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APPLICATION FOR FINANCIAL ASSISTANCE TO A RETAILER,SMALL TRADER AND SMALL BUSINESS

The Manager,

UNITED BANK OF INDIA,.Branch,

Dear Sir,

I/We hereby apply !r a "!"al #nancial a$$i$"ance ! %$..r!& "he

Ban' !r "he !ll!(ing p)rp!$e*$+. Thi$ peri!/$ !r (hich a-ance/$ i$/are re)ire

an "he (ee'ly/&!n"hly/)ar"erly/hal yearly/ann)al in$"al&en"$ I/We (ill be able "!

pay are inica"e again$" each i"e&

TotalCost

Rs.

Amountof

advanc!"u#!d

Total $!#odof advanc #n

mont%s

Invstmnt&sP!#od

AmountRs.

*a+ 0!$" ! e)ip&en"/ )rni")re "! be

p)rcha$e

*b+ F!r #nancing$"!c'$

*c+ F!r &ee"ingrec)rring

e1pen$e$

*+ F!r any !"herp)rp!$e2

*$"a"e p)rp!$e+

Total Rs.

I/We $"a"e here)ner "he arrange&en"$ &ae !r rai$ing &argin &!ney an

par"ic)lar$ ! c!lla"eral $ec)ri"y, i any.

Da"e 3!)r$ ai"h)lly,

2e.g. !r repay&en" ! l!an "a'en r!& a &!ney lener, !r #nancing $ale$ !n crei",

e"c. 4lea$e $"a"e par"ic)lar$.

5

4h!"!graph! "he

Applican"

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A. BUSINESS PARTICULARS

*5+ Na&e a+ Fa"her6$/7)$ban6$ Na&e

b+ 8ener

c+ Age *Da"e ! bir"h+

+ 9!"er Ien"i"y/4AN/4a$$p!r" N!.

e+ Teleph!ne/FA: (i"h STD 0!e

+ %e$ien"/N!n %e$ien"

*;+ 0!n$"i")"i!n

;.A Na&e < re$ien"ial are$$e$

! par"ner$/pr!prie"!r$/irec"!r$

(i"h Ne" W!r"h*=+ 3ear ! e$"abli$h&en", i alreay

in b)$ine$$ .

*>+ B)$ine$$ Are$$

a+ 0i"y/T!(n,Di$"/S"a"e, 0!)n"ry, 4IN

b+ Mailing Are$$

*?+ Dealing in *principal i"e&$+

*@+ Whe"her "he $h!p/place !

b)$ine$$ i$ !(ne !r ren"e.

I ren"e in (h!$e na&e an "he

M!n"hly ren"al.

Area ! "he Sh!p

!ca"i!n ! "he Sh!p

*+ I Inc!&e Ta1 i$ pai by "he Fir&

an/!r 4ar"ner$ per$!nally, $h!( a&!)n"/$ an a"e ! "a1 la$" pai

$epara"ely

4AN N!.

3ear ! a$" A$$e$$&en"

;

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*C+ Na&e$ ! !"her Ban'er$ e"c. "!ge"her (i"h )ll par"ic)lar$ ! Na&e Na")re i&i" O)"$"aning

acili"ie$ en!ye ! ! BalanceBan' Acc!)n" a$ !n

0rei" rep!r" r!& e1i$"ing Ban'er$ "! be )rni$he, i i" i$ n!" reaily a-ailable, c!py !

"he ban' $"a"e&en" !r "he la$" 5; &!n"h$ "! be )rni$he.

B. PARTICULARS ABOUT SALES

*5+ Sale$ Ta1/9AT %egi$"ra"i!n

N)&ber, i any

*;+ De"ail$ ! licence an

!"her regi$"ra"i!n$, i any

rela"ing "! "he b)$ine$$

*=+ 4ar"ic)lar$ ! W!r'ing < Financial 4!$i"i!n * 4lan !r achie-ing "he 4r!ec"e Sale$

"! be )rni$he be$ie$ c!py ! Financial S"a"e&en"/Balance Shee"+

a$" Three 3ear$ 4r!ec"e (!r'ing *(here applicable+ *a"er "he a-ance i$

a-aile !+ ;G ;G ;G ;G ;G

0api"al

!an r!& Frien$/rela"i-e$

!an r!& Ban'

Fi1e A$$e"$

0)rren" A$$e"$

0)rren" iabili"ie$Ne" W!r'ing 0api"al

Sale$

e$$ 4)rcha$e

=

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E1pen$e$ *gi-e &ain i"e&$+Ne" 4r!#" / !$$

C. I "he a-ance i$ re)ire !r Type ! 4)rcha$e Fr!& (h!& "! !an p)rcha$e ! e)ip&en"$, gi-e E)ip&en" 4rice be p)rcha$e re)ire par"ic)lar$

Ter&$ ! %epay&en" ! Ter& !an

D. I "he a-ance i$re)ire !r %$

W!r'ing capi"al, plea$e &en"i!n

i+ A-erage le-el ! !)"$"aning Deb"!r$ a" any "i&e

ii+ A-erage ! $"!c' re)ire a" any "i&e

iii+ 0rei" a-ailable r!& "he $)pplier *+

E. I "he a-ance i$ re)ire !r

any !"her p)rp!$e, )rni$h "he

nece$$ary par"ic)lar$.

F.' REFERENCE *Na&e$