Professional Documents
Culture Documents
06 - Loan Application Format
06 - Loan Application Format
Residential Address
Rented/Owned
Business Address
Education Qualification:
Social Category:
(Illiterate/ Up to 10th/ 12th
General/OBC/SC/ST
/Graduate/Professional/others)
Document(s) for ID proof Voter ID No. Aadhaar No. MGNREGA Job Card/ Artisan Card
No./Any Others:
(pl. specify)
Net Sales
Net Profit
Bank Name:
Savings Account
SHG/ Loan
Others
It is certified that my unit has not availed any loan from any other Bank/Financial Institution in the past
and I/we am/are not indebted to any other Bank/Financial Institution other than those mentioned in
column above.
Signature of Applicant
Form No. 1
The Loan Appraisal Committee
Block Resource Centre – Enterprise Promotion
Name of Block : ________________________________________
District : ________________________________
I am requesting for a loan from the group. I am giving below the following details to facilitate the process for
sanctioning my loan.
I undertake to repay the loan on the terms and conditions as stated below:
2. Interest: The rate of interest shall be Rs. _____ /- per month for every Rs. _____/- which works out to
______ % interest per annum. The interest will be charged only on the balance amount due to be paid.
3. Fine: If a person fails to repay the amount on installments, a sum of Rs. _____ /- shall be charged as fine
on every Rs.______/ - that has to be paid as installment during that month.
SL SL SL
DATE AMOUNT DATE AMOUNT DATE AMOUNT
NO NO NO
1 9 17
2 10 18
3 11 19
4 12 20
5 13 21
6 14 22
7 15 23
8 16 24
I trust you will sanction the amount of loan I have requested for.
Thanking You,
Yours sincerely
Date:
Place: Signature / Thumb impression of the applicant.
LOAN APPROVAL – SHG
The loan application of Sri / Smt __________________________________ dated ____________ was discussed in the
SHG meeting held on ______________ and the application requesting an amount of Rs. __________ / - only, was
majority vote.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Date:
President / Secretary
LOAN APPROVAL – VO
Name of VO : _____________________
The loan application of Sri / Smt __________________________________ dated ____________ was discussed in the
SHG meeting held on ______________ and the application requesting an amount of Rs. __________ / - only, was
majority vote.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Date:
President / Secretary
The loan application of Sri / Smt __________________________________ dated ____________ was discussed in the
SHG meeting held on ______________ and the application requesting an amount of Rs. __________ / - only, was
majority vote.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Date:
President / Secretary
The loan application of Sri / Smt __________________________________ dated ____________ was discussed in the
SHG meeting held on ______________ and the application requesting an amount of Rs. __________ / - only, was
majority vote.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Date:
President / Secretary
I hereby accept that if I fail to repay the amount received as stated in the Application form,
the group can take any action against me according to the Rules and Regulations of the group.
Witnesses:
Name Signature
1.
2.
_______________________________________________________________________________________