UNION BANK OF INDIA
___________________Branch
APPLICATION FORM FOR SMALL BUSINESS
Loans up to Rs.25,000/- CATEGORY – C

THE BRANCH MANAGER
_________________Branch.
Dear Sir,
I/We hereby apply for Advance Facilities and furnish the following information thereof:

Name of the Unit :
Business Address :
Proprietor / Partners
Name(s) and Age Address Past Experience
___________________________ ___________________________ ___________________________
___________________________ ___________________________ ___________________________
___________________________ ___________________________ ___________________________
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___________________________ ___________________________ ___________________________
___________________________ ___________________________ ___________________________
Belongs to Schedule Caste/Tribe Technically Qualified Educated Unemployed
Yes No. Yes No.
Yes No.

Whether belongs to Minority Community Yes
No

If yes, please tick the appropriate box
Muslims
Sikhs
Christians
Neo-Biddhists
Parsi (Zorastrians)

Land Holdings
Name of Applicant/Family Member Size and Particulars of Land Holdings
_______________________________________ ________________________________________________
_______________________________________ ________________________________________________
_______________________________________ ________________________________________________
_______________________________________ ________________________________________________
_______________________________________ ________________________________________________
_______________________________________ ________________________________________________

Except Motor-driven Transport Operators

2

Size of Applicant’s Family Present income of Family Source of Income
Adults Rs.___________________
Children Min. Sustenance required per month for Family Maintenance
Total Rs.___________________
Brief Description of Existing/Proposed Line of Industrial/Business Activity.

No. of Persons Employed No. of Persons proposed to be Employed

Existing Finance : Own Funds Rs. Borrowings Rs.

Source of Borrowing Security Repayment Rate of Int.
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________
___________________ ___________________ ___________________ ___________________

Purpose of the New Loan

Amount of Loan Required.

I/We certify that all information furnished by me/us is true; that I/We have no borrowing arrangements for the unit with any bank; that no legal action has been/is being taken against me/us; 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 deem fit; and that you, your representatives, representatives of the Reserve Bank of India or any other agency as authorized by you, may, at any time, inspect/verify our assets; books of account, etc. in our factory and business premises.

Date :

Place : ________________________________
Signature of the Borrower

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