Annexure-I
BIO DATA FORM
Details of Proprietor/Partners/Managing Partner/Promoters/Directors/Managing Director

1. Full Name
2. Name of the Father / Husband
3. Age. 4. Sex
5. Whether belongs to SC /ST / Minority Community Yes / No
6. Are you Ex Serviceman Yes / No
7. Ration card No. and Name of the issuing office
8. Passport No.
9. Address
OFFICE PERMANENT RESIDENCE
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Tel. No. Tel. No.
Cell No. Cell No.
10. Academic qualification
11. Experience
YEAR EMPOLOYER DESIGNATION LAST SALARY
DRAWN
12. Functional responsibilities in the unit
BIO DATA FORM Contd.
At the beginning At present
13. Capital / Loan contribution in the unit
14. Reasons for joining / establishing
the unit (please mention about
the motivating factors)
15. If associated as proprietor / partner /
Director / share holder with concern other than the
applicant unit, please furnish the following details
separately for each concern by way of enclosure.
15.1. Name and address of the branch /
associates / identical concern
15.2. Activity of the concern
15.3 Functional responsibility in that concern
15.4. Capital / Loan contribution
15.5 Name of the associate concern’s banker
and their address
15.6. Aggregate credit facilities enjoyed by the concern
15.7 Security offered by the concern for its borrowing
15.8. Working results of the unit for the past three years
16. Personal Assets & Liabilities
16.1 Immovable property details like land, buildings,
Location, date of acquisition cost, present value etc.
16.2 Other assets
16.3 Personal liabilities if any
(including guarantees / acceptances given)
14. Any other relevant information.
PLACE:
DATE: SINGATURE
ANNEXURE-II
DETAILS OF EXISTING FIXED ASSETS
A) LAND
1. Location
2. Area
3. Whether freehold or leasehold?
4. Purchase price of land if owned
5. Rent in case of leased land
6. Terms of lease
7. Ground Rent payable per year
B) BUILDING
1. Location
2. Whether Owned or leasehold
3. Purchase price of Building if owned
4. Rent in case of Leased / Rented premises
5. Terms of lease
Structure
Type of
Structure
(indicate
“P” if
permanent)
Dimensions
Area
(in sq. m)
Actual
cost
Date of
erection
1. Workshop
2. Godown
3.
Administrative
4. Other /
Buildings
In case the assets have been revalued or written up at any time during
the existing of unit, furnish full details of such revaluation together with the
reasons therefore.
ANNEXURE-III
PARTICULARS OF BUILDING PROPOSED TO BE CONSTRUCTED
Sl.
No.
Description
of
Each
building
Type of
construction
Length Breath Average
Height
Total
Floor
In
sq.m.
Rate of
construction
Per sq. m.
Estimated
cost of
each
building
Expected
Date of
Completion
NOTE:
1. In case contact is awarded for construction of building, furnish details
thereof such as name of contractor, amount of contract etc.
2. Other approvals from inspector of factories, Drug Controller etc. if any,
should be enclosed.
3. Please enclose a plan showing layout of machinery.
ANNEXURE-III (Contd.)
PARTICULARS OF MACHINERY
Sl.No.
Name of
Machinery
and specification
Second
hand /
New
Name of
manufacturer/
Fabricator
(place of
country and
origin, if
imported)
Date of
acquisition
/ date of
placement
of order
(actual /
expected)
Expected
date of
delivery
Invoice
price
Including
taxes for
Indigenous
machinery
/ CIF for
imported
machinery
Estimated
Expenses
O/s. of
insurance,
freight,
installation,
import
duty
Total
cost
1. Existing
machinery
1.1. Indigenous
1.2. Imported
2. Proposed to be
acquired
2.1. Indigenous
2.2. Imported
1. Quotation / catalogues / invoice and other details in respect of each
machine to be furnished.
2. If second hand machinery, valuation report regarding age,
performance and value from competent valuer to be submitted.
Also please indicate reasons for going for second hand machinery
and its depreciated value.
3. In case of imported machinery, please indicate mode of payment
and price of the machinery in foreign currency.
4. Inc case the assets have been revalued or written up at any time
during the existence of unit, furnish full details of such revaluation
together with the reason therefore.
ANNEXURE-III (Contd.)
PROJECTIONS OF PERFORMANCE, PROFITABILITY AND REPAYMENT
Break-even point: Break-even Quantity:
% of installed capacity Break-even value:
(Figures in 000s of Rs.)
Sl.No. Particulars 1st year 2nd year 3rd year 4th year 5th year
A
B
C
Production during the year (Quantity)
(% of utilization of installed capacity)
Sales
1. Sales including all miscellaneous receipts
2. Less Excise
Cost of Production
1. Raw material consumed
2. Power and Fuel
3. Direct Labour and Wages
4. Power & Fuel
5. Repairs and maintenance
6. Other Manufacturing Expenses
7.Depreciation Development Rebate Reserve
Total cost of production
8. Add Opening-stock-in process and
finished goods
9. Deduct Closing stock-in-process and
finished goods
D 10. Cost of Sales
ANNEXURE-III (Contd.)
Sl.No. Particulars 1st year 2nd year 3rd
year
4th year 5th year
E
F
G
H
I
J
K
L
M
Gross Profit (B-D)
Interest on
1. Term loans
2. Working Capital
3. Other loans, if any
Selling, General and Administrative Expenses
Profit before Taxation (E – (F+G))
Provision for Taxes
Net Profit (H-I)
Depreciation added back
Net Cash Accruals
Repayment obligations
1. Towards Term Loan
2. Towards other loans, if any
Total repayment
N Debt Service Coverage Ratio (L:M)
ANNEXURE-IV
CASH FLOW STATEMENT
(Figures in 000s of Rs.
Sl.
No.
Particulars Construction
period
1st year 2nd year 3rd year 4th year 5th year
1. Cash accruals (Viz. Net Profit
before taxation (item H of
Annexure – III) to which shall be
added interest (item F of Annexure
III)
2. Increase in share capital – Equity /
Preference
3. Depreciation
4. Increase in long term loans /
debentures
5. Increase in deferred payment
facilities
6. Increase in unsecured loans and
deposit
7. Increase in bank borrowings for
working capital
8. Sales of Fixed assets / investments
10. Others (Specify)
TOTAL SOURCES (A)
CASH FLOW STATEMENT Contd..
(Figures in 000s of Rs.
Sl.
No.
Particulars Construction
period
1st year 2nd year 3rd year 4th year 5th year
1. Preliminary and Pre Operative
Expenses
2. Increase in Capital Expenditure
3. Increase in Current assets
3,1 Inventories
3.2 Others
4. Decrease in long term
loans/debentures
5. Decrease in Deferred Payment
facilities
6. Increase in Investments
7. Interest
8. Taxation
9. Dividend (amount & rate)
10. Other expenses (specify)
TOTAL DISPOSITION (B)
C Opening Balance
D Net Surplus (A – B)
E Closing Balance
ANNEXURE-V
PROJECTED BALANCE SHEET
Sl. No. Particulars 1st year 2nd year 3rd year 4th year 5th year
A LIABILITIES
1, Equity Share Capital
2. Reserves and Surplus
3. Term Loans
4. Bank Borrowings for Working Capital
5. Other Liabilities
B
ASSETS
1. Gross Block
2. Depreciation
3. Net Block
4. Investment
5. Current Assets
6. Cash and Bank Balances
TOTAL ASSETS
ANNEXURE-VI
ASSESSMENT OF WORKING CAPITAL REQUIREMENT
(Figures in 000s of Rs.)
Sl. No. Particulars 1st year 2nd year 3rd year 4th year 5th year
1 CURRENT ASSETS
1. Raw materials including sales
1.1. Imported (Month’s consumption)
1.2. Indigenous (Months consumption)
2. Other Consumable Spares
3. Stock in progress (Month’s cost of
production
4. Finished goods (Month’s cost of sales)
5. Receivables other than Export and
Deferred Receivables (including Bills
Purchased / Discounted by Banks)
( Month’s Domestic Sales excluding
deferred payment sales)
6. Export Receivables (including Bills
purchased/Discounted by Banks
( Month’s Export Sales)
7. Advances to Suppliers of Raw Materials
and Stores / spares consumbables)
8. Other Current Assets including Cash and
Bank balances and deferred receivables
due within one year (furnish individual
details of major items)
TOTAL CURRENT ASSETS (I)
ANNEXURE-VI contd..
ASSESSMENT OF WORKING CAPITAL REQUIREMENT
(Figures in 000s of Rs.)
Sl. No. Particulars 1st year 2nd year 3rd year 4th year 5th year
II CURRENT LIABILITIES
1. Creditors for Purchase of Raw materials
and Stores / spares / consumables
(Month’s Purchase)
2. Advances from Customers
3. Accrued Expenses
4. Statutory Liabilities
5. Other Current Liabilities (furnish individual
details of major items)
TOTAL CURRENT LIABILITIES (II)
III
Working Capital Gap (I – II)
IV
Margin for Working Capital
V
Bank Borrowings
ACKNOWLEDGEMENT
We acknowledge receipt of one SME loan application from Miss/Mrs/Mr. .
. . . . . . . . . . . . . . . S/o. / D/o / W/o. . . . . . . . . . . . . . . . . . . . .
Residing at . . . . . . . . . . . .
Date: For INDIAN OVERSEAS BANK
Place:
MANAGER