BANK OF MAHARASHTRA

APPLICATION FORM FOR MSEs

To be submitted along with documents as per the checklist
(For Office Use)
1. Name of the Enterprise :
2. Regd. Office :
3. Address of Factory / Shop :
4. Whether Belongs to SC/ST/OBC/MINORITY :
Telephone Nos. : Email Address:
Mobile No. : Pan Card No. :
5. Constitution: Proprietory/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 inthe line or Activity
8. Activity : Existing :
Proposed (#):
# If a different activity other than existing activity is proposed.