Term Loan Application

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    THE TAMILNADU INDUSTRIAL INVESTMENT CORPORATIONLIMITED

    1.0. General Information :

    1.1. Name of the Applicant Unit (In Capital Letters) :

    For Office Use:Dt. of Receipt :Inv. Fee Rs.Receipt No. Date:Scheme Code:Industry Code:Product Code:

    SCHEME :

    Activity: Manufacturing / Job work /Service

    Purpose ofLoan:

    New Project Modernisation

    Expansion Diversification

    1.2. a. Whether already assisted by Yes No

    [Rs. in Lakhs]Amt. applied for

    Term Loan SoftLoan

    WC Loan Subsidy Bridge Loan

    Others

    QP/05/06/AP/12

    (Please 4 wherever applicable)

    APPLICATION FOR FINANCIAL ASSISTANCE FOR INDUSTRIAL

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    b. SSI Registration/SIA acknowledgement No. :

    b. Date of Incorporation/Registration :

    1.6. Loan assistance requested for (3 the applicable) :

    Land BuildingMachiner

    yWorking Capital

    Others(Specify)

    1.7. a. Type of Industry (e.g. Textile/Automobile/I.T. etc.,):

    b. Product (s) to be manufactured/service to be rendered:

    1.8 Name & Address of the Banker(s) with whom :the applicant unit/promoters having account/facilities

    (Furnish Account Number also)

    2.0. Details of Management:

    1.4. a. Size of the Unit

    PARTNERSHIP PVT LTD. PUBLIC LTD. OTHERS

    TINY OTHERSSSI MSI

    OTHERS

    1.5. a. Constitution

    PROPRIETORY

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    2.3 Is there any Associate Concern : Yes /No(If Yes, then furnish the details as per Annexure-I. Use separate

    sheet for each of the Associate Concern.)

    2.4. Details of existing Secured /Other Loans/Creditors of the Applicant

    Unit :

    Name of theBank/Institution

    with Address

    Purposeof loan

    Type ofFacility

    Date ofSanction

    AmountSanctioned

    AmountOutstandin

    g

    Overduesif any

    2.5. Indicate whether any of the Promoters /Units in whichpromoters are associated /availed any Waiver from TIIC /Banks OR declared as Insolvent. If yes give details.

    3.0. Project Details :(Please enclose a Project Report incorporating the details as per the Check

    list of TIIC)

    4.0. Details of Project Cost and Means of Finance:

    Project Cost Rs. inlakhs

    Means ofFinance

    Rs inlakhs

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    * including interest payable during implementation period.

    5.0. Details of Securities and Guarantees proposed:

    5.1. Details of Collateral Security:

    Location Details (likeSurvey No. DoorNo., Street, Village

    etc.,)

    Nature ofProperty *

    ExtentGuideline

    value

    MarketValue

    Ownershipand

    relationship

    withpromoters

    Encumbranceif any * *

    * Mention whether Agriculture Land, House Plot, Flat etc.* * Indicate whether under charge with any Bank/FIs.

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    DECLARATION

    I/We certify that all information furnished by me/us is true and

    that I/We have no borrowing arrangement for the unit with any

    one except as indicated in the application, and that no legal

    action has been/is being taken against me/us and that I/We shallfurnish all other information that may be required by TIIC in

    connection with my/our application and that this and any other

    information available with TIIC pertaining to the my/our

    application and to the borrowing unit present and future, may

    also be exchanged by you with any agency TIIC may deem fit,

    and that TIIC and its representatives, representatives of RBI,

    IDBI, SIDBI or any other agency as authorised by TIIC, may at any

    time inspect/verify our assets, books of accounts etc. in our

    factory and business premises.

    I/We further certify that as on date there are no overdues to any

    financial institutions/banks from the undersigned, the other

    promoters and the Company/Companies in which the other

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    Enclosure: As per Checklist.

    THE TAMILNADU INDUSTRIAL INVESTMENT CORPORATION LIMITEDANNEXURE TO APPLICATION FOR FINANCIAL ASSISTANCE

    CHECK LIST OF ENCLOSURES REQUIREDS.

    No. SUBJECT/ Details of EnclosuresRef. No. inApplication

    1.Copy of SSI Registration Certificate /S I Aacknowledgement

    1.4b

    2.

    a) Copy of Firm Registration Certificate and PartnershipDeed in case of Partnership

    b) Memorandum & Articles of Association andCertificateof Incorporation in case of Companies

    c) Copy of Bye-laws in case of Society

    1.5b

    3.

    a) Bio-Data & Networth Statement in respect of eachof thepromoters/Directors/Guarantors as per the enclosedformat with attested photographs affixed thereon

    b) Copies of Important Educational/TechnicalExperienceCertificates

    2.2

    4.

    a) Details of the Associate Concerns as per theenclosed format

    b) Copies of Audited Balance Sheet & Profit and LossAccount for the associate concern along withschedules for the last 3 years.

    2.3

    a) Copies of Audited Balance Sheet & Profit and Loss

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    market reputation details

    10.N O C/ Consent Order from Pollution Control Board, ifapplicable

    Project Report

    11.Copy of other Licences like Drug Licence/EPCG Licenseetc.,

    Project Report

    12. Copies of market tie-up letters/market study report Project Report

    13. Copies of raw materials tie-up/availability status report Project Report

    Contd.

    CHECK LIST OF ANNEXURES (CONTD.)

    Item No.14: The Project Report giving the following detailsalong with

    brief history of the unit:

    14.1. a) Type of Industry (e.g. Textile/Chemical/Agro-Based etc.):

    b) Product (s) to be manufactured/service to be rendered:

    Product DescriptionProduction/

    Turn Over/ p.a.

    SellingPrice

    per unit

    Total Salesper annum

    Remarks

    Existing

    Proposed

    c) Bye-Products (if any) :

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    Raw Material required Unit *

    * If seasonal product, indicate the arrangements made for leanperiod.

    14.5. Brief Note on technology / process:(if technology is new/sunrise technology, give references ofsimilar technology already in use)

    14.6. Implementation Schedule:

    Details Status (3 the applicable)Expected Dateof Completion

    Land Own/To be acquired/LeaseLandDevelopment

    Required/ Not required

    BuildingsOwn/Rented/Lease /To be constructed/Under Construction

    * MachineryOrder placed /Advance paid/ Order tobe placed

    ErectionTrial ProductionCommercialProduction

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    Source of waterWell /Bore well/ Local Authority /Outside

    purchase

    *Quality of water required General/ Treated and Purified water*Quantity of waterrequired/day*Cost of water /annum

    * Only when water is required for processing

    14.9.Transport facilities:

    Approach Road Public Road / through private path way / to bedeveloped.

    Requirement General need / Heavy goods to be moved.

    Availability Sufficient / Yet to be developed.

    14.10. Effluents:

    Nature of Pollution Air / Water / Noise / NoneCategory Green /Orange I / Orange II/RedStatus of PCB

    Clearance

    Obtained /Applied/ Exempted /Not required

    14.11. Steam Requirement:

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    1. Registration of SSI/MSI (SIA Registration)2. Building Plan Approval

    3. TNPCB Clearance4. Import Licence/Drug Licence etc.,5. EPCG6. Others please specify.

    14.14. Details of Existing Assets (only for existing units)

    a. Land & Building Own/Lease*(* if taken on lease, indicate the period of lease : )( if own give the following details)

    DescriptionType of

    RoofPlinthArea

    Guide LineValue

    MarketValue

    Remarks

    (Please indicate the year of construction, whether in goodcondition, whether mortgaged /under charge to Banks/FIs. etc.,

    under remarks column)

    b. Plant and Machinery:

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    14.15. Proposed Assets to be created

    a. Factory Land :

    Survey No. &Locational Details

    Extent

    Cost ofLand if

    own or tobe

    purchased

    Own /Lease *

    * If the land is taken on lease then indicate the leaseperiod also.

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    If imported machinery, then indicate the same separately. The details of competitive quotations obtained, reason forchoosing the proposed supplier and details of their standings,advance paid if any, etc., may please be furnished in separateannexure.

    14.16. Working Capital: ( Rs. inlakhs)

    ItemStocking

    period

    Quantity Amount

    Raw MaterialsWork-in-ProgressFinished GoodsReceivable/ Sundry DebtorsWorking Expenses

    Sub-TotalLess: Advance on sales

    /Crediton Purchase

    Sub-TotalL B k Fi

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    14.18. Projected Profitability and Cash Flow Statements (for theproposed loan repayment period) as per the enclosed formatalong with the details of assumptions made.

    14.19 . Working Results of the Applicant Unit *(*Applicable only for the existing unit)(Please enclose Audited Balance Sheet and Profit & Loss A/c.along

    with schedules for the last three years)

    Rs. in Lakhs

    Financial Year

    Turnover

    NetProfit/Loss

    DepreciationNet

    Worth

    TotalLong

    TermDebt

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    Annexure - I

    DETAILS OF ASSOCIATE CONCERNS:(Pl. use separate sheet for each concern)

    1. Name of the Concern :

    2. Line of Activity :

    3. Address with Phone Nos. :

    4. Promoters interest in the Concern :

    S.No. Name of the Promoter Shareholding % Relationship

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    7. Statutory Liabilities if any.

    Signature

    Annexure - II

    BIO-DATA OF PROMOTERS/DIRECTORS/GUARANTORS(Please use separate sheet for each Promoter)

    1. Name :

    2. Son/Wife/Daughter of :

    3. Address (Give complete address details) :

    Address Residential Permanent Correspondence

    Plot/Flat /Door

    Nos. & Address

    City/TownPin Code

    Affixattested

    Photograph

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    8. Family Background (with regard to proposed project)

    9. Work Experience:

    S.No Name of the Unit &Address Designation/ Role

    Period of

    Service Nature ofWorkFrom To

    10. Details of Current Job- Profile / Responsibilities :

    Name & Address ofthe Concern

    DesignationNature ofResponsibility

    Extentof Interest

    11. Whether Income Tax Assessee Yes/ No(If YES please enclose IT returns/assessment orders for the last 3years)

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    14. Details of Assets and Liabilities:

    a.. IMMOVABLE PROPERTIES:Rs. In

    lakhs

    S.No.

    Description of theproperty with address

    Full Name of theproperty owner and

    address

    Extent ofShare in the

    Property

    PurchasePrice

    MarketValue

    Sub Total :

    b. MOVABLE PROPERTIES

    S.No. DescriptionPurchase

    Price/Face Value

    MarketValue

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    COST OF PRODUCTION AND PROFITABILITY STATEMENTAnnexure III.

    Year ending 31.3.

    CAPACITY UTILISATION

    Raw Materials

    Power & Fuel

    Consumables

    Wages and Salaries

    Repairs and Maintenance

    Factory Overheads

    Depreciation

    Sub-Contract Charges

    COST OF PRODUCTION

    Admn. Expenses

    Selling ExpensesInterest on TIIC Term Loan 1

    Interest on Soft Loan

    Interest on TIIC Term Loan 2

    Interest on Bank TIIC TermLoan

    Interest on Working Cap. Loan

    COST OF SALES

    Sales

    Other Income

    TOTAL INCOMEProfit before Tax

    NET PROFIT

    Add Depreciation

    Net Cash Accruals

    Principal Repayments

    Interest Repayments

    Total Loan Commitments

    DSCR

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    Average DSCR

    19

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    Annexure IVCASH FLOW STATEMENT

    Year ending 31.3.

    Net Profit before Tax and Int.

    Depreciation

    Increase in Capital

    Increase in Term Loan

    Increase in Bank Loan

    Increase in Subsidy

    CASH INFLOW

    Increase in Fixed Asset

    Increase in Current Asset

    Investments

    Misc. AssetsPre-operative Expenses

    Interest on Term Loan

    Repayments of Term Loan

    Tax Paid

    Drawings/Dividend

    Cash Outflow

    Opening Balance

    Surplus/Deficit

    Cumulative Surplus

    Internal Rate of ReturnBreak Even PointBreak Even in Terms of Sales(Rs. in Lakhs)