Scribd
Upload
19 views2 pages

SHG Member OverDraft

Priyanka Borloi, a member of the Somaj Self Help Group, has applied for an overdraft of up to 5,000 INR from the State Bank of India to meet her emergency needs. She has provided her Aadhaar number for authentication and consented to the bank's terms and conditions. The application is supported by verification from her SHG, confirming her regular repayment history since joining in 2015.

Uploaded by

karimganjdmmuasrlm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
19 views2 pages

SHG Member OverDraft

Priyanka Borloi, a member of the Somaj Self Help Group, has applied for an overdraft of up to 5,000 INR from the State Bank of India to meet her emergency needs. She has provided her Aadhaar number for authentication and consented to the bank's terms and conditions. The application is supported by verification from her SHG, confirming her regular repayment history since joining in 2015.

Uploaded by

karimganjdmmuasrlm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Unique App No: 110

Date: 28-02-2024
APPLICATION FOR OVERDRAFT FOR VERIFIED WOMEN
SHG MEMBER UNDER DAY NRLM

Name of Bank: STATE BANK OF INDIA


Branch: BHANGA BAZAR (SBIN0006848)
Account No: 38088539493

Details of applicant SHG member:

Full Name of SHG Member PRIYANKA BORLOI


Member code under DAY-NRLM AS-2539411
State ASSAM District KARIMGANJ
Block BADARPUR Gram Panchayat DUTTAPUR
Village DEWARGOOL PIN code NA
Tel NA Mobile NA

I, PRIYANKA BORLOI hereby apply for Overdraft with a Limit up to 5,000/- (Rupees Five
Thousand only) for meeting my immediate / emergency needs.

Declaration: I declare that the information provided by me in this application form is true and
correct. The terms and conditions applicable have been read over and explained to me and I have
understood the same. I shall abide by all the terms and conditions as may be in force from time to
time. I declare that I have not availed any Overdraft or Credit facility from any other bank. I am
resident of India and I undertake to intimate the bank in case of change in my residency status

I, PRIYANKA BORLOI the holder of Aadhaar number 862489692940 , submit my Aadhaar number
and hereby
Voluntarily give my consent to STATE BANK OF INDIA

To:-
1.Seed my Aadhaar/ UID Number issued by UIDAI, Government of India (GOI) In my name with
this Account
2.Map it at NPCI to enable me to receive Direct Benefit Transfer (DBT) from GOI in this Account. I
understand that if more than one benefit transfer is due to me, I will receive all benefit transfer in
this account.
3.Use my Aadhaar details to authenticate me from UIDAI.
4.Use my mobile number mentioned above for sending SMS alerts to me
5.I have been given to understand that my information submitted to the bank herewith shall not be
used for any purpose other than that mentioned above, or as per requirement of law. Copy of self-
attested Aadhaar number is enclosed.

Yes I Agree to terms and conditions mentioned above

Place:
Date:
(Signature/LTI/RTI of Applicant)
Details of parent Self Help Group of member:

Name of SHG SOMAJ SHG


Date of Formation 28-10-2015 SB a/c no 7344010076456
Bank ASSAM GRAMIN Branch DUTTAPUR
VIKASH BANK
State ASSAM District KARIMGANJ
Block BADARPUR Gram Panchayat DUTTAPUR
Village DEWARGOOL PIN code NA

Verified that Ms PRIYANKA BORLOI is the member of the SHG since 28-10-2015. She is regular
in repayment of loan taken from the SHG/has repaid all loans taken. SHG will regularly educate
member on timely repayment of OD facility if sanctioned.

Seal Of SHG
Signature of Office
Bearers

Sl. Name Designation Signature


1 NAZIRA KHANAM President

2 TARIMA KHATUN Secretary


CHOUDHURY
3 Treasurer

You might also like