URJA Finance Application Form for Tier II |
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Please fill the Online Form provided below OR click on Download Application Form to submit Offline
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Fields marked with (*) are compulsory. Filling the first row of every table is mandatory. Please put NA(words) or 0(figure) wherever there are no inputs to be provided.
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BRIEF PROFILE OF OUR FIRM/COMPANY :
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Name of the ECA firm/company : |
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Constitution (Partnership / Proprietor / Joint Hindu family / Pvt. Ltd Company) : |
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Name of Proprietor/Partner(s)/Director(s) : |
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Address : Office Premises : |
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Address : Godown Premises : |
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Pin Code : |
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ECA/Dealer PAN Number : |
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GST No : |
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ECA/Dealer TSL Code : |
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Contact No(s) : |
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ECA/Dealer Email ID : |
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Distributor Name : |
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Distributor Email ID : |
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Distributor Sales Office Location : |
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1. Number of years of association with Distributor : |
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2. ECA/Dealer’s End Products : |
* |
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3. Products purchased from TSL : |
* |
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4. Total Steel Purchases : *
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5. Purchase details from Distributor : *
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6. Steel purchased from (Tata Steel Distributor/Other Steel company) : |
* |
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7. Dependency (Share of Business) on Distributor’s products is : |
% * |
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8. Total Turnover in last Financial Year (in Crores) : |
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9. Monthly Material requirement (in tons) : |
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10. Average Debtor Cycle in days : |
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11. Average Creditor Cycle in days : |
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12. Average Inventory Cycle in days : |
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13. Current Banking Arrangement :
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Request for Finance Limit under URJA Finance (₹ in Lakhs)
with credit tenure of
days. *
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I/We hereby confirm that I/We shall avail the following arrangement fee option for the services of mjunction services limited - [please tick against the suitable option] |
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We hereby confirm that the above information given by us is true to the best of our knowledge. The same shall be treated strictly private and confidential and
without any liability on the part of the Company or any of its officials for any credit decisions taken by the bank. We understand that the above information
would be utilized only for the purpose of structuring URJA financing facility. We also agree to furnish documentary proof if required in future pertaining to
related information. |
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