༄༅། ཕྱི་ལོ་ ༢༠༢༣ ལོའ་ྱི སུད་ཚོང་བུན་གཡར་རོགས་སོར་ལས་གཞྱིའ་ྱི འགེངས་ཤོག

WINTER SWEATER SELLERS SUPPORT PROGRAM

APPLICATION FORM 2023-2024
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Social and Resource Development Fund (SARD), Dept. of Finance, Central Tibetan Administration

Note: 1) Incomplete or incorrectly filled form will be rejected, and 2)* marked information are Mandatory

A. PERSONAL DETAILS
Name*: Mr/Ms ________Sex*: M F  DoB: Yr_________ Month________Day_______
Green Book No*: Phone No.*
Address* Settlement Camp/Vill./Group/Ward. House/Block
TRTA ID Card No* __________________________ Market location* ________________
Education: Grade10 & below  Grade 11-12 UG  PG  Doctorate  Monastic  Illiterate  Others 
Marital Status: Unmarried  Married  Divorced  Widow/Widower 
RC No. PAN No: Aadhaar No:

B. BANK DETAILS (submit a copy of front page of your Bank Passbook along with this form)

Bank Name* Account holder Name* IFSC Code*

Branch Name* ____________ Branch Code

Account No.*

C. SUPPORT DETAILS
Support Size: Rs. 1,50,000/- Tenure: 6 Months Interest rate: 3% for six months Repayment: Balloon Payment
Need the loan in the month of:* 1. July  2. August  3. September  4. October 

Undertaking
The above information provided by me is true to my knowledge. I solemnly declare that I abide by all-TRTA, Markets
and TRLSP applicable rules for this support and, on demand, I shall pay back Rs. 1,50,000/- and 6% interest per
annum with support tenure 6 months respectively starting from the disbursed date.

Applicant's Signature: _____________________________________________ Dated: Day........../Moth............./2023

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For official use of the Settlement Officer only

I have verified & appraised above information as per the instructions; and hereby declare that the
candidate has only one support and is a bona fide and law-abiding member of the settlement. Hence, I
favorably recommend for the scheme.

Signature with the Office stamp Dated: ......./........ ..... /2023

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