Application for equity support from National Housing Bank

Part I : Organisation and main activity

1.  Name of the company

2.    Full address and Phone No.
   (a) Registered office
         Phone No.
         Fax No.
         E-Mail

    (b) Head/Corporate office
           Phone No.
           Fax No.
           E-Mail

    ( c) Branch Network of the HFC

            Enclose            a list of branches as per format given :

Complete address of Branch	Telephone No.	Fax No.	e-mail

3.    State in which the company is registered

4.    If the Head/ Corporate office is not at a place/State in which it is registered,  reason for such an arrangement

5.    Nature of company - Public/Deemed Public/Government

6.    Sector - Public/ Private/Joint

7.    Name of the business house/group to which the concern belongs to and the list of other companies in the same group

8.    Date of incorporation

9.    Date of commencement of business (Enclose certificate of commencement of business)

10. Main object/s of the company as per Memorandum of Association     

(Enclose certified copy of Memorandum and Articles of Association)

11.  Whether classified as HFC by the ROC (i.e 801.2 classification) ? If so, date of classification  (Enclose certificate of industrial classification by the ROC)

Part II : Promoters

1.     Give bio-data of the main promoters as per format below :

Promoter Individuals :

Name	Age	Address	Educational Qualifications	Past  experience	Capital /Loan contribution	Business /Personal relationship	Net means

This should be supported by Income Tax/Wealth Tax assessment orders/returns filed for the last 3 years.

  Promoter Company :

Name	Address	Date of Incorporation	Capital/Loan contribution	Turnover (3 years)	Net worth  (3 years)	Net profit  (3 years)

This should be supported with a brief write-up on the activities and past performance of the promoter company(s).

Enclose:

·         Annual Report/Audited balance sheet and profit and loss account for the past 3 years of the promoter company(s)

·         Copy of agreement(s), if any, entered into among the promoters indicating share holding pattern, salary etc.

2.      Provide a list of shareholders owning or controlling 5% or more of equity shares as per format :

	No. of shares	% of holding	Business relationship with company
Promoters
Industrial houses (specify)
Banks/FIs (specify)
NRI/Foreign holdings (specify)
Public
Others (specify)
Total

Give the number of equity shareholders and preference shareholders. In case of preference shareholders, give a list of ten largest shareholders.

Part III : Management / Board of Directors

1.     Provide a list of directors as per given format :

Director	Age	Address	Educational Qualifications	Experience in  HF Industry	Other Cos with whom associated and  in what capacity

This should be supported by brief write-ups on the above concerns including information on the nature of business, turnover, profits for last 3 years.

2.     Name, address and background of Chief Executive Officer / Managing Director.
3.     Whether any of the promoters or directors have at any time been declared insolvent.
4.     Whether  the Memorandum of Articles has a provision for nominating a director by the National Housing Bank and/ or any other financial institution ?   If so, quote the relevant article.
5.    Details of Litigation for/against the HFC, its promoters, directors or group companies

Part IV : Particulars of the HFC

1.     Give a brief history of the concern including any changes in name, business, management, etc. Also indicate any mergers, reorganisation, etc. which took place in the past.
2.     Provide a list of subsidiaries, showing percentage of holding in each of them and the nature of their business.
3.     Provide a list of existing key technical and executive staff as per format given :

Name	Age	Educational Qualifications	Length of service	Previous Experience

4.     Note on internal management systems covering:

·         Loan processing

·         Loan monitoring

·         Loan recoveries

·         Default recovery

·         MIS

·         Accounting

along with extent of their computerisation. Further, attach a note on the internal audit function stating scope, extent and periodicity along with the major observations of the same.

Enclose : Systems manual if any

Part V : Capital Structure (Data to be furnished for the past 3 years)

1. Authorised capital
2. Paid-up capital
3.  Net Owned Fund -

a)   Paid-up capital

b)   Free Reserves

c)    Total [ a + b ]

d)   Accumulated balance of loss

e)    Balance of deferred revenue expenditure

f)     Other intangible assets [please specify]

g)   Total [ d + e + f ]

h)   Owned funds [c - g]

4.     Share holding pattern -

	No. of shares	% of holding	Business relationship with company
Promoters
Friends and relatives of Promoters
Scheduled commercial banks
Financial Institutions [specify]
NHB Approved HFC
NRI/Foreign holdings (specify)
Other Institutions/ companies
Public
Others (specify)
TOTAL		100%

5.     Outstanding loans & advances to and deposits with subsidiaries and companies in the same group
6.     Investments in shares of subsidiaries and companies in the same group and all non-banking financial institutions.
7.  Total [5 + 6 ]