FARM MECHANIZATION LOANS
Loan Application Form

BRANCH________________________
Application No. _____________________ Year __________________
APPLICATION FORM FOR AGRICULTURAL CREDIT
Photo
The Branch Head
IDBI ltd
_________________
Dear Sir,
I/ We hereby apply for a loan of Rs.......................(Rupees........................ Only) and furnish below the necessary particulars.
Part A (Common)
1. Purpose of Loan
2.
Name of the Applicant
Net worth (Rs.Lakh)
Basis of net worth (enclose copies/ separate sheets, if required)
3. Address of applicant
4. Nature of activity
5. Age (for individuals)
6. Established in (for non individuals)
5. Constitution
6. Dealings with IDBI since
7. Details of relationships with IDBI, if any
8. Key Person (in case of non individuals)
9. Group Affiliation (in case of non individuals)
8. Current bank details
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FARM MECHANIZATION LOANS
9.Limits with other banks/ financial/ informal lending institutions
Name of bank/ financial/ informal lending institution
Nature of relationship
Limit, if any
Balance o/s
10. Background/ profile of borrower
11. Particulars of Land Holding
Village
Total acres
Land revenue(Rs.)
Total irrigated acres
Sources of irrigation
Value of total acres (Rs.Lakh)
12. Basis for request of limits (enclose copies/ separate sheets, if required)(Strike of which is not applicable)
a. Location of the farm where the equipments shall be installed/used
Name of crop grown
Survey/ Khasra No
b. Particulars of proposed
investment Area
Cost per acre
Total cost
Remarks, if any
i.New planting
ii.Replanting
iii. Maintenance cost(year-wise) till bearing stage
iv.Fencing
v.Creation of irrigation facilities
vi.Other (specify)
c. Description of Tractor/Power Tiller, Combine Harvester Pumpset and
Irrigation Equipments–with Brand Name
H.P.
Estimated Cost
(Rs.)Margin
(Rs.)Subsidy
(Rs.)Loan amount
Required (Rs.)
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FARM MECHANIZATION LOANS
d.Income from agriculture in Rs. Lakh (for individuals)
SY (–2)
SY (–1)
SY (0)
SY (1)
SY (2)
SY (..)
SY (n)
Annual farm
income
Income from
allied activities
e. Performance & financial indicators (for non individuals)
FY (–2)
FY (–1)
FY (0)
FY (1)
FY (2)
FY (..)
FY (n)
Net sales
Gross Profit
Net Margin
Cash Accrual
(CA)
Paid Up Capital
TNW
Term Liabilities
Net Fixed Assets
Non current assets
Current Assets
Current Liabilities
(including short term bank credit)
Current Ratio
D/E Ratio
Debt/ CA
f. Position of payment of income and wealth tax for last 3 years
g. Specify arrangements for Procuring grafts/ saplings/equipments & machinery
Procuring inputs such as farm yard manure/fertilizers/ insecticides
Marketing of produce/Custom hiring
Storing of produce
Transport of produce
h. Loan and interest servicing requirement
Gestation period
Installment frequency
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FARM MECHANIZATION LOANS
13.
Particulars of guarantors
Name
Address
Relationship with applicant
Networth (Rs. Lakh)
Basis of net worth(enclose copies/separate sheets,if required)
14. 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. 9.
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____
f)We certify that all the information furnished by me/us is true; that I/we have no borrowing arrangements for the unit with any Bank other than the facts mentioned under 9 above; that no legal action has been/is being taken against me/us; that I/we shall furnish all the information that may be required byyou in connection with my/our application; that this 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, inspect/verify our assets, books of accounts, etc., in our farm factory and/or business premises.
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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FARM MECHANIZATION LOANS
Details of Co-obligants/ Guarantor/s (separate sheet for each guarantor)
I.
Address
Sl.
No.
Name with Surname
Age
Father’s
Name
Occupation
Full Address with Name of
Village/P.O./Tq./Dist./
Pin Code
II.
Assets Owned
(Amount in Rs.)
Details
Location
(Specify Door
No. Sy.No.etc.
Purchase Price
(Rs.)
Present Market
Value
(Rs.)
Annual Income
(Rs.)
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 ____________.
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
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FARM MECHANIZATION LOANS
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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ACKNOWLEDGEMENT
Received the Loan Application from
Sri/ Smt _________________
________________ R/o
______________ on _________________ for the purpose of______________
For IDBI Ltd.
Place:
Date: Branch Head