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Borrowers Basic Fact Sheet - For Sme

This document is a basic fact sheet for small and medium enterprise (SME) borrowers. It requests information about the borrower's profile, directors/owners/partners, management, corporate status, nature of business, requested loan limits, existing loans, write-offs or restructurings, prime and secondary collateral, credit rating, associated concerns, personal guarantees, dividends, share price, net worth, and overdues. The borrower must certify the information is true and provide required financial statements and documents.

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153 views

Borrowers Basic Fact Sheet - For Sme

This document is a basic fact sheet for small and medium enterprise (SME) borrowers. It requests information about the borrower's profile, directors/owners/partners, management, corporate status, nature of business, requested loan limits, existing loans, write-offs or restructurings, prime and secondary collateral, credit rating, associated concerns, personal guarantees, dividends, share price, net worth, and overdues. The borrower must certify the information is true and provide required financial statements and documents.

Uploaded by

muhammadannas
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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BORROWERS BASIC FACT SHEET FOR SME DATE OF REQUEST: _____________________ BORROWERS PROFILE: Name Office Phone # Res.

. National Identity Card # Import Registration Export Registration # # Fax # National Tax # Date of: Establishment Opening of A/c Address E-Mail Address Sales Tax #

DETAILS OF DIRECTORS / OWNERS / PARTNERS: Name Address 1. Phone # Fax # E-Mail Address Office Res. National Identity Card # National Tax # Share-holding Amount % Share Holding Name 2. Office Phone # Res. National Identity Card # Share-holding Fax # E-Mail Address National Tax # Amount % Share Holding Address

MANAGEMENT: A. EXECUTIVE DIRECTORS / PARTNERS Name Address B. NON-EXECUTIVE DIRECTORS / PARTNERS Name Address

NIC #

Phone #

NIC #

Phone #

CORPORATE STATUS: Sole Proprietorship

Partnership

Public / Private Limited (Company)

NATURE OF BUSINESS: Industrial Commercial REQUESTED LIMITS:

Agricultural

Services

Any Other

Amount Fund Based

Tenor

Non-Fund Based

BUSINESS HANDLED / EFFECTED WITH ALL FINANCIAL INSTITUTIONS DURING THE LAST ACCOUNTING YEAR Imports Exports Remittances effected (if any)

EXISTING LIMITS AND STATUS: Amount Fund Based Expiry Date Regular Status Amount Overdue (if any)

Non-Fund Based

ANY WRITE-OFF, RESCHEDULING / RESTRUCTURING AVAILED DURING THE LAST THREE YEARS: Name of Amount during 1st Year Amount during 2nd Year Amount during 3rd Year Financial Write-off Reschedul Write-off Reschedul Write-off Reschedule ed/ ed/ d/ Institution Restructur Restructur Restructure ed ed d

DETAILS OF PRIME SECURITIES MORTGAGED / PLEDGED: A. AGAINST EXISTING FACILITIES:

Name of Financial Institution

Nature of Securities

Total Amount

Rank Net Realizable of Value Charge

B. AGAINST REQUESTED / FRESH / ADDITIONAL FACILITIES: Name of Financial Nature of Securities Total Amount Institution

Net Realizable Value

DETAILS OF SECONDARY COLLATERAL MORTGAGED / PLEDGED: A. AGAINST EXISTING FACILITIES: Name of Financial Nature of Securities Total Rank Net Realizable Institution Amount of Value Charge

B. AGAINST REQUESTED / FRESH / ADDITIONAL FACILITIES: Name of Financial Nature of Securities Total Amount Institution

Net Realizable Value

CREDIT RATING (WHERE APPLICABLE): Name of Rating Agency

Rating

DETAILS OF ASSOCIATED CONCERNS (AS DEFINED IN COMPANIES ORDINANCE 1984) Name of Concern Name of Directors Share-Holding % of Total Share Capita

FACILITIES TO ASSOCIATED CONCERNS BY THE CONCERN FI: Name of Nature & Outstanding Nature & Overdue Amount Value s Concern of Limit as on of Securities _________

Defaults

DETAILS OF PERSONAL GUARANTEE PROVIDED BY THE DIRECTORS / PARTNERS ETC. TO FI, TO SECURE CREDIT: Name of Institution/persons Amount Validit NIC # NTN Netto of y worth Guarantor whom Guarantee Guarante Period s given e

DIVIDEND DECLARED (AMOUNT) DURING THE LAST THREE YEARS: During 1st Year During 2nd Year During 3rd Year

SHARE PRICE OF THE BORROWING ENTITY: Listed Company Current Price Preceding 12 Months Average

Break-up value of the shares in Case of Private Limited Company

NET-WOTH (PARTICULARS OF ASSETS OWNED IN THEIR OWN NAMES BY THE DIRECTORS / PARTNERS / PROPRIETORS): Owners Name Particulars of Assets Market value Particulars of Liabilities

DETAILS OF ALL OVERDUES (IF OVER 90 DAYS)): Name of Financial Institution

Amount

Details of payment schedule if term loan sought. Latest Audited Financial Statements as per requirement of Regulation R-3 to be submitted with the LAF (Loan Application Form). Memorandum of Articles of Association. By-laws etc. to be submitted by the borrower alongwith the request. I CERTIFY AND UNDERTAKE THAT THE INFORMATION FURNISHED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE. _____________________________________ CHIEF EXECUTIVES / BORROWERS SIGNATURE & STAMP. COUNTER SIGNED BY:

__________________________________________________ AUTHORISED SIGNATURE & STAMP (BANK / NBFI OFFICIAL)

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