AGRI-CLINICS AND AGRI-BUSINESS CENTRES SCHEME (ACABC)
Loan Application Form

BRANCH________
________________
Application No. ________
_____________
Year _______________
APPLICATION FORM FOR AGRICULTURAL CREDIT
(FINANCING FOR AGRI CLINIC/ AGRI BUSINESS CENTER)
Photo(affix for each applicant)
The Branch Head
IDBI ltd
_________________
Dear Sir,
I/ We hereby apply for a loan of Rs...........(Rupees.................... Only) and furnish below the necessary particulars.
1. Purpose of Loan
2. Basic Applicant Details
Applicant 1
Applicant 2
..
Applicant n
Name
Address
Resident
since
Age
Gender
Whether SC/ST/ Resident of North East and Hill States/ Other Disadvantaged Sections/ Others
Details of relationships with IDBI, if any Current bank details
3. Academic Qualifications graduation onwards (for each applicant)
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AGRI-CLINICS AND AGRI-BUSINESS CENTRES SCHEME (ACABC)
Qualification
Institute Marks
Year of passing
Special achievements
4. Has any earlier loan from any formal lending institution been foreclosed (for each applicant) Y/N
5. Nature of activity proposed
6. Limits with other banks/ financial/ informal lending institutions (for each applicant)
Name of bank/financial/ informal lending institution
Nature of relationship
Limit, if any Balance o/s
7. Background/ profile of each applicant
8. Particulars of Land Holding (for each applicant) Village
Total acres Land revenue(Rs.)
Total irrigated acres
Sources of irrigation
Value of total acres(Rs. Lakh)
9. Basis for request of limits (enclose copies/ separate sheets, if required)
a. Location of the area in which cultivation/ allied activity is proposed
Name of crop/ livestock Survey/ Khasra No
b. Particulars of proposed investment (Detailed Project report to be routed through
MANAGE recognized training institutions)
Fixed Cost Details
(i)
(ii)
..
..
Total
Variable Cost Details (year wise)
(i)
(ii)
..
..
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AGRI-CLINICS AND AGRI-BUSINESS CENTRES SCHEME (ACABC)
III.
Liabilities (both direct and indirect)(Amount in Rs.)
Borrowed from
Purpose Amount Availed
Present Liability
Amount Overdue Security
Name of the Borrower in case of indirect liability
IV.
Net worth of Co-obligant/Guarantor [II-III] Rs._________
I/We offer to stand as Co-obligant/ Guarantor/s for the credit facilities to be
extended to __________________.
We 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
Sr.No.
Particulars
Date of Receipt
Date of final compliance received
Date of submission to next Delegated Authority
Comments, if any, regarding time taken*
1.At Delegated Authority 1
2.At Delegated Authority 2
3.At Delegated Authority 3
* All loan applications up to a credit limit of Rs. 25,000/- should be disposed of within a fortnight and those for over
Rs. 25,000/-, within 8 to 9 weeks.
Guidelines for filling application form

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
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AGRI-CLINICS AND AGRI-BUSINESS CENTRES SCHEME (ACABC)
X--------------------------------Cut Here----------------------------------X
ACKNOWLEDGEMENT
Received the Loan Application from Shri/
Smt.__________________

R/o ____________on__________ for the purpose of________________________
For IDBI Ltd.
Place:
Date: Delegated Authority 1
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