Download Application Form for grant of Loan under Direct Financing Scheme in collaboration with National Schedule Caste/ScheduleTribes and Backward Class 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 Scheduled Caste/ Scheduled Tribes/ Backward Classes Finance & Development Corporation Limited, New Delhi (To be filled in Duplicate) PART A 1. Name of Applicant: ___________________________________ (in block letters) 2. Category of which Applicant belongs: (Scheduled Caste/ Scheduled Tribes/ Backward Classes) Subcaste: __________________________________________ 3. Date of Birth: ________________________________________ 4. Father's Name: ______________________________________ 5. Father's Occupation: __________________________________ 6. Address of Applicant: __________________________________ S. No.: ________ Present Address Permanent Address a) Village/ Mohalla _________________ _________________ b) Post Office _________________ _________________ c) Block _________________ _________________ d) District _________________ _________________ 7. Academic & Technical Qualification: S. No. Examination Passed Year Division 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 Profession Main: ___________________________________________________ Subsidiary:_________________________________ 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 premises is available Yes/ No b) If Yes, whether rented or owned 18. a) Cost of the project b) Amount of Loan required c) Amount the applicant is ready to contribute 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 down by The J&K SC, ST & OBC Development Corporation Limited from time to time in respect of such loans. Signature of the Applicant Date: (Affidavit duly attested in the prescribed format is to be attached) PART C Certificate (To be given by the concerned area Revenue Officer not below the rank of Tahsildar concerned) 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 _______________ subcaste ___________ and is a permanent resident of Jammu & Kashmir State. It is also certified that his family income is below Rs. 39,500/­per annum for rural area and below Rs.54,540/­per annum for urban area and he is not an employee of any State/ Central Government Department or Undertaking. Signature & Seal of the Certifying Authority Dated: Name: Place: Designation: PART D (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 he has been selected for financial assistance by the committee constituted by the Administrative Department Government of Jammu & Kashmir. District manager J&K SC, ST & BC Development Corporation District: _______________________ Dated: