PART-II
CENT-TRADE
(For Common Application Form, Guarantor’s Consent Letter & Acknowledgement-Please fill PART-I)

01. ACTIVITY

(WHETHER PRIORITY SECTOR /NON PRIORITY SECTOR)
02. ADDRESS (Shop)

03. SALES TAX REGD.NUMBER
04. CONSTITUTION
05. TANGIBLE NET WORTH Rs. As on
06. DATE OF ESTABLISHMENT
07. DATE OF LAST RECONSTITUTION
08 DETAILS OF ASSOCIATE/ALLIED CONCERNS
Name Bank Credit Facility Asset Classification

09. WHETHER THE PROPRIETOR/PARTNER/DIRECTORS STOOD AS
GUARANTOR. IF SO DETAILS
On whose Behalf Total Commitment

10. FINACIAL DETAILS
Particulars Last Year Current Year Next Year
Sales
Purchases
Operating Profit
Net Profit
Net Worth
Total Current Asset
Total Current Liabilities
11. REASONS FOR SEEKING FINANCE

12. DETAILS OF PROPERTY TO BE MORTGAGED DATE BY
LSR
VALUATION REPORT
I/We submit followings papers/documents in support of my above submission.
(Please mark tick against each )
(i) Financial statements for year 200_ - __ , 200_ - __ and 200¬¬_ - __.

(ii) Sales tax / Income tax Returns/ assessment orders.
(iii) Original Title Deeds of the property to be mortgaged.
(iv) Valuation report from approved valuer.
(v) Copy of Sales Tax Registration Number.
(vi) Guarantors Consent Letter.

Place: Signature of the Applicant

Date: Signature of the Joint-Applicant