Download Application Form for Grant of Loan under Micro/Direct Financing Scheme in Collaboration with National Backward Class Financing & Development Corporation Ltd

J&K STATE WOMEN'S DEVELOPMENT CORPORATION LTD. 615-A, Gandi Nagar, Jammu/Old Secretariat Srinagar Application Form for Grant of Loan under Micro/Direct Financing Scheme in Collaboration with National Backward Classes Financing & Development Corporation Ltd. (NBCFDC) (To be filled in Duplicate) PART - A S. No. ..... 1. Name of the Applicant __________________________________________ (in Block Letters) 2. D/o, W/o ____________________________________________________________________ 3. Class under which Applicant falls Backward Class-Sub Caste __________________________ 4. Address _____________________________________________________________________ ____________________________________________________________________________ 5. State __________________________ 6. Block __________________________________ 7. Distt. __________________________ 8. Ph. No. (if any) ___________________________ 9. Age __________________________ 10. Whether married Yes/No 11. Qualification ___________________ 12. Details of Socio-Economic programme undertaken by the applicant, if any, a) Year________________________ b) Name of the programme/Activity ________________ c) Funded by ___________________ d) Amount received _____________________________ e) Achievements ____________________ 13. Experience of the applicant ______________________________________________________ (any training received) 14. Number of family members a) Male _____________________________. b) Female _____________________________. c) Total _____________________________. 15. Present Profession _____________________________________________________________ Attested by concerned Teh. JKWDC.CO M PART- B 16. Activity proposed to be undertaken ____________________ 17. Infrastructural facility available _______________________ 18. Location of the proposed unit _______________________ 19. Whether premises is rented or owned _________________ 20. Cost of the project ___________________________ 21. Amount of loan is required ___________________ 22. Has the applicant taken any loan from a Bank/Financial Institution under and scheme, If yes, please indicate a) Amount of loan ________________________ b) Purpose ___________________ c) Amount repaid ________________________ d) Amount outstanding if nay __________ 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 State Women's Development Corporation Ltd., from time to time in respect of such loan. Date Signature of the Applicant PART - C CERTIFICATE To be given by the concerned area/Revenue Officer not below the rank of Tehsildar concerned. Certified that Miss/Mrs. ________________________ D/o, W/o _____________________________ _______________________________ R/o _______________________________________________ whose photograph has been attested by me and who has signed this form in my presence belongs to __________________________________ category of Backward Classes under _________________ community. It is also certified that her family income is below Rs. 40,000/- for Rural Rs. 55,000/- for Urban area per annum and she is not an employee of any State or Central Govt. Deptt. Or undertaking. Seal & Sig. of the Certifying Authority Place: Dated: PART - D CERTIFICATE (To be recorded by the Development Officer, JKWDC) Certified that the antecedents of the beneficiary/applicant have been verified and she fulfills all the conditions laid down for grant of loan applied for further the income generating activity selected by the applicant is commercially viable keeping in view the area, where unit is being set up. The applicant has necessary aptitude/experience and requisite infrastructure for running the unit. Attested Field Supervisor Distt. Manager Development Officer, JKWDC JKWDC (J/K) JKWDC(J/K) Srinagar/Jammu JKWDC.CO M (Affidavit on Rs. 5/- Stamp Paper with Rs. 10/- Adhesive Stamp Paper duly notarized) SPECIMEN OF THE AFFIDAVIT TO BE SWORN/AFFIRMMED BY THE APPLICANT BEFORE THE COMPETENT AUTHORITY AFFIDAVIT I ______________________________________ D/o, W/o __________________________________ R/o ______________________________________________ hereby solemnly affirms and declares as under:- 1. That I am a permanent resident of Jammu and Kashmir State residing: _________________________for the last _____________________________ years. 2. That I belong to ______________________ Bahach Hanji and Shikarawala, Bangi (Sweepers), Bhangi (excluding Khakrob, those in Schedules Castes),.Barbers (rural only), Bhand, Dambali Faquir, Doom (excluding those in Schedule Caste), Fishermen including Gada Hanz), Grati (Rural only), Jheevar, Kulfaqir, Kuhmar (Village Potters), Madari, Bazigar, Mirasi, Sansi, Shaksaz, Shie Repares working without the aid of machines, Shupri Watal (excluding those in Scheduled Caste) Sikligar, Teli (Rural only) Village Washer Women. 3. That my family income per annum is Rs _____________________________________ from all Sources. 4. That I have not drawn loan/financial assistance under any scheme of the State Govt. or Bank/ Corporation of Financial Institution or Central Government and I am also not indebted to any Bank or Financial Institute. 5. Neither me nor any member of my family is in the Govt. Service/Central Government and I am also not indebted to any Bank of Financial Institute. 6. That I shall utilize the loan only for the purpose to which it will be given to me by J&K State Women's Development Corporation. In case of any deviation/default, I shall be liable to immediately repay to the corporation the full amount of loan granted to me with the along with the amount of interest and penalty as applicable. 7. I undertake to abide by all terms and conditions as or will be laid down by J&K State Women's Development Corporation from time to time. Deponent Verified this day of ________________________________________________ that the above averments made in the affidavit are correct ant true to my knowledge and belief and nothing has been concealed thereof. Deponent Date: .......... Place: .......... JKWDC.CO M GENERAL INFORMATION 1. Bahach Hanji and Shikarawala, Bangi (Sweepers), Bhangi (excluding Khakrob, those in Scheduled Castes),. Barbers (rural only), Bhand, Dambali Faquir, Doom (excluding those in schedule Caste), Fishermen including Gada Hanz), Grati (Rural only), Jheevar, Kulgaqir, Kumhar (Village Potters), Madari, Bazigar, Mirasi, Sansi, Shaksaz, Shie Repairs working without the aid of machines, Shupri Watal (excluding those in Scheduled Caste) Sikligar, Teli (Rural only). Village Washer Women. 2. The family income from all source of the applicant should be less than 40,000/- in rural areas and 55,000/- in urban areas i.e. below double the poverty line and shall not be a defaulter with any bank/financial institution. 3. The applicant should be permanent resident of J&K State. 4. The beneficiary should have the necessary skills/aptitude required for the sound running of the unit/Project. 5. The matter relating to the verification of the antecedents of the beneficiary, the viability of the scheme, the project verified and the scrutiny etc., will be completed by the Screening Committee of the Corporation and after completing the procedural formalities, the same shall be recommended for sanction of loans. 6. After the loan is sanctioned the beneficiary will be required to sign legal documents with the Corporation for the amount of loan advanced she will also be required to identify guarantors who should be employees of Govt./ Semi Government/Bank. In case the loan is sanctioned upto Rs. 50,000/- one guarantor as defined would be required and in case the loan sanctioned above Rs. 50,000/- two guarantors would be required. Copy of the identity cards issued duly attested by the concerned department will have to be submitted with the documents. Thereafter the documents are required to be registered in the appropriate court. 7. A deed of Hypothecation of asset created in the joint name of J&K State Women's Development Corporation and NBCFDC needs to be furnished. 8. The beneficiary will have to furnish 20 post dated signed cheques for the repayment of installments on any scheduled/Rural Bank of the service area of her residence. The number of cheques may very from scheme to scheme. 9. The beneficiary will have to produce original documents along with attested photocopies, the original will be returned after these are seen and verified by an authorized officer of J&K State Women's Dev. Corporation who will record on photocopies that the original documents have been checked by him/her. JKWDC.CO M