PMS12203940265 LoanApplication
PMS12203940265 LoanApplication
PMS12203940265 LoanApplication
Are you vending in the same State you Are you vending in the same district
belong to?* you belong to?*
KYC Details
Family Details
Name* Relationship With Applicant* Age*
Arvind Dhiman Father 40
Proof Of Vending
Vendor ID Card Certificate of Vending No. Letter Of Recommendation (LoR) No.
(Issued by ULB) (Issued by ULB) (To be issued by ULB electronically through PM SVANidhi Portal)
UA/248478/201205/1277544
#Ward/Village Roorkee
#Town/Dist
Current Address
Ward/Village* Roorkee
Town/Dist*
Other
Location/Area of Vending
Total Monthly Family Income (₹) (Family means husband, wife and unmarried children)
Digital Payment
A. I hereby certify that all information furnished by me is true, correct, and complete. I have no borrowing arrangements except as indicated in the
application form. I have not applied to any other lending institution under the PM SVANidhi scheme. The information submitted herein may be exchanged
by you with any agency, you may deem fit. You, your representatives, Lending Institution (LIs) or MoHUA, or any other agency as authorized by you /
MoHUA / LI, may at any time, inspect/ verify my/our assets etc. You may take appropriate safeguards/action for recovery of lending institutions’ dues.
B. I understand that by submitting this application form, I am providing my consent for application for loans in 3 cycles. My maximum loan amount in the
first cycle will be ₹10,000/. On full repayment of the 1st loan, in the 2nd cycle, maximum loan amount will increase to ₹20,000/- and after full repayment
of 2nd loan; in the 3rd cycle, maximum loan amount will increase to ₹50,000/-. For the purpose of 2nd and 3rd loan, my application will be auto generated
after full repayment of previous loan and sent to the lender. I will become eligible for the next cycle of the loan only after full repayment of earlier loan and
submission of digital consent for the subsequent loans.
C. I have no objection to authenticate my Aadhaar number, share the same with other Ministries / Departments under the Government of India or the State
Government for the purpose of extension of benefits under any of their Schemes, carry out e-KYC and accessing my credit history & credit score
from credit bureau by the lenders and their authorized agents. The consent and purpose of collecting Aadhaar has been explained to me in local language.
MoHUA/Lending Institution has informed me that my Aadhaar submitted herewith shall not be used for any purpose other than mentioned above, or as per
requirements of law. I have been informed that this consent and my Aadhaar will be stored along with my account details with MoHUA or their authorised
agent.