APPLICATION FORM FOR LOAN (To be filled in Duplicate) The Managing Director J&K Scheduled Castes, Scheduled Tribes, and Backward Classes Development Corporation Limited S. No.: ________ Sir, I shall be grateful if you kindly arrange to the grant of Rs._______________ in my favour for the establishment of ______________________________ My particulars are as under: 1. Name of Applicant: ____________________________________________________ 2. Father's Name: _______________________________________________________ 3. Whether belongs to SC/ BC/ ST: _________________________________________ 4. Age: _____________________ 5. Qualification: ________________________________________________________ 6. Permanent Address: __________________________________________________ Village/ Mohalla _____________________ Post Office _____________________ Block _____________________ District _____________________ 7. Present Occupation: _____________________________________________________ 8. Present Income: ________________________________________________________ 9. Financial Assistance to date received from any source: __________________________ 10. Whether the loan if taken has been to paid in full:______________________________ 11. Purpose for which loan is applied:___________________________________________ 12. Infrastructure Facility available:____________________________________________ 13. Location of the proposed unit:______________________________________________ DECLARATION I solemnly declare that I shall abide by the terms & conditions laid down by the J&K Scheduled Caste, Scheduled Tribes and Backward Classes Development Corporation Limited and the Bank for the grant of loan and recovery thereof. 1. I declare that the particulars stated above are true to the best of my knowledge and belief. 2. I further declare that I shall utalise the amount so granted to only for the purpose for which it has been applied and granted. 3. I shall repay the amount together with interest as may be prescribed by the Bank and the Corporation with a stipulated period. 4. I event of utalising the amount not for the bonafied purpose, I shall be liable for action under law and in the event of default. I shall be liable to be charged penal interest of 2%. 5. I shall allow the premises to be inspected by the representatives of the Bank, Scheduled Caste, Scheduled Tribes and Backward Classes Development Corporation Limited for checking of accounts and property etc. 6. I declare that the property purchased with the assistance so granted to me shall remain mortgaged till the amount together with interest is not repaid in full. Yours faithfully, Signature of the Applicant CERTIFICATE Certified that Shri _______________________________________________________ S/O D/O W/O Shri ___________________________________________________________ R/O __________________________________________________ whose photograph has been attested by me and who signed this form in my presence is personally known to me and is a permanent resident of Jammu & Kashmir State. It is alos certified that his family annual income is Rs.________________ per annum and is not an employee of any State/ Central Government Department or Undertaking. I further certify that Shri _________________________ S/O D/O W/O Shri ________________ ____________________________ is a member of Scheduled Castes (____________________) Backward Classes (____________________) Scheduled Tribes (____________________). Signature of the Certifying Authority Dated: Name: Place: Designation: Note: Member pf Parliament/ Member of Assembly/ Gazetted Officer/ Member of the State Advisory Board for SC, ST & BCs are competent to issue the above said certificate. FOR USE IN THE J&K sc st & BC DEVELOPMENT CORPPORATION LIMITED 1. Amount of Bank Loan 2. Subsidy to be allowed 3. Bank to which sponsored for Loaning 4. The Scheme is approved at the cost of Rs._______________ District manager J&K SC, ST & OBC Development Corporation District: _______________________ Dated:
