BIO - DATA

TO BE SUBMITTED TO A.P.S.F.C. ALONG WITH TERM LOAN APPLICATION BY APPLICANT

/ PARTNER / DIRECTORS / GUARANTORS / INDIVIDUALITY.
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01. Name & Location of the unit :

02. Full Name with Surname :

03. Age & Date of Birth :

04. Community whether belongs :

to SC / ST / BC / EW / OC

05. Place of birth with details of :

taluq & Dist & State

06. Father / Husband’s Full Name :

07. Permanent address in full :

08. Present address in full :

09. Correspondence address :

10. a) Telephone / Cell No. if any :

b)

11. Academic Qualifications :

(Please enclose certified
copies in proof)

12. Previous experience with full details :

of nature of responsibilities & posts
held. (please enclose certified copies
in proof)

13. Present occupation with details of:

nature of post. Salary drawn etc.,

14. Whether approached SFC or any :

other financial institutions earlier
for loan facilities, if so give full
details of the name of the unit,
loan amount, location, project etc.,

15. Family background (Please mention :

full background of blood relations).

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Name of the Brothers / Sons / Others / Spouse Occupation & Address
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01.
02.
03.
04.
05.

16. Please indicate condition of :

general health

17. Whether there are any dues / loans :

taken from banks etc if so details

18. Whether interested in past or present :

in any other industrial units / trading/
business etc., If so enclose financial
statements for the last three years

19. Whether the applicant’s / Partner’s / :

Director’s relatives are interested
in past or presently in any other
loans units financed by Corporation
if so give details.

20. Whether involved in any Court cases :

or stood as guarantor / surity to any
other loans to A.P.S.F.C.

21. Whether Income Tax / Wealth Tax :

Assesses. If so, please enclose latest
assessment orders copies with details
of taxes paid

22. Financial background with full description of properties owned, details of liquid
assets and sources of investment of margin money.

a) Movable Properties :

b) Liquid Cash for investment in the :

project and source

c) Immovable properties owned (Please :

furnish D.No. / Survey No. / Extent/
Location etc.)

23. Name of the two reference person

(who knows you since 5 years)

S.No. Name Address Phone No.

1.
2.

I hereby declare that the above facts are true and correct to the best of my
knowledge.

Date: SIGNATURE

Place:
 SOLVENCY DECLARATION
(O N Rs.20 B O N D P A P E R)

I, Sri / Smt / Kum______________________________________________ S/o, W/o,

D/o. _________________________________ aged about ____ years. R/o
______________________________________________________________
do hereby solemnly affirm and declare the following regarding my credit
worthiness and solvency:
1. That I am the Sole Proprietor / Proprietrix / Partner / Director of
M/s___________________________ at proposed /existing industry for which I
have approached A.P.S.F.C. for a Term Loan.
2. I have not availed any Term Loans from any other financing institution /
Bank for the above proposed activity.
AND
3. That my solemnly and net worth particulars as on the date of application
to APSFC are as follows:
I. IMMOVABLE PROPERTIES:
a) Building: Door No. ___________________ at ___________________
_________________________________ worth Rs._________ lakhs.
b) House: Plot No. ___________________ Extent ___________________
Worth Rs._________________________________________________.
c) Agricultural Lands:
d) Any other benefits:

Village Mandal Sy.No. Wet/Dry Extent Value

Rs.
 -2-
II. MOVABLE PROPERTIES:
a) Bank Deposits :
b) Investments in share :
c) Jewellery :
d) Others :
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Total
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III. LIQUID CASH:
a) On Hand :
b) With friends & relatives :
c) In Bank :
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Total
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IV. Less: Out Standing Liabilities.

i) Secured :
ii) Unsecured :
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NET SOLVENCY
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4. That I am together (I+II+III-IV) solvent to an extent of Rs._______lakhs
by the way of both Immovable and Movable Properties.

Place:

SIGNATURE
(NAME)
Date:

(ON THE LETTER HEAD OF THE PROMOTERS / UNIT)

 SOURCES OF INVESTMENT

I hereby declare that I will invest my share of margins in the proposed scheme
from the following sources.

III. LIQUID CASH :

a) On hand ...
b) With friends & relatives ...
c) In Bank ...
d) Disposal of investments ...
e) Others, if any ...
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Total ...
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Place:

Date: SIGNATURE
(Name)