Loan Application for Qualified Professionals Scheme

Company Name(s): 

EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa
1. LOAN APPLICATION FOR PROFESSIONAL SCHEME
PLEASE COMPLETE ALL
PARTICULARS IN BLOCK LETTERS
TICK BOXES WHEREVER
APPLICABLE
Name of the Applicant
Name of Father/Husband
FIRST NAME MIDDLE NAME SURNAME
PARTICULARS
1.Detail Residential Address
(House No., Road Name, Locality,
City, PIN, District, State)
2.Office Address (House No.,
Road, Name, Locality, City, PIN,
District, State)
3.Email address
4.Date of Birth (DD/MM/YYYY)
5. Telephone No. Office Residence Mobile
6. Educational Qualifications
7. Nature of Years of Experience
8.Marital Status Single Married
9.Particulars of Identification (a) (a) Voter ID No. .
Proof (Pl indicate name of
Document at d) ( b) Pass Port No.
(c) Driving License
(d) Others
10. PAN, Card No
EDC Limited
EDC House, Dr. A. B. Road,
Panaji-Goa.
Signed photograph
of Applicant
2. PERSONAL INFORMATION OF THE APPLICANT
1. LOAN APPLICATION FOR PROFESSIONAL SCHEME
PARTICULARS
1Income Tax Returns filed for last 3 years
2. Annual Gross Salary/Income
3. Annual Net Salary/Income
4.Professional income out of 2) above
5. Monthly Deductions if any
Name and address of bankers
Details Value in Rs
1 Details of immoveable assets
2 Details of Bank balances
3 Details of gold ,jewelery
4 Investment in NSCs/Shares/Debentures
Bonds/Mutual Fund, etc.
5 LIC/Postal Life, etc.
6 Other Investments
7 Total Assets
8 Less liabilities
(Please give details)
9 Net worth (7-8)
Details of immoveable property that
can be offered as collateral security
3. FINANCIAL INFORMATION OF THE APPLICANT
4 . DETAILS OF FINANCIAL WORTH OF THE APPLICANT
PRJECT PROFILEPPP
PPR
Purpose of loan :
Cost of the Project Means of Finance
Details Estimates of osts in Rs Sources of Funds Amount in Rs
Purchase price of premises Costs already incurred
Cost of furnishings Savings in banks
Equipments Disposal of investments
Miscellaneous expenditure Unsecured loans
Loan requested from EDC
Contingency expenses
Others ( Please specify)
Preliminary expenses
Working Expenses
Total Total
Address of the proposed premises A. Is the land Freehold Leasehold
B. Is the commercial premises Ready Under construction
C. Age of the ready built premises : years
D. Area of the premises
Address of the builder/seller
E. Cost per sq mt : F. Purchase price.:
G. Stamp duty /Registration charges:
H. Total cost of premises:
INCOME PER MONTH AMOUNT IN Rs EXPENDITURE PER MONTH AMONT IN Rs
Professional Income Consumables
Others Power/water
(Please Specify)
Total Income Administrative
Depreciation
EMI of the loan
Total expenditure
Net Profit
6 . DETAILS OF PREMISES
5. PROJECT PROFILE
7. PROJECTED INCOME AND EXPENDITURE
Acquisition of Premises Installation of Equipments / Machinery
Completion of all furnishings Commencement of Operation
10 .NAME AND ADDRESS OF GUARANTOR
The Managing Director,
EDC Ltd,
Panaji,
Goa,
I hereby apply for a loan from EDC Limited to the extent indicated in the Loan request section of this application form ie Rs ( ) and declare that the particulars and information furnished in this application form are true, accurate and complete and that they shall form the basis of any loan EDC Limited, may decide to sanction to me. I also state that I have no borrowing arrangements for the unit with any other bank except as indicated in the application form ; I confirm that no legal action has been/is being taken against me and that I have / had no insolvency proceedings against me. Nor have, I been adjudicated insolvent. I further confirm that I have read the terms and conditions and. understood the contents therein. I shall furnish all other information that may be required by you in connection with my application and that this may also be exchanged with any other agency that you may deem fit and that you or your representative or any agency authorized by you may at any time inspect /verify my assets/books of account etc in our premises as given above. I am aware that if I opt for loan at floating rates of interest, the Equated Monthly Installment will comprise Principal and Interest based on EDC Rates which is subject to change from time to time.
I agree that EDC Limited may at its discretion conduct discreet inquiries in respect of this application. I undertake to inform any change in my /our occupation / employment, residential address and to provide any further information that the EDC may require. EDC limited will be at liberty to take such action as it may deem necessary if my / our above statements are found to be untrue. I / We agree that EDC Limited shall have the sole discretion to reject / reduce loan amount in my loan application without assigning any reason thereof. I tender herewith Rs by cash/cheque/draft No dated drawn on towards processing fees as required and confirm that in case of rejection, closure, or withdrawal of my application or in case I do not avail the loan sanction the same will be forfeited. I further agree that my loan transactions shall be governed by the rules of EDC Limited which may be enforced from time to time.
Applicants
Signature
Place:_______________
Date:
_______________
8. DETAILS OF PROPOSED MARKET/ CLIENTS( Separate sheet may
be used)
9 . IMPLEMENTATION SCHEDULE
11. DECLARATION