PMS10202701554 LoanApplication
PMS10202701554 LoanApplication
PMS10202701554 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*
VASUDEV Daughter 49
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)
SVBHOBHO79296569156
#House No. / Locality H.NO - 149, VISHWAKARMA NAGAR #State MADHYA PRADESH
Current Address
House No. / Locality* H.NO - 149, VISHWAKARMA NAGAR State* MADHYA PRADESH
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 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 remaining 2 cycles. After full repayment of
2nd loan; in the 3rd cycle, maximum loan amount will increase to ₹50,000/-. I will become eligible for the 3rd cycle of the loan only after full repayment of
current loan and submission of digital consent for the 3rd loan.
I understand that minimum repayment period of 9 months is required for the 2nd loan to be eligible for 3rd loan. If my loan is fully repaid before 9 months,
I would be eligible for the 3rd loan only after the stipulated period of 9 months from the date of disbursement of the 2nd loan.
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.