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Agriculture Loan
Credit Above Rs One Lakh
Update Application Loan Application Tracking
     
LOAN APPLICATION
(FOR AGRICULTURE CREDIT ABOVE RS ONE LAKH)


Note
: * fields are mandatory
I/We, the following persons, hereby apply for a loan of Rs * (Rupees *
only) for the purpose of * (please specify activity) and furnish below the necessary information:
Branch nearest to proposed activity *

Distance from nearest branch (Kms) *
Are you existing customer?* Yes    No

1. Resident of (full address)*


State    District    PIN Code

Telephone    Mobile
Name of Applicant *
of Shri Age years
Name of Co-Applicant
a. of Shri Age years
b. of Shri Age years
c. of Shri Age years
 
2. Belong to * Scheduled Caste     Scheduled Tribe     Other Backward Class (OBC)    
Minority Community     Other Weaker Section     General    

Small Farmer     Marginal Farmer  
Tenant Farmer     Joint Liability Group     Other farmer    
 3. * Name of family dependent members Relationship Annual income (Rs.) Profession, if any
A
B
C
D
E
F
 
4. Particulars of land holding/cultivation * 
Village Survey no. Nature of right Total acreage Of which irrigated Period of lease/rent (years) Annual rent Payable Rs. Owner's Name and address
H R H R
5. Agriculture Income(Rs.): *
Other source of income, if any.
  Source     Income (Rs.)
 
 
 
  Total  
6. Particulars of implements/equipments/live stock/immovable assets owned
    Number/unit Present value (Rs.)
i. Immovable assets    
a Land (owned) in Ha      
b House/Building     
c Tractor shed/farm shed      
d Fishing pond/tank      
e Shop/workshop etc      
f Any other      
  Total value of immovable assets      
ii. Movable assets    
a Plough animals      
b Milch animals      
c Poultry birds/goats/sheep's etc      
d Oil engine/electric motor pump set      
e Power tiller/machinery      
f Tractors      
g Transport vehicles      
h Other implements      
i Goods in shops/workshops etc      
j Assets of any non farm activity      
k Cash and bank balance      
l Any other (specify)      
  Total value of movable assets      
  Grand total (i) + (ii)      
7. Particulars of existing liabilities as borrower, if any.
Name of the institution and address Purpose of loan As on Date
Amount (Rs.)
Regular (Yes/No) Security offered
    Sanctioned Outstanding    
IDBI Bank Ltd
Other Banks/Co op (Specify)
Other (Govt dues) Private lenders
8. Liabilities as guarantors: Against loan of Rs. of Shri/Smt.
s/d/w of r/o from
(name of the lender) Present balance outstanding Rs
9. Name of the guarantors (if any):
No Name of the guarantors Relationship with the applicant Address Net worth (Rs.)
a.
b.

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