ONLINE APPLICATION FOR PROFESSIONAL AND SELF EMPLOYED
(All amounts in Lakh)
1. Name of applicant/Enterprise/Business unit : 2. Date Of Apply :
3. Constitution of Applicant :
4. Details of Individual/Proprietor/Partners/Directors
Name.
DOB
Qualification
Experience(in years)
Pan No.
5. Existing /new customers
6. Profession
7. Category
8. Date of incorporation/commencement
9. Business/Office Address:
Door No:
Street No:
Place:
City:
State:
Pin Code.
Telephone No.
Mobile No.
Email id
10. Residence Address:
Door No:
Street No:
Place:
City:
State:
Pin Code.
Telephone No.
Mobile No.
Email id
11. Activity:
Existing
Proposed
12. Present Bankers
Name of the Bank/Branch
Facilities Enjoyed
13. Name of the Associate concern.
Bankers
Facility
Amt. Rs. in Lacs
14.. Whether Income Tax Payee
15. Original Total Investment in Equipment excluding land and building (Rs in Lacs)
16. Existing Credit Facilities:
Facility.
Limits/O.A
Bal. O/S
Regular/Overdue
Banking with
Security
ROI
State District
Nearest Branch
17. Details of Cost of Project & Means of Finance
Costs.
Already Incurred
To be Incurred
Total
Means of Finance.
Already Invested
To be Invested
Total
18. Details of Guarantors
Name:
Address:
Door No:
Street No:
Place:
City:
State:
Pin Code.
Telephone No.
Mobile No.
Email id
19. Details of IT returns/Net Income for last 3 years(projections for new unit)
Year
Net Income as per IT Return
Net Income as per Income & Expenditure Statement
20.Rating by external agency,if any:
Name of the Agency
Rating
21.Financial parameter:
a)Debt/Equity Ratio:
b)Current Ratio:
c)Security coverage Ratio:
d)Solvency Ratio:
e)DSCR:
22. Statutory Oblications Compliance
a) Registration under Shops and Establishment
b) Registration under MSMED Act(Provisional/Final)
c) Drug License
d) Latest VAT Tax Return filed
e) Latest Income Tax Return filed
f) Arrears if any in statutory payments
g)Whether any litigation is pending in court of law/appellate authority of India/Tax dept/Excise Dept against the Individual/Proprietor firm /promotors/associate firms
h) Relationship of Applicant with officials/directors of the Bank
i) Whether earlier defaulted to any Bank/FIs/NBFCs/Others by Proprietor/firm/promoters/associate firms
23. Any other relevant information:
ID Proof:*
ID Proof No.*
Address Proof:*
Address Proof No*
Security code*       
I/We declare that I am/we are citizens of India and all the particulars and information given in the application form is true,correct and comlplete and no information has been withheld/suppressed.I/We have read the application form and brochures and am /are aware of all terms and conditions of availing finance from Syndicate Bank.I/We confirm that I/We have no insolvency proceedings against me/us nor have I/We ever been adjudicated insolvent.I/We understand that the sanction of this loan is at the discretion of the bank and release is upon my/our executing necessary documents and other formalities as required by the bank.I/We authorize Syndicate Bank to conduct such credit checks as it considers necessary in its sole discretion and also authorise the bankto release such or any other information available,records for the purpose of credit appraisal/sharing or for any other purpose. I/We further agree that my/our loan shall be governed by the rules of syndicate Bank which shall be in force from time to time.All loans are at the sole discrtion of the bank. I/We authorze the bank to cover the account undr Credit Guarantee Trust Fund Scheme (CGMSE) as per Bank's extant guidelines.