Backfinco

Loan Application Form-II

Loan Application Form for persons belonging to Backward Classes/ Minorities .

The Executive Director, Paste Passport size

Punjab Backward Classes Land attested photograph.

S.C.O. No. 60-61, Sector 17- A,

Chandigarh.

Loan Case No. __________________

Date of Receipt __________________

Sir,

I/We _____________________________ forward my/our Loan Application for a loan of Rs. ______________________

(in words) _______________________ under Punjab Backward Classes Land Development and Finance Corporation Act, 1976.

The details are given below:-

1. Applicant’s name ________________________________

2. Father/husband’s Name __________________________

3. Grandfather’s Name _____________________________

4. Address

(a) Permanent Address

Village _________________

Post Office _________________

Tehsil _________________

Distt. _________________

(b) Present Address

Village _________________

Post Office _________________

Tehsil _________________

Distt. _________________

5. Caste ___________________________

6. Age __________________Years

7. Present Occupation ___________________________

8. Purpose of Loan ___________________________

9. (I) Applicant’s /Firm’s

total annual income ___________________________

(including family)

(II) Details of Applicant’s ___________________________

liabilities.

10. (a) Whether the activity will be ___________________________

run by you (Yes/No)

If No, who will run ___________________________

(b) Experience & Training in the ___________________________

activity for which loan is being availed.

(1)Value of Land & Building ______________________________

(2) Value of Machinery etc. __________________________

(3) Value of Material/Raw material __________________________

(4) Value of other materials __________________________

(5) Detail of Amount to be recovered __________________________

11. (a) To run the activity with loan what are the _______________________

sources with you, Give details _______________________

_______________________

(b) Are you Income Tax payee?

If yes, give income tax number Give Details_______________________

of annual income shown in the income tax _______________________

return of last year. _______________________

12.A	Whether you or any member of your family have availed any loan/ grant from this Corporation or any other institutions (if yes, details be given)	Name of Institute / Department	Amount	Guarantee given	Date	Balance due amount	Purpose of loan


			Rs.			Rs.
			Rs.			Rs.

12 (B) If the loan has not been availed then give following declaration :-

I solemnly affirm and declare that neither myself nor my family (Husband or wife and if dependent on

parents then included ) have not previously availed any loan from any Bank/Institution/Department/

Corporation for any purpose.

________________________

(Signature of Applicant)

13. Whether you want to avail loan on the ____________________________

surety of a permanent Govt. employee.

(Yes/No)

if yes, give details

(i) Name _________________________________

(ii) Permanent Address _________________________________

_________________________________

(iii) Present Address _________________________________

_________________________________

(Certificate from the Department of the permanent govt. employee in the prescribed

performa be attached).

14. (A) Whether you want to avail loan on the

surety of your own Land /Building/Plot or surety’s property___________________

(Attach Farad Jamabandi of Land from ______________________________

Patwari.).

(i) Whether Loan has been availed previously ____________________________

on this Land Building/Plot or it is being taken ___________________________

(Yes/No)

(ii) If yes give detail: ____________________________

(iii) Whether you or your surety has given ____________________________

the surety of this land/Building/Plot (Yes/No) ____________________________

(iv) Whether is this Land/Building/Plot is ____________________________

free from all encumbrances? (Yes/No) ____________________________

____________________________

15. Detail of Land, Machinery , Raw material, live stock , etc. to be purchased with loan:-

Cost (Rupees) From where or from

whom to be purchased

a) Land ___________________________________________________

b) Building __________________________________________________

c) Machinery ___________________________________________________

d) Raw material ___________________________________________________

e) Live stock ___________________________________________________

f) Others ___________________________________________________

Note : Detail be given here as how the loan amount is to be used.

OATH

I/We solemnly affirm and declare on oath that the above certificates are true and correct to the best of my/our knowledge and belief.

The Land/Building/Plot/Machinery offered as surety for raising loan is free from all encumbrances except mentioned above and the

offered property shall not be alienated in any form, mortgaged or gifted before the entire loan is liquidated.

I/We further declare on oath that I/We have read the attached instructions and I / We shall abide by these instructions.

I/We accept and abide by all the conditions laid down in the Loan Regulations of the Corporation. The subsequent conditions imposed

under these regulations shall also be acceptable to me/us, and shall abide by me/us. I/We have read the under written warning and I/We

accept it.

Your’s faithfully,

Signatures of Applicant/Applicants

Surety :-

(1) Signature ________________________

(2) Name _______________________

____________________________

Signature of the attesting officer.

______________________________

(Stamp of attesting Gazetted Officer/M.L.A./M.P.)

Dated ________________________

Warning : If the applicant/applicants give false information in the application or Concealed any facts then the Corporation shall have the

right to recover the whole amount of loan alongwith interest and penalty fixed on it.

Special Report

1 Total Land shown in the fard Acre Kanal Marla

2. Applicant’s own Land :

3. Surety’s own Land

4. Average of Two years price

as per Map

Rs. Per Acre

Rs. per Kanal

Rs. Per Marla

5. Total price of Land of Applicant/Surety= Rs. ___________________________

Land __________________________

Acre __________________________ Kanal _______ Marla ________

Dated __________________________

Signature of Field Officer with stamp

Average of two years price as per Map _______________________________

Hadbast No. ____________________________________________________

Year	Kind of Land			Area			Price
	Irrigated	Baren	Cannal irrigated	Irrigated	Baren	Cannal irrigated	Irrigated	Baren	Cannal irrigated

Total

Irrigated Baren Canal Irrigated

Average per Acre

Average per Kanal

Average per Marla

Signature of Patwari of the Area

Dated:-

Counter signature of Naib Tehsildar/Tehsildar with date and stamp __________________________

Ownership Certificate (Only for House / Plot )

Certified that below mentioned contents are correct. I certify this on the basis of my knowledge / attestation of Namberdar / Sarpanch:-

1. House/PlotNo. ________________________

Area of which is ________________________________________________________

Owner Sh. _________________________________ S/o Sh. ___________________

S/o Sh. _____________________________________ resident of village ___________

Tehsil __________________________________ Distt. __________________

2. The above property is inherited / purchase by Sh. _________________________

3. The House / property is outside / inside the Lal Lakir _____________________

4. This house is made of Mud/Bricks _____________________________________

5. This house / plot is free from all encumbrances ___________________________

6. Value of this House/ Plot is Rs. ________________, the detail of which is attached herewith and signed by me.

Signature

Patwari/ Sectional Officer

Counter Signature

Tehsildar/ President/ Secretary

/ Enforcement Officer, Municipal Committees

How to get 'No Due Certificate | List of Beneficiaries under National Backward Classes Finance and Development Corporation | List of Beneficiaries under National Minorities Development and Finance Corporation | Know your Current Dues (Under Construction)| Training & Lending Programmes of Backfinco