If you are an organisation having a Gross Sales of not less than Rs. 50 lacs per annum and sound financial base, please furnish the information in the following format, in order to examine your proposal.  
                                                                                                                   ( Rupees in Lacs )

Name of the Client
Constitution (Private Ltd./PublicLtd.,etc.,)
Address
Email
Telephone / Fax
Contact Person
Designation
Nature of Business
    
   1st yr    2nd yr     3rd yr
Networth
     
      
  
Gross Sales for the last 3 years             
         
Profit/Loss for the last 3 years                
              
Current Ratio for last 3 years(C.R.)
                  
          
Please  tell us about your customers
Customer Name Sales for last 3 years

Debt Turn Around (in days) during previous financial year.  
           
Details of Bank facilities currently enjoyed
                            
Bank Name Limits enjoyed Rate of Interest

Factoring limits you require
 
Are collateral securities available for the proposed factoring limits   Yes  No