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Application For Loan Scheme of JSMFDC

This document contains details of an applicant for a loan, including their name, address, contact details, family details, employment details, assets and liabilities, education qualifications, and a guarantor details. The applicant provides their photo, full name, address, mobile number, date of birth, gender, caste, marital status, community, KYC documents, family member details including income. Loan details are also provided including the loan amount requested, purpose of loan, repayment details, experience in the activity, proposed loan tenure and repayment frequency. A guarantor also provides their signature guaranteeing repayment of the loan from their movable assets in case of default by the applicant.

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Dhanesh Kumar
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760 views5 pages

Application For Loan Scheme of JSMFDC

This document contains details of an applicant for a loan, including their name, address, contact details, family details, employment details, assets and liabilities, education qualifications, and a guarantor details. The applicant provides their photo, full name, address, mobile number, date of birth, gender, caste, marital status, community, KYC documents, family member details including income. Loan details are also provided including the loan amount requested, purpose of loan, repayment details, experience in the activity, proposed loan tenure and repayment frequency. A guarantor also provides their signature guaranteeing repayment of the loan from their movable assets in case of default by the applicant.

Uploaded by

Dhanesh Kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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jsmfdc.ranchi@gmail.

com
Photo of Applicant

NAME/uke : MS. /MRS/dqekjh /Jherh :

W/O,/D/O:/ ifr / firk dk uke :

MOTHER'S MAIDEN NAME/ ekrk dk ek;ds dk uke :

ADDDRESS / irk %&

ADDDRESS / irk

VILLAGE / Cykd

DISTRICT / ftyk

STATE / jkT;

PINCODE / fiudksM

MOBILE NO / eksckbZy uacj

OTHERPHONE NO / vU; Qksu uacj

DATE OF BIRTH / tUe rkjh[k

Age / vk;q : _years/ o"kZ GENDER/ fyax : Female/efgyk Male/ iq:"k

KYC DOCUMENTS/ igpku nLrkost


PHOTO ID : ( ) PAN Card ( ) Driving Licence ( ) Adhaar ( ) Voters ID ( ) Others ( _)
QksVks igpku i= : ( ) isudkMZ ( ) Mªk;foax yk;lsal] ( ) vk/kkj ( ) ernkrk ifp;&i= ( ) vU; ( _)

ADDRESS : ( ) Electricity Bill ( ) Telephone Bill ( ) Ration Card ( ) Others ( _)


irk : ( ) fctyh dk fcy ( ) VsyhQksu fcy ( ) jk'ku dkMZ ( ) vU; ( _)

MARITAL STATUS ( ) Married ( ) Unmarried ( ) Widow ( ) Divorcee


oSokfgd fLFkfr % ( ) fookfgr ( ) vfookfgr ( ) fo/kok ( ) rykd'kqnk

Community ( ) Hindu ( ) Muslim ( ) Christian ( ) Other …………………. lEÁnk;@lekt


( ) fgUnw ( ) eqfLye ( ) fØf'p;u ( ) vU; ......................

CASTE ( ) General ( ) OBC ( ) SC ( ) ST ( ) Other……………………………


tkfr ( ) lkekU; ( ) vkschlh ( ) ,lh ( ) ,lVh ( ) vU; ……………………………..
FAMILY MEMBER DETAILS/ ifjp; ds lnL;ksa dk fooj.k %&
Sl. Name/uke Reelationship/fj'rk Age (years) Working/Not Daily Annual
No./vuq- vk;q ¼o"kZ½ Working Income Income
dk;Zjr@vdk;Zjr nSfud vk; okf"kZd vk;

1
2
3
4
5
6
Total Annual Family Income/ dqy ikfjokfjd okf"kZd vk;

OTHER LOANS AVAILED & CREDIT HISTORY/ÁkIr fd, x, vk; _.k @lk[k lqfo/kvksa dk fooj.k %&
Organiation Name / Losn Amouny/ ÁkIr Monthly Outstanding / Remarks / fVIi.kh
laLFkk dk uke _.k jkf'k Installment/ekfld nS; cdk;k ns; jkf'k
jkf'k

LAND & OTHER ASSETS/Hkwfe rFkk vU; laifRr %&


Assets / laifRr Value / ewY;kadu

Total / dqy

Loan Amount requested /vkosfnr@ÁkfFkZr _.k jkf'k ¼:i;s½


Purpose of Loan/ _.k dk Á;kstu@mn~ns';
Experience in activity(years)/ xfrfof/k esa vuqHko ¼o"kZ½
Proposed loan tenure/ _.k dh ÁLrkfor vof/k
Repayment frequency/ vnk;xh dh vko`fr

EDUCATION QUALIFICATION :- ………………………………………………………………………………………………


'kS{kf.kd ;ksX;rk %&……………………………………………………………………………………………………………………….

I declare that the information and data furnished by us are true and correct to the best of my knowledge
and belief.
eSa ?kks"k.k djrk@djrh gwa fd] gekjs }kjk nh xbZ tkudkjh esjs Kku ,oa fo'okl ls lR; o lgh gSaA

Thumb Impression Signature of Applicant


fu'kkuh vaxqBk vkosnd ds gLrk{kj
Date fnukad %
Photo of Applicant
[email protected]

ekg
A B

C D

E F

Z
1- Xkj.Vj dk uke %

2- LFkk;h irk %

3- dk;Zjr dk;kZy; dk iwjk irk %

4- inuke %

5- xkj.Vj ds lsok fuo`fr dh frfFk %

6- xkj.Vj ds py&vpy ¼foØ;’khy½ lEifŸk dk fooj.k %

7- py&vpy ¼foØ;’khy½ lEifŸk dk vuqekfur eqY; %

8- xkj.Vh ds :i esa j[ks x;s ewy vfHkys[k %

9- xkj.Vj ds cSad [kkrk dh fooj.kh %


i. cSad dk uke %
ii. [kkrk la[;k %
iii. vkbZ,Q,llh dksM %

eSa ,rn~ }kjk ?kks"k.kk djrk gw¡ fd vkosnd Jh@Jherh -----------------------------------------------------------------------------------


ds }kjk ---------------------------------------------------------------------------- ds ,ot esa fy, x;s _.k dh Hkqxrku dh eSa xkj.Vh ysrk
gw¡A vkosnd ds fMQkWYVj gksus dh fLFkfr esa esjs py&vpy ¼foØ;’khy½ lEifŸk ls lacaf/kr vfHkys[k tks
xkj.Vh ds :i esa j[kk tk jgk gSA olwyh ;ksX; jkf’k dk lek;kstu esjs }kjk dj fn;s tkus ds i’pkr~
py&vpy ¼foØ;’khy½ lEifŸk dks xkj.Vh ds :i esa j[ks x;s vfHkys[k ykSVkbZ tk ldrh gSA

xkj.Vj dk gLrk{kj

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