APPLICATION FOR FINANCIAL ASSISTANCE TO A RETAILER,

SMALL TRADER AND SMALL BUSINESS

The Manager,
UNITED BANK OF INDIA,
.Branch,
Dear Sir,
I/We hereby apply !r a "!"al #nancial a$$i$"ance ! %$..r!& "he
Ban' !r "he !ll!(ing p)rp!$e*$+. Thi$ peri!,/$ !r (hich a,-ance/$ i$/are re.)ire,
an, "he (ee'ly/&!n"hly/.)ar"erly/hal yearly/ann)al in$"al&en"$ I/We (ill be able "!
pay are in,ica"e, again$" each i"e&/
Total
Cost
Rs.
Amount
of
advanc
!"u#!d
Total $!#od
of advanc #n
mont%s
Invstmnt&s
P!#od
Amount
Rs.
*a+ 0!$" ! e.)ip&en"/
)rni")re "! be
p)rcha$e,
*b+ F!r #nancing
$"!c'$
*c+ F!r &ee"ing
rec)rring
e1pen$e$
*,+ F!r any !"her
p)rp!$e2
*$"a"e p)rp!$e+
Total Rs.
I/We $"a"e here)n,er "he arrange&en"$ &a,e !r rai$ing &argin &!ney an,
par"ic)lar$ ! c!lla"eral $ec)ri"y, i any.
Da"e 3!)r$ ai"h)lly,
2e.g. !r repay&en" ! l!an "a'en r!& a &!ney len,er, !r #nancing $ale$ !n cre,i",
e"c. 4lea$e $"a"e par"ic)lar$.
5
4h!"!graph
! "he
Applican"
A. BUSINESS PARTICULARS
*5+ Na&e /
a+ Fa"her6$/7)$ban,6$ Na&e
b+ 8en,er /
c+ Age *Da"e ! bir"h+ /
,+ 9!"er I,en"i"y/4AN/4a$$p!r" N!. /
e+ Teleph!ne/FA: (i"h STD 0!,e /
+ %e$i,en"/N!n %e$i,en" /
*;+ 0!n$"i")"i!n /
;.A Na&e < re$i,en"ial a,,re$$e$ /
! par"ner$/pr!prie"!r$/,irec"!r$
(i"h Ne" W!r"h
*=+ 3ear ! e$"abli$h&en", i alrea,y /
in b)$ine$$ .
*>+ B)$ine$$ A,,re$$ /
a+ 0i"y/T!(n,Di$"/S"a"e, 0!)n"ry, 4IN
b+ Mailing A,,re$$ /
*?+ Dealing in *principal i"e&$+ /
*@+ Whe"her "he $h!p/place ! /
b)$ine$$ i$ !(ne, !r ren"e,.
I ren"e, in (h!$e na&e an, "he
M!n"hly ren"al. /
Area ! "he Sh!p /
A!ca"i!n ! "he Sh!p /
*B+ I Inc!&e Ta1 i$ pai, by "he Fir& /
an,/!r 4ar"ner$ per$!nally, $h!(
a&!)n"/$ an, ,a"e ! "a1 la$" pai,
$epara"ely
4AN N!. /
3ear ! Aa$" A$$e$$&en" /
;
*C+ Na&e$ ! !"her Ban'er$ e"c. DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
"!ge"her (i"h )ll par"ic)lar$ ! Na&e Na")re Ai&i" O)"$"an,ing
acili"ie$ enE!ye, ! ! Balance
Ban' Acc!)n" a$ !n
DDDDDDDDDDDDDD DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD
0re,i" rep!r" r!& e1i$"ing Ban'er$ "! be )rni$he,, i i" i$ n!" rea,ily a-ailable, c!py !
"he ban' $"a"e&en" !r "he la$" 5; &!n"h$ "! be )rni$he,.
B. PARTICULARS ABOUT SALES
*5+ Sale$ Ta1/9AT %egi$"ra"i!n /
N)&ber, i any
*;+ De"ail$ ! licence an, /
!"her regi$"ra"i!n$, i any
rela"ing "! "he b)$ine$$
*=+ 4ar"ic)lar$ ! W!r'ing < Financial 4!$i"i!n * 4lan !r achie-ing "he 4r!Eec"e, Sale$
"! be )rni$he, be$i,e$ c!py ! Financial S"a"e&en"/Balance Shee"+
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
Aa$" Three 3ear$ 4r!Eec"e, (!r'ing
*(here applicable+ *a"er "he a,-ance i$
a-aile, !+
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
;G ;G ;G ;G ;G
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
0api"al
A!an r!& Frien,$/rela"i-e$
A!an r!& Ban'
Fi1e, A$$e"$
0)rren" A$$e"$
0)rren" Aiabili"ie$
Ne" W!r'ing 0api"al
Sale$
Ae$$ / 4)rcha$e
=
E1pen$e$ *gi-e &ain i"e&$+
Ne" 4r!#" / A!$$
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
C. I "he a,-ance i$ re.)ire, !r Type ! 4)rcha$e Fr!& (h!& "! A!an
p)rcha$e ! e.)ip&en"$, gi-e E.)ip&en" 4rice be p)rcha$e, re.)ire,
par"ic)lar$/
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Ter&$ ! %epay&en" ! Ter& A!an
D. I "he a,-ance i$ re.)ire, !r %$
W!r'ing capi"al, plea$e &en"i!n
i+ A-erage le-el ! !)"$"an,ing Deb"!r$ a" any "i&e
ii+ A-erage ! $"!c' re.)ire, a" any "i&e
iii+ 0re,i" a-ailable r!& "he $)pplier *D+
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
E. I "he a,-ance i$ re.)ire, !r
any !"her p)rp!$e, )rni$h "he
nece$$ary par"ic)lar$.
F.' REFERENCE *Na&e$ <
A,,re$$e$+ 5.
A" lea$" "(! reerence$ r!&
any ! "he !ll!(ing
5. *a+ Fr!& y!)r !(n "ra,e
(h! 'n!( y!) (ell ;. ((((((((((((((((((((((((((((((((((((((((((((((
((((((((((((((((((((((((((((((((((((((((((((((((

5.

>
*b+ 3!)r $)pplier$
;.
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF

5.
*c +3!)r c)$"!&er$
;.
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
*,+ 4re$en" Ban'er/$ *i 5.
any+
;.
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
F.). SOURCE OF T*E PROPOSAL&NAME AND ADDRESS OF T*E PERSON
+*O *AS REFERRED T*E PROPOSAL
,. ,UARANTOR-S PARTICULARS
a+ Na&e
b+ Age *Da"e ! Bir"h+
c+ 8en,er
,+ Fa"her6$/7)$ban,6$ Na&e
e+ 9!"er I,en"i"y/4AN/4a$$p!r" N!.
+ A,,re$$
g+ Teleph!ne/Fa1 *(i"h STD 0!,e+
h+ Ne" W!r"h
*. SECURIT. OFFERED/
?
5. The par"ic)lar$ )rni$he, ab!-e are, "! "he be$" ! &y/!)r 'n!(le,ge, "r)e
an, c!rrec".
;. The a,-ance, i gran"e,, (ill be )"ili$e, !r "he p)rp!$e !r (hich i" i$
gran"e,.
=. My/O)r ban'ing b)$ine$$ (ill be c!n#ne, !nly "! y!)r Ban' an, I/(e (ill
,ep!$i" &y/!)r earning$ in &y/!)r acc!)n" (i"h y!).
>. I/(e (ill n!" b!rr!( r!& any !"her Ban' !r any !"her $!)rce ,)ring "he
c)rrency ! "he l!an (i"h!)" y!)r pri!r c!n$en" in (ri"ing.
3!)r$ ai"h)lly,
Da"e
*A)"h!ri$e, Signa")re ! Applican"+
@
ANNE0URE1
ASSETS AND LIABILITIES AS ON2222222
ASSETS LIABILITIES
0a$h in han, an, (i"h
Ban'er$ .. %$. Tra,e 0re,i" recei-e, .. %$.
Tra,e 0re,i" gi-en .. %$. A!an$ r!& Ban'/$ .. %$.
S"!c'$ .. %$. B!rr!(ing$ r!& !"her$ .. %$.
Machinery/ O"her Aiabili"ie$
Fi1")re$ .. %$. *i any+ .. %$.
O"her a$$e"$, 0api"al in
i any ..F %$. B)$ine$$ .. %$.FF
TOTAA .. TOTAA ..
FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFF
B