ACCI

ANNEXURE 4

Below is a complete, ready-to-submit MUDRA Loan Submission Package based on fictional details.
You can copy, edit, and use this as a reference for preparing your own submission file for the bank.

✅ MUDRA LOAN SUBMISSION PACKAGE (Sample / Fictional)

For: Shree Fresh Mart – Micro Grocery & Essentials Outlet
Loan Type: MUDRA – SHISHU / KISHOR / TARUN (Sample uses Kishor – ₹5,00,000)

1. COVER LETTER TO BANK MANAGER

Date: 07 Dec 2025
To
The Branch Manager
Bank of India
Anna Nagar Branch
Chennai – 600040

Subject: Application for MUDRA – Kishor Loan of ₹5,00,000

Dear Sir/Madam,

I, Mr. Ramesh Kumar, proprietor of Shree Fresh Mart, request a MUDRA (Kishor) loan of ₹5,00,000 for setting up a grocery & household essentials mini-mart in Mogappair, Chennai.

I am submitting the following documents as required:

  • Filled MUDRA Loan Application
  • Udyam Registration Certificate
  • KYC Documents (Aadhaar, PAN)
  • Address Proof
  • Business Project Report
  • 3-Month Bank Statements
  • Quotation for Equipment
  • Rent Agreement for Shop
  • Passport-size Photos

Kindly review my application and process the loan at the earliest.
I assure timely repayment and proper utilisation of funds.

Regards,
Ramesh Kumar
Proprietor – Shree Fresh Mart
Mobile: 90031 22445
Email: ramesh.freshmart@example.com

2. FILLED MUDRA APPLICATION FORM (Fictional Sample)

Applicant Details

Field

Entry

Name

Ramesh Kumar

Father’s Name

S. Govindan

Gender

Male

Date of Birth

12/08/1992

Category

OBC

Udyam Registration

UDYAM-TN-05-0012345

PAN

BHKPK3456Q

Aadhaar

4829 1123 7789

Mobile No

90031 22445

Email

ramesh.freshmart@example.com

Business Information

Field

Entry

Type

Proprietorship

Business Name

Shree Fresh Mart

Business Activity

Grocery & Essentials Retail

Address

Shop No.12, Arcot Main Road, Mogappair East, Chennai 600037

Year Start

2025

Loan Type

MUDRA – Kishor

Loan Amount

₹5,00,000

Purpose of Loan

  • Purchase of display racks, refrigerators, billing machine
  • Initial stock purchase (FMCG items, grains, packaged goods)
  • Working capital

Bank Account Details

Field

Entry

Bank

Bank of India

Branch

Anna Nagar

Account No

248510010009123

IFSC

BKID0008150

Security / Guarantee

  • No collateral (as per MUDRA norms)

Declarations

  • Information submitted is true
  • Funds will be used only for business
  • Agree to MUDRA terms

Signature
Ramesh Kumar
07 Dec 2025

3. BUSINESS PROJECT REPORT (Sample)

A. EXECUTIVE SUMMARY

Shree Fresh Mart is a modern grocery & essentials mini-mart planned at Mogappair East. The store offers FMCG goods, packaged foods, grains, dairy, frozen items, and home-use essentials. A MUDRA loan of ₹5,00,000 is requested for setting up and operating the business.

B. PROMOTER PROFILE

  • Name: Ramesh Kumar
  • Age: 33
  • Education: B.Com
  • Experience: 4 years as supervisor in a supermarket
  • Skills: Inventory management, shop administration, procurement

C. BUSINESS MODEL

Products

  • Packaged foods, pulses, grains
  • Snacks, biscuits, beverages
  • Toiletries, cleaning items
  • Dairy, bread, frozen goods

Location Advantage

  • Residential area with high footfall
  • Competition limited to small kirana stores
  • Strong demand for organised retail experience

D. COST OF PROJECT

Component

Amount (₹)

Display Racks

1,20,000

Refrigerators / Deep Freezer

90,000

Billing Machine + POS

40,000

Initial Stock

2,00,000

Working Capital Buffer

50,000

Total

5,00,000

E. MEANS OF FINANCE

Source

Amount

MUDRA Loan (Kishor)

₹5,00,000

Own Investment

Not required for model

F. EXPECTED MONTHLY INCOME STATEMENT

Item

Amount (₹)

Expected Sales

3,00,000

Gross Margin (18%)

54,000

Rent

10,000

Electricity

3,000

Salary (self)

15,000

Misc.

2,000

Net Profit

24,000 / month

G. REPAYMENT PLAN

  • Loan Amount: ₹5,00,000
  • Tenure: 48 months
  • EMI: Approx ₹12,500

Business profit is sufficient to service EMI.

H. CONCLUSION

The business is viable and suitable for funding under the MUDRA scheme. Financial projections and location analysis support good repayment ability.

4. DOCUMENTS LIST (Sample Checklist)

KYC

  • Aadhaar
  • PAN
  • Passport-size photos (2)

Business Proof

  • Udyam Registration Certificate
  • Rental Agreement (Shop)
  • Electricity/Utility bill

Financial Information

  • Last 3-month bank statement
  • Quotation for equipment
  • Project Report (Attached)

Other

  • Self-declaration for MUDRA
  • GST Registration (optional for turnover < 40L)

5. QUOTATIONS (Fictional Samples)

Quotation 1 – Display Racks

Supplier: Chennai Store Fixtures
Amount: ₹1,20,000

Quotation 2 – Refrigeration Unit

Supplier: CoolTech Appliances
Amount: ₹90,000

Quotation 3 – Billing POS

Supplier: TechPOS Solutions
Amount: ₹40,000

6. RENT AGREEMENT (Sample Extract)

Shop No. 12, Arcot Main Road, Mogappair East
Rent: ₹10,000 per month
Owner: A. Srinivasan
Tenant: Ramesh Kumar
Validity: 11 months

7. DECLARATION FORM

I, Ramesh Kumar, declare that the funds from the MUDRA loan will be used solely for business purposes.

Signature

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