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Agriculture Loan
Credit Upto Rs One Lakh
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Agriculture Loan Application

LOAN APPLICATION
(FOR AGRICULTURE CREDIT UPTO RS ONE LAKH)
Note: * fields are mandatory
Are you existing customer? * Yes    No

Branch nearest to proposed activity *

Distance from nearest branch (Kms) *
1. Full Name of the Applicant *  
2. Father's/Husband's Name: * Shri  
3. Address:
State * District *  
Village * PO *
Tehsil * PIN CODE *
Telephone*   Mobile *
4. Co - Applicant Details:
Full Name of the Co-Applicant
Father's/Husband's Name of Co-Applicant : Shri
Address:
State District  
Village PO
Tehsil PIN CODE
Telephone   Mobile
 
5. Age of applicant in years *
6. Gender (M/F): *
7. Whether 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    
8. Particulars of land Holding: *
Nature of Land/ Crop * Irrigated    Non-Irrigated Source of irrigation:
9. Crops Grown * Area under cultivation (Ha) (Ha) (R)
Area under cultivation (Ha) (Ha) (R)
Area under cultivation (Ha) (Ha) (R)
10. Present Annual Income: *
Agriculture Income(Rs.):
Other Income (Rs.):
Details of dependents:
Name Age Relationship Profession
11. Particulars of Existing Liabilities from our Bank/Other Bank/Creditor:
Name of Bank/Financial Institution/Creditor Type of Loan (CC/TL/KCC) Amount of Loan (Rs.) Purpose Outstanding Amount (Rs.)
CC/KCC
Term Loan
Other liability
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

12. Amount of loan Required: *
a)
b) Term Loan
c) Purpose of loan:

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Declaration:
  • I/We hereby declare that I/we have no borrowings/liabilities excepting those mentioned under Item No.10 above. I/we am/are not a defaulter of any bank/financial institution/Co-op. credit society.
  • If any of the information/declaration made by me/us is false, the bank has the right to disqualify me from receiving any credit facility from the bank/ recall the money advanced immediately.
  • I/We hereby authorize the Bank to disclose all or any particulars or details or information relating to my/our loan accounts with the Bank to any other financial institution, Government or any agency (ies) as may be considered necessary or desirable by the Bank.
  • I/We undertake to abide by the terms and conditions that the bank may stipulate in sanction of this loan.
   
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