The document is a loan application form for the PM Street Vendor's AtmaNirbhar Nidhi (PM SVANidhi) scheme. It collects personal information like name, address, contact details, family details, banking information, and details about the applicant's vending business. It also asks if the applicant has availed any other government schemes and collects references. At the end, the applicant declares that the information provided is true and authorizes the lender to verify details, share information with other agencies, and take recovery action if needed.
The document is a loan application form for the PM Street Vendor's AtmaNirbhar Nidhi (PM SVANidhi) scheme. It collects personal information like name, address, contact details, family details, banking information, and details about the applicant's vending business. It also asks if the applicant has availed any other government schemes and collects references. At the end, the applicant declares that the information provided is true and authorizes the lender to verify details, share information with other agencies, and take recovery action if needed.
The document is a loan application form for the PM Street Vendor's AtmaNirbhar Nidhi (PM SVANidhi) scheme. It collects personal information like name, address, contact details, family details, banking information, and details about the applicant's vending business. It also asks if the applicant has availed any other government schemes and collects references. At the end, the applicant declares that the information provided is true and authorizes the lender to verify details, share information with other agencies, and take recovery action if needed.
The document is a loan application form for the PM Street Vendor's AtmaNirbhar Nidhi (PM SVANidhi) scheme. It collects personal information like name, address, contact details, family details, banking information, and details about the applicant's vending business. It also asks if the applicant has availed any other government schemes and collects references. At the end, the applicant declares that the information provided is true and authorizes the lender to verify details, share information with other agencies, and take recovery action if needed.
8 Do you have a Family? * Yes/No : If Yes, then please provide details of the Family Members
Family Details Name* Relationship with Applicant* Age*
1.
2.
3.
4.
5.
9. Have you been covered under If Yes, write Survey Reference
ULB Survey for identification of Number (SRN) (SRN can be Street Vendor under Street Vendor obtained from PM SVANidhi Act, 2014. Write (Yes / No)* Portal)
Letter of Recommendation (LoR) No.
Vendor ID Card No. Certificate of Vending No. Proof of Vending (To be issued by ULB electronically through PM 10 (Issued by ULB) (Issued by ULB) (Fill if available) SVANidhi Portal )
11 Address as per e-KYC*
Same as above
12 Current Address* House No./Locality
(If same as the Address given in 11 above, please tick Same as above. If Ward/Village: Town/Dist: State: Pin: NOT, then please provide details ) Address proof (Pl specify)
Name of Activity (Please specify) [Select from
13 Vending Activity* drop down]
Duration of Vending Year (s) ……………; Month (s) ……………….
Hunar se Rozgar tak initiative (PMKVY) Seekho Aur Kamao Nai Roshni Upgrading the Skills and Training in Green Skill Development Programme Traditional Arts/ Crafts for Development (USTTAD) None of the above Declaration and Authorization:
a. I hereby certify that all information furnished by me/us is true, correct and complete. I have no borrowing arrangements except as indicated in the application form. I have not applied to any other lending institution under the PM SVANidhi scheme. There is/are no overdue owed by me to any bank. The information may also be exchanged by you with any agency, you may deem fit. You, your representatives or MoHUA, or any other agency as authorized by you, may at any time, inspect/ verify my/our assets etc. You may take appropriate safeguards/action for recovery of lending institutions’ dues.
b. I have no objection to authenticate my Aadhaar number, share the same with other Ministries / Departments under the Government of India for the purpose of extension of benefits under any of their Schemes, carry out e-KYC and accessing my credit history & credit score by credit bureau, lenders and their authorized agents. The consent and purpose of collecting Aadhaar has been explained to me/us in local language. MoHUA/Lending Institution has informed me that my Aadhaar submitted herewith shall not be used for any purpose other than mentioned above, or as per requirements of law. I have been informed that this consent and my Aadhaar will be stored along with my account details with MoHUA.
Date:__________________________ Place: ____________________ Thumb impression/Signature of Applicant(s) ………………………………………………………………………………………………………………………………………………….. (For office use only) Acknowledgment slip no -………………………………Application No._______________ dated_____________________
Received by __________________ Place and date Authorized signatory (Seal and Sign)
