PMMY Form.rtf

7/25/2019 PMMY Form.rtf

http://slidepdf.com/reader/full/pmmy-formrtf 1/44

NF 1010

LOAN APPLICATION FORM PRADHAN MANTRI MUDRA YOJANA(PMMY)

( To be submitted ao!" #it$ do%ume!ts as &e' t$e %$e% ist )

A Fo' o**i%e Use+

,!te'&'ise Name

A&&i%atio! - NoName o* t$e .'a!%$

Cate"o'/



-$is$u01is$o'0Ta'u!

. .usi!ess Information:(To be filled by applicant)



Name of the



Enterprise


http://slidepdf.com/reader/full/pmmy-formrtf 5/44Constitution



2

Proprietary

Partnership

Pvt. Ltd.

Ltd. Company

Any Others (specify)



Current

Business



State

PIN Code

Address





Business Premises

2ented

O!ned



"e#ephone No.

$o%i#e No.

91



E&mai#'





Business

Eistin

Activity



Proposed



*ate of Commencement(**+$$+,,,,)



-hether the nit is eistered

/



,es

No

If eistered (P#ease mention' eistration



no. And the Act under !hich reistered )

eistered office Address



Socia# Cateory



/SC

S"

OBC

$inority Community



If $inority/

Buddhists

$us#ims

Christians

Si0hs

1ains

2oroastrians

Community



C .a%"'ou!d I!*o'matio! o* P'o&'ieto' Pa't!e's Di'e%to's+



S.No

Name

*ate of Se

esidentia#

Academic

Eperience in

Birth

Address !ith3ua#ification

the #ine of



$o%i#e No.

activity (,ears)

4.



5.





S.No

Id proof

Id proof

Address

Address

PAN

e#ationship !ith the

no.

proof

proof no.

Card+*IN No.

officia#s+ *irector of the



%an0 if any

4.



5.



NF 1010

D. Names of Associate Concerns and Nature of Association:

Names of Address of Present#y

Nature of Etent of Interest as a

AssociateAssociateBan0in !ithAssociationProp.+Partner+ *irector or 1ustConcernConcern

ConcernInvestor in Associate Concern

, .a!i!"C'edit Fa%iities ,3isti!"+ (I! Rs)"ype of Present#yLimitOutstandinSecurityAsset

6aci#itiesBan0in !ithAvai#edAs on 77#odedc#assification

statusSavins Account

N. A.



N. A.

Current Account

N. A.

N. A.

Cash Credit

"erm Loan

LC+B8

If %an0in !ith this %an09 customer I* to %e iven here'

It is certified that our unit has not avai#ed any #oan from any other Ban0 + 6inancia# Institution in the past and I+!e am+are not inde%ted to any other Ban0 + 6inancia# Institution other than those mentioned

in co#umn no. E a%ove.

F C'edit Fa%iities P'o&osed+ (I! Rs)"ype of 6aci#ities

AmountPurpose for !hich

*etai#s of Primary Security Offered



e:uired

(!ith appro. va#ue to %e mentioned)Cash Credit

"erm Loan



LC+B8

"ota#

4 I! %ase o* 5o'i!" Ca&ita+ .asis o* Cas$ C'edit Limit a&&ied+ (I! Rs)



Actua# Sa#es

Pro;ected

6,&6,&

Sa#es-or0inInventory*e%torsCreditorsPromoter<sLimits

Cyc#e in

Contri%ution

$onths



H I! %ase o* Te'm oa! 'e6ui'eme!ts7 t$e detais o* ma%$i!e'/e6ui&me!t ma/ be "i8e! asu!de'+

"ype of Purpose

Name of "ota# Cost of Contri%ution %einLoan e:uiredmachinefor !hichSupp#ier $achinemade %y the(s.)+ E:uipment

re:uired

promoters(s.)

Tota



epayment period !ith $oratorium period re:uested for



I Past Pe'*o'ma!%e Futu'e ,stimates+ (I! Rs)

Past Performance + 6uture Estimates (Actua# performance for t!o previous years9 estimates for current year and pro;ections for netyear to %e provided for !or0in capita# faci#ities. =o!ever for term #oan faci#ities pro;ections to %e provided ti## the proposed year of repayment of #oan)

Past ,ear&IIPast ,ear&I

Present ,ear

Net ,ear (Pro;ection)

(Actua#)(Actua#)

(Estimate)

Net Sa#es

Net Profit

Capita# (Net

-orth in case of

Companies)



J -tatus Re"a'di!" -tatuto'/ Obi"atio!s+

-hether

emar0s

Comp#ied !ith

(Any detai#s inStatutory O%#iations

(se#ect ,es+No)

connection !ith the

If not app#ica%#ere#evant o%#iation to %e

then se#ect N. A.

iven )

4. eistration under Shops and Esta%#ishment Act

5. eistration under $S$E (Provisiona# +6ina#)



>. *ru License

?. Latest Sa#es "a eturn 6i#ed

@.Latest Income "a eturns 6i#ed

.Any other Statutory dues remainin outstandin

De%a'atio!+



I+-e here%y certify that a## information furnished %y me+us is true9 correct and comp#ete. I+-e have no %orro!in arranements for the unit ecept as indicated in the app#ication form. "here is+are no overdue+ statutory due o!ed %y me+us. I+-e sha## furnish a## other information that may %e re:uired %y Ban0 inconnection !ith my+our app#ication. "he information may a#so %e echaned %y you !ith any aency

you may deem fit. ,ou9 your representatives or eserve Ban0 of India or $udra Ltd.9 or any otheraency as authorised %y you9 may at any time9 inspect+ verify my+our assets9 %oo0s of accounts etc. inour factory+%usiness premises as iven a%ove. ,ou may ta0e appropriate safeuards+action for recoveryof %an0<s dues.

-&a%e *o' P$oto-&a%e *o' P$oto-&a%e *o' P$oto

(-i"!atu'es o* P'o&'ieto'&a't!e' di'e%to' #$ose &$oto is a**i3ed abo8e)

Date+9999999999999999999

Pa%e+9999999999999999999



CH,C LI-T+ (T$e %$e% ist is o!/ i!di%ati8e a!d !ot e3$austi8e a!d de&e!di!" u&o! t$e o%a'e6ui'eme!ts at di**e'e!t &a%es additio! %oud be made as &e' !e%essit/)

Proof of identity & Se#f certified copy of oter<s I* card + *rivin License + PAN Card +

Aadhar Card+Passport.

Proof of esidence & ecent te#ephone %i##9 e#ectricity %i##9 property ta receipt (not o#der than 5

months)9 oter<s I* card9 Aadhar Card Passport of Proprietor+Partners+*irectors.Proof of SC+S"+OBC+$inority.

Proof of Identity+Address of the Business Enterprise &Copies of re#evant #icenses+reistrationcertificates+other documents pertainin to the o!nership9 identity and address of %usiness unit.

App#icant shou#d not %e defau#ter in any Ban0+6inancia# institution.

Statement of accounts (for the #ast si months)9 from the eistin %an0er9 if any.

Last t!o years %a#ance sheets of the units a#on !ith income ta+sa#es ta return etc. (App#ica%#e for a##cases from s.5 Lacs and a%ove).

Pro;ected %a#ance sheets for one year in case of !or0in capita# #imits and for the period of the #oan incase of term #oan (App#ica%#e for a## cases from s.5 Lacs and a%ove).

Sa#es achieved durin the current financia# year up to the date of su%mission of app#ication.

Pro;ect report (for the proposed pro;ect) containin detai#s of technica# economic via%i#ity.

$emorandum and artic#es of association of the company+Partnership *eed of Partners etc.

In a%sence of third party uarantee9 Asset Lia%i#ity statement from the %orro!er inc#udin *irectors Partners may %e souht to 0no! the net&!orth.

Photos (t!o copies) of Proprietor+ Partners+ *irectors.

.....................................................................................................................................................................

..................................

A%!o#ed"eme!t -i& *o' oa! A&&i%atio! u!de' P'ad$a! Ma!t'i MUDRA Yo:a!a

O**i%e Co&/+App#ication (system

*ate of App#ication

enerated+manua#) Num%er

Name of the App#icant(s)

Loan Amt. e:uested for



Sinature of App#icant(s)

Sinature of Branch

officia#

.....................................................................................................................................................................

..............................................................

A%!o#ed"eme!t -i& *o' oa! A&&i%atio! u!de' P'ad$a! Ma!t'i MUDRA Yo:a!aA&&i%a!ts Co&/+

App#ication (system

*ate of App#ication

enerated+manua#) Num%er

Name of the App#icant(s)

Loan Amt. e:uested for

Sinature of App#icant(s)

Sinature of Branch

officia#



Documents

PMMY Form.rtf