| (iii) | Letters from banks / institutions in India giving terms and conditions subject to which they have agreed to grant rupee loans for financing the part cost of the project. |
| (iv) | A certificate from the applicant company to the effect that the draft agreement has been carefully examined by them and their solicitors and that no additional foreign exchange liability either express or implied arises in proper performance of the agreement besides those approved by the Government of India/Reserve Bank. |
| (v) | Exchange Control copy of import licence or original letter of intent with a certified copy issued by Government of India indicating that they have approved, in principle, grant of the necessary import licence (where necessary). |
| (vi) | Schedule of draw down [of loan/credit (expected dates), currency, amount etc.] |
| (vii) | Schedule of loan/credit repayment (both principal and interest) indicating due date(s) and amount of each instalment or schedule of payment of lease rent in the case of Financial Lease indicating due date(s) and amount during the entire loan/lease period. |
1. | (a) | (i) | No. & date of Governments approval for foreign currency loan/credit | |
| | (ii) | Government Loan Key Number | | | | | | |
| (b) | In case of Financial Lease for import of containers, aircraft, etc. RBI approval No. and date | |
2. | | (a) | Name and address of the lender/foreign supplier/lessor (in the case of Financial Lease) (BLOCK LETTERS) | |
| | (b) | Country of Lender/Lessor | |
3. | | a) | Name and address of applicant company/ firm/lessee (BLOCK LETTERS) | |
| | b) | Address of its Registered Office (BLOCK LETTERS) | |
| | c) | Nature of business in India | |
| | d) | Name and telephone number of the Senior Executive of the applicant company/firm looking after the utilisation & repayment of this loan/credit, etc. | |
| | e) | Name and address of the applicants bank through whom credit facilities are obtained and remittances of loan instalment/lease rent will be effected | |
4. | (A) | Purpose of the loan - | |
| | (i) | Description and value of goods to be imported | |
| | (ii) | Description and value of goods to be acquired from domestic market | |
| | (iii) | Investments in real estate/fixed assets | |
| | | (a) | Expansion of existing activity | | (a) | | | |
| | | (b) | Export Oriented Units | | (b) | | | |
| | | (c) | Modernisation | | (c) | | | |
| | | (d) | Import of raw materials | | (d) | | | |
| | | (e) | Import of capital goods | | (e) | | | |
| | | (f) | Import of ships, aircraft, containers | | (f) | | | |
| | | (g) | New projects (other than EOUs) | | (g) | | | |
| | | (h) | Onward lending/sub-lending in case of FIs | | (h) | | | |
| | | (i) | Rupee expenditure (local sourcing of capital goods) | | (i) | | | |
| | | (j) | Others (Please specify) | | (j) | | | |
| (B) | If the loan/credit has been negotiated for expansion/diversification/modernisation of any industrial activity, please state - | | | | | |
| | (a) | Cost of the project (Amount) | | (a) | | | |
| | (i) | | Import of capital goods | | | (i) | | |
| | (ii) | | Import of technical know-how | | | (ii) | | |
| | (iii) | | Others | | | (iii) | | |
| | (b) | How financed? (Amount) | | (b) | | | |
| | (i) | | Out of foreign currency loan | | | (i) | | |
| | (ii) | | Remittances in free foreign exchange | | | (ii) | | |
| | (iii) | | Others(Please specify details) | | | (iii) | | |
| (C) | If the import is on financial lease basis - (specify all the lease charges payable item-by-item) | | | | | |
5. | (i) | Details of Import Licence;(where necessary) | | | | | |
| | (a) | Full number with prefixes and suffixes | | | (a) | | |
| | (b) | Date of issue | | | (b) | | |
| | (c) | Period of validity | | | (c) | | |
| | (d) | CIF value | | | (d) | | |
| | | (i) | Currency | | | | (i) | |
| | | (ii) | Amount | | | | (ii) | |
| | (e) | If the import licence has been issued against a credit/loan obtained by the Government of India, state full particulars as given in the Import Licence | | | (e) | | |
| (ii) | Importers Code Number | | (ii) | | | |
| (iii) | Details of import | | (iii) | | | |
| | (a) | Description of goods to be imported | | | (a) | |
| | (b) | Country of origin of goods | | | (b) | |
| | (c) | Port and country of shipment | | | (c) | |
| | (d) | Value (specify whether f.o.b.,c.& f. or c.i.f) | | | (d) | Currency | | Amount |
| | (e) | Country to which the remittance is to be made | | | (e) | |
| (iv) | Terms of Payment | | (iv) | |
| | (a) | Advance payment (%) | | | (a) | |
| | (b) | Payments against shipping documents(%) | | | (b) | |
| | (c) | Total amount to be paid in instalments | | | (c) | |
| | | (i) | Principal repayment | | | | (i) |
| | | (ii) | Interest payment | | | | (ii) |
6. | | (i) | Particulars of the proposed loan/credit | | | | |
| | | (a) | Currency and amount | | |
| | | (b) | Rate of interest | | |
| | | | (i) | | Fixed | | |
| | | | (ii) | | Floating | | |
| | | | | | (a) | | Base Rate | | |
| | | | | | (b) | | Margin | | |
| | | (c) | Penal interest for late payment | | |
| | | (d) | Commitment fees | | |
| | | (e) | Other charges | Nature of the charges |
| | (ii) | Schedule of draw down (of loan/credit/ financial lease) | (ii) | Expected date(s) of drawal |
| | | | (a) | |
| | | | (b) | |
| | | | (c) | |
| | (iii) | Schedule of principal repayments and interest payments | | |
| | | (a) | Periodicity of instalments | | |
| | | (b) | No. of instalments | | |
| | | (c) | Number of payments in a year | | |
| | | (d) | Date of commencement of first instalment(YYYY/MM/DD) | | |
| | | (e) | Date of payment of last instalment | | |
| | | (f) | Amount of each instalment i.e. | | |
| | | | | Serial number of instalment | | Currency and amount of Principal | | Currency and Amount of interest payment |
| | | | | (1) | | (2) | | (3) |
| | | | | | | | | |
| | | | | | | | | |
| | | | | | | | | |
| | | | Total | | | | | |
| | | (g) | First date of interest payment (YYYY/MM/DD) | | | | |
| | | (h) | Number of payments in a year | | | | |
7. | | Type of loan/credit offered i.e. Suppliers Credit (Deferred Payment Imports), Buyers Credit, Line of Credit, etc. | | | | |
8. | | Type of security offered for the loan/credit | | | | |
| | (i) | | Government guarantee | (i) | |
| | (ii) | | Public Sector Bank Guarantee | (ii) | |
| | (iii) | | Development Financial Institution | (iii) | |
| | (iv) | | Multilateral/Bilateral Insurance | (iv) | |
| | (v) | | Mortgage of Assets | (v) | |
| | (vi) | | Unsecured (non-guaranteed) | (vi) | |
| | (vii) | | Other guarantee (Please specify) | (vii) | |
9. | | Name and address of the authorised dealer who will be issuing the guarantee and through whom remittances will be effected | |
10. | | Any other information | |
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We hereby certify that the particulars given above are true and correct to the best of our knowledge and belief. No material information has been withheld and/or misrepresented. |
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Place: | | | | | |
Date : | | | Stamp | | (Signature of authorised official) |
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| | | | | Name: | |
| | | | | Designation: | |
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[For use of Authorised Dealer] |