ANNEXURE - II

BORROWERS BASIC FACT SHEET

FOR INDIVIDUALS / CONSUMERS

PRESCRIBED UNDER PRUDENTIAL REGULATIONS R-8

1. BORROWER’S PROFILE: Date:_____________

NAME ADDRESS

PHONE NUMBERS FAX MOBILE NUMBER

OFFICE. RES.

NATIONAL IDENTITY CARD NUMBER NATIONAL TAX NUMBER

FATHER’S NAME FATHER’S IDENTITY CARD NUMBER

2. REFERENCES:
NAME ADDRESS

PHONE NUMBERS FAX MOBILE NUMBER

OFFICE. RES.

NATIONAL IDENTITY CARD NUMBER NATIONAL TAX NUMBER

3. REFERENCES:
NAME ADDRESS

PHONE NUMBERS FAX MOBILE NUMBER

OFFICE. RES.

NATIONAL IDENTITY CARD NUMBER NATIONAL TAX NUMBER

4. NATURE OF BUSINESS / PROFESSION:

INDUSTRIAL COMMERCIAL AGRICULTURAL SERVICE ANY OTHER

5. EXISTING LIMITS AND STATUS:

AMOUNT EXPIRY STATUS
DATE
REGULAR AMOUNT AMOUNT RESCHEDULED/
OVERDUE RESTRUCTRED
(if any) (if any)
FUND BASED
NON-FUND
BASED

6. REQUESTED LIMITS:
AMOUNT TENOR
FUND BASED
NON-FUND BASED

7. DETAILS OF PAYMENT SCHEDULE IF TERM LOAN SOUGHT.

8. LATEST INCOME TAX / WEALTH TAX FORM TO BE SUBMITTED BY THE BORROWER.

CERTIFY AND UNDERTAKE THAT THE INFORMATION FURNISHED

ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE.

____________________________________ ____________________________________
AUTHORISED SIGNATURE & STAMP APPLICANT SIGNATURE & STAMP
(Bank’s Authorized Official