NBP KAROBAR (UNDER PRESIDENT'S ROZGAR SCHEME)
LOAN APPLICATION FORM
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FirstName Middle Name Last Name
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ENICNa New)
Fatha’s bands Name
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Nationality Mater Mien Name Gender: MeL] Female]
Da ih Dy Math Yer a sen
‘Bcational Quaiiation Below Matric [Dy Mawic (termediate [F] Graduate] Masters
Epes Stas ipl [=]. Unemployed
E1 seittimpleyed Professional Name of Offce/Business Net Monthly Income Rs,
Ey sateriet Name of Employer Net Monthly tneame Rs,
E Businessperson Name of Business Net Monthly Income Rs.
‘Nate of Business ( tustriat [ commmerciat [7] Agricutnne [7] Services ] other
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Current House Stans Owned [] Family Owmed [] Rented [[] Other Please Specify) [-]
“Type of Accommodation Howe [] Apartment [] otter [] WReted Moh Rent (Rs)
‘Residing (Accommodation) Independently [—] Jointly [_] SharedwithRelstive [_] No. of People Residing Together
Resin Adds Grown) Haase No on e/a
vitge ciy ‘ion Come
Pos Code es) coro EawilAdien
‘Telephone Number (Present) Home Office Mobile
‘Resing at above address since
‘Resing in he city since TD amon 1) year
period is less than 2 years, kindly provide prior aess(es) during last two years
Residential Address (Permanent) House No. Sweet ‘Area Molla
Village city Union Council
Postal Code Permanent) OTT) ‘Telephone No.
[Nest of Kin Name ‘Telephone No
Nest ofkinAddkess
“Marital Status Unmarried [_] maried [_] Divorced/Separated [_] No of Dependents Adults Children Other
siting Limi (orang ofthe cuscme) amet | sre | are ea | a TTT
Find Bad
‘Non-Fund Bed
Applying for Product ‘NBP Karobar Utility Store Oo NBPKerobar Mobile Utility Store Oo
‘BP Karobar Mobile General Store im NBPKarobar Transport Oo
‘BP Karobar PCO Oo Others (Please Specify)
[NBP Karobar Tele-centre oO Down Payment of price Rs
Moauacagen Lo wee Funds required forthe shop setup of Ut Store:
Sega —_ [Advance Rest Security Deposit
Mold afte goods (1 Fumie, Hosts and Equipments te
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Date ‘Sipmature of Applicant
‘Sigmatorerqiced om Authorization and Declaration én trde Application form ss,
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(Case Destined Rejected (if applicable) Date
For Community Hose Firancing (if pliable.
Reasons for Decline
(Separate form & ety bead) Ref No Repion Branch
For Group Bae Finaosing (if pia)
(Separate form & ey 1 be made) Ref No. Region Branch
ate of approval if upproved)
Sigur of Officer