LOAN APPLICATION FORM TO BE FILLED AND RETURN

PERSONAL INFORMATION

First Name: PURNANDU

Last Name: JAIN
Country: INDIA
Contact Address: 20TH FLOOR, LOTUS BUSINESS PARK, OFF. ANDHERI LINK ROAD,
ANDHERI (WEST), MUMBAI- 400 053
Current Position Held at Place of Work: CHAIRMAN AND MANAGING DIRECTOR
Monthly income: RS.20,00,000/-
City/Zip Code: MUMBAI- 400 053
State: MAHARASHTRA
Gender: MALE
Date of birth: 20/05/1964
Nest of kin: VAIBHAV JAIN
Address of nest of kin: C-306, CRYSTAL PLAZA, ANDHERI LINK ROAD, ANDHERI
(WEST), MUMBAI- 400053.
Tel: 022- 40682347
Fax: 022- 40682323
 
LOAN INFORMATION
Amount Needed: RS.200.00 CRORES
Purpose For The Loan: TO MEET SHORT TERM AND LONG TERM REQUIREMENT OF
BUSINESS DEVELOPMENT.
Loan Term & Duration: THE SAID LOAN TO BE REPAID IN 15 EUATED MONTHLY
INSTALLMENTS. DURATION – 5 YEARS.
Telephone: 022- 40682347
Fax: 022- 40682323
Name Of Company (For company owners): ANKUR DRUGS AND PHARMA LIMITED
2OTH FLOOR, LOTUS BUSINESS PARK,
OFF. ANDHERI LINK ROAD, ANDHERI (W),
MUMBAI- 400 053.

PROMOTER : MR. PURNANDU JAIN