Ozg NBFC Consultant
Ozg Center, New Delhi & Mumbai
Phone # 09811415861-72-84-92-94 
Email: ask@nbfcregistration.com
The General Manager,
Department of Regulation & Supervision,
National Housing Bank,
NEW DELHI -110 003
Dear Sir,
 THE NATIONAL HOUSING BANK ACT, 1987
APPLICATION FOR CERTIFICATE OF REGISTRATION TO COMMENCE 
THE BUSINESS OF A HOUSING FINANCE INSTITUTION
We make this application in terms of 
Section 29A of the   captioned Act for issue of a Certificate of 
Registration (COR). The required   documents/information as per the 
instructions are enclosed.
2. We are desirous of commencing the 
business of a housing   finance company. We, therefore, request you to 
issue the necessary Certificate   of Registration under Section 29A of 
the said Act to enable our company to   commence the business of a 
housing finance institution.
3. We declare that to the best of our 
knowledge and belief the   information furnished in the statements 
enclosed is true, correct and complete.
Yours faithfully, 
[Name and Designation] 
Common Seal of the Company 
Date:
Place: 
- Certified copy of the Memorandum & Articles of Association
- Particulars of identification- as Annexure-1
- Particulars of Chairman/MD/Directors/CEO etc.- as Annexure-2
 
- Financials for the last three years- as Annexure-3 [if applicable]
 
- Board Resolution specifically approving the submission of the application and its content- as Annexure-3
 
- Return on Prudential Norms for the latest period as Annexure-5 [if applicable]
INSTRUCTIONS FOR FILLING UP THE APPLICATION   
GENERAL- 
                   => Application should be made in the prescribed form only. Wherever space is insufficient, information may be furnished in separate sheet/s, duly indicating the cross reference.
 
- 
                   => Application along with enclosures duly completed should be submitted in duplicate, to The General Manager, Department of regulation & Supervision, National Housing Bank, Core 5A, India Habitat Centre, Lodhi Road, New Delhi-110 003.
 
- => A photo-copy of the application as submitted may be retained with the company for its reference and record.
- 
                   => Application should be signed by any of the following officials authorised by the Board of Directors of the company in this behalf (viz., Chairman, Managing Director, Chief Executive Officer, Company Secretary, A whole time Director).
 
- => Application should bear the common seal of the company.
- => An acknowledgment for having submitted the application should be obtained.
- 
                   => The particulars/information to be furnished in Annexure-IV of the application should be based on figures as disclosed in the latest annual audited balance-sheet of the company.
ANNEXURE-I
- 
                   => S. No. (8) In case the company has changed its name earlier, a list of all the earlier names of the company and date/s of change together with the names of Chief Executive Officer and Chairman at the time of change of name should be furnished.
 
- 
                   => S.No.8 (a) in Annexure I is applicable to those companies which was incorporated with the main object clause other than housing finance and subsequently switched over to housing finance as a principal business and still valid as on the date of submission of the application form.
 
- 
                   => S. No. 8 (b) If the company has ever defaulted in timely repayment of deposit and payment of interest, a list of all such pending cases and the action taken in respect of each case should be furnished. The company should also submit a list containing the details of all the court cases pending against it, including those pending in consumer forum, pertaining to its deposit acceptance activities.
ANNEXURE-IV
La test return relating to prudential 
norms, as certified by   the Auditors to be enclosed. The format should 
be as given in the Housing   Finance Companies (NHB) Directions, 2001 
(Format available on Bank's website:   nhb.org.in 
ANNEXURE-1 
PARTICULARS OF IDENTIFICATION
(To be filled in BLOCK LETTERS)
| 
Company Code-------------  (To be filled by NHB) | |
| 1. Name of the Company | |
| 2. Date of incorporation: | |
| 3. Date of commencement of business -(if applicable) | |
| 4. State in which the company is registered | |
| 
5. Full Address of the registered Office with Phone Number   (with STD code), Fax Number and Email address  | |
| 
6. Full Address of Corporate/Administrative Office with Phone   Number (with STD code), Fax Number and Email address  | |
| 7. Status: (strike out whichever is not applicable) | (a) Public Limited Company (b) Private Limited Company (c) Deemed public (d) Government company (e) Other (to be specified) | 
| 
8. Whether the company is transacting the principal business of   housing finance- (if applicable)  | 
Yes/No  | 
| If yes- (a) the date of commencement of such business 
(b)  Whether the company has defaulted in the repayment of   principal and/or payment of interest of deposits  | 
Yes/No  | 
| 9. No. of branches/ offices (To be furnished State-wise) | |
| 
10. Number of employees (Organisation chart Head Office/Branch   to be furnished separately)  | |
| 
11. Name and address of Statutory Auditors with Membership No,   Telephone number, Mobile Number and Email address  | |
| 
12. Name(s) & Address(es) of bankers with Telephone/Fax   Numbers  | |
| 
13. Particulars of Bank A/c: Type of account/ credit facility   enjoyed  | |
| 
14. Names and addresses of the non-banking financial   institutions with which the company has links in any manner  | |
| 
15. Name and Designation of CEO/Authorised official with   Telephone, Mobile, Fax numbers and Email Address  | 
| Signature of the Authorised Official: Name: Designation: | 
Place:
Ozg NBFC Consultant
Ozg Center, New Delhi & Mumbai
Phone # 09811415861-72-84-92-94
Website: http://nbfc.ozg.in
Email: ask@nbfcregistration.com
ANNEXURE-2 
INFORMATION ABOUT THE PROMOTERS, CHAIRMAN, MANAGING DIRECTOR,   DIRECTORS AND THE CHIEF EXECUTIVE OFFICER OF THE COMPANY. 
(SEPARATE FORM FOR EACH FUNCTIONARY)
Name of the Company: __________________ (SEPARATE FORM FOR EACH FUNCTIONARY)
| 
I  | 
PERSONAL DETAILS OF PROMOTERS, CHAIRMAN, MANAGING   DIRECTOR, DIRECTORS AND THE CHIEF EXECUTIVE OFFICER OF THE COMPANY  | |
| 
a.  | Full name | |
| 
b.  | Date of Birth | |
| 
c.  | Educational Qualifications | |
| 
d.  | Relevant Background and Experience | |
| 
e.  | Permanent Address | |
| 
f.  | Present Address | |
| 
g.  | E-mail Address / Telephone Number | |
| 
h.  | 
(a) Permanent Account Number under the Income Tax Act and name   and address of Income Tax Circle  
(b) Director Identification Number (DIN*)  
* It is an unique 
Identification Number allotted to an   individual who is an existing 
director of a company or intends to be appointed   as director of a 
company pursuant to section 266A & 266B of the Companies   Act, 1956
 (as amended vide Act No 23 of 2006)  | |
| 
i.  | Relevant knowledge and experience | |
| 
j.  | Any other information relevant to Directorship of the HFC | |
| 
  II  | RELEVANT RELATIONSHIPS OF DIRECTOR | |
| 
a.  | 
List of Relatives if any who are connected with the HFC (Refer   Section 6 and Schedule 1A of the Companies Act, 1956)  | |
| 
b.  | 
List
 of entities if any in which he/she is considered as being   interested 
(Refer Section 299(3)(a) and Section 300 of the Companies Act, 1956)  | |
| 
c.  | 
List of entities in which he/she is considered as holding   *substantial interest.  | |
| 
d.  | 
Name of HFC in which he/she is or has been a member of the   board (giving details of period during which such office was held)  | |
| 
e.  | 
Fund
 and non-fund facilities, if any, presently availed of by   him/her 
and/or by entities listed in II (b) and (c) above from the HFC.  | |
| 
f.  | 
Cases,
 if any, where the director or entities listed in II (b)   and (c) above
 are in default or have been in default in the last five years in   
respect of credit facilities obtained from the HFC or any other HFC.  | |
| 
  III  | 
RECORDS OF PROFESSIONAL ACHIEVEMENTS  | |
| 
a.  | Professional achievements relevant | |
| IV | 
PROCEEDINGS,
 IF ANY, AGAINST THE PROMOTERS, CHAIRMAN,   MANAGING DIRECTOR, DIRECTORS
 AND THE CHIEF EXECUTIVE OFFICER OF THE COMPANY  | |
| 
a.  | 
If 
the director is a member of a professional association/body,   details 
of disciplinary action, if any, pending or commenced or resulting in   
conviction in the past against him/her or whether he/she has been banned
 from   entry of at any profession/ occupation at any time.  | |
| 
b.  | 
Whether
 associated as Promoter, Chairman, MD, Director with any   HFC, NBFC 
including a Residuary Non- Banking Financial Company which has been   
prohibited from ccepting deposits/prosecuted by RBI/NHB  
If yes, the name/s of the company/ies  | |
| 
c.  | 
Details
 of prosecution, if any, pending or commenced or   resulting in 
conviction in the past against the director and/or against any of   the 
entities listed in II (b) and (c) above for violation of economic laws 
and   regulations  | |
| 
d.  | 
Details
 of criminal prosecution, if any, pending or commenced   or resulting in
 conviction in the last five years against the director  | |
| 
e.  | 
Whether the director attracts any of the disqualifications   envisaged under Section 274 of the Company's Act 1956?  | |
| 
f.  | 
Has
 the director or any of the entities at II (b) and (c) above   been 
subject to any investigation at the instance of Government department or
   agency?  | |
| 
g.  | 
Has
 the director at any time been found guilty of violation of   
rules/regulations/ legislative requirements by customs/ excise /income  
 tax/foreign exchange /other revenue authorities, if so give particulars
  | |
| 
h.  | 
Whether the director at any time come to the adverse notice of   a regulator such as SEBI, IRDA, DCA.  | |
| V | 
ANY
 OTHER EXPLANATION / INFORMATION IN REGARD TO ITEMS   I TO III AND OTHER
 INFORMATION CONSIDERED RELEVANT FOR JUDGING FIT AND PROPER  | 
UNDERTAKING:
I confirm that the above information is to the best of my knowledge and belief true and complete. I undertake to keep the NHB fully informed, as soon as possible, of all events which take place subsequent to the information provided above.
| Place: | Signature of Authorised Signatory Designation: | 
| Date | 
*‘Substantial interest' means holding of beneficial interest by an individual or his/her spouse or minor child, whether singly or taken together in shares of a company/capital of a firm, the amount paid up on which exceeds 10% of the paid up capital of the company or total capital subscribed by all the partners of a partnership firm.
Ozg NBFC Consultant
Ozg Center, New Delhi & Mumbai
Phone # 09811415861-72-84-92-94
Website: http://nbfc.ozg.in
Email: ask@nbfcregistration.com
ANNEXURE-3 
  Name of the Company: __________________________________
| 
SUMMARY OF FINANCIAL POSITION AND OTHER INFORMATION  | ||||
| 
Amount-Rs lakhs  | ||||
| 
S. No  | 
A. FINANCIAL POSITION  | 
31/03/  | 
31/03/  | 
31/03/  | 
| 
1  | Paid up Capital | |||
| 
2  | Reserves and Surplus | |||
| 
3  | Net Owned Fund [as per return on Prudential Norms] | |||
| 
4  | Secured Loans | |||
| 
5  | Unsecured Loans | |||
| (i) Public deposits | ||||
| (ii) Other deposits/borrowings | ||||
| (iii) Aggregate Deposits | ||||
| 
6  | Loan Funds [4+5(i)+(ii)] | |||
| 
7  | 
Total Funds Employed(3+6)  | |||
| Towards : | ||||
| 
8  | Housing Loans[outstanding and % of total assets] | |||
| 
9  | Other Loans | |||
| 
10  | Fixed Assets | |||
| 
11  | Investments | |||
| (i) Govt. guaranteed Bonds | ||||
| (ii) Quoted shares | ||||
| (iii) Un-quoted shares | ||||
| 
12  | Current Assets, Loans & Advances | |||
| 
13  | LESS : Current Liabilities & Provisions | |||
| 
14  | Net Current Assets(12-13) | |||
| 
15  | 
TOTAL  | |||
| 
B. WORKING RESULTS  | ||||
| 
16  | Income | |||
| 
17  | Expenditure | |||
| 
18  | Profit Before Tax(16-17) | |||
| 
19  | Provision for Tax | |||
| 
20  | Profit After Tax(18-19) | |||
| 
21  | (a) Amount transferred to Reserve Fund | |||
| (b) Amount available for appropriation | ||||
| 
C. OTHER INFORMATION  | ||||
| 
22  | Dividend (%) | |||
| 
23  | Earning Per Share | |||
| 
24  | Price-Earning Ratio | |||
| 
25  | Housing Loans actually disbursed | |||
| 
26  | Percentage of over-dues (3 months and above) | |||
| 
27  | Admin. Cost-% to outstanding loans | |||
| 
28  | 
IMPORTANT RATIOS:  | |||
| a] Liquidity Ratio : | ||||
| Current Ratio | ||||
| b] Debt Equity Ratio: | ||||
| Loan Funds to Owned Fund | ||||
| I) Interest Coverage Ratio [times][PBIT/Interest] | ||||
| (ii) Return on Equity(PAT*100/Interest) | ||||
| (iii) Return on Total Assets[PAT*100/Total Assets] | ||||
| d] Capital Adequacy Ratio (%) | ||||
| 
29  | Non-performing assets (Amt. and % to total assets) | |||
| 
30  | Asset quality: | |||
| (a) Standard | ||||
| (b) Sub-standard | ||||
| (c) Doubtful | ||||
| (d) Loss assets | ||||
| 
31  | Income not recognised | |||
| 
32  | Provision made for NPAs | |||
| 
33  | Liquid assets maintained and shortfall, if any: | |||
| (i) April-June | ||||
| (ii) July-September | ||||
| (iii) October-December | ||||
| (iv) January-March | ||||
| 
34  | Position of submission of returns (date): | |||
| (a) Annual Return | ||||
| (b) Annual Report/Audited Balance Sheet | ||||
| (c) Auditors' Certificate | ||||
| (d) Advertisement or statement in lieu of advertisement | ||||
| (e) Half yearly return on prudential norms: | ||||
| (i) April-September | ||||
| (ii) October-March | ||||
| (f) Quarterly return on liquid assets: | ||||
| (i) April-June | ||||
| (ii) July-September | ||||
| (iii) October-December | ||||
| (iv) January-March | ||||
| 
35  | Credit rating and validity date | |||
Notes:
- Position of rectification of deficiencies outstanding, if any, pointed out by NHB [Item-wise position] to be given in a separate sheet.
- Annual reports along with audited balance sheet and profit and loss account for the three years should be enclosed.
- Present shareholding pattern of the company to be furnished separately.
DESIGNATION:
Date:
Ozg NBFC Consultant
Ozg Center, New Delhi & Mumbai
Phone # 09811415861-72-84-92-94
 
