National Minority Development & Finance Corporation

Ministry of Minority Affairs, Govt. of India,

Scope Minor, Core-I, 1st Floor, Laxmi Nagar, New Delhi-110092
Toll Free No. 14402, Telephone No. 011-2244136, 42-44, Website: WWW.nmdfc.org
Rajasthan Minority Finance & Development Co-operative Corporation Ltd. Jaipur
Phone/ Fax: 0141-2786051, email:rmfdcc_2000@yahoo.co.in

Application Form For Business Loan

To Photo
Branch Manager,
RMFDCC &
District Minority Welfare Officer,
----------

1. Name of Applicant
2. Father’s Name
3. Husband’s Name
4. Mother’s Name
5. Mobile Number
6. Phone Number
7. Aadhar Card Number Auto generated
8. PAN Card Number
9. Bhamashah Card
Number
10. Gender 1. Male 2. Female
11. Date of birth DD DD MM MM YY YY YY YY
12. Particular of Minority 1. Muslim 2. Sikh 3. Christians 4. Buddhists 5.
Community Zoroastrians (Parsis) and 6. Jains
13. Residential Address House/ Plot Number
Land Mark
Locality
Village/ City
District
14. Applicant belongs to Rural or Urban
Rural or Urban
15. Educational Illiterate / Literate / Middle / Secondary /Sr. Secondary / Graduate /
Qualification Post Graduate
16. Professional
Qualification
17. Training Details if Particulars of Training
trained Name of Institute:
Training Period From DD MM YYYY to DD MM YYYY
18. Annual Family Income
Sr. Name of Family Member Relation with Applicant Age in years Annual Income
1. Self

Grand Total Auto generated

19. Purpose of Loan
20. Address of Business Shop/ Plot Number
Land Mark
 Place Locality
Village/ City
District
21. Title of Business Place Rent/ Lease Deed/
Own
Other
22. Total Project Cost Sr. Particulars Existing Proposed Total
1. Fixed Capital a A X
2. Working Capital b B Y
3. Total (1+2) c C Z
23. Source of Finance Sr. Particulars Existing Proposed Total
1. Own c 5% of C C+5% of C
Contribution
2. NMDFC Loan - 90% of C 90% of C
3. RMFDCC Loan - 5% of C 5% of C
4. Total (1+2+3) c C Z
24. Employment Capacity Direct ------------------, Indirect ------------------
25. Project Implementation -------Days
Period
26. Particulars of
Profitability
a. Anticipated Turn Over
b. Total Sales Expenses
c. Profit (a-b)
d. Yearly Installment
amount to be paid
e. Net Yearly Surplus
amount after paying
installment
27. Bank Details
a. Account Number
b. Type of Account Savings/ Current/
c. Bank Name
d. Branch Address & IFSC
code

Please upload following documents:

1. Minority Certificate
2. Income Certificate/ Copy of BPL Certificate
3. Residence Certificate
4. Affidavit in prescribed format
5. Project Report
6. Experience/Training Certificate
7. Land Title
8. Pan Card
9. Aadhar Card
10. Bhamashah Card
11. Other.