LOAN APPLICATION FORM
1.GENERAL FORMAT

The format as given below can be used for all advances for which a separate format
are not prescribed.
BRANCH_____________
Application No. __________
Year _________

The Branch Head
IDBI ltd
___________
Photo(affix for each applicant)
Dear Sir,
I/ We hereby apply for a loan of Rs.......................(Rupees..................................
............................. Only) and furnish below the necessary particulars.
Purpose of Loan
Name of the Applicant (add sheets for additional co-applicants)
Address of applicant & Resident since
Nature of activity
Age and Gender
Whether SC/ ST/ OBC/ Physically Handica
pped/ Minorities/ Weaker Sections/ Ex-
Servicemen/ Resident of J&K or North East/ Others
Details of relationships
with IDBI, if any
Current bank details
Limits with other banks/ financia
l/ informal lending institutions
Name of bank/financial/informal lending institution
Nature of relationship Limit, if any Balance o/s
Background/ profile of borrower
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LOAN APPLICATION FORM
Particulars of Land Holding
Village Total acres Land revenue(Rs.)
Total irrigated acres Sources of irrigation Value of total acres(Rs.Lakh)
Basis for request of limits (enclose copies/ separate sheets, if required)
a. Location of the area in which farming is proposed
Name of Crop(s)
Survey/ Khasra
No
Source of Irrigation
b. Income from agriculture in Rs. Lakh
SY (–
2)
SY (–
1)
SY (0)
SY (1)
..
SY
(n)*
Annual gross farm income
(a)
Expenses
(b)
Annual net farm income
(c)=(a)-
(b)
Income from allied activities
Income from project ‘n’ should not be lower than the tenor of the facility/ card
c. Position of payment of income and wealth tax for last 3 years
d. Specify arrangements for Cultivation activities
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LOAN APPLICATION FORM
Procuring inputs
Marketing of produce
Storing of produce
Transport of produce
e. Loan and interest servicing requirement
Gestation period
Installment frequency
f. Particulars of networth (for each applicant)
I.
Assets Owned(Amount in Rs.)
Details
Location (Specify)
Door No.
Sy.No.etc.
Purchase Price (Rs.)
Present Market Value (Rs.)
Annual Income (Rs.)
II.
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
Net worth of applicant [II-III] Rs._________
Particulars of guarantors
Name
Address
Relationship with applicant
Net worth (Rs. Lakh)
Basis of net worth
(enclose copies/ separate sheets, if required)
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LOAN APPLICATION FORM
Declaration:
I/We hereby declare that the particulars given above are true and correct to the best of my/our knowledge and belief.
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.
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.
I/We undertake not to borrow from any other agency without the permission of the Bank.
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____
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 by you 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.
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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ƒLOAN APPLICATION FORM
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 _________________________.
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
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LOAN APPLICATION FORM 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 DelegatedAuthority3
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
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