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8/3/2019 Term Loan Application
1/20
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)