Marg ICICI Collaboration

Personal Information*

Business Information*

Type of Business

No. of years active

Business Segment

Turnover/Sales (FY - 2017-18)

Financials available for 3 years

Yes

Financial Information*

Working Capital Facility

Yes

Please provide details of existing working capital facilities. It will help us process the application faster.

Nature of facility	Amount (In Lakhs)	Bank Name
Cash Credit/Overdraft
Term Loan
Bank Guarantee

Collateral Information*

Property kept/ available as collateral (Please fill up the details whichever are applicable)

Type of Collateral	Approx Value of Collateral
Residential
Commercial
Industrial
Land
Godown

Do you have any existing business insurance cover? If Yes, Please provide details.

Disclaimer:-The information you provide to ICICI Bank Limited (“ICICI Bank”) will be kept confidential. However, you authorize us to share your information with our affiliates, auditors, professional advisors and other persons who have a duty of confidentiality towards us, our service providers and persons to whom we may be required to disclose this information by law or regulation, including any regulatory authority or any governmental body, authority or agency, having jurisdiction over the Bank or any of its branches, subsidiaries or affiliates. Nothing contained herein shall constitute or be deemed to constitute an advice, an offer, invitation or solicitation of any products or services of either ICICI Bank or any third party. The grant of loan or any product offering shall be at sole discretion of ICICI Bank

The data provided by you in this questionnaire is true and accurate. Inaccurate or incomplete information will impact the recommendations or offerings ICICI Bank shall provide you with.

Please fill in the form below to proceed with your application.

Personal Information*

Business Information*

Financial Information*

Collateral Information*

Please fill in the form below
to proceed with your application.