Appendix - II
To
Branch In-charge, SIDBI
_____________________
Madam/Dear Sir,
We request SIDBI to sanction loan for installation of SIDBI Term-loan Assistance for Rooftop Solar PV
Plants[STAR] for our MSME unit as per details given below :
A. Project details Amt in Rs. lakh
Cost of Project Qty. Supplier Total Amt Advance already paid
[Equipments/installation/Others]
Total
How many years the unit has been in operations _________ Years
Proforma invoice for the equipment and other costs is attached where applicable.
B. Loan requested
Loan amount (` Lakh)
Repayment period Months Moratorium 12 months after
commencement
In case of Unit being housed in Lease Period ----- Un-expired Lease --------Yrs-----
Leased / rented Premises Not Applicable Yrs period on date Month
Present Power Consumption of Unit
Total Power to be generated through
Solar Plant
Whether Proposed Rooftop Solar PV Yes/No NO
Plant to be Grid Connected
Whether Necessary Clearance from Yes/No [If Yes, please enclose documents in support]
concerned Authority /Power
Distribution Company obtained/ Not Applicable
Process to obtain Initiated ?
Whether the unit has necessary Yes/No [If Yes, please enclose documents in support]
borrowing powers clause as per MoA/
Partnership Deed / Trust Deed, etc. Yes
Whether In-principle approval from Yes/No
psbloansin59minutes.com portal [If Yes, please enclose in-principle sanction letter generated by the
obtained portal]
1
C. Declaration-cum-authorisation
1 All information furnished by me/us herein along with annexures to this application and documents
enclosed is true and correct to the best of my/our knowledge and belief.
2 I/we authorise you to conduct CIBIL searches and make other enquiries about me/us including
checking various defaulter/wilful defaulter/fraud lists of RBI/CIBIL/CRILC and all other such lists
which are necessary as per your guidelines. I/We have no objection if SIDBI furnishes the
information submitted by me/us to other banks / FIs/ CIBIL / RBI/ any other agency as may be
deemed fit in connection with consideration of my/our application for financial assistance.
3 I/we have no borrowing arrangements for the applicant enterprise/unit with any other bank/FI/
NBFC/Institution, etc. except as indicated in the enclosure to the application.
4 There are no arrears of statutory dues and no government enquiries/ proceedings/prosecution/ legal
action are pending/ initiated against our enterprise/ unit/ associate concerns/ promoters/ directors/
partners/ proprietor except as indicated in the enclosure to the application.
Enclosures : as per check list attached
(Signature)
Date Name of Authorized Signatory
Place Designation
Name of Applicant
Name of Co-Applicant if any
Type-> Company Partnership Proprietorship
2
Document check-list
A. Mandatory Information (MI)
Enclosed? (Y/N)
# List of documents
1 Proforma Invoice /Quotations for Equipment, installation etc.
2 KYC documents (as per Bank’s guidelines)
3 Latest Audited Financial Statements (last FY)
4 Statement of immovable properties of promoter/directors (as per Appendix)
5. Copy of MoA/Partnership deed/Trust Deed etc.
6. Copy of consent to operate from PCB
7. Document showing Existing Power load along with last 2 quarter’s Electricity Bills
8. Certificate from a Certified Engineer on area and load bearing Capacity of the Roof
9. Necessary clearance from concerned Authorities /DISCOM etc. where applicable.
10. Loans/Limits availed from other banks/FIs which are currently outstanding
Bank/FI Type of loan Amt o/s Interest Sanct date EMI/Instalment
(Rs.lakh) rate
11. Additional documents required if the proposed Power plant is to be installed in rented premises
Copy of rent/lease agreement (self-certified)
B. Additional documents
1 Past three years audited financial statements
2 Udyog Aadhar Memorandum (UAM)
3 GST Registration Certificate (for GST registered units)
4 Copy of sanction letters of other lenders for existing banking arrangement.
Notes:
1.All documents to be self-certified.
2.SIDBI reserves the right to call for any additional information/documents in respect of the loan requested.
Calling for documents is not a guarantee for sanction of loan.
Annexure to Loan application
Statement of Immovable Properties owned by promoters/directors
(for information of SIDBI)
# Owner’s name Nature of property* Full Address Area (sq ft) Approx value
1
2
3
*e.g. residential/commercial/industrial/agricultural etc.
3
KYC Form (Individuals)
___________ Branch
Know Your Customer (KYC) – APPLICATION FORM (for INDIVIDUALS only) - Initial KYC Compliance / Change / Updation
(A) Identity Details
1. Customer ID :
3. Name of the Person : Please affix your most
4. (as written in the ID proof) recent passport size
3. Gender : Male Female 4. Date of Birth photograph with
signature across it.
5. PAN Number :
6. Unique ID No. (UID)/Aadhaar, etc. (pl. specify), if any
7. Father’s/Spouse’s Name :
8 Status of the person : Proprietor Partner Third Party Guarantor / mortgagor etc.
[pl. tick in the
appropriate box; and Trustee Authorized signatory Independent individual customer Power of Attorney
write NA, if any column
is not applicable in this Others (pl. specify) __
form; and use extra
sheets for providing more
/ additional information]
9 Proprietor/Director etc. of :
(Name of the USTOMER)
10 If Director, Status : Non-Exeuctive Director Executive Director Independent Director Managing Director
Others (Pl. specify) __
11 DIN No. :
12 If Partner, Status : Active Partner Sleeping Partner Partner in profits Partner by holding out
Minor Partner Others (pl. specify) __
13 Nationality : Indian Others (pl. specify) __
14 Residential status : Resident Individual Non-Resident Foreign National (pl. specify) __
15 Contact Details : Tel. No(s). Mob. No(s)
(with STD code)
E-mail address(s)
16 Proof of ID submitted : N.A
for PAN exempt cases
(B) Address Details :
17 Address for
correspondence
18 Permanent/Overseas :
address (mandatory for N.A
non-residents)
19 Proof of address submitted :
20 (C) Other Details : Private Sector service Public sector/Govt. service Retired Professional
Occupation / Sources of
income [pl. indicate - Agriculturist Housewife Students Business/entrepreneur (pl. specify) __
name of organization (if in
service ), name of Since__ Others(pl. specify) __
profession , kind of
business etc. accordingly.
4
21 Gross Annual Income / : Upto `5 lakh `5 lakh to `25 lakh `25 lakh to `1 cr. `1 crore to `5 cr. above `5 cr.
Networth
OR Networth ` ____________________Lakh as on date
______________________
DECLARATOIN
SIGNATURE OF THE APPLICANT
I hereby declare that the particulars given herein are true, correct and complete to the best of my
knowledge and belief. The documents submitted along with the application are genuine and I am not
making this application for the purpose of contravention of any Act, Rules, Regulations or any Statute or
Legislation or any Notifications/ Directions issued by any governmental or statutory authority from time to
Date :
time. I hereby undertake to promptly inform any changes to the information provided herein above. I
hereby authorise SIDBI, its authorised agents and representatives to disclose, share, remit in any form,
mode or manner all /any of the information provided by me. I hereby agree to provide any additional Place :
information/documents that may be required in connection with this application.
FOR OFFICE USE
KYC Risk Catg. of Customer : HIGH MEDIUM LOW Maker Checker
Whether all information has been filled up by the applicant YES / NO YES / NO
Verified with originals and self certified copies of all required KYC Documents received. YES / NO YES / NO
The name(s) of the applicant have been checked in the latest updated prescribed list(s)
of terrorist individual / organizations and no matches found. YES / NO YES / NO
PAN verification has been done, wherever copy of PAN card obtained.
[COPIES OF DOCUMENTS OBTAINED TO BE PLACED/STAPLED/TIED WITH THIS KYC
APPLICATION] (Signature) (Signature)
Factory / Unit address(s) : SHREE MTK TEXTILES P LTD, 121A, MONDIPALAYAM ROAD, PASUR POST,
21 ANNUR 641653
22 Address proof submitted :
DECLARATOIN
SIGNATURE OF THE APPLICANT
I hereby declare that the particulars given herein are true, correct and complete to the best of my
knowledge and belief. The documents submitted along with the application are genuine and I am not
making this application for the purpose of contravention of any Act, Rules, Regulations or any Statute or
Legislation or any Notifications/ Directions issued by any governmental or statutory authority from time to
Date :
time. I hereby undertake to promptly inform any changes to the information provided herein above. I
hereby authorise SIDBI, its authorised agents and representatives to disclose, share, remit in any form,
mode or manner all /any of the information provided by me. I hereby agree to provide any additional Place :
information/documents that may be required in connection with this application.
FOR OFFICE USE
KYC Risk Catg. of Customer : HIGH MEDIUM LOW Maker Checker
Whether all information has been filled up by the applicant YES / NO YES / NO
Verified with originals and self certified copies of all required KYC Documents received. YES / NO YES / NO
The name(s) of the applicant have been checked in the latest updated prescribed list(s)
of terrorist individual / organizations and no matches found. YES / NO YES / NO
PAN verification has been done, , wherever copy of PAN card obtained.
[COPIES OF DOCUMENTS OBTAINED TO BE PLACED/STAPLED/TIED WITH THIS KYC
APPLICATION] (Signature) (Signature)
