Application to the Branch for a Corrective Action Plan under Revival & Rehabilitation of MSME

* Mandatory Fields

Brief Profile of the Enterprise:


Name of Enterprise / Borrower*
Constitution*
Customer Id*
Account Number*
Mobile No*
Email Id*
Current Office Address / Residential Address*
Registration No.*
Land line
Date of incorporation / Establishment
Activity
Brief of Business activity
SMA Status
SMA Status As on
Banking with since
Gender
Social Category
If Minority Community
Current Business Activity
Physically challenged
Yes No

Details of Proprietor/ Partners/ Directors:


Name Res.Address with contact no PAN No/DIN No Net worth date Net worth % of share holding Other dues as Borrower/Guarantor

Details of Associate Concern / Sister Concern:


Name Business Activity IRAC Status Banking with Loan limit Financials as on
FB NFB Financial Date Net Sales Net Profit Net Worth

Details of Existing Liabilities with the Bank:


Facility Limit Market value of stocks Advance value of stocks Drawing power O/s Over dues
Fund based working capital (CC / OD/EPC etc.)
Others (please specify)
Fund based sub-total
LC/BG for working capital
Others (Please specify)
Non Fund based Subtotal
Total Working Capital
Term Loans
Any Other (Specify)
Total Exposure

Banking arrangement and sharing pattern:


Financial Arrangement:
Loans with Financial Institutions / NBFCs and overdues, if any:

  FB NFB Total % Share
  WC TL          
  Limit O/s Limit O/s Limit O/s Limit O/s
Bank1
Bank2
Banks(Total)
Total

Details of Other Liabilities:


Details of Statutory dues remaining outstanding
with State Government or Central Government
Details of Unsecured Creditors.
(Furnish reason for incurring liability)

Past Performance and Future Estimates:


  Past Year-II (Actual) Past Year-I (Actual) Present Year
(Estimate)
Next Year-I
(Projection)
Next Year-II
(Projection)
Net Sales
Net Profit
Capital (Net Worth of the Enterprise)
TNW
Adjusted TNW
Current Ratio
TOL/Adjusted TNW
Cash Accruals

In case of additional Working Capital:


Actual Sales Projected
FY Sales Working Cycle
(in days)
Inventory
(in days)
Debtors
(in days)
Creditors
(in days)
Promoter’s
Contribution

Details of Existing Security:


Particulars of Primary Security Nature of charge Date of Valuation Value
Particulars of Collateral Security SARFAESI Complaint (Y or N) Nature of charge Date of Valuation Value

Details of Proposed Additional Security to be offered:


Particulars of Primary Security Nature of charge Date of Valuation Value
Particulars of
Collateral Security
SARFAESI
Complaint (Y or N)
Nature of charge Date of Valuation Value

Details of Existing Guarantors:


Name and addresses of the Guarantors Age Occupation Annual Income Net Worth Net Worth Date Other dues as Borrower/Guarantor

Details of Proposed Guarantors:


Name and addresses of the Guarantors Age Occupation Annual Income Net Worth Net Worth Date Other dues as Borrower/Guarantor

Details of stress faced by the Enterprise:


Indicative List of Stress Details of stress faced by the Enterprise
 









Suggested Remedial Measures with the estimated time frame to justify the action plan:


Indicative Remedial Measures Suggested remedial measures with the estimated time
frame by the Enterprise with supporting details to
justify the action plan /solution, duly supported/vetted
by TEV as the case may be.
Rectification:
Restructuring: