BANK OF MAHARASHTRA

APPLICATION FORM FOR MSEs

To be submitted along with documents as per the checklist

(For Office Use)

1. Name of the M/s ZAHRA HOMECARE PRODUCTS

Enterprise:
2. Regd. Office:
05, SHRI VIGHANAHARATA CHS LIMITED,
AMRUT NAGAR, MUMBRA, THANE 400612

3. Address of Factory /
Shop: 04, GUDDU COMPOUND, VILLAGE: KATAI
TALUKA: BHIWANDI, DIST. THANE

4. Whether Belongs to
SC/ST/OBC/MINORITY MINORITY
:
5. Mobile Nos. : 7715012262

6. Email Address: Sohaimshaikh1997@gmail.com

7. Pan Card No GBMPS4565K

8. Constitution PROPRIETOR

9. Date of Establishment 01/12/2022

10. Activity : MANUFACTURING

11. Names of Associate concerns and nature of association:

Name of Associate Addresses of Associate Presently Nature of Extent of interest as a

Concern Concerns Banking Association Prop./ partner/director or
With just investor in Associate
Concern
N.A N.A N.A N.A N.A

12. Credit Facilities (Existing): (Rs. in

lakhs)

Type of Limit(in Outstanding as Presently Security Lodged Rate of Repayment

Facilities lakhs) on12.12.2022 banking with Interest on terms

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 Sanction
NIL NIL NIL NIL NIL NIL NIL
If Banking with this Bank customer No. be given here. CIF NO:
10(b) : It is Certified that our unit has not availed any loan from any other Bank / Financial Institution in the past and I am not
indebted to any other Bank / Financial Institution other than those mentioned in above.

13. Credit Facilities (Proposed) :

Type of Amount Purpose for Security Offered

Facilities (In lakhs) which required

Primary Security (Details with Whether Collateral Security

approx. value to be offered (Please mention yes or
mentioned) no) (If yes, then provide details
in column 12)
Term Loan 34.95 AQUIRE FOR CGTMSE COVER
MACHINERY
AND
INSTALLATIONS
Working Capital 14.75 FOR WORKING
CAPITAL

In case of term loan requirements, the details of machinery/Project may be given as

under:

Type of Purpose for Whether Name of Total cost of machine Contribution Loan
Machine which imported or Supplier (in case of imported being made required
required indigenous machine, the breakup by the
of basic cost, freight, promoters
insurance and customs
duty may be given)
COMPLETE
PLANT AND AS PER
SETUP , M/S CYGNUS 34.95 CMPEGP
INSTALLATIO FOR INDIGENOUS INDUSTRIES GUIDELINE
N AND MACHINERY
RUNNING
BY M/S
CYGNUS
INDUSTRIES

14. Details of Collateral Security Offered, If any including 3rd party guarantee *
(*As per RBI guidelines banks are not to the collateral security for loans upto Rs.5 lakhs to MSE units)
Not Applicable

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 repayment of loan):
Past year-II Past year-I Present Year Next Year
(Actual) (Actual) (Estimates) (Projections)
(Rs. in lakhs)
Net Sales Separate Sheet of Projections and CMA data is attached along with
Net Profit
Capital (Net worth in case of
net worth certificate
companies)
15. Past Performance /Future Estimates

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 16. Status regarding statutory obligations:

Statutory Obligation Whether Complied with (write Remarks (Any details in connection with
yes/No) If Not applicable then write the relevant obligation to be given)
N.A.
1. Registration under Shops and N.A
Establishment Act
2. Registration under SSI UDYAM-MH-33-0278506
(Provisional/Final)
3. Sale Tax. Reg. No. N.A
3. a GST reg. No. APPLIED FOR
4. Latest Income tax return filed NEW UNIT
5. Latest Income tax returns filed NEW UNIT
6. Any other statutory dues NIL
remaining outstanding

Space for Photo Space for Photo Space for Photo Space for Photo

Signature of Proprietor / Partner / Director whose photo is Affixed above

Only one photo of properitor / each Partner / Each working director is requirement to be affixed. Each photo will be certified /
attested by the Branch Team with name and signatures on the photograph with Branch stamp. The concerned staff will put
his name below the signatures.

I/We certify that all information furnished by me/us is true; that I/We have no borrowing
arrangements forthe unit except as indicated in the application; that there is no over
dues /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 exchanged 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, may, at any time, inspect / verify my/our assets,
books of account etc. in our factory / business premises as given above.

20. Date:17/01/2023 Place : Thane

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