Download Application Form for grant of Term/Working Capital Loan upto Rs.50/- Lacs

LOAN APPLICATION FORM (UPTO Rs. 50 LAKHS) (FOR OFFICE USE ONLY) REFERENCE NO. : .......... .................. DATE OF RECEIPT OF APPLICATION : ............................. APPLICATION FEE RECEIVED : Rs. .......................... VIDE CASH SCROLL NO................. DATED ........................ NAME OF THE APPLICANT : ............................. ............................ ADDRESS : ............................. ............................. ............................. PHOTOGRAPH(S)* * to be attested by a Gazetted officer The Managing Director, J&K Development Finance Corporation Ltd., Srinagar / Jammu. Dear Sir, Subject: Application for grant of Term/Working Capital loan of Rs.______ I/we intend to set up a unit for manufacture of ______________at ______________and request you to sanction Term Loan of Rs.____________lakhs repayable within ______years and a Working Capital of Rs._____________. The requisite information is given hereunder:­ 1. Name of the Industrial concern (in block letters) M/s............ ................................................................................................................................................ 2. Address a) Registered Office ......................... b) Factory ............................. (Present / Proposed) c) Address for correspondence........................... ................................. d) Telephone No's.......................... Fax No. : .............E. mail:............. 3. Constitution : (Please put tick mark) Sole Proprietorship / Partnership HUF Company 4. Date of incorporation/ Registration.................... 5. Date of Commencement of Business....................................... 6. Line of Manufacturing Activity ........................ 7. Bio Data of main Promoters / Partners S. Name & Address Qualifi­Experience Capital No cation Age deployed or agreed to be deployed for this unit 1 2 3 4 ( Attach on separate sheets the details of Sister/ Allied Concerns in which the above Promoters/Partners are interested as directors/Partners/Promoters. Also give names of the bankers with whom these concerns are dealing and indicate facilities availed from them credit rating if any allotted to these concerns by the said bankers, Health code and rate of interest being charged. Please advise your bankers to give full information to the Corporation as & when a request in this regard is made to them by the Corporation. Attach a copy of letter addressed to the bankers in this behalf. Please attach the copies of the latest Income Tax Assessment orders of the Promoters / Directors / Partners as also the sister concerns besides indicating whether the liabilities on a/c of sales tax, Excise and other statutory obligation have been settled up to date.) Enclosures : a) Memorandum & Articles of Association b) Audited Balance Sheets/P&L A/C for last three years of the concern and also of Promoters & Sister concerns. c) Projected Fund Flow Statement (for three years) d) Copy of Agreement entered into amongst the Promoters with the Share holding pattern. e) Statement of Assets & Liabilities of Promoters/Partners with value duly certified. 8. Permissions / Licenses/ Registration obtained/Required: Registration certificate (SIA/DIC) (Enclose copy) Power Sanction letter (Enclose copy) Pollution Control Board clearance (Enclose copy) NOC from Forest Deptt. in case of Wood based industry (Enclose copy) Registration /License from Drug Controller in case of Pharmacy unit (Enclose copy) Tourism Deptt in case of Hotels/ Guest House (Enclose copy) Sale Tax (Enclose copy) Excise Deptt. (Enclose copy) Income Tax Deptt. PAN CARD (Enclose copy) i) Detailed information about Key Technical Staff/ Executives : S. No 1 Name & Designation Age Qualif­ication Experience Also indicate whether he is Promoter/ Director/ Managing Partner/Partner 2 3 4 ii) Status of tax assessed (Year) ( In case of existing concerns ) Income Tax : .......... Sale Tax : .......... Excise Duty : ......... Particulars of the Project 1. Details of the project for which financial assistance is sought. i) Setting up of new plant ii) Expansion of the existing plant iii) Diversification of Product (s) iv) Modernization of Plant 2. Details of Capacity : Present Proposed (Per day/week/month/year) i) Licensed Capacity : ii)Installed Capacity : iii) Capacity Utilisation (a) Quantity (b) Value iv) No. of working Days per year v) No. of Shifts : vi) Employments (in no.'s): Technical Administrative Supervisory Skilled workers Semi Skilled workers Un Skilled workers 3 (i) Manufacturing process (ii) Bye Products Give brief write up (iii) Demand Supply Gap ( Indicate existing capacity viz­a­viz demand duly supported with Authentic Data.) (iv) Possibilities of Diversification in the product line in future ............................ Is the proposed process a new one or already tried in the Country /State ............................ 4. Technical Arrangements:­ (i) Technical Arrangements made /proposed for implementation of the project (indicate whether any agency is proposed for project execution on turn key basis) ...................................... (ii) Arrangements made for Quality Control ( if ISI/Agmark specification are followed, No of ISI/Agmark standard with particulars there of should be provided)........ ....................................... (iii) Whether intending to get ISO certification. ................ (iv) If any collaboration is involved ( furnish a detailed write up on the collaborators like plant already supplied /setup with copy of the collaboration agreement)....... ....................................... (v) If any Technical Consultants are engaged (Provide details mentioning name, address, fees payable, stages of payment, scope of work assigned etc alongwith the copy of Agreement if any). ............................ Enclose : i) Copy of detailed techno economic Project Report / feasibility report ii) Copy of Govt. approvals required / obtained for collaborations (foreign collaborators/foreign consultants/foreign technicians) iii) Copy of the resolution passed by the Board of Directors of the Applicant company for availing the Term loan/working capital Term loan/working capital as per the prescribed format. 5. Infrastructure Arrangements:­ i) Land/Site Development Location of Land ............. (Owned/Acquired / proposed) ............ Land acquired from : ............. Area of land : .............. Total cost of land: ............. Space for Factory building : .............. Space for Ancillary building : .............. Space for Housing colony :.. ............ Title of land (Free Hold / Leased : .......... If Lease (enclose a copy of agreement) Type of soil in terms of load bearing capacity (enclose copy of Report) Technical Advantages in terms of location of land concerned (as proximity to source of raw materials, Market, Fuel, Water Supply, Electric supply, Transportation, Labor and disposal of wastage). .................................... ..... ................................ Cost of site development ( Give details e.g leveling, laying of roads, fencing, compound wall etc.). Enclose : a) Copy of Sale/ Lease Deed b) Location Map (site plan) c) Latest Intikhab girdawari, Indikhab Jamabandi, Ask Shajra Khasra (not more than three months old) in case land is inherited owned indicating the ownership of land (valuation certificate by Tehsildar) ii) Building(s) : Covered Area (give details) with type of construction, No. of floors, length, breadth total floor area, average height of each floor, cost per Sq.m, name of Contractor/ Agency. Estimated Cost (Rs. In Lacs) : ................. Whether building permission obtained from Competent Authorities. ....... (If yes, furnish copy with approved design layout plan etc.) Arrangements made for construction of building (if through Architect Provided details of Architect such as Name, Address, scope of work, fees payable, past experience, period of completion, etc. along with copy of agreement/work order issued to Architect). iii) Plant & Machinery/Misc. fixed Assets a) Existing Units (Give detailed specification / value supported with Chartered Engineers Certificate.) b) Proposed to be purchased (Rs in lacs) i) Indigenous ii) Imported Estimated Cost (Rs in Lacs) : _________________ Basis for Selection of Equipment (P&M) (Give name /address of the Co's /Units to whom the P&M has been supplied by the proposed supplier, enclose Plant layout, copy of agreement with Machinery supplier, quotations received, copy of performance Guarantee). ................... .................................... Arrangements made / proposed for Erection and Commissioning of the plant with supporting documents................... ................................... (iv) Utilities (Enclose copy of agreement with Electricity Board & copy of Electric layout of the Plant) Source : i) Purchased / Purchased from Govt. ii) Own Generation Stand By arrangement Maximum Requirement : ............................................ Connected Load : : ............................................ Peak Hour Requirements : ............. Power tariff Rates (per unit) : ............ Cost of own Generation (per unit) : ............. Estimate Cost of Power : ............ (v) Water Supply (Enclose copy of letter of sanction & layout for the Water system ) Source of water Supply : ............. Requirements (in terms of Qty.) : ............ Estimated Cost of water Supply : ........... Estimated Cost of the tanks/reservoirs: ........... (VI) Transport Arrangements proposed for carrying raw material and finished goods. ............................... ............................... VII) Effluent Treatment / Pollution Control: Arrangements made for effluent / treatment Pollution control (Details to be furnished along with the copy of permission from competent authorities for the same)................................. .................................. ............................. a) Schedule of implementation : (____Year___Months) ( Period) Commencement Completion Month Year Month year a) Acquisition of Land _____ ______ ____ ____ b) Development of Land _____ ______ ____ ____ c) Civil works _____ ______ ____ ____ Factory Building _____ ______ ____ ____ Machinery Foundation _____ ______ ____ ____ Auxiliary Building _____ ______ ____ ____ Admn. Building _____ ______ ____ ____ Misc. Building _____ ______ ____ ____ d) Plan & Machinery _____ ______ ____ ____ Indigenous Placement of Imported order delivery at site _____ ______ ____ ____ e) Arrangements for Power _____ ______ ____ ____ f) Arrangements for water _____ ______ ____ ____ g) Errection of Equipment _____ ______ ____ ____ h)Commissioning of Plant _____ ______ ____ ____ i) Procurement of Raw materials _____ ______ ____ ____ j) Training of Personnel _____ ______ ____ ____ k) Trial Runs _____ ______ ____ ____ l) Commercial production _____ ______ ____ ____ Requirement of Funds for the Project: S.No Expenditure Expenditure Total already proposed Expenditure Incurred to be incurred (i) Land & Site Development __________ ____________ __________ (ii) Construction of Building __________ ____________ __________ (iii) Plant & Machinery __________ ____________ __________ Indegenous __________ ____________ __________ Imported __________ ____________ __________ (iv) Technical know how Fees/ __________ ____________ __________ Feasibility report expenses (v) Expenditure for training of __________ ____________ __________ employees (vi) Misc. Fixed Assets __________ ____________ __________ (vii) Preliminary & Pre­opt Exp. __________ ____________ __________ (viii) (ix) Provision for contingencies indicating escalation Margin money for working capital __________ __________ ____________ ____________ __________ __________ Total __________ ____________ __________ Source of Funds: S.No (i) Particulars Equity (Capital) Amt. Already incurred Amt. proposed to be incurred Total (Rs.in lacs) a) Promoters contributions* b) Unsecured Loans (in the form of Loans & Deposits indicating source and interest payable against each) Total __________ __________ __________ __________ ___________ ___________ _______ _______ _______ (ii) Term Loan __________ ___________ _______ (iii) (iv) Deferred payment Arrangements(including suppliers credit) Internal Cash Accruals __________ __________ ___________ ___________ _______ _______ (v) Other sources __________ ___________ _______ Total __________ ___________ _______ DEBT EQUITY RATIO ................... * Indicate source of Promoters Contribution with documentary evidence. Raw Materials : Type and availability of Raw materials/Method of acquisition / maximum & average stocking contemplated at installed capacity and over a period of next 5 years. (Domestic / imported through agency) Enclose a detailed write up about the production cycle. NATURE OF SECURITIES TO BE OFFERED 6. Primary security (1st charge) a. Mortgage of fixed assets (immovable property viz land, Building , Plant & Machinery etc. of the unit to be created) b. Mortgage of existing building, Plant & Machinery etc in case the unit has not availed any loan facility. c. Paripasu charge on the assets created out of finance from other FI's / banks. 7. Collateral Security Particulars Location Value i) Land _______ _____ ii) Building _______ _____ iii) Other immovable property _______ _____ (Documentary evidence to be provided with regard to title &value thereof) Third Party Guarantee (Give detailed particulars of guarantors with details of Assets & Liabilities) Power of attorney from the applicant CERTIFICATE I/we hereby certify that the particulars given above are furnished for the express purpose of securing loan/ financial assistance from J&K DFC Ltd. & are to the best of my /our knowledge & belief true and correct. No material fact has been concealed or withheld. Yours faithfully, Dated: __________ Signature(s) JAMMU & KASHMIR DEVELOPMENT FINANCE CORPORATION LIMITED (A Govt. of India Enterprise) Regd. Office: 24­A, IInd. Extension Gandhi Nagar, Jammu (J&K)­180004. Tele. No. 0191­2431445, Tele (fax): 0191­2431498. Corporate Office: 121­Green Avenue, I.G Road, Peer Bagh, Srinagar­190014. Tele No. 0194­2440360, 2440290, Tele (fax) 0194­2440250. Website: www.jkdfc.org.