APPLICATION FORM – BARODA TRADERS LOAN The Chief/Sr./Branch Manager Bank Of Baroda ………………………….……….. Photo I/We hereby apply you for the working capital limit by way of Overdraft/ Demand Loan limit of Rs. ___________________________ and append below the related information: Name of Applicant/ Firm Place of Business Residence Address (Prop/ Partner) Godown Address If any Telephone No. Res:. Off. Mobile: Date of Establishment Line of Activity Present Bankers/Branch Nature of facility enjoyed Amount Banking with Br. Since : Name of Proprietor/ Partners Age Whether Business Premises are Own/ Rented/ Leased Will the applicant be able to route his trade proceeds through the Bank ? Goods/ Commodities traded Sources/ Major Suppliers Commodities Traded in the 1. 2. 3. Educational Qualification Experience in line of activity Number of Firms Engaged in Similar Activity in same locality 1. 2. 3. ASSOCIATE CONCERNS : Name of the Firms Business Activity Bankers Credit Facility, if any BUSINESS PERFORMANCE : Summary of Performance Actuals of Previous three years 31.03. 31.03. Estimated for Projections current year 31.03 31.03 Total Turnover/ Sales Total Purchase Net Profit Current Year Sales for __________________ Completed months `. How is the anticipated turnover considered feasible of achievement ? State./ Central Sales Tax Registration No. State Sales Tax ____________ (Enclosed latest Sales Tax / 31.03. Income tax Assessment Order) Central Sales Tax 31.03 31.03 31.03 3. SECURITY A) Details of Immovable Property : Property standing in the name of Location of Property : House No. Street Town Taluka District State Value of Property as per valuation report dated _______________ `. ______________ B) Details of Other Collateral Securities : Description C . Total advance value of the security Value Working Capital Requirement: Nature of Facility Limit Required Nature of Security Value of Security Other Remarks : Place: Date : Signature of the Applicant