PUNJAB & SIND BANK
( A Government of India Undertaking)

APPLICATION FORM FOR MSEs

To be submitted along with documents as per the checklist
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(For Office Use)
1.NAME OF THE ENTERPRISE
2.REGD. OFFICE ADDRESS
3.ADDRESS OF FACTORY/SHOP
4.WHETHER BELONGS TO SC/ST/OBC MINORITY COMMUNITY
Telephone Nos
(Office).
EMAIL ADD.
PAN CARD
. NO.
Mobile 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 IN LINE OF ACTIVITY
8. ACTIVITY :
Existing :
Proposed(#)
#If a different activity other than existing activity is proposed
9. NAMES OF ASSOCIATE CONCERNS AND NATURE OF ASSOCIATION :
NAME OF ASSOCIATE CONCERN ADDRESS OF ASSOCIATE CONCERNS PRESENTLY BANKING WITH NATURE OF ASSOCIATION EXTENT OF INTEREST AS A PROP./ PARTNER/ DIRECTOR OR JUST INVESTOR IN ASSOCIATE CONCERN
10.Relationship of Propritor/Partner/Director with the officials of the bank/Director of the bank
10.(a)CREDIT FACILITIES(EXISTING):
(Rs. In lacs)
Type of Facilities Limits
(in lacs)
Outstanding As on…….. Presently
Banking with Security lodged
Rate of Interest
Repayment terms
Current Account
Cash Credit
Term Loan
LC/BG
If banking with P & S Bank, Account 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 am not Indebted to any other Bank/Financial Institution other than those mentioned in 10(a) above.
11. CREDIT FACILITIES(PROPOSED) :
Type of facilities
Amount(In lacs) Purpose for which required
Security Offered
Primary Security(Details with approx.value to be mentioned
Whether Collateral Security Offered(Please mention yes or so)(If yes, then provide details in column 12)
Cash Credit YES/NO
Term Loan YES?NO
LC/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 Loss required
12. Details of Collateral Security offered, if any, including 3rd party guarantee*
(*As per RBI guidelines banks are not to take collateral security for loans up to
Rs.5 lacs to MSME Units)
13.PAST PERFORMANCE/FUTURE ESTIMATES(Actual performance for two previous
years, estimated for current year and projections for next year 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 Past
Year-III(Actual)
Present Year (Estimates)
Next Year (Projections)
Net Sales
Net Profit
Capital(Net worth in case of Companies)
14. Status regarding Statutory Obligations :
Statutory Obligations Whether complied with(write yes /No), if not application than write N.A.
Remarks(any details in connection with the relevant obligation to be given
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
15.
SPACE FOR PHOTO
SPACE FOR PHOTO SPACE FOR PHOTO
SIGNATURES 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 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 signature.
16.
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 his 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.
Date :………….
Place:………… Signature of Applicant(s)
CHECK LIST OF DOCUMENTS/INFORMATION
(TO BE SUBMITTED 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, addresses of all offices and plants, shareholding pattern etc.
(APPLICABLE FOR CASES WITH EXPOSURE ABOVE Rs.25 LACS)
13. *Last three years 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, 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 labor, 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), imported raw material(quantity and value), indigenous raw material(quantity and value), value of stocks in process, finished goods(quantity and value), debtors, creditors, bank’s outstandings 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 properties 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 tie ups, 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 can be made as per necessity)