Annexure A
Name of the Applicant ………………………………………………….
Interview-cum-Assessment Form for Short Term Loan (Crop Loan) Requirements
Crop Proposed Month of
(2)
2 (a) 2(b) Area of Cultivation (Acre) Scale of Finance Loan Amount Due Date of Repayment
(1) Sowing Harvesting (3) (4) (5) (6)
1. Kharif
(a) Irrigated
i)
ii)
b) Rainfed
i)
ii)
Sub-Total-1
2. Rabi
a) Irrigated
i)
ii)
b) Rainfed
i)
ii)
Sub-Total-2
3. Summer
i)
Sub-Total –3
Total 1+2+3 (A)

4. Other Annual Requirements Amount
1. Power / Fuel Cost, if any
2. Repairs & Maintenance of Agri. Equipment/ live stock / machinery, etc.
3. Minor Investment of Short term nature
4. Family maintenance expenses
5. Educational expenses
6. Medical expenses
7. Post Harvest expenses
8. Any other expenses
Sub-Total – 4
Margin, if any
Loan (B)
Grand total (A + B)

Signature of Appraising Officer Signatures / Thumb impression of Applicant(s)

For Office Use
Memorandum

Observations of Appraising Officer :
1. Whether the applicant(s) possess the land as shown in the application and whether the crops proposed to be taken, suits the land ? Y/N
2. Whether soil and climate are suitable for the proposed crops ? Y/N
3. Whether the cropping pattern suggested is generally followed in he area ? Y/N
4. Has the farmer adequate experience in the cultivation of crops suggested ? Y/N
5. Whether technical advice is easily available locally ? Y/N
6. Whether there is any assured arrangement for procurement of inputs including organic manure ?
Y/N
7. Whether the loan amount requested is in accordance with the scale of finance suggested by the technical committee for the area ? Y/N
8. Whether adequate irrigation facilities for the proposed crop plan are available / Y/N
9. Whether sale of farm produce is under arrangements ? Y/N
10. Whether crops are covered under Crop insurance Scheme ? Y/N

Recommendations of the Appraising Officer :
The relevant land record/documents have been obtained and verified and found correct. The farm was visited by me on ____________ (Give date).
a) Limit recommended : Rs. _______________________
b) Security proposed :
(i) Hypothecation of crops
(ii) Mortgage / charge on land
(iii) Guarantee of
(a) Shri ___________________________
(b) Shri ___________________________

Place
Date Signature of Appraising Officer with name and designation

Sanctioned

Place
Date Branch Manager / Manager of Division

UNION BANK OF INDIA
Annexure C
Name of the Applicant (s) ……………………………………………………………

RENEWAL APPLICATION FOR AGRICULTURAL CREDIT

Short Term loans (Crop Loans)

The Manager
……………………….
……………………….

Dear Sir,

I/We hereby apply for renewal of a short-term loan of Rs. ……………………….. (Rupees ….. ……………………………….. only) for seasonal agricultural operations and furnish necessary particulars here in below. I/We declare that there are no changes in particulars already submitted by me / us earlier in general information form excepting the following.

1.

2.

Yours faithfully,