UNION BANK OF INDIA
____________________Branch
APPLICATION FORM FOR SMALL BUSINESS*
CATEGORY – B LOANS ABOVE RS.25,000/-

The Branch Manager,
_________________ Branch
Dear Sir,
I/We hereby apply for advance facilities and furnish the following information therefore :
Name of the Applicant
Business address Telephone No.
Proprietor/Partners/Directors Residential Address Tel. No.
______________________________ ___________________________________ ______________
______________________________ ___________________________________ ______________
______________________________ ___________________________________ ______________
______________________________ ___________________________________ ______________

Whether belongs to minority community
Yes No.

If yes, tick the appropriate box
Muslims Sikhs Christians

Neo-Buddhists Parsi (Zoroastrians)

Belongs to Scheduled Caste/Tribe Technically qualified Educated unemployed
Yes No.
Yes No
Yes No

Line of activity
Present Banker Nature of account with present banker
Credit facilities required :
Purpose Amount Repayment
Term Loan
Working Capital

I/We certify that all information furnished by me/us is true; that I/We have no borrowing arrangements 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 may also be exchanged by you with any agency you may deem fit, and that you, your representatives, representatives of the Reserve Bank of India or any other agency as authorized by you, may, at any time, inspect/verify our assets, books of account, etc., in our factory and business premises.

Date :
Place : Signature of the Borrower
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*Common for Retailers/Business Enterprises/Self Employed Professionals and Transport Operators.

Enclosures: Applicant to furnish the Bank with:

(a) The copies of latest balance sheet along with the trading and profit and loss statement (in the case of units already established) where available.

(b) List of equipment, (existing/proposed to be acquired), as per the specimen enclosed.

(c) Where term loans for fixed assets are required, copies of the relevant estimates for construction of building proforma invoices for machinery, etc.