final-application form for ltf
TRANSCRIPT
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LOAN APPLICATION FORM
(UNDER GOVERNMENT OF KPK CREDIT LINE)Long Term Financing For Development of Industries
In Khyber Pakhtunkhwa
Chief Manager / Manager
The Bank of Khyber___________________ Branch___________________
Dear Sir,
We hereby apply to avail fresh finance facility forNew Project / Expansion / Balancing & Modernization at your Branch. Our particularsare provided below and also mentioned in the BBFS attached.
1BUSINESS PROFILE INFORMATION
Please () in the box that apply
1.1 Firms / Companys Name___________________________________________________________________________________________
1.2 Office / Regd. Office Address: ________________________________________________________________________________________
Owned Leased Rented
1.3 Project Address: ________________________________________________________________________________________
Owned Leased Rented
1.4 Telephone No.___________________________ Fax No.________________________ E-mail.____________________________
1.5 Legal Status: Sole Proprietorship Partnership Private Limited. Public LimitedCompany Company
1.6 Sponsors / Directors Detail
Name Fathers name CNIC NTN Date of Birth Address Telephone
For Office Use Only
Application No.
Date of receipt
Branch Code
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1.7 Total number of employees running the business:
Family Member /directors / partners
Existing Employees Additional / New Work Force RequiredTotalRegular Contractual / Daily
Wage Based
Regular Contractual / Daily
Wage Based
1.8 Associated Concerns
Name of
Concern
Scope of
Business
Business Address Date of
Commencement
Stakeholders
Name
% age of Share
Holdings
Revenues for the
Year
(Please attach financials of the concerns)
2 BUSINESS DETAILS
2.1 Type of Businessa - Manufacturing: b - Processing c - Others (please describe)
2.2 Business Sector:
2.3 Date of Establishment: Existing Business: Commencement Date of New Business: ______________________
2.4 Detail of Present / New Business: (Please describe briefly)
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2.5 Project Cost & Financial Plan (Feasibility Study)
A) Project Cost:
Sr.
No.
ParticularsExisting Project
Cost of ProposedAddition / Expansion / New unit
TotalCost
%age of TotalCost
Cost%age of Total
Cost
1 Land2 Building
3 Plant & Machinery
4 Office, factory and Quality control equipment
5 Miscellaneous
6 Initial Working Capital
Total Project Cost
B) Sources of Financing:
1 Equity
2 Borrowing (From Financial Institution)
Total Financing
C) Annual Production Capacity
Sr.No. Particulars / Product Type Production Capacity Per Annum (Units)
Existing New Addition Total
1
2
3
4
5
6
7
8
D) Other Non Financial Information:
Particulars Existing ProposedAddition
Total
Number of Shifts per day
Working Days per year
Number of Workers per shift
2.6 Sales Turnover (Projections in case of new business) (Rs in Millions)
Year 1 Year 2 Year 3
Sales / Turnover
Net Profit after tax
2.7 Infrastructural Facilities
Sr.No FacilityRequired
Yes / NoRequired Load
Installed
Yes / No
Available as site(if not installed yet)
Yes / No
1. Electricity / / /
2. Gas / / /
3. Water / / /
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3 DETAILS OF LOAN REQUESTED FOR
3.1 Financing Requirement (Fill in whichever is applicable) (Rs. In Million)
Sr. # Facility Applied forTotal Cost of
Machinery / EquipmentRequested Facility /
Loan Amount
Loan Period
Total Period / Tenor Grace period
1 New Project / Unit
2 Expansion
3Balancing &Modernization
3.2 Detail of Machinery / Equipment: (Attach proof / quotations)
Sr. #Description of Machinery /
EquipmentSuppliers Details
Country ofOrigin
Terms of Supply(Cash / Credit)
1
2
3
3.3 Securities Offered: (Rs. In Million)
Type of SecurityDescription Owned by
(Individual / Business)
Status(Encumbered
/ Vacant)
NetRealizable
Value /Worth
Land
1.
2.
3.
Building
1.
2.
3.
Machinery
1.
2.
3.
Personal Guarantee
1.
2.
3.
4.
5.
6.
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Others
1.
2.
3.
4.
3.4 Sources of Repayment: (Please Describe)
(Please Enclose Financial Statements / Evidence of Source)
3.5 Existing Limits / Borrowing
Name of Financial Institution Type of FacilityAmount /
LimitOutstanding
SanctionDate
ExpiryDate
Status(Regular /
Overdue)
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4DOCUMENTS ATTACHED WITH THE FORM
Board Resolution (for limited companies) Partners Resolution (for partnership concerns)
Copy of CNIC of the Applicant / Partner / Directors / Guarantor Two recent passport size photographs of applicant / Guarantors
Dully Filled & Signed BBFS. Copy of NTN certificate
Partnership deed (for Partnership) Form H (for registered partnership concerns) Memorandum & Article of Association (for limited companies) Form-29, 21 & Form-A (for limited companies)
Certificate of incorporation (for limited companies) Copy of latest financial statements / Projections
Three comparative quotations for purchase of plant & machinery/ equipment
Proof of sponsor share of investment and adequate means to meetany future requirements of the project.
Feasibility Report (For new projects) Bank statement (for last one year)
Latest Search Report (for limited companies) Copy of title documents of offered security.
Any other
5AUTHORIZATION / DECLARATION
I / We, ___________________________________________________________ hereby confirm as following:
5.1 I / We hereby apply for financing under the mark-up mode & hereby undertake to furnish all required documentation as required byBOK.
5.2 That I/ We shall provide all such further information and documents as may be requested by BOK, prior to extending the FinanceFacility to me / us or at any other time thereafter.
5.3 That all information provided by me / us in the Application Form is true and correct to the best of my / our knowledge and I / We havenot with held any material fact. I / We hereby indemnify BOK and hold BOK harmless against any damages that may be suffered as aresult of BOKs reliance on the information provided herein and against any claims or damages pre sent or future sustained by BOK,
under this scheme.
5.4 That the discretion of extending the Finance Facility to me / us and the amount of the Finance Facility to be extended to me / us shall liesolely with BOK and I / We shall abide by BOKs decision in this respect.
5.5 That BOK has right to reject any financing application without assigning any reason & to cancel any portion of the Finance Facilityextended to me / us and to seek immediate repayment of all amounts outstanding and payable by me / us in respect of the Finance
Facility.
5.6 I / We undertake to pay all charges & understand that external agency charges & all other charges are non-refundable for servicesrendered even if my / our application is rejected.
5.7 I / We hereby give irrevocable standing instruction to BOK to debit my / our account from time to time for quarterly repayment of theamount financed by BOK and to pay off charges related to payment of Mark-up insurance premium, excise or any other charges which
may be applicable.
5.8 In case of any intentional change in business setup in terms of change in Directors/partners and change in the scope of business, priorwritten permission from BOK would be obtained.
5.9 I / We also authorize BOK or its duly approved agents to contact my / our place of work and / or reference to verify any of theinformation provided by me / us in the application.
5.10I / We hereby authorize the bank and their parties, including my / our bankers to exchange any of my / our information or makingenquires for the purpose of consideration my / our application and for the conduct of any other account. I / We confirm that in the eventmy / our signature herein below differs materially from the signature(s) on my / our national identity card, BOK is authorized and
instructed to rely on the documents which I / We have executed for this loan / other communications signed or required to be signed byme / us in the manner specified herein below.
5.11That I / We have read and understood the Loan Application Form and whatever has been stated hereinabove and give my / our consentto abide by all the Rules & Regulations as stated herein as well as all other applicable Rules & Regulations.
Date:_____________________ ____________________________
Signature ofSponsor (s) / Director (s)