SME / MUDRA Loan Application Form

Digital Banking

Fields marked with * are mandatory

Name of the Enterprise / Borrower*	Name of the key promoters/ Directors/ Partners*
	Category of the unit*	Constitution*
Registered Office Address *	State*	City*
Pin code*	Address of Factory / Shop *	State*
City*	Pin code*	Mobile *
Date of incorporation / Establishment *	E-Mail*

Personal Details of the key person

Name of the key promoter*	Age*	Academic Qualification *
PAN number*	Whether IT Assesses under Income tax *	Social Category *
Gender * Male Female Transgender	Experience in the activity (Year)	Business Details
Proposed credit facilities*	Amount of Loan required (Amount in Lacs)*	If term loan is required

Cost of project	Amount in Lacs	Means of Finance	Amount in Lacs
Land		Promoter's Equity
Building		Bank loan
Machinery		Loan from friends and relatives
Others		Others
Total		Total

Past Performance & Future Estimates

Amount in Lacs	Past Year-II (Actual)	Past Year-I (Actual)	Present Year (Estimate)	Next Year-I (Projection)
Net Sales
Net Profit
Capital (Net Worth of the Enterprise)

Miscellaneous Details

Details of Existing credit facilities

Bank Name	Nature of facility	Branch Name
Sanction Amount	Balance outstanding as on date amount	Banking with P& S B since
Select the branch nearest to your place of residence*
Marketing Arrangement

Documents to be kept ready for the submission

Proof of Identity, Proof of residence, Proof of Business address
Copy of Academic Qualification, PAN Number
Copy of SME registration certificate
For existing units Balance sheets for the last 3 years along with Income Tax/ Sales tax returns etc.
Last 6 months account statement from existing banker (if any)
Copies of Trust deed/ Memorandum and articles of association of the Company
Brief details of the project
Pollution control check document required where applicable

I affirm that the information given in this application is true, correct and complete to the best of my knowledge. I fully understand that mere submission of the application does not entitle me to a loan and that any loan will be considered on merits.

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