UTTAR PRADESH FINANCIAL CORPORATION WORKING CAPITAL TERM LOAN APPLICATION (TO BE SUBMITTED IN DUPLICATE)

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1 UTTAR PRADESH FINANCIAL CORPORATION WORKING CAPITAL TERM LOAN APPLICATION (TO BE SUBMITTED IN DUPLICATE) The Managing Director, U.P.Financia; Corporation, 14/88, Civil Lines, Kapur Sir 1. I/We hereby apply for obtaining a Working Capital Term Loan of Rs.. I/We also tender herewith a sum of Rs... towards Non-Refundable processing fee(rs..) and Advance Upfront Fee (Rs.) vide Cash/Cheque/Draft No. Dated.drawn on (Name of Bank ) (Place). 2. I/We authorize UPFC and..(bank) to discuss our affairs and to share such information as they may possess with each other. Place: Your faithfully, (Signature of Application) Copy forwarded to the Agent/Manager. (Name of the Bank).. (Place ). alongwith the relevant information. IMPORTANT: To avoid delay, kindly ensure that all the Documents mentioned in the check list Annexed with the form are enclosed Name of the Industrial Concern (in block letters 1.02 Address and Telephone Nos., Telegraphic address/ Telex No./ Fax No. of following a) Registered Office (in case of Corporate Bodies only) b) Controlling (Head) Office c) Factory: Location: d) Address for correspondence 1.03 CONSTITUTION : a) State whether a proprietary partnership/ private ltd./ public limited concern. b) Date of incorporation / registration.

2 c) Date of commencement of production MANAGEMENT: Name, Address, Telephone No. of the Main Promoters / Directors. (Detailed Biodata be given in proforma-i) A list of directors alongwith a complete list of concerns with which they are connected, as director, partner, proprietor etc Name(s) and address of bank(s) with whom enquiries may be made regarding the applicant concern and their promoters as well as sister/ associated concerns. Authority letter from the promoter's Company addressed to the bank to discuss with the lending institution be enclosed Whether any Government enquiry, proceedings or prosecution has been instituted against the unit or its proprietor, promoters or directors as well as against concerns for any offences. - If yes, give details, - If not, furnish affidavit to this effect Details of pending litigation, if any, against and by the concern Indicate whether any of the promoters or directors have at any time declared themselves as insolvent INDUSTRY: (a) Name of product(s) manufactured/ to be manufactured and their uses. b) Whether it is a small scale industry, of so details of S.S.I. registration. d) In case of other than S.S.I. unit, details of filing of memorandum of information with SIA/ Industrial Licence be give. e) Product mix (Existing & Proposed) 3.01 BRIEF HISTORY OF THE CONCERN: State briefly, the history of the unit Provide details of shareholders separately for promoters and other major groups, owning 5% or more of equity shares.

3 3.03 Give a note on the Company's tax status a) Particulars of credit facilities enjoyed by the concern from the Corporation and bank(s) and other financial institutions for capital assets as well as Working Capital (as per attached proforma III). Also submit Bank's financial institutions letter regarding term loan/ credit facilities with account position of the unit LAST THREE YEARS PERFORMANCE OF THE CONCERN: (Enclose three s P & L A/C and Balance Sheet) Year Turnover Other Income I II II Profit Before Profit After Cash Accruals Share Capital Reserves & Surplus Worth Term Loans Fixed Assets (Rs. in lacs) Working Capital borrowings Current Assts (Reasons of decline in performance, if any, be explained) BRIEF DETAILS ABOUT SISTER CONCERNS: a) Name of associated concerns in which promoters are interested as Proprietor / Partner / Directors. b) Other Partners / Directors of associated concerns and their extent of interest. c) Nature of activity of concerns. d) Details of credit facilities availed by associated concerns from any Bank(s) Financial Institutions. (As per attached proforma III). (Also submit bank's /Financial institutions letter regarding position of Loan accounts / credit facilities to sister concerns) e) Address of the Bankers of associated concerns. f) Past performance of sister concerns. Year Turnover Other Income Profit Before Profit After Cash Accruals Share Capital Reserves & Surplus Worth Term Loans Fixed Assets (Rs. in lacs) Working Capital borrowings Current Assts

4 I II II (Reasons of decline in performance, if any, be explained) 4.01 DETAILS OF PRODUCTIONS CAPACITY: Product Existing (Last ) i) Licenced (quantity per annum) ii) Installed (Quantity per annum) iii) Utilised a) Quantity b) as % of installed capacity c) Value (Rs.in lacs) v) No. of shifts per day Projected (For Next Three s) I II III vi) Turn over (Rs. in lacs) 5. COST OF THE PROJECT: Furnish details of cost of project under following heads. Indicate the basis for arriving at the cost of project. i) Land & site development ii) Building iii) Plant & Machinery iv) Other fixed assets (give details) v) Technical know-how and Engineering fees vi) Preliminary & pre- Operative Expenses vii) Total working Capital viii) Accumulated losses ix) Others (Please specify) Existing cost As per latest Balance Sheet (as on..) Proposed Addl. Cost (Rs. in lacs) Total Cost (1) (2) (3)

5 Total Cost of the project; 6.01 Means of financing (furnish details of sources of finance for meeting the cost under following heads): Existing as per latest Balance Sheet (as on..) Proposed Addl. i) Capital ii) Reserves iii) Term Loans iv) Unsecured Loans and deposits v) Deffered payment arrangement including supplier's credit, if any. vi) Working Capital Borrowings from bank vii) Govt. subsidies and grants/ State incentives. viii) Seed Capital (indicate source) ix) Internal Cash Accruals. x) Other Sources (Specify). Total 6.02 In case internal cash accruals are taken as source of finance, explain the basis for estimation of internal cash accruals SECURITY OFFERED FOR PROPOSED WORKING CAPITAL TERM LOAN (WCTL) a) Specific details of Collateral Security, in any, being offered for proposed WCTL, and its value. - Land (area in sq. metrs) - Building (covered area in sq. metre) - Machines - Other fixed assets Total Also specify the basis of valuation and enclose supporting documents. b) Details of guarantor(s). (Name, address, occupation and solvency of the guarantor(s) REQUIREMENT OF WORKING CAPITAL: (A) ON TURNOVER BASIS:(Rs. in lacs) i) Turn over during last ii) Existing Capacity utilization (Rs. in lacs) Total Value (rs. in lacs)

6 iii) Projected capacity utilization and Turn over. iv) Working capital from Bank - Sanctioned limits (Enclose Bank's sanction letter). - Availed at present. v) Margins stipulated by Bank. B) WORKING CAPITAL REQUIREMENT OF HOLDING/ VELOCITY BASIS: 1. CURRENT ASSETS: i) Raw materials (including stores and other items used in the process of manufacture). a) Imported (Month's Consumption) b) Indigenous (Month's Consumption) ii) Other consumable spares (Excluding those included under item (i) above) ( % of total inventory & month's consumption). (See Notes i & ii). Ist of operation. 2nd of operation. 3rd of operation. iii) Stock-in-process ( Month's cost of production) (See Note i) iv) Finished goods ( Month's cost of sale) (See Note i) v) Receivables other than export and deferred receivables (including bills purchased and discounted by bankers) vi) ( Month's domestic sales excluding deferred payment sales). (See Note I) Export receivables (including bills purchase and discounted by bankers) ( Month's export sales) (See Note I)

7 vii) viii) Advance to suppliers for raw materials and stores/ spares consumable. Other current assets including cash and bank balance and deferred receivables due within one. (major items to be specified individually) TOTAL CURRENT ASSETS (1) Ist of 2. CURRENT LIABILITIES Other than bank borrowings for working capital). i) creditors for purchases or raw materials and stores and consumables spares. (Month's purchase) (See Note I) ii) iii) Advances from customers Other Current liabilities (major items to be specified individually) a) b) c) operation 2nd of operation 3rd of operation Total current liabilities (2) 3. NET WORKING CAPITAL ASSETS (1-2) 4. WORKING EXPENSES (GIVE DETAILS) 5. MARGIN ON NET WORKING CAPITAL ASSETS TO BE CONSIDERED FOR FINANCING 6. BANK BORROWINGS 7. WORKING CAPITAL GAP [(3+4)-6] NOTES: i) The periods to be shown should be in relation to the annual projections for the relative item during that. ii) Spares not exceeding 5% of total inventory of those expected to consumed within 12 months, whichever, are lower, may be shown against item I(ii).

8 DECLARATION I/ We certify that all information furnished by me/ us is true; that I/We have no borrowing arrangements except as indicated in the application for the unit with any bank; that no legal action has been/is being taken against me/us, that I /We shall furnish all other informantion that may be required by you in connection with my/our application, that this and any other informations available with you pertaining to the borrowing unit, present and future, may also be exchanged by you with any agency you may deem fit, and that you, your representatives, or representatives of RBI, DICGC, IDBI or any other agency as authorized by you, may at any time inspect/ verify our assets, books of account etc. in our factory and business premises. I/we further certify that as on date there are no overdues to financial institutions/ banks from the undersigned, the other promoters and the Company / Companies in which I/the other promoters have interest as a promoter /director /partner/ proprietor. I/We further certify that there are no statutory overdues pending against me/the other promoters/the Company or other concerns on which I am/the other promoters are proprietor/ partners /Director/Directors. Date: Signature: Place: Name and Designation Name of the Concern

9 PROFORMA 1 DETAILS OF MAIN PROMOTERS (PLEASE USE & ATTACH SEPARATE SHEETS FOR EACH PROMOTER) NAME OF UNIT: 1. Bio-data of 2. a) Full Name b) Father's /Husband's Name 3. Age 4. Information required for Statistical purpose i) Whether the promoter is a) A member of backward/minority Yes/No community or Scheduled Cast/Tribe b) Ex-Serviceman Yes/No c) Physically handicapped Yes/No d) Technically qualified / Non resident Yes/No Indian 5. a) Address: Office Residence (Specify owned or Rented) b) Telephone No.: 6. Academic Qualification: 7. Experience a) If Employed Years Employer Designation/ Functional Duty b) If in Business Name/Nature of undertaking Lat Salary drawn Nature of Interest and responsibilities Number of s since when associated 8. Functional responsibilities in the unit; 9. Capital/ loan contribution in the unit i) At the 10. Reasons for joining/establishing the unit (all motivation factors to be furnished) 11. If associated as proprietor/partner/director/shareholder with concerns other than the applicant unit details * like a) Name and address of the associated concerns. b) Activity of the concern** Functional responsibilities in the concern c) Capital/ loan contribution d) Name of the associate concern's bankers and their addresses. e) Aggregate credit facilities enjoyed by the concern & from whom. ii) beginning At present

10 f) Security offered by the concern for its borrowings. g) Working results of the concerns for the past three s. * These details in respect of each associated concerns should be furnished separately by way of enclosure. 12. Personal assets and liabilities: a) Immovable property details like land/building., location, date of acquisition, cost, present value etc. b) Other movable assets, like NSC, Bank balance, fixed deposit, Deposit with associated concerns, Capital in associated concerns etc. c) Persona liabilities, if any. 13. Any other information. 14. Details of tax status of last four s (See Note 5) Assessment Gross Income able Income Due Paid Gross Wealth able Wealth Due Paid Remarks if any Place: Date: Signature * 1. Furnish audited Balance Sheet/Profit & Loss Accounts of these concerns for the last two s and brief write-ups on these concerns/including information on the nature of business and size of turnover. Also furnish details of any litigations pending against/from proprietor / partners /directors. 2. a) If the promoter is a limited company, furnish a brief write-up on the activities and past performance of the Company and any other expansion programmes contemplated. b) Give particulars of holding Company such as names of subsidiary companies, paid-up capital of subsidiary (equity and preference ) and percentage holding by the holding company respectively. 3. indicate the terms of agreement with the Managing Director/ whole time director and the present status regarding the approval of the Central Government for the appointment. ** 4. Product(s) manufactured and installed capacity for each product should also be indicated. 5. Furnish the details of Status separately for individual / HUF capacity alongwith supporting.

11 PROFORMA II* DETAILS OF EXISTING FIXED ASSETS A. Land 1. Location 2. Area 3. Whether free hold or lease hold 4. Purchase price of land (if owned) 5. Rent (in case of leases land) 6. Terms of lease 7. Ground rent payable per B. BUILDING 1. Location 2. Whether owned or leased 3. Purchase price of Building (if owned) 4. Rent (in case of leased /rented premises) 5. Terms of lease Structure Type of Structure Dimensions Area Sq. Mts. Actual Cost Date of Construction/ completion 1. Workshop 2. Godown 3. Administrative 4. Other buildings C. DETAILS OF EXISTING MACHINES AND OTHER FIXED ASSETS Book Value as on Sl. No. Name of Machine other Fixed Assets Qty. Year of Purchase Original Value Depreciated Value Present Estimated Value In case the assets have been revalued or written up at any time during the existence of company, furnish full details of such revaluation with the reason there of. * To be given in the case of existing units.

12 PROFORMA III PARTICULARS OF LOANS/CREDIT FACILITIES ENJOYED BY THE INDUSTRIAL CONCERN Nam e of the Instit ution Loan/limit sanctioned A. Term Loans B. Other facilities such as deferred payment etc. C. Debentures* D. Working Capital Rate of Intt. (as on.. ) Purpose Nature of Charge Balance Outstanding Nature & Value of security Marten Sche dule of repa yme nt Defaults, If any in payment of interest and/of principal and recovery action, if any, taken by concerning institution. NOTE : Has any additional credit facility been sought form any bank or any other financial institution? if so. Please give details. * In the case of convertible debentures, please furnish terms of conversion and if debentures are privately placed, please furnish name of main holders.

13 PROFORMA IV PROJECTIONS OF PERFORMANCE, PROFITABILITY AND REPAYMENT Break-even point: % of installed capacity Break-even quantity: Break-even value: (Rs. in lacs) EXISTING ACTUALS FOR THE LAST YEAR Installed Capacity(Quantity) Production during the (quantity) A. SALES 1. Sales excluding all miscellaneous receipts 2. Less Excise 3. Sales 4. Other Income/Increase(+) Decrease(-)in Stocks 5. Total Income(A) B. COST OF PRODUCTION 4. Raw material consumed 5. Power and fuel 6. Direct labour and wages 7. Consumable Stores 8. Repairs and maintenance 9. Other manufacturing Exp. 10. Depreciation / Development Rebate Investment allowance Cost of Production (B) C. Gross Profit (A-B) D. Interest: i) On term loans ii) On working capital iii) On other loans, if any E. Selling, General & Administrative Exp. F. Profit before taxation [C-(D+E)] G. Provision for taxes H. Profit (F-G) I. Depreciation added back j. Cash Accruals (H+I) K. Repayment obligations i) Towards term loan 1st 2nd 3rd 4th 5th 6th ii) Towards others iii) Total repayment L. Debt Service Coverage Ratio * Basis of projections to be detailed giving break-up under each individual head in a separate sheet. 7th

14 CHECK LIST FOR ENCLOSURE 1. Bio-data of promoters/directors(proforma I). 2. Copies of IT returns of the promoters concern alongwith copies of Assessment orders for last three s. 3. Copy of Memorandum & Article of Association (for Ltd./ Companies) and partnership deed in case of partnership fire. 4. Audited Balance Sheet, Profit & Loss Account for last three s of the borrowing concern as well as sister concerns. 5. Copy of Agreement amongst promoters, if any 6. Authority letter from promoter to Commercial Bank. 7. List of share holders controlling 5% or more of equity shares. 8. Details of existing fixed assets of the unit (Proforma-II). 9. Particulars of Term Loans, credit facilities enjoyed by the concern (Proforma-III). 10. Photocopy of Sale/Lease deed of land. 11. Photocopy of sale deed / other related documents of assets offered for Collateral Security. 12. List of persons / firms contributing to promoters share. 13. Projected Cost of production and profitability statement as per proforma (IV) alongwith detailed basis thereof. 14. Affidavit regarding no borrowing, if applicable. 15. S.S.I. registration Certificate/S.I.A. acknowledgement.

15 NOTE The application form is being sold without any commitment of the Corporation to sanction loan in favour of applicant. The acceptance of the loan application for its processing is subject to its registration by the Screening Committee. However, final decision to reject or sanction the loan, its quantum, terms and conditions etc., are subject to decision of the competent authority, authorized by the Board of Directors o f the Corporation from time to time. Uttar Pradesh Financial Corporation deals directly with industrial concern seeking financial assistance from it and not through any advisers, brokers, agents, consultants etc. the services of Utter Pradesh Financial Corporation staff are at your disposal for assistance in completing the application forms. Please contact any Sr. Officer at the Regional Office or at Head Office of the Corporation directly for discussing your difficulties and problems. CHART OF PROCESSING, ADVANCE UPFRONT AND LEGAL FEE (w.e.f ) Processi Advance Legal Fee. ng Fee. Upfront Fee. (Rs.) (Rs.) (Rs.) Upto Rs lacs 4,000/- 4,000/- 4,000/- Above Rs lacs to Rs lacs 8,000/- 8,000/- 8,000/- Above Rs lacs to Rs lacs 12,000/- 12,000/- 12,000/- Above Rs lacs to Rs lacs 18,000/- 18,000/- 18,000/- Above Rs lacs 25,000/- 25,000/- 25,000/- NOTE:

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