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Mobile Number

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Enter your 12 digit Aadhaar number

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SBI Savings/Current account number

Required loan amount (in Rs.)

Personal Details

PAN Number

Academic qualification

House Ownership

Monthly Income(Rs.)

Number of dependent members in the family

ITR Filing / Regular Income Source / Proof of Income

Have you filed IT return in any of the past 3 financial years

Financial year

ITR acknowledgement No

Gross Total Income(Rs.)

Date of Filing

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Do you have insurance policy / pension plan

Name of Insurance / Pension Company

Policy / Pension plan Number

Valid Upto

Community Details

Social Category

Minority community

Business Details

Business Name

Business Start Date

Experience In Line Of Trade

Business Address

Type of Business

Details of Your Activity

Maximum 150 character, Special character not allowed except these-" .,()"

Owned/Rented Business Premises

Registered with government authorities

(GST, S&E, Gram Panchayat, Udyog Aadhaar, Municipal License, etc)

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GST

Registration number

Date Of Registration

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Udyog Aadhaar

Registration number

Date Of Registration

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Shops & Establishment license

License number

Date of issue

Valid upto

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Registration under Gram Panchayat

Registration number

Valid upto

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Skill certification from RSETI / ITI etc.

Certificate number

Date of issue

Valid upto

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I have a shop and establishment certificate

Business Sales / Account details

Monthly Average Sales During Last 12 Months or Less (Rs.)

Annual Sales Credited to Business / SB Account (Rs.)

Business Account No

Bank Name

Branch Name

Branch Address

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