Chandragiri Saving and Credit Co-Operative Ltd.

Loan Request Form

Photo:

Date

Name:

Permanent Address:

Temporary Address

Gender

Male Female

Contact Phone:

Mobile No.:

Loan Details

Loan Amount:

Loan Amount In Words:

Loan Duration:

Purpose Of Loan:

Collateral Details

Documents to be attached

Please attach all the documents mentioned in the list below:

Citizenship

Purja

Tiro Tireko Rasid

Charkilla Pramanit

Field Map

Completed House Pic

House Taxpay Bill

Ghar Naksa