“Empowering Enterprises – Enabling inclusion – Ensuring sustainable growth”
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:
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 |
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
Bank Account Details
Field | Entry |
Bank | Bank of India |
Branch | Anna Nagar |
Account No | 248510010009123 |
IFSC | BKID0008150 |
Security / Guarantee
Declarations
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
C. BUSINESS MODEL
Products
Location Advantage
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
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
Business Proof
Financial Information
Other
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
Bottom of Form

Co-Founder & Chief Operating Officer Truc CentralSolutions
Lobb, the brand provides logistic solution to the goods vehicle traffic with instant business opportunity.

Founder, Lemuriya Trust, Mumbai
Served in Naval Establishment for about two decades served for another 20 years doc and shipping industry. Served in Project Upgradation in Ships, Rigs and off shore structures. Frequent traveller world over and has great interest in social work, particularly, Tamils. Penned many books and great orator in Tamil.

LIFE MEMBER
PG (Marketing & Operation), Advance Strategic Management IIM Lucknow
Driven by his profound passion for architectural lighting, along with Mr. Dileep, founded the DALIS LIGHTING, and Co-Founder of Diya Architectural Solutions, Bengaluru. A young but serious entrepreneur, with silk industry family background and now into lighting solutions experts by import technology and indigenous manufacturing. .

C Perumal
Petroleum Product Sector
An experienced Officer Natural Gas & Oil Industry, a senior entrepreneur and a very active member of FKCCI; interested in entrepreneurship development .

Annam, M
B Arch
Freelance Architect
Freelance Architect and Interior Designer cum Entrepreneur in name of “Apricity” with independent approach to human development and their well beings. A social oriented Architect and aspiring social leader.

Served in Naval Establishment for about two decades served for another 20 years doc and shipping industry. Served in Project Upgradation in Ships, Rigs and off shore structures. Frequent traveller world over and has great interest in social work, particularly, Tamils. Penned many books and great orator in Tamil.

P.Udayakumar,
BE (Mech) from College of Engineering Guindy Chennai, and Post Graduate in Management from IIM,Bengaluru. Ex CMD and Director NSIC and NSIC Venture Capital Fund Ltd. Delhi.
Having around 35 years of experience in Petroleum, Fertilizer and MSME sectors including 12 yeas as Board Member of NSIC. After superannuation, he was the Chairman of BIBCOL Revival Committee. Currently, Member of Steering Committee forrestructuring, BIRAC Equity Fund, Advisor AHIRC Puduchery, Advisor TISG Consulting, Delhi, Board Member, Exhicon Events Media Ltd, Mumbai, Advisor in NGOs like Eco Charaabd WA Foundation. Also Strategist and Growth Advisor for MSMEs and Financial Institutions.

One of the most respected leaders and achievers in Capital Market; He is currently working as Director and Chief Business Officer in Centrum; He has a proven track record of success in creating and growing businesses from scratch, as well building and leading high performing teams. A Post graduate in Business Administration with over 25 years of experience in financial markets decade; Led one of the largest team in the country, awarded the Best Company by Industry bodies on multiple occasions; under his leadership, IIFL featured in the top 25 places to work in India. He was also associated with Kotak for a decade heading large number of important portfolios. He had managed consumer businesses for Philips India and Voltas Ltd earlier. An experienced Financial Advisor; Centrum is into Banking, Investment Banking, Wealth Management, Stock Broking, Housing Finance, and Alternatives.

Catalyst Properties is a symbol of trust, reliability and excellence, an Award-winning real estate lead management company, a 100% subsidy Catalyst Properties is a symbol of trust, reliability and excellence, an Award-winning real estate lead management company, a 100% subsidy of Cedilla Group with success track record since inception in 2008. The ease of buying and selling a property is what Catalyst provided to its clients. Catalyst are the first property underwriting company in India having underwriting book value of over 300 crores of rupees.

Driven by his profound passion for architectural lighting, Mr. Mahesh Surasgar founded JÖVÖ INDIA, a brand dedicated to transforming spaces through innovation and precision. Coming from a business family background, he has built JÖVÖ INDIA into a leading name in architectural lighting solutions, combining imported technology with indigenous manufacturing expertise.

B.Arch,M.Tech (Urban&RegionalPlanning) PG Dip in Shipping & Port Management, CPIEM–IIFT Practising Architectat Hyderabad An Associate of Aarna Architects, Hyderabad & Green Golden Engineering, Bidadi
An young and smart entrepreneur plus a practicing Architect and Construction, both at Hyderabad and in Bengaluru, besides being active in his Enterprise at Bidadi. Very enthusiastic in participating in the functioning of ACCI as an all India Chamber of Commerce and Industry, representing the Architecture and Real Estate sector.

An enthusiastic entrepreneur and Director of Waggle Brand Engagement. A serious professional in Advertising and specialized in design and retail branding. For more than 15 years, handled extensively accounts in Advertising, Retail Branding and Exhibition designs. A great social worker in development of entrepreneurship, particularly in MSME. One of the main functionaries responsible for its establishment, registration, growth and management of day today affairs.