Documente Academic
Documente Profesional
Documente Cultură
BORROWER'S PROFILE:
Name
Phone #
Res.
National Identity Card #
Computerized National Identity Card #
Import Registration/Export Registration #
Address
Fax #
E-mail Address
Off:
National Tax #
Sales Tax #
Date of Establishment
Opening of A/C
Off:
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
%of shareholding
Off:
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
Phone #
Res.
National Identity Card #
Address
Fax #
E-mail Address
CNIC #
3
MANAGEMENT
A. EXECUTIVE DIRECTORS / PARTNERS
Name
1
2
B. NON EXECUTIVE DIRECTORS / PARTNERS
Name
National Tax #
%of shareholding
Off:
National Tax #
National Tax #
%of shareholding
Address
NIC#
Phone #
Address
NIC#
Phone #
1
2
4
CORPORATE STATUS
Sole Proprietorship
NATURE OF BUSINESS
Industrial
Commercial
Commercial
Partnership
Agricultural
Services
Any Other
REQUESTED LIMITS
Fund Based
Non.Fund Based
Amount
Tenor
Rs.60.00Mn
LC Sight
Exports
Amount
Status
Expiry Date
Regular
Fund Based
Non Fund Based
9
10
DETAILS OF PRIME SECURITIES MORTGAGED / PLEDGED
A).
AGAINST EXISTING FACILITIES
Name of Financial Institution
Nature of Security
1
B).
AGAINST REQUESTED / FRESH / ADDITIONAL FACILITIES
Name of Financial Institution
Nature of Security
1
2
3
4
11
DETAILS OF SECONDARY COLLATERAL MORTGAGED / PLEDGED
A) AGAINST EXISTING FACILITIES
Name of Financial Institution
Nature of Security
1
2
3
B)
AGAINST REQUESTED / FRESH/ ADDITIONAL FACILITIES
Name of Financial Institution
Nature of Security
1
2
12
13
14
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Total Amount
Rank of Charge
Rating
Name of Directors
Share holding
Over dues
Defaults
15
16
NIC#
NTN
Net worth
17
18
19
Market value
Particulars of liabilities
Amount
20
21
22
Memorandum and Articles of Association , By Laws etc to be submitted by the borrower along-with request.
I certify and undertake that the information furnished above is true to the best of my knowledge.
BY
21