analysis,IRR, Break-Even analysis. Risk & Mitigating factors template, SWOT and Industry Scenario and comparison with peer industries should be enclosed as Annexure.)

10 FINANCIAL INDICATORS (Amt in crore) OPERATING STATEMENT: (Applicable for working capital & Term Loans- TO COVER REPAYMENT PERIOD) As per P/L Account Actuals/ Est. for the Year ended/ending Last Year Actual Current year Folio Yr. Year estimates Projections 1 Gross Sale 2 Less Excise Duty 3 Net Sales 4 Cost of Sales a) Raw Materials -Imported -Indigenous b) Other Spares c) Power & Fuel d) Direct Labour e) Repairs & Main. f) Other Mfg.Exp. g) Depreciation Sub Total Add: Opening SIP Deduct: Closing SIP Sub Total Add: Opening FGs Deduct: Closing FGs (Cost of Sales) 5 Gross Profit (3 4) 6 Interest Selling, General &admn. 7 Expenses 8 Operating Profit 9 Other Income/Exp. Add Income Deduct exp. Sub Total ( - ) ( + ) 10 Profit before tax Less provision for tax 11 Net Profit / Loss Dividend Paid / Payable

11 ANALYSIS OF BALANCE SHEET: (Applicable for working capital & Term Loans) ANALYSIS OF BALANCE SHEET ( TO COVER REPAYMENT PERIOD IN CASE OF TERM LOANS) Rs in CRORE Laibilities Last 2 years actuals Current Liabilities 1 Short term borrowings from Bank Cu rrent year estimates Next year projections Assets Last 2 years actuals Current Assets 30 Cash & Bank balances a) from C.B.I. 31 Investments b) from others a) Govt. & other Trustee securities Sub total (A) b) FD in Banks 2 Short term borrowings from others 32 a) Receivables other than deferred & export receivables(due in 1 year) b) Export Receivables 3 Deposits (maturing in 1 year) 4 Sundry Creditors (Trade) 5 Unsecured Loans 34 Inventory 6 Advances/progress payments from customers/deposit from dealers 33 Instalments of deferred receivables a)raw Materials (incl. stores) 7 Interest and other b) Stock in process charges accrued, but not due for payment 8 Provision for taxation c) Finished goods 9 Dividend payable d)other consumable spares 10 Other statutory liabilities (due in 1 year) 11 Installments of T. Loans/Deferred payment credits/debentures/ redeemable preference shares (due in 1 year) 12 Other current liabilities and provisions(due in one year) 13 Total Current Liabilities(A+B) 35 Advances to suppliers of raw materials and stores/spares consumables 36 Advance payment of taxes 37 Other Current Assets 38 Total Current Assets Cu rrent year estimates Next year projections

12 BALANCE SHEET SPREAD(CONTD) (Applicable for working capital & Term Loans) Last Two years Actuals Current Year Est. Foll.yearProj. TERM LIABILITIES FIXED ASSETS 14 Debentures (Not 39 Gross Block maturing in 1 yr) 15 Redeemable Pref. 40 Depreciation to date Shares 16 Term Loans 41 Net Block 17 Deferred Payment Credits OTHER NON CURRENT ASSETS 18 Other Term Liabilities 42 Investments/book debts/advances/ deposits 19 Term Deposits a) Investments in subsidiary 20 Total Term companies/ affiliates liabilities 21 Total Outside liabilities NET WORTH 22 Ordinary Share Capital 23 Preference Share Capital(maturing after 12 years 24 General Reserves 25 Development Rebate Reserves/Investment allowance 26 Other Reserves excl. provisions 27 Surplus (+) or Deficit (-) in P & L Account b) Advances to suppliers of capital goods/ c) Deferred receivable(maturing beyond 1 year) d) Others 43 Non consumable stores/ spares 44 Other Misc. assets including dues from directors 45 Total Other Non Current Assets 46 Intangible Assets 47 Total Assets 28 Net Worth 48 Tangible Net Worth (28-46) 29 Total Liabilities 49 New Working Capital (38-13) Last Two years Actuals Current Year Est. Foll.yearProj.

13 FINANCIAL INDICATORS: (Applicable for working capital & Term Loans) ( To cover repayment period in case o term loans) (Rs. In crore) FY FY FY FY Audited Audited Estim. Projection 1 Paid-Up Capital 2 Reserves & Surplus 3 Intangible Assets 4 Tangible Net Worth 5 Adjusted TNW 6 Long termliabilities 7 UnsecuredloansfromPromot ers / familyincludedunder (5) 8 Capital Employed(4)+(6) 9 Net Block 10 Investments 11 Non-CurrentAssets 12 Current Assets 13 Current Liabilities 14 NWC 15 Net Sales Domestic Export % growth 16 Gross Profit 17 EBIDTA 18 Net Profit Before Tax 19 Net Profit After Tax 20 Depreciation 21 Cash Accruals 22 Long Term sources (8) 23 Long Term uses (9+10+11) 24 Surplus/Deficit 25 Dividends On EquityShares On Preferenceshares 26 Average DSCR ( for proposed Term Loan)

14 Statutory Dues and other Contingent Liabilities. Following documents to enclosed along with request letter: Memorandum & Article of Association/Deed of partnership in case of new account. Last 3 years balance sheet and Last year balance sheet in case of existing account. Income tax/sales tax returns for 3 years in case of fresh account and of last one year in case of existing account. Projected Balance sheet /PL/Cash Flow in case request is for fresh term loan. TEV Study/Information memorandum in case of fresh term loan. Proof of identity of Directors/Partners. Asset & Liability statements of Directors/Partners and passport size photos, date of Birth. Copy of lease agreements, if applicable. Copies of all Statutory permissions. In case request is for take over of loan of other Bank, copy of sanction letter of facility being availed from other Bank, statement of account for the last 12 months. Photo Copies of title deeds of the properties being offered as security. Check list is only indicative and not exhaustive. Branch may ask for additional information/documents depending upon the requirement.