Loan Eligibility Card Application Form

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Loan Eligibility Card
Loan Eligibility Card Application Form
Declarant Details:-
Aadhar Number: ____________________________________
Aadhar Number: ____________________________________
Declarant Name*:_____________________
_________________________________________________________
___________________________________
Father Name*: ______________________________________
_________________________________
Door No/House Number *: _____________
_____________
Locality*: _______________________
____________________________ Caste*:
SC
ST
BC
OC
Mobile*: ________________ Adhaar Number: ____
Adhaar Number: __________________________________
______________________________
District*: _________________ Mandal
_ Mandal*: ________________ Village*: _________
________________
Land Details:-
District*: ________________ Mandal
Mandal*: _______________ Village*: ___________
__________________
Survey No*: _______________
: _______________ Sub Division*: __________________
Extent
Taken*:
______________
______________ Acres/Guntas
Land Type*:
WET
WET
ID
DRY
Khatha No*: ________________
: ________________
Farmer Type*:
Poor Former
Marginal Former
Small Former
Big Former
Big Former
Land Owner Details:-
Owner Name*: _________________
________________ Father Name*: ___________________
__________________________
District*: _______________ Mandal
Mandal*: ________________ Village*: ______
_____________
survey number*: __________ Sub Division
Sub Division*: ____________________
Extent owned*: _______________
___________ Acres/Guntas
Land Type*:
WET
WET
ID
DRY
Informant Details
:-
Informant Name*: __________________
__________________
Informant Relation*:
S/o
D/o
D/o
w/o
H/o
M/o
F/O
c/o
Self
___________________________________________________________
___________________________________________________________
Informant Mobile*: __________________
__________________
Delivery Type*:
Manual
Post
Post - Local
Post - Non Local
Document List
Applicant’s Signature
Applicant’s Signature
: -
1. Application
Form*
2. Upload
Photo*
(*
- indicates mandatory)
indicates mandatory)

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