APPLICATION FOR FINANCIAL ASSISTANCE UNDER THE DRI SCHEME

1. APPLICATION

The Branch Manager
Union Bank of India
____________ Branch

Dear Sir,

Being eligible for an advance under your Differential Interest Rate Scheme, I/We hereby apply for a loan of Rs.______________ (Rupees _________________________
__________________________________________) for the purpose indicated below.

I/We agree to repay the loan, if granted on demand by the Bank or in _____________ monthly instalments of Rs.___________ each to be paid before 7th of each month. The amount of instalment may be debited to my/our Savings Bank Current Account No.____________ with you.

To enable you to consider my/our application for loan. I/We give the following particulars which, I/We affirm is true to my/our knowledge.

(APPLICANT)
2. PARTICULARS OF THE APPLICANT

A) NAME (in full)

B) AGE C) QUALIFICATIONS
D) PRESENT ADDRESS: E) PERMANENT ADDRESS:

F) WHETHER BELONGS TO RESERVED CATEGORY G) MARITAL STATUS H) NO. OF DEPENDENTS

3. PURPOSE

PARTICULARS TOTAL COST ADVANCE REQUIRED PERIOD OF ADVANCE INSTALMENTS
NUMBER AMOUNT
a) For purchase of equipment
b) For meeting recurring expenses
c) For tuition fees
d) *
TOTAL

* Here state purpose not covered by (a), (b) and (c) above.

 
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4. MARGIN/COLLATERAL SECURITY

(A) ARRANGEMENTS FOR MARGIN (B) PARTICULARS OF COLLATERAL SECURITY

5. BUSINESS PARTICULARS

a) Vocation/Occupation

b) Date of commencement

c) Place where occupation/education is carried on. (complete address to be given)

Centre : Rural/ Semi-Urban/Urban
Business Premises : Rented/Own

d) Practical experience of the applicant in the occupation/vocation.

e) What arrangements are being made for purchase/storing of raw materials. Give the names and addresses of two of your suppliers.

f) How and where do you sell or propose to sell your produce. Give the names and addresses of two of your customers.

g) Please give particulars if any, of arrangement to obtain Technical/financial assistance or any other service from Institutions/Central/State Govt. Agencies.

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6. ADDITIONAL INFORMATION TO BE SUBMITTED BY APPLICANTS REQUIRING ADVANCE FOR

A) FOR PURCHASE OF EQUIPMENT

a) Type of equipment proposed to be purchased.

b) Full name of the supplier

c) Purchase price.

B) FOR MEETING RECURRING EXPENSES

State each item of expense with the amount there against. Item Amount
1.
2.
3.

C) BY INDIGENT STUDENTS FOR TUITION FEES

a) Course to be studies and its duration.

b) Total annual amount required for fees, books etc.

D) FOR ANY OTHER PURPOSE NOT COVERED BY (A), (B) AND (C)

a) Brief details of the purpose.

b) Total annual amount required.

7. MISCELLANEOUS

a) Present annual gross income of the family.

b) Details of other assets/property, if any.

c) Particulars of other borrowings, if any.

d) Details of professional association. Society, guild etc. of which you are a member.
e) References: Name and addresses of any two persons, in your line of profession/activity who you know very well.

If applicant owns land, please specify acreage of irrigated and non-irrigated land separately.

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DECLARATION

I/We hereby affirm that the information given is correct and true to my/our knowledge.

I/We hereby also affirm that I/We do not have any outstanding loans taken from other Banks or other institution or other branches of Union Bank of India.

I/We hereby undertake not to sell, mortgage or hypothecate or in any way deal with the article, for the purchase of which the loan is applied for, except to hypothecate it as security to Union Bank of India for the loan applied for.

I/We hereby undertake that the advance, if granted will be utilized for the purpose for which it is granted.

I/We will actively pursue my business for which I/We propose to borrow from your Bank and will undertake to deposit my earnings from that business in my/our account with you.

(Applicant)

Date :

FOR OFFICE USE

COMMENTS AND SANCTION OF THE BRANCH MANAGER

Date : BRANCH MANAGER