FORM NO. 3 Affix Passport size photograph(s) duly signed

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DELHI FINANCIAL CORPORATION
(A Delhi Government Undertaking)
37 & 38, PANKHA ROAD INSTITUTIONAL AREA,JANAKPURI,NEW DELHI – 110058.
Phone: 28525035, 28525036, 28525037, 28525038 & 39.Fax. 011-28525041
Affix
Passport size photograph(s) duly signed &
attested by Gazeted Office
FORM NO. 3
For Equipment Finance Scheme (EFS)
1.
Name of the Industrial concern:
2.
Name of the Promoter(s):
3.
Category (OBC, SC/ST, Minority Community
4.
Present Address
5.
Telephone No.
6.
Product / Activity
7.
Term Loan applied for :
8.
Whether any of your relative is working in the Corporation?
If so, please specify the name and relationship.
9.
Whether, any of the Director of the Corporation is interested in the proposal? If so, please
specify the name and relationship.
Rs.
Signature of the applicant with stamp
(All the partners/Directors to Sign)
Date :
(For Official use only)
1.
2.
3.
4.
Date of Receipt of application:
No. & date of entry in Register:
Whether processing fee has been received if so, amount
Signature and name of official
IMPORTANT INSTRUCTION
7.
A PROCESSING FEE OF Rs.
by way of a demand draft should be deposited at
D.F.C. office with the application form. This fee is non-refundable irrespective of the fact whether
the loan application is eventually sanctioned, declined or filed.
8.
Each column of the application form along with the attached annexure should be properly filled up
giving appropriate information/suitable remarks. No column should be left blank.
9.
The sole-proprietor in the case of sole-proprietary concern; all the partners in respect of partnership firm; two of the directors (authorized in this behalf) in the case of company; two office bearers
(authorized in this behalf) in respect of co-operative society should append their signatures against
their names which should be given in block letters in the application form. They should also sign
and certify all other papers to be submitted along with the forms or subsequently.
10.
The application should be submitted along with all the papers, as may be applicable, details of
which at the back cover of this form.
11.
Partnership concerns where minors have been admitted to its benefits permission of court will be
required.
12.
Submission of this application, its receipt by DFC and subsequent correspondence in this connection does not in any manner mean any commitment on the part of the DFC to sanction the loan
applied for. The DFC has the right to file or reject the application for loan without assigning any
reason.
I.
GENERAL
1.
2.
3.
4.
5.
6.
7.
8.
II.
Name of the unit
Whether promoter belongs to Sikh, Muslim, Christian, Neo Budhist,
Zorostrians or SC/ST category
Constitution
Date of - Incorporation
- SSI Registration
- Commencement of operation
Location of Registered Office/Factory
Line of production
Pollution aspect
Background of the unit
MANAGEMENT
1.
2.
3.
4.
5.
6.
Constitution (Detailed note)
Bio-Data of the promoters and Chief Executives
Details of personal assets and liabilities of the promoters
Income tax details of the concern and promoters
Details of the associated/Sister concerns.
Existing Credit facilities
Name of
Facilities
Name of
Bank/F.I.
Amount
Outstanding
Security
Repayment
Period
(Please disclose name and address of bankers of the concern and its sister concern and certify there is
no default to Bank/Financial Institution as per performa enclosed as Annexure-11).
PART PERFORMANCE OF APPLICANT CONCERN (For 3 Years)
1.
Financial Position
1998-99
A.
Fixed Assets
Land
Building
Plant and Machinery
Furniture and fixture
Others
Total (A)
B.
Current Assets
Sundry Debtors
Stock.
Cash and Bank Balance
Loans and Advances
Securities & deposits
Other Current Assets
Total (B)
C.
Current Liabilities
Sundry Creditors
Provision of Taxes
Other Current Liabilities
Total (C)
D.
E.
F.
G.
Current assets over
Current liabilities (B-C)
Bank Borrowing W/C
Margin for W/C (D-E)
Total Assets (A+F)
H.
Net Worth
Capital
Reserves and surplus
Others
Interest Free Loan
Total (H)
I.
Secured Loans/Deposits
Term loan (Bank / F.I.)
Loans others
Debentures
Others
Total (H + I)
1999-2000
2000-2001
1.
WORKING RESULTS
Net sales
Raw material and consumables
Salary and wages
Power and fuel
Repair and Maintenance
Administrative Expn.
Marketing Expenses
Rent
Gross Profit (before int. & Depri.)
Interest
Depreciation
Operating Profit
Tax
Net Profit
Dividend (%)
Net Surplus
(The past performance of the sister concern should be also highlighted on above
proforma)
III.
PROPOSED SCHEME:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Product
Manufacturing Process
List of existing Plant and machinery (Annexure - 1)
List of Proposed Plant and Machinery (Annexure - 2)
Breakup of Installed Capacity (Existing & Proposed) at Annexure - 3
Expansion/Diversification/Modernisation and its justification
Breakup of Raw material (Annexure - 4)
Manpower (Annexure - 5)
Power Load (Annexure - 6)
Incremental benefits expected from installation of new Equipment (detail Note and calculations).
Plan of implementation
12.
Cost of Project (overall)
(Rupees in lacs)
Total
Already
To be
Arranged
arranged
As on
------------------------------------------------------ Land
Building
Machinery
Other Misc. Assets
Preliminary and pre-ops.
Margin for Working Capital
Total:
13.
Means of Finance (Overall)
(Rupees in lacs)
Total
Already
To be
Arranged
arranged
As on
------------------------------------------------------(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
Capital
Reserve and Surplus
Intenal cash accruals
Interest free Loan
Interest bearing loan
Term loan from DFC
Term loan from Bank
Others
Total:
14.
Cost of Project (Expansion)
(Rupees in lacs)
Already
To be
Total
Arranged arranged
As on
---------------------------------------------------
Land
Building
Machinery
Other Misc. Assets
Preliminary and pre-ops.
Margin for Working Capital
Total:
15.
Means of Finance (Expansion)
(Rupees in lacs)
Total
Already
To be
Arranged
arranged
As on
--------------------------------------------------(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
Capital
Reserve & Surplus
Internal Cash Accruals
Interest free loan
Interest bearing loan.
Term loan from Bank
Term loan from DFC
Total:
16.
Break up of working capital requirement and its arrangement after Expansion Project.
17.
Profitability, DSCR, IRR, BEP and Cash flow for a period of 5 years On completion of the
scheme (Enclosed: Statements as in Enclosures)
18.
Details of Collateral Securities (please see the Norms)
DECLARATION
We hereby declare that the information given above the statements and other Papers enclosed are, to the best of our knowledge and belief and correct in all Particulars.
Signature
Name and Designation
Place :
Date :
(Please submit the application on above performa along with documents/information as per the check
list (Annexure - 12 to the Nodal Officer of the Corporation at H.O. for NCT Delhi case and at B.O.
for the Chandigarh).
ANNEXURE - 1
M/s
LIST OF EXISTING PLANT AND MACHINERY
(Rs. lacs)
S. No. Particulars
Purchase YearNos.
Purchase Value
Power Load
In HP
Total:
Total Purchase value:
Depriciated value as on 31.03.200
Signature
Name and designation
ANNEXURE - 2
M/s
LIST OF EXISTING PLANT AND MACHINERY
(Rs. lacs)
S. No. Description Name of Manufacturer Quoted
Price
Preferred No. Amount in Rs.
Price
1)
2)
Signature
Name and designation
ANNEXURE - 3
M/s
Detail of Installed Capacity
No. of days per annum = 300
No. of shifts per day
= One/Two (8 Hr. each)
Existing
Sales Revenue at Installed Capacity (Existing): Rs.
Utilization during last 3 years =
Proposed I. Capacity
---------------------------Sales revenue at Installed Capacity (Proposed) Rs.
Sales Revenue/Job work at Installed Capacity (Existing + Proposed) = Rs.
Sales/Job work Revenue During 1st year at
% installed capacity Rs.
Sales/Job work revenue During 2nd year at
% installed capacity Rs.
Sales/Job work revenue During 3rd year at
% installed capacity Rs.
Signature
Prop./Partner/Director/Authorised Signatory(s)
ANNEXURE - 4
M/s
Detail of Raw Materials Consumption Per Year
S. No.
Items
Quantity
Rate
Amount
Cost of raw material during 1st year Rs.
Cost of raw material during 2nd year Rs.
Cost of raw material during 3rd year Rs.
------------------------------------------------------------------------------------------------------Average raw material to sales ratio works out to be
Profit and Loss Account of previous years.
based on
For M/s
Signature
Prop./Partner/Dir./Authorised Signatory
ANNEXURE - 5
M/s
BREAK UP OF THE MAN POWER
S. No.
Description
1.
Supervisory
2.
Skilled
3.
Semi skilled
4.
Others
Salary/wages P.M.
Nos.
Existing
Total
Proposed
GRAND TOTAL:
Manpower expenses during 1st year Rs.
Manpower expenses during 2nd year Rs.
Manpower expenses during 3rd year Rs.
Signature of applicant
ANNEXURE - 6
M/s
BREAK UP OF THE POWER LOAD
S. No.
Description
No. of KW
Nos
Total Power load KW/HP
ANNEXURE - 7
M/s
PROJECTION OF PERFORMANCE OR PROFITABILITY
1st Yr
2nd Yr
PARTICULARS
SALES/Revenue from Professional
Services
COST OF PRODUCTION
(A)
RAW MATERIAL &
CONSUMABLES
POWER & FUEL
SUB-CONTRACT CHARGES
SALARIES & WAGES
DIRECTOR’S REMUNERATION
REPAIR MAINTENANCE
ADMINISTRATIVE & OVERHEADS
RENT
TOTAL (A)
(B)
INTEREST ON
TERM LOAN - DFC LOAN
(C)
INTEREST ON WORKING
CAPITAL LOAN (BANK LOAN)
(D)
DEPRICIATION
GRAND TOTAL (A+B+C+D)
(E)
NET PROFIT BEFORE TAX
(F)
LESS: INCOME TAX PROVISION
(G)
NET PROFIT AFTER TAX
(H)
AVAILABLE SURPLUS
D.S.C.R.
3rd Yr
4th Yr
5th Yr
ANNEXURE - 8
COMPUTATION IOF D.S.C.R.
(Rs. Lacs)
PARTICULARS
1st Yr.
NET PROFIT AFTER TAX
DEPRECIATION
INTEREST ON TERM LOAN
LEASE RENTALS
TOTAL (A)
INSTALMENT TERM LOAN
INTEREST ON TERM LOAN
TOTAL (B)
D.S.C.R.
AVERAGE D.S.C.R.
2nd Yr.
3rd Yr.
4th Yr.
5th Yr
ANNEXURE - 9
M/s
CASH FLOW STATEMENT
(A)
SOURCES OF FUND
YearConst. Period
1st Yr.
NET PROFIT AFTER
DEPRECIATION BUT
BEFORE TAX AND
INTEREST AND LEASE
RENTALS
INCREASE IN CAPITAL
RESERVES
LONG TERM DEPOSIT - Intt. Free)
DEPOSITS/LOAN (Intt. Bearing)
TERM LOANS
INTERNAL CASH ACCURALS
OTHERS
DEPRECIATION
INCREASE IN W/Cap. Bank Loan :
INCREASE IN W/Cap. DFC Loan :
TRADE CREDIT
TOTAL (A)
(B)
DISPOSITON OF FUND
LAND
BUILDIN
G
PLANT AND MACHINERY
INVESTMENT/SECURITY
OTHER ASSETS
PRELIMINARY AND PRE-OPS.
MARGING FOR W/CAPITAL
INCREASE IN CURRENT ASSETS
OTHER
PROVISION OF TAXES
REPAYMENT/DECREASE IN Term Loan
INTEREST ON TERM LOAN
LEASE RENTALS
DIVIDEND
TOTAL 9B)
OPENING BALANCE
SURPLUS FOR THE YEAR
CLOSING BALANCE
2nd Yr.
3rd Yr.
4th Yr.
5th Yr.
ANNEXURE - 10
COMPUTATION OF BREAK EVEN POINT
(Based on 3rd year working)
(A)
SALES
(B)
VARIABLE COST
RAW MATERIAL AND
CONSUMABLES
DIRECT WAGES
POWER & FUELS
INTEREST ON WORKING CAPITAL
SELLING EXPN.
TOTAL (B)
(C)
CONTRIBUTION (A - B)
(D)
FIXED EXPENSES
Add SALARY & WAGES
REPAIR & MAINTENANCE
RENT & TAXES
LEASE RENT
ADMINISTRATIVE EXPN.
INTEREST ON TERM LOAN
INTERST ON OTHER LOAN
DEPRECIATION
TOTAL (D)
(E)
BREAKEVEN POINT
(F)
SALES AT BREAK EVEN POINT
(Rs. in lacs)
ANNEXURE - 11
M/s
PARTICULARS OF THE PROMOTERS OF APPLICANT AND ITS SISTER CONCERN
ABOUT APPLICANT UNIT
A.
BANKERS OF THE APPLICANT UNIT SINCE INCEPTION
Name & Address
of bankers
Limit/Loan
Assistance
Since when Account Whether any
is in operation with default/overdue
Number.
ABOUT SISTER/ASSOCIATE CONCERN
B.
DETAILS OF SISTER CONCERN
Name of
Promoter of
Name & Address
of the concern
Line of
Activity
Nature of
Association
Since when
Associated
C.
BANKERS OF THE SISTER/ASSOCIATE CONCERN
Name & Address
of bankers
D.
Limit/Loan
Assistance
Since when Account Whether any
is in operation with default/overdue
Number.
Operational performance of the Unit#
For the last three years
1st Year
2nd Year
3rd Year
Sales
Job Receipts
Gross Profit
Net Profit
Depreciation
Income Tax Paid
# Attached copies of Balance Sheet, P & L A/c, I.T. Returns and assessment order for the last
3 years duly certified by CA.
I/WE UNDERTAKE THAT THE ABOVE INFORMATION IS CORRECT AND NOTHING HAS
BEEN CONCEALED. THERE IS NO DEFAULT WITH ANY BANK/FINANCIAL INSTITUTION/GOVT. AGENCIES.
Promoter/Partners/Directors
Seal and signature
Note:
Please Add Authority letter to Bank.
Please indicate separately the details about the unit/sister concern indication the changes taken place in
constitution since the inception and its activities.
ANNEXURE - 12
DELHI FINANCIAL CORPORATION NEW DELHI
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
List of outstanding information/documents to be submitted
Along with loan Application Form for Rs. 10.00 lacs and above
Copy of allotment letter/lease deed of the land.
Rented premises
a)
Location
b) Covered area
c)
Rent amount payable
Sketch plan layout indicating are under plant & machinery, storage and other usages.
A brief note on the manufacturing process.
List of existing plant & machinery alongwith its purchase value, year of purchase & suppliers/
Manufacturers detail.
Purchase value of the plant and machinery of sister concern/company.
Comparative statement of P & M/c in the attached proforma along with at least two quotations
of each machine along with catalogues.
Customer’s list of preferred indigenous plant and machinery’s suppliers.
Details of the OGL - Appendix No., item no. in respect of imported machinery.
Copy of the import licence, if required.
Tariff rate of custom duty of proposed imported machinery with proof thereof.
Break up and basis of the installed capacity (existing and proposed).
Copies of the various sales bills of the product being manufactured in the case of existing units.
2/3 assurance letters in respect of Sales/job rae to be charged and marketing tie-up letter from
the prospective customers giving quantity of the product to be lifted.
Norms of the applicable excise duty with proof thereof.
Breakup and basis of the cost and quantity of the required raw material
Consumables along with quotations/purchase bills.
Details of salaries/wages of existing/proposed manpower.
Power load breakup machine wise (existing/proposed)
A detailed note on the inspection/tests required for quality for quality control arrangements.
A detailed note on demand, scope and marketability aspects.
FINANCIAL
Sources of raising capital.
Details of assets and liabilities of the proprietor/partners/directors.
Copies of the I. Tax/Wealth Tax returns/assessment orders of all the Directors/partner/Proprietor for the last three years and details of their PAN No.
Balance Sheets of the company/concern for the last three years in case of existing units duly
audited by C.A.
Bank reports of applicant/sister concern/company.
Balance Sheets of sister concern/company for the last three years duly certified by C.A.
Details of collateral security alongwith photocopy of title deed and valuation report (if any).
Copy of resolution of the company authorizing the Directors for signing the documents.
Copy of form “A” and “B” and partnership deed in case of partnership concern.
Assurance letter from Bank for working capital tie-up.
Copy of the memorandum and Articles of Association and list of share holders with
shareholding and paid up amount.
Photocopy of the title deeds of the immovable property of Directors/partners/proprietor/
guarantors.
Permanent address of the Directors/partners/proprietor/guarantors.
INFORMATION TO BE SUPPLIED BY THE GUARANTOR WHO
IS STANDING GURANTEE FOR THE REPAYMENT OF LOAN
TO DELHI FINANCIAL CORPORATION IN RESPECT OF
INDUSTRIAL CONCERN M/S
Address
For a loan of Rs.
1.
Name of the Guarantor with parentage Sh./Smt.
S/o., W/o Sh.
2.
Age :
3.
Permanent Address :
4.
Present Address :
5.
(c)
OCCUPATION
If in service following information to be
Given duly supported with certificate
From the employer
(i)
Name of the employer
(ii)
Address :
(iii)
(iv)
(d)
Designation
Length of service
If he/she is an Income Tax Assessee the
Details of taxable Income and Tax paid
During last three years be given
(i)
Name of Firm/Company
(ii)
Address(s)
Years
(iii)
(10)
(11)
(12)
Constitute
Proprietorship/Partn./Pvt. Ltd./Public Ltd. Co.
(iv)
Date of establishment
(v)
Sales during last 3 years & Net Profit
Years Sales N.P. (Rs. in lacs)
during the last 3 years
(vi) Income Tax Assessment orders to be furnished
If Wealth Tax Assessee, then two years statement
And Wealth Tax paid be furnished
Relationship, if any, with the persons for
Whom guarantee stands
Particulars of the Immovable property held
By the guarantor
(i)
Plot of land/House No. and its complete address
(ii)
Whether owned in own name or joint name if any,
supporting copies of Title Deed to be submitted
Market value of the property held by guarantor
alongwith valuation report
Whether the property is free from encumbrance
if mortgaged (attach Affidavit
as per proforma of DFC)
(iii)
(iv)
(v)
(13)
Particulars of other moveable assets:
(e) L.I.C. Policy (face value & Paid up value
(f) U.T.I. & N.S.C.’s value
(g) Shares with their value and Name of company
(h) Bank balance with bank’s name
Partuculars of other guarantee/Surety previously
Given for repayment of loan etc./if any, to other
Office or Bank etc.
I solemnly affirm and declare that the particulars given above are true and correct to the best of
my knowledge and belief and nothing has been concealed therein. I also agree to execute Bond of
Guarantee and to provide supporting papers, if any, concerning my networth as declared
above.
Signature of Guarantor
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