ONLINE APPLICATION FORM FOR AGRICULTURE LOAN

(Please read the application form carefully before filling .All fields are mandatory.)		  
 
  Date :
     
 
1.Online Application Sl.No  
     
 
2. Type of Loan Production Credit Loan Term Loan Rs, Purpose
     
         

PERSONAL BACKGROUND OF APPLICANT

 
3.Name in full   4.Date of Birth
5.Gender   6.Father's/Husband's name
7.Permanent Residence.
Town
Village
8.Educational Qualification   9.Marital Status

10.Family Details.

(Enter Only Adult Male/Female Details)*
Serial No.
Name of Family Member
Relationship
Whether Dependent
Annual Income (in Rs.)
1.
2.
3.
4.

11.Whether belongs to

a).

b).

*Marginal Farmer:Land up to 2.50 Acers(1 Hectare)
*Small Farmer:Land up to 5 Acers(2 Hectare)
*Other Farmer:Land >5 Acers(>2 Hectare)

12.Particular of Land Holding  
     a).Land in Acres
     b).Title to Land
     c)Source of Irrigation
13.Assests(Rs)
14.Liabilities(Rs)
15.Obligation of
other loan repayments
A)With PNB B)Other Bank
16.Past Dealing
A)With PNB from B)With other Bank
17. Telephone No.

 

18. E-mail Id
19. Collateral Security/Guarantee provided If yes,value there of Rs.

20.Guarantor's Name & Address

(If Applicable)

     
a)State where loan is required   b)Select District where loan is required  

21.PNB branch where loan is required

22.Annual Income from Agriculture Rs.      
23.Annual Income from Other Sources Rs.