Ms Me Approval Form

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Corporate Office- Shri Ram FinanceCorporation

Pvt. Ltd. Parishram Towers, Opp. Durdarshan


aa aaaaa Tower,Anupam Nagar, Shankar Nagar, Raipur, aa
Pincode-492007, Phone No- 9039032063

Loan Application form

Date- 08/07/2024 11:04 State MADHYA_PRADESH


Customer ID : Branch Basoda
Loan No Executive NARENDRA SAHU
Loan Type: Unsecured BM-
Population of village:

Photos & Signature


Applicant Co Applicant Guarantor

Photos

Signature

Applicant & Guarantor details


Applicant Co Applicant Guarantor
Applicant Name Mr. Sanjeev Ahirwar Mrs. SAVITRI Mr. Upendra SINGH
SURYAWANSHI RATHOR
Father/Husband . SANJEEV SHIV LAL
Name
Gender Male Female Male
(Male/Female)
Date of Birth 10/09/1994 08/15/1989 01/01/1970
Marital Status UNMARRIED MARRIED MARRIED
Relation with Self WIFE FRIEND
Applicant
Contact No-1 6263311314 0000000000 0000000000
Email address:
Contact No 2
Caste sc obc obc
Category (Hindu,
Muslim etc)
Education 12th 10th 12th
Cibil Score 00749 00729 00601
Present Address
Applicant Co Applicant Guarantor
Address Line WARD NO 01 NERA WARD NO 01 NERA NOT ATEN CALL
PUBLIC HIGH SCHOOL PUBLIC HIGH SCHOOL
GRAM POST BASODA GRAM POST BASODA
BASODA VIDISHA BASODA VIDISHA
MADHYA PRADESH MADHYA PRADESH
464221 VIDISHA 464221 VIDISHA
MADHYA PRADESH MADHYA PRADESH
464221 INDIA 464221 INDIA
Village/Town / City Vidisha VIDISHA VIDISHA
Tahsil VIDISHA VIDISHA
District Vidisha VIDISHA VIDISHA
State MADHYA_PRADESH MADHYA_PRADESH MADHYA_PRADESH
Landmark
Pin Code 464221 464221 464221
Years at residence
Ownership ( own
/Rented )
Ebill in whose Name
Landlord Name(if
rented)
Landlord
ContactNumber (If
Rented)
Permanent Address
Applicant Co Applicant Guarantor
Address Line WARD NO 04 NAI BASTI WARD NO 04 NAI BASTI
BASODA VIDISHA BASODA VIDISHA
MADHYA PRADESH MADHYA PRADESH
464221 464221
Village/ Town/City Vidisha VIDISHA VIDISHA
Tahsil VIDISHA VIDISHA
District VIDISHA VIDISHA
State MADHYA_PRADESH MADHYA_PRADESH MADHYA_PRADESH
Landmark
Pin Code 464221 464221 464221
Years at residence
Ownership ( Own /
Rented)
Ebill in whose name
No of dependent
Adhar No 913977836917 878664270201 289492814293
Pancard No BXHPA8105M DZVPA6550A
Voter ID No
Diving Licence No
Identity proof
Residence Proof
Office Details
Applicant Co Applicant Guarantor
Joining_Date
Designation Executive
Department Name
Communication
Address

Business, Work Details 1


Applicant Co Applicant Guarantor
Business Name-1 KHUSHBU GENERAL Description :
STORE
Business nature-
Ownership (Own / RENT
Rented)
Address of Business WARD NO 01 WARD NO
01 GRAM POST BASODA
BASODA BASODA
VIDISHA MADHYA
PRADESH
Ward No. WARD NO 01
Landlord Name(if VEERENDRA
rented)
Landlord ,,,,,
ContactNumber(if
rented)
Village/Town/City BASODA
Tahsil BASODA
District VIDISHA
State MADHYA_PRADESH
Landmark WARD NO 01
Pin Code BASODA
Years in Business 9-10 YERA
Current Stock- 30-40LACS
Amount
Daily sales on Season 50K
Daily Sales off season 25K
Monthly shop
expenses
Monthly House 5K
Expenses
Net Income ( Monthly
)

Business, Work Details 2


Applicant Co Applicant Guarantor
Business Name-2
Business nature
Ownership
(Prop/Partn)
Owned/Rented
Monthly Rent
Address of Business

Village/Town/City
Tahsil
District
State
Landmark
Pin Code
Business Place
Ownership
Years in Business
Current Stock -
Amount
Monthly Net Income
GST No

Applicant, Co Applicant, Guarantor Bank Details


Applicant Co Applicant Guarantor
Bank Name-1
Type-Saving/Current/CC
Type- Joint/Single
Joint holder name
Bank Branch
IFSC Code
Account No

Bank Name-2
Type-Saving/Current/CC
Type- Joint/Single
Joint holder name
Bank Branch
IFSC Code
Account No

Agriculture Details
Applicant Co-Applicant Guarantor
Area NO
(Acres/Hect/Other)
Property owned by
Relation with
applicant
Market value
Annual Income NO

Creditors details
Creditor-1 Creditor-2 Creditor-3
Name
Gender
(Male/Female)
Contact No-1
Address

Reference Details
Name Relation Mobile Address
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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