State Bank of India

Bio-data Form Details of Proprietor / Partners / Managing Partner / Promoters / Director / Managing Director

Please indicate inter-relationship, if any, among the partners / Directors / promoters.
(Use separate sheet for each person)
1. Full Name
2. Name of the Father / Husband
3. Age: 4. Sex :
5. Whether belongs to Scheduled Casts Yes / No
/ Scheduled Tribes / Minority
Community
6. Are you an Ex-Serviceman Yes / NO
7. Ration Card No. and Name of the
Issuing Office
8. Passport No.
9. Address & Tel No.
Office
Permanent Residence
10. Academic Qualification
11. Experience
Years Employer Designation Last Salary Drawn
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
State Bank of India
12. Functional responsibilities in the unit
13. Capital / Loan Contribution in the unit
At the beginning:
At present :
14. Reasons for joining / establishing the
unit (please mention about the
motivating factors)
15. If associated as proprietor / partner /
director / shareholder with concerns
other than the applicant unit, please
furnish following details separately
for each concern by way of enclosure
(i) Name and address of the branch /
associates / identical concern
(ii) 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 it s
borrowing
15.8 Working results of the units for the
Past three years.
16 Personal Assets and 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 / acceptance given)
17 Any other relevant information
Place Signature
Date
______________
State Bank of India
Appendix – SSI-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 Leased
3. Purchase price of Building if owned
4. Rent in case of Leased / Rent Premises
5. Terms of Lease
Structure Type of Structure
(Indicate “P” if
permanent)
Dimensions Area (in
sq.m.)
Actual
Cost (in
Rs.)
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
Existence of unit, furnish full details of such revaluation together with the reason
therefore.
Particulars of Buildings Proposed to be constructed
Built-up Area ( in
metres)
Sr.
No
.
Description of
each
Building
Type of
Construction
Length
Breadth
Average
Height
Total
Floor
Area
in Sq.
m.
Rate of
Construction
per sq.m.
Estimated
cost of each
building
Expected
date of
completion
State Bank of India
Note:- 1. In case contract 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 controllers, etc., if
any, should be enclosed.
3. Please enclose a plan showing layout of machinery
Particulars of Machinery
Name of
Machinery
and
specification
Second
Hand /
New
Name of
manufacturer
/ fabricator
(place and
Country of
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/a 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 in
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. In 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.
State Bank of India
Appendix – SSI-III
Projects of Performance, Profitability and Repayment
Break-even point Break-even Quantity
%of installed capacity Break-even Value
(Figures in 000s of Rs.)
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
A. Production during the year (Quantity) %
Utilisation of installed capacity
B. Sales
1. Sales including all miscellaneous receipts
2. Less Excise
3. Net Sales
C. Cost of Production
1. Raw Material Consumed
2. Power and Fuel
3 Direct Labour and Wages
4. Consumable Stores
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
State Bank of India
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
D. Cost of Sales
E. Gross Profit (B-D)
F. Interest on
1. Term Loans
2. Working Capital
3. Other Loans, if any
G Selling, General and Administrative Expenses
H. Profit before Taxation (E-(F+G))
I. Provision for Taxes
J. Net Profit ( H – I)
K. Depreciation added back
L. Net Cash Accruals
M. Repayment obligations
1. Towards Term Loan
2. Towards Other loans, if any,
Total Repayment
N. Debt Service ratio (L : M)
State Bank of India
Appendix –SSI-IV
Cash Flow Statement
(Figures in 000s of Rs.)
Construction
Period
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
Sources of Funds
1. Cash Accruals
(viz. Net profit before Taxation(item H
of Appendix – III to which shall be
added interest (item F of Appendix III)
2. Increase in share capital Equity /
Preference
3 Depreciation
4 Increase in long term loans / debentures
5 Increase in deferred payment facilities
6 Decrease in Unsecured loans / Deposits
7 Increase in Unsecured loans and deposit
8 Increase in bank borrowings for
working capital
9 Sales of Fixed assets / investments
10 Others (specify)
Total Sources (A)
Disposition of Funds
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)
Opening Balance
Net Surplus (A – B)
Closing Balance
State Bank of India
Appendix –SSI-V
Projected Balance Sheet
(Figures in 000s of Rs.)
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
A. Liabilities
1. Equity Share Capital
2. Reserve and Surplus
3 Term Loans
4 Ban Borrowings for Working Capital
5 Other Liabilities
Total Liabilities
B. Assets
1 Gross Block
2 Depreciation
3 Net Block
4 Investment
5 Current Assets
6 Cash and Bank Balances
Total Assets
State Bank of India
Appendix –SSI-VI
Assessment of Working Capital Requirements
(Figures in 000s of Rs.)
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
A. Current Assets
1 Raw Materials including stores
1.1 Imported
(Month’s consumption)
1.2 Indigenous
(Month’s consumption)
2. Other Consumable Spares
3 Stocks-in-Process
(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)
(Months’ Export Sales)
7. Advances to Suppliers of Raw Materials
and Stores / Spares / Consumables
8. Other Current Assets including
Cash and bank balances and
Deferred receivables due within
One year (furnish individuals details of
major items)
Total Current Assets (I)
..2
State Bank of India
-2-
1st
Year
2nd
year
3rd
Year
4th
Year
5th
Year
II. Current Liabilities
1. Creditors for Purchases of raw materials
and stores / spares / consumables
(Months’ Purchases)
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