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	| Wednesday, 01 September 2010 05:30 |  
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                         Download Loans above Rs. 2.00 Lacs from Rajasthan Financial Corporation   
                    Form Details
                    | State | Rajasthan |  | Department | Department of Finance |  | Title | Loans above Rs. 2.00 Lacs from Rajasthan Financial Corporation |  | Language | English |  | Document Size | 97.1 KB |  
	Text of the PDF document(for quick reference)
	 
	Price Rs. 100/ S.No.........   Rajasthan Financial Corporation, Jaipur  LOAN APPLICATION FORM   (For Loan above Rs. 2.00 Lacs)  For Office Use Only  For Working CapitalAmount of Application Fee Rs. ....... Bridge Loan Please received by Cash/Demand Draft/ Fill up in Application Cheque No. ....... Dated ...... Form at Page No. BM/DM(I/C) Signature 18-19 (Accepting Authority) (Cashier)  Loan Applied for Rs. .......... Dated ......  Name of Scheme _________________________________________________________  (To be filled in by accepting authority)  (I) Information Regarding Loanee Unit  1.  Name of the Concern/Company   2.  Address and Telephone No., FAX No. (a)Registered Office   (b)Administrative Office (c)Factory /Works(Existing/Proposed) (d)Address for Correspondence : ____________________________  : ____________________________  : ____________________________  : ____________________________ Tel. No. ______________________ Fax No. ______________________       : ____________________________ : ____________________________ Tel. No. ______________________ Fax No. ______________________ : ____________________________      : ____________________________ Tel. No. ______________________ Fax No. ______________________ : ____________________________ : ____________________________ Tel. No. ______________________ Fax No. ______________________  Note: -The Corporation reserves the right to close/reject the application without assigning any reason.   3. Constitution  : ____________________________  (Prop./Partnership/Pvt.Ltd. Co./  Public Ltd.Co. & Others)  4.   Date of Incorporation/Formation  5.   Registration No. with the Registrarof Companies/Firm   6.   Name of the Product (s) manufactured  /to be manufactured     7.   Registration No. & Date with the  Industry Department (SSI registration) (Photocopy to be enclosed)   8.   Name & Address of Banker    a)  Where Current A/c is being maintained b) For working Capital Assistance 9.  Name of Authorised Representative (if any) a.Name  b.   Address   c.   Telephone No.    : ____________________________ : ____________________________  : ___________________________ ___________________________ : ___________________________  :____________________________ :____________________________  :_____________________________ :_____________________________ _____________________________ : ____________________________  (II) Information Regarding Promoters & Credit Reference   a Details of Promoters  S.No. Name of Promoter  Residential Address Telephone No.  with pin code _______________ ___________ Present Permanent (R) (O)               _______________________________________________________________________________    __________________________________________________________________   b. Details of Net Worth of Promoters :  S.No. Name of Promoter Net Worth (Rs. In lacs)   c. Details of Sister/Associate Concern  (Working results of each Sister/Associate Concern is to be given in  enclosed proforma)   S. Name of Unit Date of Constitution Product Name of Common Extent of Name of Banker No. & its Address Incorporation Promoter Interest (Address &  Telephone No.) _______________________________________________________________________________________   d. Details of Past Financial Assistance, including Sister/Associate Concern, if any, availed from the Corporation/Banks/ Financial Institutions. (Rs. In Lacs)  S.No. Name of Concern Amount & Date Amount Outstanding Overdues of Sanction Disbursed (as on ...) (if any)  RFC  1.   2.   3.   Bank/FI (with address)    1.   2.   3.     Details of any benefit of penal interest/interest/reschedulement availed by promoters or by any of their Sister/Associate Concern in last 3 years/write off.   NOTE:  A project report with complete details about the land, building, plant & machinery, MFA, P&P. Exp., working capital requirement, cost of production, projection of profitability statement, cash flow statement and projected balance sheet is to be prepared & enclosed with the application form. (A proforma for project report is enclosed)  (III) Declaration  I/We certify that all information furnished by me/us is true, that I/We have no borrowing arrangements except as indicated in the application, for the unit with any bank, that no legal action has been/is being taken against me/us, that I/We shall furnish all other information that may be required by you in connection with my/our application, that this and any other information available with you pertaining to the borrowing unit, present and future, may also be exchanged by you with any agency you may deem fit and that you, your representatives, any other Agency as authorised by you, may at any time inspect/verify our assets, books of account etc. in our factory and business premises.  "I/We further certify that as on date there are no overdues to financial institutions/banks from the undersigned, the other promoters and the Company/Companies in which I/the other promoters have interest as a promoter/director/proprietor. I/We further certify that there are no statutory overdues pending against me/the other promoters/the company or other companies in which I am/ the other promoters are Director/Directors"  I/We Further certify that there are no criminal/economic offence cases are/were reported against me/and the other promoters/ and the Company or are pending.  Date:  Signature   Place: Name and _________________________  Designation _________________________  Name of the _________________________  Concern/Company ____________________    For Office Use Only  The undersigned has checked all the informations filled in the application form and also those given in the enclosures. The promoter has been informed about the deficient informations/papers mentioned hereunder:  Dated: Signature of Officer  S.No. Particulars of the Deficient Papers informed to the Party  The date of IPC/PCC .............  Signature of Party Or his representative Signature of Officer   A. General  ENCLOSURES   i) Biodata in prescribed form of each promoter as per Annexure-A. ii) Statement of net worth of each promoter as per Annexure-B. iii) Details of immovable properties of each promoter as per Annexure-C. iv) Affidavit regarding financial assistance availed in prescribed format by each      promoter as per Annexure-D.  v) Analysis of Balance Sheets for last three financial years in case of existing concern (along with copy of audited balance sheet and P&L a/c) Annexure-E. vi) Analysis of working result of Sister/Associate Concern for last three years  (along with Balance Sheet and P&L A/c for last three years) Annexure-F. vii) Copy of income Tax Return with computation for last three assessment years for each promoter separately.  B.  Others  i)  Documents regarding land  a)  For lease hold land.  i) Allotment letter/lease deed.   b)  For converted land. i) Sale Deed / Mutation entry in revenue record, conversion order / lease deed.  c)  For free hold land. i) Patta/Sale Deed with chain title documents, two copy of resolution passed from gram panchayat.  ii) Site Plan of the land.  iii) Registered rent deed in prescribed format in case of rented premises.  iv) Building Map.  v) Plant Lay out.  vi) Quotation of Plant & Machinery Supplier from 2 -3 different reputed suppliers alongwith details of capacity/technical specification, sales tax number, catalogue, price list etc.   vii) List of Clients in following format  Name & Address of Name of machine List of clients Supplier to be purchased Name & Address Name of Financial of Unit Institution if Finance Availed  viii) Project Report in two copies.  ix) Supporting documents about prices of Raw Material and Finished Goods.  x) Power assurance letter from RSEB in other than RIICO Industrial Areas.  xi) Name of two credit references of gazetted officers or good borrowers of   the corporation. xii) Copy of Ration Card. xiii) Any other material information.   C. For partnership Cases (Additional requirements besides A &B above)  i) Partnership Deed/Supplementary partnership deed in prescribed format.  ii) Copy of firm Registration alongwith form No.67.  iii) Undertaking.    D. For Company Cases (Additional requirements besides A&B above)  i) Certificate of Incorporations & Memorandum and Article of Association.   ii) Prospectus (in case of Public Ltd.Co. offering shares/Debentures to the  public).  iii) Shareholding pattern.  iv) Form No. 32 for incoming & outgoing Directors, if any.  v) Certificate of commencement of business in case of Public Ltd. Co.    Annexure-A    DETAILS ABOUT PROMOTER (S)/PARTNERS/DIRECTORS  1.   Name : Photograph of Promoter duly   2.   Father's Name : attested by gazetted    3. Age : officer or Notary Public.  4.  (a) Permanent Address : _________________________ (with telephone no.) _________________________  (b)  Present Address _________________________ : _________________________  5.  Qualifications  (a)  Academic  : _________________________   (b)  Professional/Technical : _________________________   (c)  Any training programme : _________________________    6.  Details about experience/ Occupation :  (a)  Present  : _________________________   (b)  Past  : _________________________   (c)   Any other business/ Industrial experience (Full details about name & address of concern/ employer, period, exact nature of work etc. may be furnished) : _________________________    7.   Name & Address of the Bank : _________________________ (Where personal account is held)   8.   Name & Address of concern (s) of which he is proprietor/partner/ : __________________________ director   9.   Details of income tax/wealth tax for last 3 years (Enclose copies of assessment orders)   Assessment PAN Income Income Net Wealth Year No. assessed tax paid wealth tax paid   10.   Any other details     Place:  Date:  Signature   Annexure-B  M/s._____________________________________________________________   Statement of Net Worth of  Shri _____________________________________________________________ As on ________________  S.No. Particulars  Estimated value   1.  Immovable Assets :  (i)   Land : Location ___________ : Area ___________   (ii)   Building : Location ___________ : Covered Area ___________    (iii)  Others  1.   ___________ _________   2.   ___________     2.  Movable Assets:  (i)  Investment in Shares/  Debentures of Companies   Name of Company  No. of Shares/ Folio No. Amount of Debentures Investment  1.   ___________ __________   2.   ___________ __________    (ii)  Investment in partnership  firm  Name of Concern Share in Capital   1.   ___________ ___________   2.   ___________    (iii)  Capital in  Proprietorship concern   Name of Concern Capital  1.   ___________ ___________   2.   ___________     (iv)  Gold/Silver ornaments   and Utensils  ___________ ___________   (v)   Loans & Advances  Name of the party    1.   ___________   2.   ___________   3.   ___________ ___________     (vi)   Deposit in Bank  Name of Bank    1.   ___________   2.   ___________   3.   ___________ ___________      (vii)  Cash Balance ___________ ___________  (viii)  Others  1.   ___________   2.   ___________   3.   ___________    3.   Total Assets ___________   4.   Less Liabilities   (i)  Nature of Liabilities  1.   ___________ ___________   2.   ___________   3.   ___________     5.   Net Worth ___________    Date: ___________ Signature __________ Place: ___________ Name: __________  Note: For the purpose of Seed Capital assistance, please also enclose above statement in respect of family member/dependent of the promoters.  Photocopies/supporting documents in case of immovable properties, other assets if substantial.   Annexure-C DETAILS OF IMMOVABLE ASSETS OF SHRI __________________________ __________________________________ (Promoters/Sureties)  S.No. Particulars Location Address Size & Approx.  i.e. land & North/ of the area value of the building south site property  Note: A legally admissible Photostat copy of the documents on the basis of above ownership is claimed should be enclosed.   Annexure-D  To be executed on Non-Judicial Stamp Paper of Rs.10/ (To be Attested by Notary Public or Magistrate-1st)  AFFIDAVIT  I___________________________S/o Shri ______________________________ aged______________Years, residing at _______________________________ __________________Director/Partner/Proprietor of M/s. ___________________ ______________________do hereby state on oath as follows:  1.  That I am/we are submitting an application to the Rajasthan Financial  Corporation for a sanction of loan of Rs. _____________________ lacs.           (Rupees _______________________________________________ Only) under Composite loan scheme/soft loan scheme/hotel  equipment/refinance scheme/transportation loan scheme/modernisation scheme/integrated term loan scheme/DG set loan scheme and seed capital loan of Rs. ____________(Rupees _____________________only) under seed capital scheme (i.e. Financial Assistance out of Capital raised under section 4-A of SFCS Act/Seed Capital assistance Scheme of IDBI of the Corporation and for a subsidy of Rs. ___________________________ (Rupees __________________________only) (Proposed to sanction under the State/Central Outright Grant of Subsidy scheme, for the establishment/development of my/our industry plot/khasra no. _________  2.  That neither I/We nor any partner/director of our concern/company have so far sought any sort of financial assistance from any other financial institution/bank at any where in the country except as stated in encl. Annexure-A.  Deponent  Place:  Date:  I, the said _________________________________do hereby verify on oath that contents of para 1 to 2 of the above affidavit and enclosed Annexure -A are true and correct to the best of my personal knowledge and belief, Nothing has been concealed or falsely stated so help me GOD.   Annexure-E  PROFORMA OF SUMMARISED PAST PERFORMANCE OF THE APPLICANT COMPANY/UNIT  M/s. ____________________________________________________  SUMMARISED PROFIT & LOSS ACCOUNT  (Rs. in lac) For the year ended _________ _________ _________  Installed Capacity Actual Production (Product wise)  INCOME  Sales Other Income Total Income  EXPENDITURE  Excess of opening stock Over closing stock  Raw Material Consumed Processing Expenses Store Consumed Power & Fuel Packing expenses Salary & Wages and Other benefits Repairs & Maintenance Rent, Rates & Taxes Excise Duty Interest Selling expenses Admn. expenses  NON-CASH EXPENDITURE  Depreciation Investment Allowance Amounts written off Net Profit/Loss for the Year after tax  Cash Accruals  Note: please give reasons for decrease in turn over/profit   PROFORMA OF SUMMARISED PAST PERFORMANCE OF THE  APPLICANT/COMPANY/UNIT   M/s. ____________________________________________________________  SUMMARISED BALANCE SHEET  As at (Rs.in lac)  Year _________      _________  _________ SOURCES OF FUNDS  Shareholders Funds  a)Capital b)Reserves and Surplus  Total _________ _________ _________  Loan Funds  a)Secured loans b)Unsecured Loans  Total _________ _________ _________  APPLICATION OF FUNDS A ->Fixed Assets  a)Gross Block b)Less: Depreciation c)Net Block d)Capital work in progress e)Investment  B ->Current Assets  a)Inventories b)Sundry debtors c)Cash and Bank Balance d)Loans and Advances  Total _________ _________ _________   ->Less: Current Liabilities  a)Current Liabilities & Provision b)Bank borrowing for Working Capital  Total Current Liabilities _______ _______ _______  D ->Net Current Assets (B-C) _______ _______ _______  E Net Total Assets (A+D) _______ _______ _______  Note: In case any revaluation of assets has been done in past, please give details of the valuation made and copy of valuation report.  DETAILS OF LOAN AVAILED  Date & Amt. Type of facilities Outstanding Over dues availed if any                                            _____________________________________  From RFC  From Bank Name and Address of Bank   ANNEXURE-F  SUMMARY OF WORKING RESULTS OF THE SISTER CONCERN  (Name of the Concern _____________________________________________) a) Location of factory : b) Constitution : c) Nature of business : (Product) d) Name of the common : director / partner / Proprietor e) Extent of interest : f) Summary of financial position : and working results (Rs.in lac) Liabilities Amt. Amt. Amt. Assets Amt. Amt. Amt. As on As on Capital Fixed Assets  Reserves & Surplus Closing Stock Unsecured Loan Sundry debtors (long term)  Secured Loan for Loans & advances Working capital  Secured term Loan Cash & Bank balance RFC Other  Sundry Creditors Other current assets Other Current Liabilities Misc. exp.  Provision  Total Total  Sales Profit before tax (Loss) Depreciation provided  (Details of facilities availed) Name and address Date of Type of facility Amt. O/S Of Institution sanction availed sanctioned/ O/D  Disb. RFC Bank   rfc  S.No. .......  Rajasthan Financial Corporation, Jaipur  LOAN APPLICATION FORM  (For Working Capital Bridge Loan)  Bridge Loan Applied for Rs. .......  Dated. ......  We, the Company /Concern named herein below which has applied for grant of  term loan of Rs.................. Lac for its proposed project located at ................. ............................................................................................... requests for grant of Working Capital Bridge Loan to the extent applied for to meet out its working capital requirement for a period of one year or until it make arrangement for regular working capital limit from any bank, whichever is earlier.  Information Regarding Loanee Unit  1.  Name & Address of the Concern/  : ....................................................    Company  ...................................................  ....................................................  Tel. No.................................  Fax no. .....................................    2.   Name of the Product (s) manufactured/to be manufactured) : ..................................................   3.   Name & Address of designated bank   (a)   Where Current Account is being/to be maintained : ...................................................   (b)  For Working Capital Assistance  : ...................................................      4.  (a) Details of total Working Capital requirement :    Note: The Corporation reserves the right to close/reject the application without assigning any reason Raw Material Consumable Work-in-Progress Finished Goods Debtors Cash   a) Particulars  Period  Amount of Working Capital  Margin  Working Capital loan Required    Total.  b) Annual Turnover envisaged during first year : ..............................................................  Declaration:  I /We Certify that all information furnished by me/us is true, that I/We have no borrowing arrangements except as indicated in the application for the unit with any bank that no legal action has been/is being taken against me/us, that I/We shall furnish all other information that may be required by you in connection with my/our application, that this and any other information available with you pertaining to the borrowing unit, present and future, may also be exchanged by you with any agency you may deem fit, and that you, your representatives, any other Agency as authorised by you may at any time inspect/verify our assets, books of account etc. in our factory and business premises.  "I/We further certify that as on date there are no overdues to financial institutions/ banks from the undersigned, the other promoters and the company/companies in which I/the other promoters have interest as a promoter/director/proprietor. I/We further certify that there are no statutory overdues pending against me/the other promoters/the company or other companies in which I am/the other promoters are Director/Directors."  I/We further certify that there are no criminal/economic offence cases are/were reported against me/and the other promoters/and the company are pending.  Date: Signature ..........................................................   Place: Name and .........................................................   Designation .......................................................   Name of the concern .........................................
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