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Field Verification Report

Loan Application No.:

Customer Name:

Address::

Phone No:

ID #1: ( Please write the id type and number here)

Paste a picture here.

ID#2: ( Please write the id type and number here)

Paste a picture here.

ID#3:( Please write the id type and number here)

Paste a picture here.

Residence:
Road Map ( Please drop the google pin here):
Paste photo of the building:
(Please mention the nearest landmark for easier identification of location)

Business : Road Map ( Please drop the google pin here):


Please paste the photo of the building and stocks/ office room/ and any other things related to business.
(Mention the nearest landmark for easier identification of the location)

Please Affix selfie with the applicant here


Comments:

Recommendation: Satisfactory/ Unsatisfactory

Name and Sign:

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