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Application for MUDRA Loan through SBI
Name of the Applicant (natural person or legal entity):
Please confirm Legal Status of the Applicant :
Select as applicable
Individual/Proprietor
Partnership firm
LLP
Unlisted Pvt Ltd Co
Please confirm the Plan (amount of facility) :
Select as applicable
Shishu Plan (loan upto Rs 5 lakhs)
Kishor/Tarun Plan (Loan more than Rs 5 Lakhs)
Date of birth:
Gender:
Select as applicable
Male
Female
PAN of Applicant
Contact number:
Email id:
Address (Residence):
Residential property Status :
Select as applicable
Owned by self
Owned by Spouse
Owned by Parents
Rented
Please submit residence address proof (if taken on lease, provide copy of registered agreement with tenure of at least 33 months alongiwth KYC of lessor):
Address (Registered Office):
Office premises Status:
Select as applicable
Owned
Rented
Please submit office address proof (if taken on lease, provide copy of registered agreement with tenure of at least 33 months alongiwth KYC of lessor):
Please submit proof of PAN of Applicant:
Aadhar Card Number of Applicant:
Please submit copy of Aadhar Card of Applicant:
Please submit copy of electricity bill of the residence (not older then 60 days):
Please submit copy of Ration Card of the Applicant):
Please submit copy of Voter ID of the Applicant:
Please submit copy of Driving License of the Applicant:
Please submit copy of ITR of last two years of the Applicant:
Please provide brief profile of the Propreitor and the Proprietory firm:
Select as applicable
Profile of Proprietor
Profile of proprietory firm
Please provide copy of Udyam Certificate of registration:
Educational qualification of the Propreitor:
Please provide copy of bank statement of the Applicant for past 1 year
Bank statement of proprietor for past year:
Bank statement of proprietory firm for past year:
Please provide copy of annual financial statements of proprietory firm (Balance Sheet and Profit and Loss account with schedules/notes):
Please provide projected balance sheet and profit and loss account of proprietory firm for next 1 year:
Please provide Statement of asset and liability of the proprietor:
GST Number of proprietory firm:
Copy of GST Registration certificate:
Please provide GST returns for past 1 year:
Details of Sales and Purchases for past 1 year
Sales for last year:
Purchases for last year:
Shishu Plan (loan upto Rs 5 Lakhs)
Line of business activity:
Amount of annual sales (Rs in lakhs):
Select social status:
Select as applicable
General
SC
ST
OBC
Minority Community
Confirm Minority Community category:
Select as applicable
Buddhists
Muslims
Chirstians
Jains
Zoroastrians
Others
Loan amount (CC/OD):
Loan amount (Term Loan):
Details of existing account (Deposit):
Details of existing account (Loan):
Kishor/Tarun Plan (Loan more than Rs 5 Lakhs)
Line of business activity:
Date of commencement of business :
Specify the Act under which the Unit is registered :
Select social status:
Select as applicable
General
SC
ST
OBC
Minority Community
Confirm Minority Community category:
Select as applicable
Buddhists
Muslims
Chirstians
Jains
Zoroastrians
Others
Provide proof of Director Identification Number (DIN) :
Not applicble
Confirm relationship with officials/director of the Bank :
Not Applicable
Existing Savings account of Proprietor :
Not Applicable
Existing Current Account of Propreitor/Prop firm :
Not Applicable
Existing Deposit Account :
Not Applicable
Existing Cash Credit Account of Proprietory firm :
Not Applicable
Existing Loan Account of Proprietory firm :
Not Applicable
Existing LC/BG of Proprietory firm :
Not Applicable
If existing customer of SBI, provide customer ID :
Not applicble
Credit facility proposed (Cash Credit) :
Credit facility proposed (Term Loan) :
Credit facility proposed (LC/BG) :
Credit facility proposed (Total) :
Basis of CC limit :
Basis of Term Loan 1*:
Basis of Term Loan 2*:
Basis of Term Loan 3*:
Proposed repayment period with moratorium period (in months):
Net sales:
Net Profit:
Capital (net worth):
Status of registration under Shops and Establishment Act:
Select as applicable
Yes
No
Not applicable
Status of registration under MSME:
Select as applicable
Yes
No
Not applicable
Drug License:
Select as applicable
Yes
No
Not applicable
Latest GST Return filed:
Select as applicable
Yes
No
Not applicable
Latest Income Tax return filed:
Select as applicable
Yes
No
Not applicable
Any statutory dues remaining outstanding:
Select as applicable
Yes
No
Not applicable
Name of Associate Concern 1 :
Address of Associate Concern 1 :
Presently banking with (Associate Concern 1) :
Nature of Associate Concern 1 :
Extent of interest as Prop/Partner/Director in Associate Concern 1 :
Extent of investment in Associate Concern 1 :
Name of Associate Concern 2:
Address of Associate Concern 2:
Presently banking with (Associate Concern 2):
Nature of Associate Concern 2:
Extent of interest as Prop/Partner/Director in Associate Concern 2:
Extent of investment in Associate Concern 2:
Please confirm the Plan (amount of facility) :
Select as applicable
Shishu Plan (loan upto Rs 5 lakhs)
Kishor/Tarun Plan (Loan more than Rs 5 Lakhs)
Date of incorporation/registration:
Provide Copy of certificate of incorporation/registration
Provide copy of Memorandum and Articles of Association/Deed of Partnership
Name of authorised representative
Designation
Contact number:
Email id:
PAN of Applicant
Copy of PAN card
Address(Registered office):
Office premises Status :
Select as applicable
Owned
Rented
Provide Proof of address for registered office (if taken on lease, provide copy of registered agreement with tenure of at least 33 months alongiwth KYC of lessor):
Copy of Board resolution/Partners' Meeting (confirming the name and designation of authorised signatory, application for loan from SBI):
Date of birth Director 1/Partner 1:
Gender Director 1/Partner 1:
Select as applicable
Male
Female
Brief profile of Director 1/Partner 1:
PAN of Director 1/Partner 1:
Copy of PAN of Director 1/Partner 1:
Copy of Aadhar Card of Director 1/Partner 1:
Copy of Electricity Bill of Director 1/Partner 1:
Copy of latest ITR of Director 1/Partner 1:
Copy of latest asset and liability statement of Director 1/ Partner 1:
Date of birth Director 2/Partner 2:
Gender Director 2/Partner 2:
Select as applicable
Male
Female
Brief profile of Director 2/Partner 2:
PAN of Director 2/Partner 2:
Copy of PAN of Director 2/Partner 2:
Copy of Aadhar Card of Director 2/Partner 2:
Copy of Electricity Bill of Director 2/Partner 2:
Copy of latest ITR of Director 2/Partner 2:
Copy of latest asset and liability statement of Director 2/Partner 2:
Date of birth Director 3/Partner 3:
Gender Director 3/Partner 3:
Select as applicable
Male
Female
Brief profile of Director 3/Partner 3:
PAN of Director 3/Partner 3:
Copy of PAN of Director 3/Partner 3:
Copy of Aadhar Card of Director 3/Partner 3:
Copy of Electricity Bill of Director 3/Partner 3:
Copy of latest ITR of Director 3/Partner 3:
Copy of latest asset and liability statement of Director 3/Partner 3:
Please provide copy of latest annual financial statements (Balance Sheet and Profit and Loss account with schedules/notes) of the Applicant:
Please provide asset and liability statement of Director 1/Partner 1:
Please provide asset and liability statement of Director 2/Partner 2:
Please provide asset and liability statement of Director 3/Partner 3:
Shishu Plan (loan upto Rs 5 Lakhs)
Line of business activity:
Amount of annual sales (Rs in lakhs):
Select social status (if applicable for one or more Director/Partner):
Select as applicable
General
SC
ST
OBC
Minority Community
Confirm Minority Community category:
Select as applicable
Buddhists
Muslims
Chirstians
Jains
Zoroastrians
Others
Loan amount (CC/OD):
Loan amount (Term Loan):
Details of existing account (Deposit):
Details of existing account (Loan):
Kishor/Tarun Plan (Loan more than Rs 5 Lakhs)
Line of business activity:
Date of commencement of business :
Specify the Act under which the Unit is registered :
Select social status if applicable to any one Director/Partner:
Select as applicable
General
SC
ST
OBC
Minority Community
Confirm Minority Community category:
Select as applicable
Buddhists
Muslims
Chirstians
Jains
Zoroastrians
Others
Provide proof of Director Identification Number (DIN) for Director 1/Partner 1:
Not applicble
Provide proof of Director Identification Number (DIN) for Director 2/Partner 2:
Not applicble
Provide proof of Director Identification Number (DIN) for Director 3/Partner 3:
Not applicble
Confirm relationshipof any one Director/Partner with officials/director of the Bank:
Not Applicable
Existing Savings account of Director 1/Partner 1 :
Not Applicable
Existing Savings account of Director 2/Partner 2 :
Not Applicable
Existing Savings account of Director 3/Partner 3 :
Not Applicable
Existing Current Account of Director 1/Partner 1 :
Not Applicable
Existing Current Account of Director 2/Partner 2 :
Not Applicable
Existing Current Account of Director 3/Partner 3 :
Not Applicable
Existing Deposit Account of Director 1/Partner 1 :
Not Applicable
Existing Deposit Account of Director 2/Partner 2 :
Not Applicable
Existing Deposit Account of Director 3/Partner 3 :
Not Applicable
Existing Deposit Account of the Applicant :
Not Applicable
Existing Cash Credit Account of the Applicant :
Not Applicable
Existing Loan Account of the Applicant :
Not Applicable
Existing LC/BG of the Applicant :
Not Applicable
If existing customer of SBI, provide customer ID :
Not applicble
Credit facility proposed (Cash Credit) :
Credit facility proposed (Term Loan) :
Credit facility proposed (LC/BG) :
Credit facility proposed (Total) :
Basis of CC limit :
Basis of Term Loan 1*:
Basis of Term Loan 2*:
Basis of Term Loan 3*:
Proposed repayment period with moratorium period (in months):
Net sales:
Net Profit:
Capital (net worth):
Status of registration under Shops and Establishment Act:
Select as applicable
Yes
No
Not applicable
Status of registration under MSME:
Select as applicable
Yes
No
Not applicable
Drug License:
Select as applicable
Yes
No
Not applicable
Latest GST Return filed:
Select as applicable
Yes
No
Not applicable
Latest Income Tax return filed:
Select as applicable
Yes
No
Not applicable
Any statutory dues remaining outstanding:
Select as applicable
Yes
No
Not applicable
Name of Associate Concern 1 :
Address of Associate Concern 1 :
Presently banking with (Associate Concern 1) :
Nature of Associate Concern 1 :
Extent of interest as Prop/Partner/Director in Associate Concern 1 :
Extent of investment in Associate Concern 1 :
Name of Associate Concern 2:
Address of Associate Concern 2:
Presently banking with (Associate Concern 2):
Nature of Associate Concern 2:
Extent of interest as Prop/Partner/Director in Associate Concern 2:
Extent of investment in Associate Concern 2:
