1. Name and address of the bank

2. Licence No. and date of licence

3. Area of Operation (as approved by RBI)

4. Whether bank has an elected Board of Directors?

5. If so, whether there are two professional directors?

6. No. of existing branches (List of branches to be annexed), their location and the population of the centre where the branch is located as per latest census

7. No. of existing extension counters (List to be annexed) with address

8. No. of existing Off Site ATMs (List to be annexed) with address

9. Whether there were / are any default in CRR/SLR (If yes, give details and the reasons for the same)