Sui Appln
Sui Appln
Sui Appln
ANNEXURE - II
Partner- Ltd.
Constitution Proprietary Pvt. Ltd. Any Others (specify)
ship Company
Business Address
State PIN Code
Business Premises Rented Owned
Telephone No. Mobile No. 91
E-mail:
Business Activity Proposed
Date of Commencement(DD/MM/YYYY)
Whether the Unit is Registered Yes No
If Registered (Please mention: Registration no. And
the Act under which registered )
Udyog Aadhar Registration No. **
** Not Mandatory
addresses:
Part – 5 696
Chapter - 36 Stand Up India (SUI) Scheme
S.No Id proof Id proof Address Address PAN Card/DIN Relationship with the
no. proof proof no. No.
bank if any
1.
2.
the past and I/we am/are not indebted to any other Bank / Financial Institution other than those
mentioned in column no. E above.
Part – 5 697
Chapter - 36 Stand Up India (SUI) Scheme
under:
Total
working capital facilities. However for term loan facilities projections to be provided till the proposed
year of repayment of loan)
Current Year First Year Second Year Third Year (Projection)
(Estimate) (Projection) (Projection)
Net Sales
Capital (Net
Worth in case of
Companies)
Whether Remarks
Complied with (Any details in connection
Statutory Obligations (select Yes/No) withthe relevant
If not applicable obligation to be given )
then select N. A.
1. Registration under Shops and Establishment Act
2. Registration under MSME (Provisional /Final)
3. Drug License
4. Latest Sales Tax Return Filed
5.Latest Income Tax Returns Filed
6.Any other Statutory dues remaining outstanding
Part – 5 698
Chapter - 36 Stand Up India (SUI) Scheme
I/We hereby certify that all information furnished by me/us is true, correct and complete. I/We have no
borrowing arrangements for the unit except as indicated in the application form. There is/are no overdue
/ statutory due owed by me/us. I/We shall furnish all other information that may be required by Bank
in connection with my/our application. The information may also be exchanged by you with any agency
by you, may at any time, inspect/ verify my/our assets, books of accounts etc. in our factory/business
premises as given above. You may take appropriate safeguards/action for recovery of bank’s dues.
(Signatures of Proprietor/
partner/ director whose
Date:___________________
Place:___________________
Part – 5 699