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LOAN APPLICATION FORM (UNDER GOVERNMENT OF KPK CREDIT LINE)

Long Term Financing For Development of Industries In Khyber Pakhtunkhwa

Chief Manager / Manager The Bank of Khyber ___________________ Branch ___________________

For Office Use Only Application No. Date of receipt Branch Code

Dear Sir, We hereby apply to avail fresh finance facility for New Project / Expansion / Balancing & Modernization at your Branch. Our particulars are provided below and also mentioned in the BBFS attached. 1 BUSINESS PROFILE INFORMATION Please () in the box that apply 1.1 Firms / Companys Name ___________________________________________________________________________________________ 1.2 Office / Regd. Office Address: ________________________________________________________________________________________

Owned Owned

Leased Leased

Rented Rented

1.3 Project Address: ________________________________________________________________________________________

1.4 Telephone No.___________________________ Fax No.________________________ E-mail.____________________________

1.5 Legal Status:

Sole Proprietorship

Partnership
CNIC

Private Limited.
Company NTN

Public Limited
Company Date of Birth Address Telephone

1.6 Sponsors / Directors Detail Name

Fathers name

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1.7 Total number of employees running the business: Family Member / directors / partners Existing Employees Regular Contractual / Daily Wage Based Additional / New Work Force Required Regular Contractual / Daily Wage Based Total

1.8 Associated Concerns Name of Scope of Concern Business

Business Address

Date of Commencement

Stakeholders Name

% age of Share Holdings

Revenues for the Year

(Please attach financials of the concerns) 2 BUSINESS DETAILS 2.1 Type of Business 2.2 Business Sector: 2.3 Date of Establishment: Existing Business: Commencement Date of New Business: ______________________ a - Manufacturing: b - Processing c - Others (please describe)

2.4 Detail of Present / New Business: (Please describe briefly)

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2.5 Project Cost & Financial Plan (Feasibility Study) A) Sr. No. 1 2 3 4 5 6 Project Cost: Particulars Existing Project Cost Land Building Plant & Machinery Office, factory and Quality control equipment Miscellaneous Initial Working Capital Total Project Cost Sources of Financing: Equity Borrowing (From Financial Institution) Total Financing Annual Production Capacity Particulars / Product Type Production Capacity Per Annum (Units) Existing 1 2 3 4 5 6 7 8 D) Other Non Financial Information: Particulars Number of Shifts per day Working Days per year Number of Workers per shift New Addition Total %age of Total Cost Cost of Proposed Addition / Expansion / New unit %age of Total Cost Cost Total

B) 1 2

C) Sr. No.

Existing

Proposed Addition

Total

2.6 Sales Turnover (Projections in case of new business) Year 1 Sales / Turnover Net Profit after tax 2.7 Infrastructural Facilities Sr.No 1. 2. 3. Facility Electricity Gas Water Required Yes / No Required Load Installed Yes / No Year 2

(Rs in Millions) Year 3

Available as site
(if not installed yet)

Yes / No

/ / /

/ / /

/ / /
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3.1 Financing Requirement Sr. # 1 2 3

3 DETAILS OF LOAN REQUESTED FOR (Fill in whichever is applicable) Total Cost of Machinery / Equipment Requested Facility / Loan Amount Loan Period Total Period / Tenor

(Rs. In Million) Grace period

Facility Applied for New Project / Unit Expansion Balancing & Modernization

3.2 Detail of Machinery / Equipment: (Attach proof / quotations) Description of Machinery / Sr. # Suppliers Details Equipment 1

Country of Origin

Terms of Supply (Cash / Credit)

3.3 Securities Offered: Type of Security 1. Land 2. 3. 1. Building 2. 3. 1. Machinery 2. 3. 1. 2. 3. Personal Guarantee 4. 5. 6. Description Owned by
(Individual / Business)

(Rs. In Million) Status Net (Encumbered Realizable / Vacant) Value / Worth

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1. 2. Others 3. 4.

3.4 Sources of Repayment: (Please Describe)

(Please Enclose Financial Statements / Evidence of Source)

3.5 Existing Limits / Borrowing Name of Financial Institution Type of Facility Amount / Limit Outstanding Sanction Date Expiry Date Status (Regular / Overdue)

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4 DOCUMENTS ATTACHED WITH THE FORM

Board Resolution (for limited companies) Copy of CNIC of the Applicant / Partner / Directors / Guarantor Dully Filled & Signed BBFS. Partnership deed (for Partnership) Memorandum & Article of Association (for limited companies) Certificate of incorporation (for limited companies)

Three comparative quotations for purchase of plant & machinery / equipment Feasibility Report (For new projects) Latest Search Report (for limited companies) Any other

Partners Resolution (for partnership concerns) Two recent passport size photographs of applicant / Guarantors Copy of NTN certificate Form H (for registered partnership concerns) Form-29, 21 & Form-A (for limited companies) Copy of latest financial statements / Projections Proof of sponsor share of investment and adequate means to meet any future requirements of the project. Bank statement (for last one year) Copy of title documents of offered security.

5 AUTHORIZATION / DECLARATION I / We, ___________________________________________________________ hereby confirm as following: 5.1 I / We hereby apply for financing under the mark-up mode & hereby undertake to furnish all required documentation as required by BOK. 5.2 That I/ We shall provide all such further information and documents as may be requested by BOK, prior to extending the Finance Facility to me / us or at any other time thereafter. 5.3 That all information provided by me / us in the Application Form is true and correct to the best of my / our knowledge and I / We have not with held any material fact. I / We hereby indemnify BOK and hold BOK harmless against any damages that may be suffered as a result of BOKs reliance on the information provided herein and against any claims or damages pre sent or future sustained by BOK, under this scheme. 5.4 That the discretion of extending the Finance Facility to me / us and the amount of the Finance Facility to be extended to me / us shall lie solely with BOK and I / We shall abide by BOKs decision in this respect. 5.5 That BOK has right to reject any financing application without assigning any reason & to cancel any portion of the Finance Facility extended to me / us and to seek immediate repayment of all amounts outstanding and payable by me / us in respect of the Finance Facility. 5.6 I / We undertake to pay all charges & understand that external agency charges & all other charges are non-refundable for services rendered even if my / our application is rejected. 5.7 I / We hereby give irrevocable standing instruction to BOK to debit my / our account from time to time for quarterly repayment of the amount financed by BOK and to pay off charges related to payment of Mark-up insurance premium, excise or any other charges which may be applicable. 5.8 In case of any intentional change in business setup in terms of change in Directors/partners and change in the scope of business, prior written permission from BOK would be obtained. 5.9 I / We also authorize BOK or its duly approved agents to contact my / our place of work and / or reference to verify any of the information provided by me / us in the application. 5.10 I / We hereby authorize the bank and their parties, including my / our bankers to exchange any of my / our information or making enquires for the purpose of consideration my / our application and for the conduct of any other account. I / We confirm that in the event my / our signature herein below differs materially from the signature(s) on my / our national identity card, BOK is authorized and instructed to rely on the documents which I / We have executed for this loan / other communications signed or required to be signed by me / us in the manner specified herein below. 5.11 That I / We have read and understood the Loan Application Form and whatever has been stated hereinabove and give my / our consent to abide by all the Rules & Regulations as stated herein as well as all other applicable Rules & Regulations.

Date:_____________________

____________________________ Signature of Sponsor (s) / Director (s)

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