Bangladesh Development Bank Ltd.

......................Deptt. / Branch
Sub: Particulars of Primafaci Clearance for
Issuing Loan Application Form (LAF)
01. Project related information s
Name of the Project & Address

00

(i)

(with telephone no.)

1. Office :

2. Factory :
3. Godown:
(with area)
Type of Organization ( "I)

00

(iii)

Production Capacity & Product Mix

00

(iv)

Trade License No. & Date (Renewal)

00

(v)

TIN & Date

00

(vi)

Name of the existing bank(s) &

financial institution(s) (Bank
statements should be attached)
Capital Structure of the Company

(vii)

00

__1

(b) Paid up Capital

00

(a) Authorized Capital

Proprietorship/ Partnership/ Private ltd. / Public ltd.

00

(ii)

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02. Management Aspect (Particulars of the sponsors)
Si
No.

Name of the
sponsors

Father &
Mother's name

Age

Educational

TIN no, NID,

Passport no,
Cell no. &
Email
5

Address
Present

Permanent

% of Share

Status

Experience

10

11

Qualification

03. Particulars of the Spouse (s)

SI

Name of the
spouses

Father &
Mother's name

Age

TIN no. & NID

No

Address
Present

Permanent

.
1

04 Second Line of Business Management In case of Proprietorship / Partnership Firm) :

Name
Relationship with
Age
Educational
Experience
the sponsor
Qualification

5 . Sp o ns o r (s ) As s e ts : (Tk. in lac)
Immovable
assets
Movable
Investment
Cash &
(description,
(location,
Si
Name of the
assets
tion,
Bank
khatian no,
No.
Sponsors
(description,
value)
dag no, area,
B a l a n c e
value)
value)

Total
Assets

Encumbrances
(if any)

Total
Assets

Encumbrances
(if any)

6 . Spouse(s) Assets :
Si
No.

Name of the
Spouse

Immovable
assets
(location,
khatian no,
dag no, area,
value)

Movable
Investment
assets
(description,
value)
(description,
B
a
l a n c e
value)

Cash &
Bank

7 . Sponsor(s) Liabilities: (Tk. in lac)

SI
No.

Name of the Sponsors

Nature of Loan/
Guarantee

Name of
Bank/Financial

Institution

Total

Liabilities

Security against
Liabilities
(including mouza,

plot, khatian & dag

no.)

4
08. Spouse Liabilities

Si
No.

Name of the Spouse

Nature of Loan/

Guarantee

plot, khatian & dag

no.)

00

(d) OD (Over Draft)

Institution

oo

(c) L/C Limit & LTR

Total

Liabilities

oo

(b) Working Capital/Cash Credit

Security against
Liabilities
(including mouza,

00

09. Amount of Loan Applied For :

(a) Term Loan (Long Term/SME)

Name of
BaBank/Financial

1
10. Description of Project Land & Collateral Security (if any):
Title of the Asset

Si
No.
a.

b.

Location(including
mouza, plot,
khatian & dag no.)

(Tk. in lac)
Area

Market
Value

Encumbrances
(if any)

Project Land

Collateral Security

11. Proposed Project Cost & Means of Finance:

Si.

Items
Incurred

(a)

Land (Area
...................decimal)

(b)
(c)
(d)

Land Development
Civil Construction
Imported Machinery

Tk. in lac

Sponsor(s) Equity

Bank loan

To be

Sub-

incurred

Total

G. Total

Sponsor(s) Equity

Si. Items
Incurred
(e)

Local Machinery

(f)
(g)

Erection & Installation

(h)

Vehicles

(i)

Others

Bank loan

To be

Sub-

incurred

Total

G. Total

Furniture & Fixtures

Total:

12. Debt Equity I Debt Margin Ratio :

13. Transaction Status with BDBL (Minimum of 6 months) :
Name of the Bank

Debit Summation

Credit Summation

Balance

14. Performance of Existing Business :

Name of Firm / Company
Turnover
Year 1

Year 2

Net Profit
Year 3

Year 1

Year 2

Year 3

14. Remarks

I do hereby declare that the particulars furnished above are completely true. If any information is found wrong,
the bank will have discretion to cancel the loan proposal without any explanation.

Authorized Signature
(with seal)