Agriculture Loan Application

Fields marked with * are mandatory

Whether maintaining A/C with P & S Bank*	Account Number (Maximum 14 Words)*
Customer ID (Maximum 9 Words)*	Name Of Credit Facilities*
Amount of loan required in Rs*	Period for which loan required
Select the branch nearest to your place of residence*

Applicant's Details
Full Name*	Father's Name*
Date of birth *	Gender Male Female Transgender
Marital status
Family Member’s Details
Family Member Name* Family Member Age*	Family Member Relation*
Present Address	Permanent Address Same as Present Address
Address*	Address *
City*	City *
State*	State *
Pin code*	Pin code *
Nature of residence*	Whether owned residence mortgaged *
Residential status	Address Proof
ID proof

Phone (with STD code)	Mobile *
E-Mail *
Type of employment	Nature of employment
Detail of employer	Particulars of Total Land
Movable & Immovable assets*
Annual income in Rs.*	Security offered *
Description box (Maximum 250 Words)*

Please keep the system generated application number for future reference and correspondence.
The above information given by you is preliminary and loan shall be sanctioned by the Bank subject to appraisal as per bank rules and your providing necessary proof documents regarding fulfilling eligibility criteria, your annual income and case specific terms.

Security Code*