ANNEXURE – I(c)

To.
The Branch Manager,
Union Bank of India,
__________________Branch,

Dear Sir,
Application cum undertaking for “Union Mortgage for Farmers”

I/We wish to inform that I/We have been availing/wish to avail Agricultural Loan with your
branch. I/We have been availing credit facilities from _______________________Bank/
Financial Institutions. No amount is overdue against my/our name in your Bank or in any other
credit institutions. I/We am pleased that Union Bank of India has launched “Union Mortgage
Scheme for Farmers”. I/We hereby apply for a loan of Rs._______________(Rupees
_____________________________________________) under this scheme and declare as under :
(i) The loan amount will be utilized in genuineness of demand for agricultural purposes in
my family/education of my children/medical treatment of my family/ marriage only.
The purpose as quoted in my application.

(ii) Loan availed will be repaid without fail within 12 months of harvesting/marketing of
produce whichever is earlier in case of production loan and in years in case of loans
availed for other purposes.

(iii) I/We accept that Union Bank of India reserves the right to reject this application
without assigning any reason.
(iv) Bank is authorized to debit my/our Saving/CD/Term Deposit account, if any, for
liquidation of loan outstanding under this scheme.
(v) I/We agree to abide by the rules and regulations of the scheme, interest rate,
processing fee etc.
(vi) I/We declare that I am/we are the true owner of the property mortgaged/to be
mortgaged to you and there are no existing encumbrances over my/our said property.
Name of the Applicant(s) : ___________________________________________________

Father’s/Husband Name : ___________________________________________________

Address(es) : ___________________________________________________

___________________________________________________

___________________________________________________

 The land/property of _________________acres/sq.ft. mortgaged/to be mortgaged

with your bank is presently valued Rs.______________
 I/We hereby declare that my/our annual net income from all sources is
Rs._______________p.a. (details as given below):

a) From cultivation : Rs. _________________

b) From Allied Activities : Rs. _________________
c) from other sources : Rs. _________________
TOTAL : Rs. _______________
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Details of Loan required :

(Amt.in Rs.)
Particulars Total requirement Margin, if any Amount sought
of fund as a loan
For raising of crops (No.of Acres x Scale of
finance) (Total of Kharif + Rabi + Summer)
For purchase of farm equipments/
machinery
For other allied activities
Consumption needs
Education/Medical Expenses etc.
TOTAL

Details of other loans availed from Branch/any other Bank :

Particulars Purpose Amount O/s Date of Installment Overdues (if

(Rs.) availment due on any)
S T Loan
M T Loan

I/We confirm that details given above are true to the best of my/our knowledge and belief and
Bank may reject my/our application/limit and may proceed legally if any information appears
to have been concealed by me/us and is found incorrect at any point of time.

Thanking you,
Yours faithfully,

(Signature)

FOR BRANCH / OFFICE USE

(Amount in Rs.)
Total require- Margin, if Loan amount
Ment of fund any sanctioned
For raising of crops (No. of acres x
Scale of finance) (Total of Kharif +
Rabi+Summer)
For purchase of farm equipment/
Machinery
For other allied activities
Consumption needs
Education/Medical Expenses etc.
TOTAL

Amount Sanctioned : Rs.

Security

Rate of Interest

Documents

Other Terms & Conditions

Signature of Signature of
Recommending Authority Sanctioning Authority