Dairy Loan Application Form
Dairy Loan Application Form
Dairy Loan Application Form
BRANCH : ________________________
Application No.: ________________________ Year __________________
Dear Sir,
Purpose of loan:
_____________________________________________________
Part A
1. Particulars of Applicant
Basis of Networth
Name of the (enclose copies/
Networth (Rs. Lakh)
Applicant separate sheets, if
required)
3. Nature of activity :
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DAIRY LOANS
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DAIRY LOANS
(Elaborate on the
facility to be
created, etc.)
Purchase of dairy
equipments,
(Elaborate on the
equipments, etc.)
Expenditure
incurred for
transportation of
animals where the
animals are not
purchased locally
(Elaborate)
Transit insurance
Others
Total
SY SY SY SY SY SY SY
(2) (1) (0) (1) (2) (..) (n)
Annual
gross
dairy
income
(a)
Expenses
(b)
Annual
net dairy
income
(c)=(a)-
(b)
Income
from
allied
activities
Note: SY means Seasonal Year i.e. period from season to season; In case data
is available for FY or CY (Calendar Year), the same may be used.
14. Position of payment of income and wealth tax for last 3 years
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Procuring cattle
Procuring of
Equipments, etc.
(Elaborate on tie-up
arrangements, if any)
Construction of cattle
shed
Procurement of Green
Fodder, Dry fodder and
Cattle Feed
Storing of fodder and
feed
Veterinary care
Marketing of produce
Transport of produce
Gestation period
Installment frequency
Basis of
networth
Relationship (enclose
Networth
Name Address with copies/
(Rs. Lakh)
applicant separate
sheets, if
required)
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DAIRY LOANS
18. Declaration:
a) I/We hereby declare that the particulars given above are true and
correct to the best of my/our knowledge and belief.
b) It will be in order for the Bank to disqualify me/us from receiving any
credit facilities from the Bank in case it is proved that the declarations of
my/our outside borrowings made above contain misrepresentation of facts.
c) I/We hereby declare that I/we have no borrowings from any other
agency on the date of application other than those mentioned under Point No.
10.
d) I/We undertake not to borrow from any other agency without the
permission of the Bank.
e) Whether the Applicant/s, Co-obligant/s, Guarantor/s is/are related to
any Senior Officer of the Bank : Yes/No. If yes, specify the names of the
officer with designation and the branch/office working and the nature of the
relationship. Name _______________ Relationship_______________
g) I/We hereby undertake to abide by the terms and conditions that the
Bank may stipulate in sanction of this loan and inform Bank in the event of
acquiring any other assets during the tenure of the advance.
Place:
Date: Signature of
Applicant/s
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DAIRY LOANS
I. Address
Full Address with
Name
Name of
Sl. with Fathers
Age Occupation Village/P.O./Tq./D
No. Surna Name
ist./
me
Pin Code
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DAIRY LOANS
Declaration: I certify that all the information furnished by me/us may also be
exchanged by you with any agency you may deem fit, and that you, your
representatives, representative of Reserve Bank of India or any other agency as
authorized by you, at any time.
Place:
Date: Signature of Co-obligant/
Guarantor/s
FLOW CHART
Date of
Date of submis
Date final sion to Comments,
Sr. of complia next if any,
Particulars
No. Recei nce Delegat regarding
pt receive ed time taken
d Author
ity
At Delegated
1.
Authority 1
At Delegated
2.
Authority 2
At Delegated
3.
Authority 3
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ACKNOWLEDGEMENT