ST CASH CREDIT LOAN APPLICATION

NAME OF THE BRANCH	CHALLAVANIPETA NARASANNAPETA TEKKALI KOTABOMMALI PALASA SOMPETA ICHAPURAM MANDASA GARA DANDIVEEDHI RAJAM PALAKONDA PONDURU RANASTALAM KOTTURU PATHAPATNAM AMADALAVALASA SRIKAKULAM HIRAMANDALAM	LA NO
NAME OF THE PACS	DIRECT BRANCH KRISHNAPURAM KOTTAKOTA ICHAPURAM KAVITI KOTABOMMALI SANTHABOMMALI KOTTURU BHAMINI BATTILI NARASANNAPETA POLAKI PALAKONDA BASURU BATTILI R.B.R PETA TAMPATAPALLI VEERAGATTAM BURJA ARDHALI PALASA VAJRAPUKOTTURU PATHAPATNAM KOSAMALA SARAVAKOTA PONDURU G SIGAGAM BATHUVA RAJAM SANTHAKAVITI R AMADALAVALASA SANKILI SIVVAM SOMPETA KANCHILI ARASAVALLI S.M PURAM TEKKALI TEMBURU DIMILADA ALLADA BUDITHI CHALLAVANIPETA AMPOLU TULUGU P B VARAM LAVERU MANDASA BALIGAM L NP PETA HIRAMANDALAM	DATE OF LOAN

	APPLICANT DETAILS	CO-OBLIGANT DETAILS

NAME OF THE APPLICANT
FATHER /HUSBAND NAME
MALE/FEMALE	MALE FEMALE	MALE FEMALE
DATE OF BIRTH
VILLAGE
POST
MANDAL
DISTRICT
AADHAR NO
PAN CARD NO
MOBILE NO

LOAN DETAILS

LOAN AMOUNT	:
NO OF INSTALLMENTS	:
FREQENCY	:	Monthly Quartely Half Yearly Yearly
RATE OF INTEREST	:
IN WORDS	:

LAND DETAILS

Sr. No.	NAME OF THE VILLAGE	SURVEY NO	NATURE	VALUE AS PER SR	EXTENT	VALUE OF HYPOTHECATED	60% OF VALUE	IN HECTORS
1			WET DRY OPEN PLOT

				TOTAL :

Loan Eligibility : Rs
Enter Any previous loan O/S
Loan Applied : Rs
Surplus : Rs