To
Punjab Backward Classes Land Development and Finance Corporation
(Backfinco)
Loan Identification Form
Name of distt ___________________ Name of Scheme ___________
Particulars of Applicant for availing of Loan
1. Name _________________________
2. Father's Name _________________________
3. Complete Address _________________________
_________________________
________________________
4. Age _________________________
5. Caste/Religion Castes Religion
6. Annual Family Income _________________________
7. Qualification _________________________
8. Training obtained _________________________
9. Present occupation _________________________
10. Purpose of Loan _________________________
11. Details of Applicants property to be given as security and its value
(a) Size of Land _____________ Value __________
(b) Size of House/Plot _____________ Value ___________
Details of Surety's property
(a) Size of Land _____________ Value __________
(b) Size of House/Plot _____________ Value ___________
12. Whether previously any loan has been availed, if yes, give details
____________________________________________________
Dated: _________________ (Signature of Applicant)
Report/Recommendation of District Field Officer
As per details given above by the applicant, he intends to avail the loan for the purpose which is covered under the approved schemes. The application is placed before the District Level Screening Committee for consider- ation to provide loan.
Dated : ______________ Signature of Field Officer with stamp
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