Form II / SPECIMEN - "C"

SMALL SCALE INDUSTRIES
 Application Form for Credit Facilities of over Rs. 15 Lacs & Upto Rs. 1 Crore)

5.  Brief Description of the
     Industrial Activity

           5.1  Existing

           5.2  Proposed

6.  How the Activity was financed so far
     (to be 'filled up in case of existing units only)

Source
of Funds
(*)

Security

Rate of Interest

Repayment
per
month

Present
O/s
(in 000s
of Rs.)

Amount
of
Default
(if any)
           
           
           

    (*)  Indicate sources of funds with name & address, e.g., banks/financial institutions/  others (specify)

7.  Past Performance
    ( To be filled up by existing units only)

                                                      ( Indicate in 000s of Rs.)

Particulars

Last Year

Last but One Year

Last but Two Years

Turnover

      

Net Profit

      

Retained Profit

      

Monthly turnover for the last twelve months

                       

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