Investment Solution Ltd

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Name of Applicant:

Nationality:

Date of Birth: DD/MM/YY:

Name of Company:

Company/Other Entity(Specify):

Address of Company:

Applicant Position in the company:

Belonging to Special Category: SME/ Micro-Finance/Infrastructure/Hotel/Software etc:

Nature of Activity/Line of Business:

Phone No-Landline with ISD Code:

Fax No.:

Mobile No.:

Office No.:

Email:

Comfirm Email address:

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Website Address, if any:

Company Registration No./ Corporate Identity No.:

If Borrower is prohibited from raising External Loan

in your country?:

Defaults, if any, in Paying Bank Loans/other Loans/ Fixed deposits/Debentures/Interest/ Dividends?:

If so, steps taken to avoid default, in Future:

The Borrower can avail Automatic Route or Approval Route to obtain External Borrowing?:

Amount of Loan sought in USD/Euro/British pounds:

Please specify

Purpose of Loan:

Loan Contract Tenure:

Start-up/ Expansion/ Modernization /others (Please specify):

(Attach Business Plan) if any:

For Company Listed with Stock Exchange, if yes please provide Stock Code No.:

Action Plan to pay Interest on Due Dates:

Action Plan to pay Loan on Due Dates:

Guarantee/ Security offered for the Loan:

Any Other Matter of Relevance:

Name, Designation & Phone No. of the Person, authorized to sign Loan Agreement on behalf of the Borrower:

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