;jf/L ;fwg ;~rfng ;DaGwL zt{ aGb]hx?

lnlvtd\ wgLsf gfd sf=lh=sf=d=kf= j8f g+= #, OljPn xfp; nflhDkf6 l:yt k|
wfg sfof{no /xL ==branch name======= zfvf sfof{no /x]sf] Pe/]i6 a}+s
lnld6]8 -h;nfO{ o;kl5 wgL a}+s elgPsf] 5_

In case of institutional borrower

lnvt ul/lbg]sf gfd ===as per registration act==== P]g, =year of registration
act=== adf]lhd ldlt ==date of registration of the unit======= df btf{ e}
g+= ===registration number============= cGt/ut btf{ ePsf] address
of the unit which includes province name, district name, local body name and ward no. ====-
7]ufgf_ l:yt ===========name of the unit============= -kmd{
jf sDkgLsf] gfd_ -h;nfO{ o;kl5 C0fL elgPsf] 5_ sf tkm{af6 clwsf/k|fKt÷k|
lnvt tof/ ug]{ a}+ssf sd{rf/Lsf] gfd y/ /
@=
!=
;fIfL :

f]k|fO6/÷;~rfns÷;fem]bf/ grandfather/grandmother/father in law sf] ÷sL

gflt÷gfltgL÷j'xf/L father/mother/husband sf] ÷sL 5f]/f÷5f]/L÷kTgL====district name
========== lhNnf =====local
bodies==============d=g=kf=÷p=d=g=kf=÷g=kf=÷uf=kf= j8f
g+===ward no=== :yfoL 7]ufgf eO{ xfn ====local body name===========
d=g=kf=÷p=d=g=kf=÷g=kf=÷uf=kf= j8f g+==== ward no == =a:g]
aif{==age=== sf] ÷sL >L÷>LdtL÷;'>L =====borrower’s name
============= -gf=k|=g+ ===citizenship number================,
hf/L ldlt ===ctz issued date=====, hf/L ug]{ lhNnf k|zf;g sfof{no =====ctz issued
district======_

jf

In case of Individual borrower

grandfather/grandmother/father in law sf] ÷sL gflt÷gfltgL÷j'xf/L father/mother/husband sf]

÷sL 5f]/f÷5f]/L÷kTgL====district name ========== lhNnf =====local
bodies==============d=g=kf=÷p=d=g=kf=÷g=kf=÷uf=kf= j8f
g+===ward no=== :yfoL 7]ufgf eO{ xfn ====local body name===========
d=g=kf=÷p=d=g=kf=÷g=kf=÷uf=kf= j8f g+==== ward no == =a:g]
aif{==age=== sf] ÷sL >L÷>LdtL÷;'>L =====borrower’s name
============= -gf=k|=g+ ===citizenship number================,
hf/L ldlt ===ctz issued date=====, hf/L ug]{ lhNnf k|zf;g sfof{no =====ctz issued
district======_ -h;nfO{ o;kl5 C0fL elgPsf] 5_ cfu] dxfdL C0fLnfO{
;jf/L ;fwg vl/b k|of]hgsf nflu C0fshf{ tyf a}+lsË ;'ljwfx?sf] cfjZostf k/L
tkfO{ wgL a}+s;+u ldlt loan application date in BS sf] lgj]bgkq dfkm{t
cg'/f]w u/]sf]df tkfO{ wgL a}+sn] dxfdL C0fLsf] gfpdf hf/L u/]sf] O{=;
+= offer letter date in AD===== -ldlt ===offer letter date in BS sf] C0f :jLs[lt
kqfg';f/ :jLs[t s'n C0fshf{ tyf a}lsË ;'ljwf /sd ?= amount in nepali
numbers======= . -cIf/]kL ?k}of =amount in nepali words==========
dfq_
;Ddsf] C0fshf{ tyf a}+lsË ;'ljwfx? k|fKt u/L ;f]xL C0f :jLsl[t kqdf pNn]lvt
zt{ Pj+ tl/sf adf]lhd shf{ pkef]u ug{ shf{ td;'s ;d]t ul/lbO{ ;s]sf]
x'“bf ;f]sf cnfjf o; lnvtdf pNn]lvt zt{ / aGb]hx? kfngf ug]{ u/L of]
;jf/L ;fwg ;~rfng ;DaGwL zt{gfdfsf] lnvt u/L tkfO{ wgL a}
+snfO{ a'emfPsf] 7Ls ;f“rf] xf] .

tkl;n

! wgL a}+saf6 k|fKt u/]sf] C0f shf{ tyf tyf d]/f]÷xfd|f] lghL ;|
f]t ;fwg ;d]taf6 af6 v/Lb ul/Psf] ;jf/L ;fyg ========yfg, df]8]n
g+= =====OlGhg g+= ===== , Rofl;; g+= =====, ;jf/L ;fwg
g+= =====, ;jf/L ;fwgsf] /+u ======, k|]6«f]n÷l8h]n
=======, l;6 ;+Vof ====, xif{ kfj/÷
l;=l;==========cflbsf ;jf/L ;fwg d÷xfdL C0fLn] pkef]u tyf ;~rfng
u/]sf] 7Ls ;f“rf] xf] .

Another Vehicle
wgL a}+saf6 k|fKt u/]sf] C0f shf{ tyf tyf d]/f]÷xfd|f] lghL ;|
f]t ;fwg ;d]taf6 af6 v/Lb ul/Psf] ;jf/L ;fyg ========yfg, df]8]n g+=
=====OlGhg g+= ===== , Rofl;; g+= =====, ;jf/L ;fwg g+=
=====, ;jf/L ;fwgsf] /+u ======, k|]6«f]n÷l8h]n =======, l;6 ;
+Vof ====, xif{ kfj/÷ l;=l;==========cflbsf ;jf/L ;fwg d÷xfdL
C0fLn] pkef]u tyf ;~rfng u/]sf] 7Ls ;f“rf] xf] .

@ tkfO{ wgL a}+saf6 k|fKt C0f shf{af6 tyf d]/f]÷xfd|f] lghL ;|

f]t ;fwg ;d]taf6 v/Lb u/]sf] ;jf/L ;fwg ÷x? Jojxf/df jf Joj;fodf
nufpbf ;jf/L P]g tyf k|rlnt lgod kfng ug]{5' / pQm P]g lgodx? pNn‹g
x'g] u/L jf P]gn] k|ltaGw u/]sf] sfd sf/jfxL jf dfn;fdfg 9'jfgL ug]
{ sfo{df pQm ;jf/L ;fwg ÷x? k|of]u ePdf sfg'g adf]lhdsf] bfloTj
d÷xfdL C0fL :jod\n] Joxf]g{] 5'÷5f} .

# pQm ;jf/L ;fwg ÷x? k|of]udf Nofpbf d :jo+ jf d]/f]÷xfd|f] sd{rf/L, rfns,
;xof]uL jf s;}sf] x]nr]qm\ofO{ jf nfk/jfxLn] b'3{6gf eO{ jf cGo s'g}
klg cj:yfdf P]g adf]lhd b08, ;hfo, hl/jfgf jf Ifltk"lt{ ltg{' k/]df ;f]
sf] ;Dk"0f{ hjfkmb]xL d÷xfdL C0fL :jo+sf] x'g]5 .

$ tkfO{+ wgL a}+ssf] n]gf c;'n pk/ geP ;Dd pQm ;jf/L ;fwg ÷x? rfn'
xfntdf /fVg]5'÷5f}+ . ;jf/L ;fwg÷x? s]f d"Nodf c;/ kg]{ s'g} klg sfd
sf/jfxL ug]{ 5}g÷5}gf}+ .

% pQm ;jf/L ;fwg ÷x? df ;do–;dodf u/fpg' kg]{ dd{t ;Def/ ;le{l;Ë -
Servicing_ d÷xfdL cfkm}n] vr{ Joxf]/L u/fpg] 5'÷5f}+ .
^ cfkm\gf] vr{df pQm ;jf/L ;fwg ÷x? Vofltk|fKt aLdf sDkgLaf6 a}+s;
{ Snh ;dfj];u/L cfjZos Iflt tyf hf]lvdsf] aLdf u/fO{ ;f] sf] ;Ssn} k|lt
sfuhft a}+sdf k]z ug]{5'÷5f}+ . sy+sbflrt pk/f]Qm adf]lhd jLdf u/fP
afkt d}n]÷xfdLn] a'emfpg' kg]{ b} b:t'/ lk|ldod d}n]÷xfdLn] glt/]
ga'emfPdf To:tf] lk|ldod b} b:t'/ a+}s cfkm}n] ;DalGwt jLdf
sDkgLnfO{ a'emfO{ To:tf] /sd / ;f] sf] Jofh ;d]t d÷xfdLaf6 ;f]w
egf{sf] ?kdf c;'n pk/ ul/lnPdf ;d]t d]/f]÷xfd|f] d~h'/L 5 .

& pQm ;jf/L ;fwg ÷x? rnfpbf sysbflrt b'3{6gf ePdf tkfO{ wgL a}
+snfO{ tTsfn} ;f] sf] hfgsf/L lbO{ ;DalGwt aLdf sDkgLaf6
Ifltk''l{t{ c;'n pk/ ug{ u/fpg cfjZos k|df0f cfkm}+n] h'6fpg] 5'÷5f}
+ . cfjZos k/]df cfk\mg} vr{df sfg'gL sf/jfxL ;d]t ug]{5' . b'3{6gfdf
k/L ;jf/L ;fwg ÷x? rfn' xfntdf /fVg nfu]sf] v"b vr{ eGbf aLdf sDkgLaf6
c;'n pk/ ePsf] Ifltk"lt{ /sd ckof{Kt ePdf To:tf] dd{tdf
nfu]sf] ;Dk"0f{ vr{ d÷xfdL cfkm}n] Joxf]g]{5'÷5f}+ . pQm ;jf/L ;fwg
÷x? rnfpbf b'3{6gf eO{ sfd gnfUg] cj:yf ePdf To;sf] hfgsf/L a}
+snfO{ u/fO{ a}+ssf] ;xdlt lnO{ To:tf] ;jf/L ;fwgnfO{ :qm\ofk -
scrape_ u/fO{ btf{ vf/]hLsf] ;Dk"0f{ sfg'gL sf/jfxL d÷xfdL
cfkm}n] ;DkGg ug]{5'÷ug]{5f}+ .

* k|fKt C0f shf{s]f ;Dk"0f{ ;fjf, Jofh tyf cGo /sd r'Qmf e'QmfgL geP ;Dd
pQm ;jf/L ;fwg ÷x? /fd|f] rfn' cj:yfdf /fVg]5'÷5f}+ . ;f] cjlw leq
pQm ;jf/L ;fwg ÷x? sf] kf6{k"hf{ lauf/] jf ;§f–k§f cbnL abnL u/] jf c;nL
xfntdf /x] ePsf] gb]lvPdf wgL a}+sn] o; zt{gfdf la?4 ePsf] dfgL
pQm ;jf/L ;fwg ÷x? sAhf u/L gf]S;fgL ePsf] Ifltk"lt{ afkt xhf{gfsf] bfjL
u/]df ;f] adf]lhd xhf{gf tTsfn} ltg]{ a'emfpg] 5' ÷5f}+ .

( pQm ;jf/L ;fwg ÷x? k|of]udf Nofpbf lalu|Pdf jf b'3{6gf k/L jf cGo
sf/0faf6 rfn' cj:yfdf g/x] tfklg a}+snfO{ ltg{ a'emfpg' kg]{ ;fjfsf] ls:tf
tyf Jofh lgwf{l/t ;dodf g} ltg]{ a'empg]5' ÷5f}+ .

!) k|fKt C0f shf{sf] ;Dk"0f{ ;fjf, Jofh r'Stf e'Stfg geP;Dd pQm ;jf/L ;fwg
÷x?df wgL a}+ssf] :jfldTj sfod /xg]5 / pQm ;jf/L ;fwg ÷x? df /x]sf]
wgL a}+ssf] xs clwsf/df afwf x'g]u/L c? s;}nfO{ lwtf] aGws jf ef]u jf
s'g} klg Joxf]/fn] xs 5f]8L lbg] 5}g .

!! pQm ;jf/L ;fwg ÷x? btf{ ubf{ nfUg] vr{sf ;fy} /f]8 z]if jf c? lsl;dsf]
e}k/L cfpg] ;Dk"0f{ vr{ d÷xfdL cfkm}+n] ltg]{ a'emfpg] 5' ÷5f}+ .
pQm ;jf/L ;fwg ÷x? sf] ;jf/L wgL k'hf{ -Blue Book_, ;jf/L rfns cg'dtL
kq, /f]8 k/ld6 lgoldt ?kdf cBfjlws u/fO{ /fVg] 5'÷5f}+ .

!@ pQm ;jf/L ;fwg ÷x? a}+saf6 shf{ ;'ljwf lnO{ ;fj{hlgs ef8fsf] ;fwgsf ?
kdf k|of]udf Nofpg] ePdf pQm ;jf/L ;fwgdf ÆPe/]i6 a}+s lnld6]8af6
C0f ;xof]u k|fKtæ egL ;+s]t kf6L /fVg d]/f]÷xfd|f] d~h'/L 5 .
!# o; zt{gfdfdf pNn]lvt bkmfx?s]f lj?4 sfd sf/jfxL u/]df cyjf ;f] bkmfx?
cg';f/ ug'{kg]{ sfd gu/L wgL a}+ssf] xs clwsf/df s'g} lsl;ds]f afwf
la/f]w xflg–g]S;fgL u/]df wgL a}+sn] pQm ;jf/L ;fwg t'?Gt sAhf u/L jf
gu/L cfkm\gf] xh{gfs]f yk bfjL ug{ kfpg] 5 / o;/L bfjL x'g cfPdf bfjL eP
cg';f/sf] xh{gf tTsfn} wgL a}+sdf a'emfpg] 5'÷5f}+ .

!$ C0fLn] a}+saf6 shf{ lnO{ pkef]u ug]{ pk/f]Qm ;jf/L ;fwg ÷x? df k|
rlnt sfg'gn] aGb]h u/]sf dfn j:t' cf];f/ k;f/ ug]{ tyf o:tf cj}w sfo{df k|
of]u ug]{ 5}g÷5}gf}+ . k|rlnt sfg'gn] aGb]h u/]sf s'g} klg sfd sf/jfxL
pQm ;jf/L ;fwg ÷x? dfkm{t C0fLn] u/] u/fPdf To;af6 x'g] kl/0ffd C0fL
cfkm}n] Joxf]g]{5 . C0fLn] pQm ;jf/L ;fwg ÷x? dfkm{t cj}w sfd u/L
s'g} Aoxf]/fn] ;jf/L ;fwg ÷x? dfly d'2f dfldnf k/]df tTsfn} a}ssf]
n]gf /sd r'Qmf ul/lbg]5'÷5f}+ . ;fy} To:tf] d'2f dfldnf k/L To;af6 a}
+snfO{ ykx'g] sfg'gL vr{sf] bfloTj d÷xfdL C0fL cfkm}n]
Joxf]g{ d~h'/ ub{5f}++ . s'g} Aoxf]/fn] ;jf/L ;fwg ÷x? dfly d'2f k/]df
To;af6 yk x'g] a}+ssf] bfloTj d÷xfdL cfkm}n] Aoxf]g]{5'÷5f}+ .

!%= ;jf/L ;fwg ÷x? hkmt ePdf tyf ;jf/L ;fwg ÷x? af6 a}+ssf] n]gf c;'n pk/
gePdf d]/f] 3/ 3/fgfsf] cGo rn crn hfoh]yf af6 To:tf] af“sL /sd a'emfpg
d~h'/ ub{5'÷ub{5f}+ .

o;df n]lvPsf aGb]hx? kfngf gu/L pNn‹g u/]df wgL a}+sn] a}+s tyf
ljQLo ;+:yf ;DaGwL P]g tyf cGo k|rlnt g]kfn sfg'g adf]lhd sf/jfxL u/L
cfkm\gf] n]gf /sd c;'n pk/ ul/lnPdf d]/f]÷xfd|f] d~h'/L 5 . o;df n]lvPsf]
Joxf]/f tyf zt{ aGb]hx? d÷xfdLn] k9L, jfrL, ;'gL o;sf] cy{ / kl/0ffd ;d]t
a'emL afof“ lsgf/fsf ;fIfLsf /f]xj/df of] zt{gfdfsf] lnvt n]lv n]vfO{ ;lx5fk
ul/lbP“÷ul/lbof}+ .

O{lt ;Djt\ @)====;fn =======dlxgf ======ut] /f]h ======

z'ed\
========================================
======================================.

bf= jf=

b:tvt =======================M
C0fLsf] gfd y/ jtg M =====================

jf
========== kmd{÷;+:yfsf]
tkm{af6 clVtof/ k|fKt >L
kmd{÷;+:yfsf 5fk
=============