Download Application Form for grant of Loan under Direct Financing Scheme in collaboration with National Safai Karamcharies Finance and Development Corporation

The J&K SC, ST & BC Development Corporation Limited Head Office; Romesh Market, Shastri Nagar, Jammu [J&K] Telephone: 0191­2433229, 2452009. Fax: 0191­2433229 Application Form for Grant of Loan under Direct Financing Scheme In collaboration with National Safai Karamcharis Finance & Development Corporation (To be filled in Duplicate) 1. Name of Applicant: ___________________________________ (in block letters) 2. Category to which Applicant belongs: _____________________ (with sub caste) 3. Date of Birth: ________________________________________ 4. Father's Name: ______________________________________ 5. Father's Occupation: __________________________________ 6. Address of Applicant: __________________________________ S. No.: ________ Present Address a) Village/ Mohalla _________________ b) Post Office _________________ c) Block _________________ d) District _________________ 7. Academic & Technical Qualification: S. No. Examination Passed Year Permanent Address % Marks/ Grade 1. 2. 3. 4. 5. 8. Any Training received (give Details of _________________________________________ Training duration and name of the Institution: __________________________________ 9. Number of Family Members (Details): _________________________________________ 10. Land (if any) Kanals: ______________________________________________________ 11. House (Area) Kanals: ______________________________________________________ 12. Present Occupation: _______________________________________________________ PART B 13. Activity proposed to be undertaken 14. Infrastructure facility available for the proposed activity 15. Previous experience in the activity 16. Location of the proposed unit 17. a) Whether land is available Yes/ No b) If Yes, whether rented or owned 18. a) Cost of the project b) Amount of Loan required 19. Has the applicant taken any loan from Yes/ No a Bank/ Financial Institution under any scheme If Yes, please indicate: a) Amount of Loan b) Purpose for which Loan was taken c) Amount repaid d) Amount outstanding, if any, with reasons I solemnly declare that the information furnished above is true and I shall abide by all the terms and conditions as are or may be laid by The J&K SC, ST & OBC Development Corporation Limited from time to time. Signature of the Applicant (Affidavit duly attested in the prescribed format is to be attached) PART C Certified that Shri __________________ S/O _________________________ R/O __________________________________________________ whose photograph has been attested by me and who has signed this form in my presence belongs to Safai Karamchari/ Scavenger is a permanent resident of Jammu & Kashmir State. Certificate is to be issue by the Chairman/ Mayor/ Administrator/ Executive Officer of Municipal Corporation/ Municipalities/ Municipal Committees or Revenue Officer not below the rank of Tahsildar concerned (Territorial). Signature & Seal of the Certifying Authority Dated: Name: Place: Designation: PART D Documents Required: 1. Permanent Residence Certificate 2. Copy of Ration Card 3. Two Passport size photographs to be signed by Authorities as mention at Part 'C' of the form. 4. Self Addressed envelope with Stamp 5. Valid Driving License incase of Schemes in Transport Sector. 6. Experience Certificate, if any. PART E (to be recorded by the District Manager J&K SC, ST & OBC Development Corporation) Certified that the applicant fulfills all the conditions laid down for grant of the loan applied for and case of the applicant duly recommended fro grant of loan for _____________ activity with term loan of Rs. __________ the file reports are favourable and he/ she is credit worthy. District manager J&K SC, ST & BC Development Corporation District: _______________________ Dated: