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

01. DETAILS OF SECURITY (PROPERTY) DATE BY
LSR
VR
02. PARTICULARS OF BORROWWER
A. NAME
ADDRESS

YEAR OF ESTABLISHMENT
NATURE OF BUSINESS
CONSTITUTION
B NAME/S OF THE PROPREITOR
/ PARTNER/S
C. NAMES OF ASSOCIATE /ALLIED CONCERNS
03 FINACIAL DETAILS
Particulars Last Year Current Year Next Year
Sales
Purchases
Operating Profit
Net Profit
Net Worth
Net Working Capital
Total Current Asset
Total Current Liabilities
04 REASONS FOR SEEKING FINANCE

05 AMOUNT OF OD LIMIT REQUIRED
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 Regd. Number.
(vi) Guarantors Consent Letter.

Signature of the Applicant Signature of the Joint- Applicant
Place Place
Date Date