Professional Documents
Culture Documents
ld2131
ld2131
Br…………………..
CATEGORY OF BORROWERS: PRIORITY /
To NON-PRIORITY
The South Indian Bank Ltd. a) Whether SC/ST/BC/Others ___________
………………………………
I hereby request for a loan of Rs….…..for a period of b) Whether MF/SF/Agrl. Labourers::_____________
…………….. months against pledge of 22 carat gold
ornaments mentioned in the Schedule hereto with c) Purpose of Loan (Specify the nature of crop in case of
approximate value of Rs……..…..The ornaments Agl. Gold loan) _____________
described exclusively belong to me. The purpose of the
loan is for ……………………….. d) Extent of Land ____________________
I here by declare that I have read and understood the Survey No. __________________
Terms and Conditions of the loan and agree to abide by e) Village ____________________________
them and any amendments thereto.
I agree to pay interest, service or other charges as may f) Taluk _____________________________
be fixed by the bank from time to time.
Name:……………………. ……………………… I hereby declare that the loan amount will be utilized for
Signature of the Pawner agricultural operations.
Son/ daughter / wife of
Present Address Permanent Address
Total
Net Weight
Rs.
Details regarding payment / adjustment of surplus net sale proceeds (if any)
(Manager)