JLG Micro Credit Scheme Appplication Cum Appraisal Form (For Financing Individuals of A JLG)
JLG Micro Credit Scheme Appplication Cum Appraisal Form (For Financing Individuals of A JLG)
JLG Micro Credit Scheme Appplication Cum Appraisal Form (For Financing Individuals of A JLG)
To,
Manager BC Agent Name: ……………………………….
Dakshin Bihar Gramin Bank Linked to Village: ………………………………
………………………. Branch Under Bank Branch ……………………………
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DAKSHIN BIHAR GRAMIN BANK
6. My Family Details
SN Name Relation Sex Age Education Occupation
9. Nomination
In case of my death/permanent disability, my nominee …………………………………………….
who is my ……………………………… (relationship with customer) aged
……………………….. years, resident of …………………………………………………………...
shall be entitled to receive from and settle any claims to Bank on my behalf.
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DAKSHIN BIHAR GRAMIN BANK
Credibility Check done with ________________________________________ BC Agent may
attach separate sheet along with this form for furnishing comments in detail, if necessary.
Signature of BC Agent
Device ID No. CUST ID: C/A No.:
Village:
Signature:
Area Manager/ District Manager of CSP
Name:
Place: Date:
Information furnished by the applicant as above has been checked and identity/ residence/ activity
etc. has been verified with the help of CSP/ BC Agent. Based on the information furnished:
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DAKSHIN BIHAR GRAMIN BANK
LETTER OF UNDERTAKING
To, Dated. ……..…………
The Manager,
Dakshin Bihar Gramin Bank,
………………………………Branch.
Dear sir
In connection with the loan sanctioned to me/ us by…………………………… branch of
Dakshin Bihar Gramin Bank, I/We do hereby undertake that:
(i) At my/ our request as contained in the application, Bank has granted the following facilities:
Term Loan: ₹ 30,000.00/ 50,000.00 only
(ii) I/We shall pay interest in respect of the Term Loan @ 15% p.a. calculated on the daily
balances in the loan a/c with monthly rest in accordance with the practice of the bank. I/We
shall keep the Term Loan A/c performing in nature all the time during pendency of the loan by
paying instalment/ principal/ interest regularly.
(iii) Term Loan will be repaid in 15/25 EMI/EWI of ₹ ₹ 2,240.00/ 2,400 p.m, effecting through
weekly repayment @ ₹ ₹ 560.00/ 600.00.
(iv) I/We shall pay interest at enhanced rate, as may be fixed by the bank in case of my/ our
default.
(v) I/We shall at all times keep items of security as are of insurable nature, insured against loss
or damage by fire and other risks, as may be required by the bank.
Yours faithfully,
Name:
Address:……………………………………………
Place:
Rs…………………………………………………. Date:
On demand, I/ We jointly and severely promise to pay Dakshin Bihar Gramin Bank at their Head
Office at Patna or at ……………………….. branch or order, notwithstanding non-presentment the
sum of Rs............................... for value received with interest thereon @
______________________ percent per annum with.................. rests till the date of payment in
full.
Revenue
Stamp
Name __________________________________________
Adress __________________________________________
__________________________________________
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DAKSHIN BIHAR GRAMIN BANK
Signature of BC Agent
Device ID No.
Village:
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DAKSHIN BIHAR GRAMIN BANK
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