Name of the Customer/Enterprise*
Name of the Branch*
Existing Credit Facilities

Cash Credit/Overdraft
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Term Loan
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LC
BG
Other Loans
Total Exposure (Amount in Rupees)*
Date of first availment of the loan*
Repayment start date (for term loans)
Reason to request for Revival and Rehabilitation*
Contact No.*
E-mail ID*
 
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