ANDHRA PRADESH STATE MINORITIES FINANCE CORPORATION 4-1-825/B, II Floor, Laxmi Estate, Abids Hyderabad-1 (To be filled in duplicate) Date: APPLICATION FOR ANTI POVERTY PROGRAMME 1. Name of the candidate Photo 2. Father's/Husband's Name 3. Age/Date of birth 4. Address 5. Ration Card if any give the particulars 6. Trade/Business 7. Experience 8. Business location/spot 9. Qualification if any 10. Name of the proposal which you want to take up under Anti Poverty Programme 10 (a) Amount required 11. Whether the above house is owned If not/how long staying in that address 12. Whether obtained any loan earlier If so from which bank/organisation 13. Any other information such as No. of dependents 14. Reference's of two neighbors 1. 2. Place: Signature of the candidate ECONOMICALLY BACKWARD CERTIFICATE Date: This is to certify that Sri/Smt/Kum........................... S/o.,D/o or W/o .................................... Resident of .................................... . Belongs to Economically Backward Class, His/Her Annual Income is below ...... Note: Signature
