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Online Loan Application for Agricultural Loan: Part - A (Mandatory)
Whether maintaining a/c with the bank* Yes No
If Yes, enter Account No.* Cust-Id    
Name of the Applicant*
Date of Birth(dd/mm/yyyy) *
E-mail Id
Mobile No.*
Address : State  *
House No.
Residential Status*
PAN Upload PAN Copy
GST No Upload AADHAAR Copy
Land Holding (Area in Acre) Upload Land Documents Copy
Whether Covered under PMJJBY/ PMSBY/ APY
Type of Loan required*
Amount of loan required *
Branch preference, where Loan is required
Branch Office*
Whether any Deposit Account already existing with any other bank:
Name of Bank
Name of Branch
Nature of Account
Declaration : The information given in the loan application is true and nothing has been concealed. The undersigned undertakes to inform the Bank any change in residence/ office address and to provide any further information that the Bank may require. The undersigned is aware of the charges/ fee to be levied by the Bank and agrees to pay upfront fee, documentation charges, etc. as applicable and charged by the Bank. The undersigned hereby agree to be bound by these terms and conditions or by the revised additional terms and conditions which may at any time hereafter be made while the loan obtained by me/us is still outstanding. Applicant authorises the bank to contact through mobile/SMS/email for the purpose of above Loan Application. Bank reserves the right to call for any other information/documents, if necessary, and/or reject the proposal without assigning any reason thereof
Security Key*  
Online Loan Application for Agricultural Loan: Final Submit (Mandatory)
Application No.
@Copy right PNB