Annexure 1

Bio-data of the Promoters

(Pl affix
recent
photograph)

Name

Date of Birth

Sex

Father’s/ Husband’s Name

Address for Correspondence

Residence Address

Permanent Residence

Office Address

PAN No

Passport No

Academic qualifications

Professional qualifications

Family details - Spouse & children (age,

educational background & present
occupation)

Job experience (if applicable)

Details of Past Experience of

Entrepreneurship

Major Skills / Area of Expertise

Financial/ capital contribution in all the Name of Capital contribution

existing enterprises/ businesses in which concern/
(Rs lakh)
involved as promoter/ director/ partner/ associate
proprietor etc (face value only) concerns At beginning At present
Functional responsibility in the applicant
enterprise

Functional responsibility in the proposed

venture

Any other relevant information

I declare that the above particulars are true to the best of my knowledge and belief.

(Signature)
 Annexure 2

Networth of Promoters / Guarantors

1. Name : --------------------------------------
2. Fathers’ name
3. Age and Sex : --------------------------------------
4. Address & Contact Details
Correspondence : --------------------------------------
Residential : --------------------------------------
Permanent : --------------------------------------
5. PAN No. and Passport no. : --------------------------------------
6. DETAILS OF ASSETS (Rs lakh)
i) MOVABLE ASSETS (other than shares held in the applicant enterprise)
- Cash and Bank (Savings/ FD) :
- Liquid Shares/ Bonds/ Mutual Funds :
- Insurance policies (Surrender value) :
- Details of other securities like
stake in unlisted concerns, etc :
- Vehicles/ Jewellery :
- Others (kindly specify) :
Total :

- Kindly provide details of the pledge :

or hypothecation of the above assets

ii) IMMOVABLE PROPERTIES

Date of Location / Whether Land/ House/ Extent of Name of joint Value Details of
Acquisition Address Flat/ Commercial/ holding (%) owner, if any ( Rs lakh) mortgages,
Agricultural property encumbrance
Purchase Mkt.
price Value

TOTAL

7. DETAILS OF LIABILITIES
S.No Borrowings from Purpose Secured by Amount still to be
repaid (Rs lakh)
1
2
DETAILS OF GUARANTEES GIVEN
Guarantee given to (name of On behalf of/ Guarantee valid Amount involved
bank/ person) purpose upto (Rs lakh)
1
2
Debit Balance shown in Balance Sheet of any company/ firm in
which you have financial interest/ stake
 Any other liabilities
Total Liabilities

8. SUMMARY

Value of Movable assets : ---------------------------------------

Value of immovable properties : ---------------------------------------
Total Assets (Rs. Lakh) : ---------------------------------------

Less: Total liabilities (Rs. Lakh) : ---------------------------------------

Net Assets (Rs. Lakh) : ---------------------------------------

9. Profit in Business (Rs. Lakh) : ---------------------------------------

10. DECLARATION

I declare that the above particulars are true to the best of my knowledge and belief and I
undertake to furnish such other information as the Bank may require.

Place : --------------------- Signature: ---------------------

Date : --------------------- Name : ---------------------

====================================================================
CA Certification
Based on the verifications of all the relevant documents/ vouchers/ books of accounts / bank accounts
etc. of Shri ________________, we certify that the above information is true & correct to the best of our
knowledge.

Place : --------------------- Signature: ---------------------

Date : --------------------- Name/stamp of the Firm / Partner:
Membership No ---------------------
Note:
1. Net worth details should contain full details of the following :
a. immovable properties including complete address, area (residential, commercial etc.) and
whether they are mortgaged with others with details thereof;
b. movable assets including the details of investments in shares, bonds, debentures, fixed
deposits indicating name of company/ firm, amount, face value, interest rate, etc., and whether
they are pledged with others with details thereof;
c. full details of liabilities including names, amounts, terms etc. ;
2. Kindly enclose copies of sale deeds, demat statements of shares, debentures & bonds held, policies,
etc.
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 Annexure 2A

To be obtained at the application stage

Date : __________
Place: __________

The General Manager/ Dy. General Manager/ Asst. General Manager,

Small Industries Development Bank of India (SIDBI)
_____________
_____________
Undertaking-cum-Consent letter

I ________S/o D/o W/o ___________ aged about ___ years and residing at
________, do hereby undertake, declare and give my consent as stated hereunder ;

(i) That I am __________ (Partner/ Managing director/director/ trustee/member) of M/s

_____________ (Applicant)

(ii) That the applicant has submitted an application to SIDBI for seeking financial
assistance of Rs. _________ under __________ (scheme)

# (iii) That to secure the said financial assistance, I have also offered__________
( please indicate the security including guarantee)

(iii) I am aware that in relation to the said financial assistance, SIDBI requires my
consent to pull / having access to the credit reports / data relating to me from CIBIL
Consumer Data Base. Accordingly, I hereby irrevocably and unconditionally give my
consent authorising SIDBI for pulling credit reports / data relating to me from the
Consumer Data Base of CIBIL while considering the application of the applicant and
thereafter also in case the financial assistance is sanctioned by SIDBI to the
applicant till currency of the financial assistance or the securities created by me
which ever is later.

Yours faithfully,
____________

# Delete if not applicable

 Annexure 4

Minimum Information To Be Declared By Borrowing Entities to Banks while approaching For Finance
under Multiple Banking Arrangements

A. Details of borrowing arrangements from other banks (institution wise and facilities wise)

1. Name and address of bank/institution

2. Facilities Availed
Fund- Based credit facilities
(Kindly indicate the nature of facilities e.g. working capital
/ demand loan / term loan / short term) / Foreign currency
loan, corporate loan / line of credit / Channel financing ,
Bill of discounting etc. amount and purposes)
Non- fund based facilities other than derivatives
(Kindly indicate the nature of facilities e.g. L/C, BG, DPG
(I & F) etc. amount and the purposes)
Derivatives contracts entered into with the bank
(Kindly indicate the nature of the contract, maturity,
amount and the purposes)
3. Date of sanction
4. Present outstanding (In the case of derivatives
contracts, the negative MTM i.e. which is not due for
settlement may be indicated)
5. Overdues position, (In the case of derivatives
contracts, the negative MTM i.e. amount payable to
the bank under the contract but not yet paid may be
indicated)
6. Repayment terms (for demand loans, term loans,
corporate loans, project - wise finance)
7. Security offered (complete details of security
both primary and collateral including specific cash
flows assigned to project wise finance/loan raised &
personal/ corporate guarantee, to be furnished)
8. Requests for facilities which are under process

[The information is to be given for domestic and overseas borrowings from commercial banks, Financial
Institutions and NBFCs]

Contd...
B. Miscellaneous Details

1. CPs raised during the year and current outstanding

2. Details of financing outside banking system

e.g. L/C Bills discounting
3. Amount of un-hedged foreign currency exposure
(kindly give currency – wise position in format
given below)
i. Short term exposures (less than one year)
a) Long positions
b) Short positions
c) Net short term Exposure (a-b)
ii. Long term exposures (one year and beyond)
a) Long positions
b) Short positions
c) Net Long term Exposure (a-b)
4. Overall Net position (i-ii) for each currency
5. Overall Net position across all currencies
6. Main and allied activities with locations
7. Territory of sales and market share
8. Details of financial aspects incl. DSCR Projections
wherever applications as per requirements of
bank–Imp. Financial covenants, if any, agreed to /
accepted with other lenders.
9. CID A/c’s, within/outside financing Banks,
being operated, if any
10. Demands by statutory authorities/ current
status thereof
11. Pending litigations
12. A declaration authorizing the bank to share
information with other financing banks

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