Name of the Organization*

Current Debt Funding on Books

Short Term (In Lacs)*

Long Term (In Lacs)*

Unsecured Loan (In Lacs)*

Net worth (In Lacs)*

PAT Current Year (In Lacs)*

Interest/Finance Cost (Per Annum)

Short Term (In Lacs)*

Long Term (In Lacs)*

Unsecured Loan (In Lacs)*

Depreciation for Current Year (In Lacs)*

Current Monthly EMI Outflow (In Lacs)*

Contact Person*

Designation*

Mobile Number*

Email*