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ONLINE REQUEST FOR AGRICULTURAL LOAN
 
 
Fields marked with (*) are mandatory
 
 
Applicant Details
 
1) Name of the Applicant : *
2) Constitution : *
3) Name of proprietor / Partner / Directors : *
Name Age Sex Qualification Experience in Line of Business PAN No.
4) Address of the Applicant :
Residence : *
Door No.
Village
Taluk
District
Telephone No.
5) Details Of Credit Facilities (Loan Required) : *
Purpose Estimated Expenditure Loan Required (Amt. in Rs.) Repayment Terms (Amount you can repay) Experience in Line of Activity
6) Present Bankers : (including our Bank)
Name of the Bank Facilities Enjoyed Total Loan (Amt. in Lakhs)
7) Whether Income Tax Payee : (Check any one) *    
8) Whether earlier defaulted to any Bank : (tick appropriate boxes) : *
 
About The Activity
9) Briefly give details in one line
1. What is your technical experience :
2. Availability of Inputs/Materials :
3. Marketing of Produce :
 
Land Details
 
Village Irrigated Lands(Acres and Cents) Dry Land(Acres and Cents)
Sy.NO Extent Sy.NO Extent
 
10) Present Request : *
Total Project Cost in Lakhs Rs.
Loan Amount in Lakhs Rs.
11) Purpose (tick appropriate box) : *
12) Whether facilities requested from Our Branch is near to your : *
13) Name of nearest Syndicate Bank :
State Name
City Name
Branch Name
14) Any other relevant information to consider the proposal :
15) Details Of Surety (Guarantor) :
Name
Address :
Door No.
Village
Taluk
District
Telephone No. (if any)
 
 
Disclaimer:
 

The above information is taken in confidence as general information only and will not be considered as claim for loan. If information submitted above is found acceptable to the Bank to proceed further, Bank’s officials will contact for submission of additional/detailed information required for considering the request for facilities as per Bank’s credit policy and on merits of the case.

Bank reserves the right to accept or reject the application submitted above by the prospective customer.

Bank does not accept any legal liability, whatsoever, for errors or any omissions pertaining to the information and materials herein.
 
 
 
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