Download Andhra Pradesh Scheduled Tribes Co-operative Finance Society Loan Application

ANDHRA PRADESH SCHEDULED TRIBES CO-OPERATIVE FINANCE SOCIETY LTD: LOAN APPLICATION FORM BANK NAME : 1 Name of the Applicant : 2 Father's / Husband's name : 3 Present address : 4 Age, Place of birth : 5 Caste (Enclose certificate concerned MRO as a proof) from : 6 (a) No.of family members : (b) Occupation members of the family : 7 Qualifications (a) Education : (b) Technical : © Business and Experience : 8 Occupation of the applicant / annual income : 9 Land holding particulars of the applicant / assets details (Patta pass book copy to be enclosed) Area/ Surve No./ Village Area Value of Area Wet / Dry 10 Whether applicant has own house? Whether the land is Govt.patta? whether sur plus land distributed? 11 Financial assistance (a) what purpose ? : (b) Total amount required ? : © Name of the bank branch which has agreed to give loan ? : 12 Estimated cost of the scheme to be implemented : 13 Estimated income per year if the scheme runs profitably / successfully : 14 Whether the applicant has availed any loan previously from the Govt. or Bank? whether the applicants request was rejected at any time, furnish details : 15 Any other information relevant to applicant : The above details furnished in connection with the applying loan / financial assistance from A.P.Scheduled Tribes Co-operative Finance Society Limited. The particulars furnish are true and genuine to the best of my knowledge and I am solely responsible. In case my declaration is proved to be false, I will accept any punishment. Signature of Signature of Mandal Development Signature of Village Dev. Officer Officer / Muncipal Commissioner Applicant LOAN SURETY On ____________(date)_____________(month)_____________________ (year) ________________ Andhra Pradesh Scheduled Tribes Co-operative Finance Society Limited, ___________ District. (T.A._______) 1. _______________________ District ___________________ Mandal H.No. _______________________________resident of village leading a Hindu livelihood Sri / Smt. ____________________________________ son of / wife of become a member of the Finance Co-operative Society No____________ with Rs.________________________ by Sri/Smt. __________________________________. 2. _______________________ District ___________________ Mandal H.No. _______________________________res ident of village leading a Hindu livelihood Sri / Smt. ____________________________________ son of / wife of become a member of the Finance Co-operative Society No____________ with Rs.________________________ by Sri/Smt. __________________________________ . 3. _______________________ District ___________________ Mandal H.No. _______________________________resident of village leading a Hindu livelihood Sri / Smt. ____________________________________ son of / wife of become a member of the Finance Co-operative Society No____________ with Rs.________________________ by Sri/Smt. __________________________________. We all jointly give consent to this surety bond. Sri / Smt. _______________________________ the first member on ________________(date) borrowed a loan of Rs. ______________________from Co­operative Society Limited ________________ district. The said amount will be repaid by us in instalments or in lumpsum at the rate of 4% simple interest and penal interest with principal amount in ____________________ months. In case if he fails to pay, immediately the accounts will be closed and the amount due from the date of closing till the payment of loan, a compound interest rate for each month along with principal amount interest and penalty may be recovered from any of us by disposing fixed assets owned by us irrespective of the shares involved among us. We abide by the present rules of the Society and also changes that come from time to time in future. 1. Address Signature of the borrower 2. Address Signature of the first surety 3. Address Signature of the second surety Witness : 1. Address ____________________________Signature 2. Address ____________________________Signature PROMISORY NOTE 1. Andhra Pradesh Scheduled Tribes Co-operative Finance Society and through ___________________________________ Bank sanction an amount of Rs. ________________ in words _____________________________________________ towards ___________________________________on date __________________margin money to me / we will pay with prescribed interest per year per 100/- and principal amount in ___________________ months in instalments or in lumpsum and clear the loan. I / We will utilise above amount along with bank loan for the scheme for which it was sanctioned in case I / we fail to utilize, the entire amount of loan with interest will be paid in lumpsum. Other-wise my debts may be recovered from my assets and my sureties assets or both put together according to law/act. DECLARATION I Sri ___________________________________ S/o _________________________ Resident of ___________________________________________________________ inform that myself, my family members did not avail any financial assistance from your society or any other financial co-operative society. I am not working in any Government organization or corporation. I declare in case my declaration found to be false, I will abide by any action initiated by you civil or criminal. Witness (1) Yours faithfully, (2) Signature of the Applicant FOR OFFICE USE ONLY