Navachetana Microfin Services Private Limited

PD Report
1 CLIENTS PERSONAL INFORMATION

Applicant’s Name (Mr/Mrs :

Member ID : Branch :
Marital status : Single Married Widow Divorced Others
Date of Birth Sex : Female Male
No. of Children Other dependents
Postal Address Currently Mobile :

Occupation : Purpose of Loan :

2 CREDIT HISTORY
No of MFI Total Active Closed Acs Closed Outstanding Amt Total EMI
Accounts Accounts Accounts with DPD in CB

3 FAMILY INCOME AND EXPENSES DETAILS

Monthly Monthly
Income Income
Family Income* Self-Income
Agriculture/Agri-Allied (Yearly) Animal Husbandry/Livestock
Manufacturing Small Business/Trading
Casual Labour Home Based Piece Work
Salaried Remittance
Pension Other Income
Total income Amount
Family Expenses
House Rent Food
Education Medical
Loan Instalment of existing loans Fuel
Electricity and Water Savings
Transport Expenses Other Expenses
Total Expenses Surplus

4 RECOMMENDATION
Branch Manager Area Manager
Loan Amount
Loan Period
Repayment Mode(Cash/Digital)
Repayment Amount Approved Rejected
Branch Manager Signature Date

Area Manager Observations, Remarks and Signature Applicant Signature