CheckList for MSME Application Help Document for MSME Application
Personal Details
Sector*
Name of the Enterprise*
Regd Office Address* Address of the Factory/Shop*
Whether belongs to
SC/ST/OBC/MINORITY
Community		 PAN Card No
   
Phone Mobile*
Constitution* E-mail*
Date of Establishment*(dd/mm/yyyy)
Please select Nearest
Indian Bank Branch *
Name of the Proprietor / Partners /Directors of the Company and their address (Enter Proprietor Details one by one & Click Save) *
NAME AGE ACADEMIC QUALIFICATION RESIDENTIAL ADDRESS PHONE NO(RES)/ MOBILE Experience IN THE LINE OF ACTIVITY
       
Activity
   Existing
   Proposed
Name of the Associate concerns and Nature of association (Enter Associate Details one by one & Click Save
NAME ADDRESS PRESENT BANKER NATURE OF ASSOCIATION EXTENT OF INTEREST AS A PROP / PARTNER / DIRECTOR OR JUST INVESTOR IN ASSOCIATE CONCERN
     
                                                           
 
In-Detail
 
   Relationship of proprietor /Partner /Director with the officials of the Bank / Director of the Bank*    
   Credit Facilities (EXISTING) (Rs in lakhs)
   Type of facility Limit Balance Present Banker Security Lodged Rate of Interest Repayment
   Current A/C
   Cash Credit
   Term Loan
   LC/BG
   If banking with our bank,CIF and    
   Account  Nos
   It is certified that our unit has not availed any loan from any other bank / Fincancial institution in the past and
   I am not indebted      to any     other bank / Financial instition other than those mentioned above
   Credit Facilities (PROPOSED)*(Fill the Amount column for ATLEAST one type of facilty)
Type of facilities Amount* Purpose for which required Security Offered
      Primary Security (Details with approx value to be mentioned) Whether collateral security offered (Please mention Yes or No)(If Yes, then provide detailed below)
Cash Credit
Term Loan for machinery
Term Loan for Building
LC/BG
Others if any  
    In case of Term Loan requirements, the details of machinery may be given as under: (Enter Machinery Details one by one & click Save)
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,fright,insurance and customs duty may be given) Contribution being made by the promoters Loan required
         
  Details of collateral secutiry offered, if any , 3rd party guarantee *
(* as per RBI guidlines bank are not to take colleteral security for loans upto Rs. 10 lakhs to MSME units)
Past Performance / Future estimates(Actual performance for two previous years, estimates 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 Actual Past Year I Actual Present year (Estimates) Next Year (Projections)
Net Sales
Net profit
Capital(Networth in case of companies)
Status regarding Statutory Obligations
Statutory Obligation 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)
1. Registration under shops and establishment act
2. Registration under SSI(prov/final)
3. Drug Licence
4. latest sales tax returns filed
5. Latest income tax returns filed
6. Any other statutory dues remaining outstanding
     
                                       
  Enter the string as shown in the above picture  


I/ We certify that all information furnished by me / us is true;that I / We have to borrowing arrangements for the unit except as indicated in the application;that there are 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 exchange 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 authorised by you with any agency you may deemed fit and you, your representatives of the Reserve Bank of India or any other agency as authorised by you, may,at any time, inspect/verify my/our assests,books of accounts etc.,in our factory/business premises as given above.
CheckList for MSME Application
 
 
Indian Bank - MSME Loan - Reference No.