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Personal Details
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DATE OF THE VISIT
NAME OF THE VISITOR
Gender
Gender
Male
Female
Other
Age
Contact Number
Email
Education Qualification
Marital Status
Marital Status
Unmarried
Married
Father`s Name
Occupation Of Father
Mother’s Name
Occupation Of Mother
Spouse Name
Qualification Of Spouse
Occupation Of Spouse
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Address
Address Line 1
City
State / Province / Region
Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
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Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
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Loan Type
Select Loan
Home Loan
Mortgage Loan
Vehicle Loan
Education Loan
Personal Loan
Business Loan
MSME Loan (All central and state government schemes)
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Property Details
Own Property / Agriculture Land: Details In Acres :
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House
House
Own
Rent
Religion
Reservation ( SC/ST/OBC)
Residential Status
Residential Status
Urban
Rural
Political: Exposed Person
Political: Exposed Person
Yes
No
Training In The Proposed Field
Training In The Proposed Field
Yes
No
White Ration Card Holder
White Ration Card Holder
Yes
No
Legal Heir Details
Any Chronic Ailments
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Financial Net Worth
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Banking Relationship With
Banking Relationship With
Yes
No
No.Of Years Banking Relationship
Account Type
Account Type
Saving
Current
It Return Filed For
GST
GST
Yes
No
MSME
MSME
Yes
No
Balance Sheet 2 Years Available
Balance Sheet 2 Years Available
Yes
No
Any Previous Loan Information
Any Previous Loan Information
Yes
No
2 Years Of Bank Statement
2 Years Of Bank Statement
Yes
No
Collateral Property Value
Property Link Documents For
CIBIL Score
CIBIL Analysis Report Required
CIBIL Analysis Report Required
Yes
No
Any Private Finance
Any Private Finance
Yes
No
Source Of Income
Source Of Income
Yes
No
Any FD’s Value
Any Investment Value
Any Business / Trading Activity
Any Chronic Ailments (copy) (copy) (copy) (copy)
Assets & Liabilities Statement Available
Assets & Liabilities Statement Available
Yes
No
Any Gold Bonds
Any Gold Bonds
Yes
No
Any Gold Bonds
Any Gold Bonds
Yes
No
If Guarantor For Any Other Person
If Guarantor For Any Other Person
Yes
No
Any Credit Cards / Travel Card
Any Credit Cards / Travel Card
Yes
No
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Business
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Proposed Project Activity
Project Cost
Project Location
Registration Office Address
Project Documentation If Any
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You can upload up to 5 files.
Supported File Type: .png, .jpg, .doc, .xls, .ppt, .pdf
Experience In The Project
Experience In The Project
Yes
No
Working Capital Details
Working Capital Details
Yes
No
Raw Material Availability
Raw Material Availability
Yes
No
Machinery Requirement
Machinery Requirement
Yes
No
USP – Unique Selling Point
USP – Unique Selling Point
Yes
No
Marketing Mou
Marketing Mou
Yes
No
Competitors In Same Line
Production Capacity
Production Capacity
Yes
No
Imports & Exports
Imports & Exports
Yes
No
Margin Money Stake
Margin Money Stake
Yes
No
Power Requirement: In HP
Power Requirement: In HP
Yes
No
Rent Or Leased
Rent Or Leased
Rent
Leased
Electricity Availability
Electricity Availability
Yes
No
Conversion Land Details
Conversion Land Details
Yes
No
Water Availability
Water Availability
Yes
No
Category Micro / Small / Medium
Moratorium Period For Startup
Moratorium Period For Startup
Yes
No
Moratorium Period For Startup
Branding
Branding
Yes
No
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Office Use
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Scheme Eligibility (copy)
Scheme Eligibility
Yes
No
Loan Eligibility
Loan Eligibility
Yes
No
Banker
Banker
To Park The Lead
Dept Of Subsidy
Dept Of Subsidy
Yes
No
Connectivity Approach Road Link To The Project Location
Connectivity Approach Road Link To The Project Location
Yes
No
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Remarks If Any
Declaration
I Agree
I Hereby Declare That The Above Information Is True To The Best Of My Knowledge And Belief. I Have Not Suppressed Any Material Information. If Any Of The Above Information Is Found To Be Not Correct Or Any Material Information Is Not Furnished, I Am Liable For Other Legal Consequences Besides The Cancellation Of The Certificate Of Registration.
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