Jyoti Bikas Bank Ltd.

Credit Application Form

Select Type Of Loan

Personal Details

First Name*

Middle Name

Last Name*

Spouse's Name

Father's Name*

Mother's Name*

Grand Father's Name*

Date of birth*

Mobile Number*

Email*

PAN Number*

Address Details

Permanent Address*

Province*

Zone*

District*

VDC/Municipality*

Tole/Ward No*

Check this box if Temporary Address and Permanent Address are the same.

Temporary Address

Province

Zone

District

VDC/Municipality*

Tole/Ward No*

Profession and Income Details:

Profession*

Experience*

Employer Name*

Annual Income*

Details Of Business:

Name of the firm*

Location of the firm*

Capital of the firm *

Registration Date: *

Registration No.: *

Registration at *

Experience of the Proprietor/partner *

Eductation Detail of Proprietor/partner *

Recommendation/Support *

Type Of Business*

Choose your Nearest Branch*

NOTE:

The maximum eligible amount is suggested based on the preliminary information provided by the applicant. The actual amount of loan that may be provided by the bank or whether or not to provide the loan will depend on the validity of the information provided therein as well as based on further documents that may be required by the bank and the credit assessment made by bank officials based on those documents.

Jyoti Bikash Bank || Credit Application Form

Credit Application Form

Select Type Of Loan

Personal Details

Address Details

Permanent Address*

Temporary Address

Guarantor's Details:

Profession and Income Details:

Loan Details:

Purpose of Loan*

Loan Details:

Details of Family Member:

Purpose of Loan*

Details Of Business:

Are you availing the loan from other BFI�s ?

Please fill up the loan details.

Document Details

Jyoti Bikash Bank || Credit Application Form

Credit Application Form

Select Type Of Loan

Personal Details

Address Details

Permanent Address*

Temporary Address

Guarantor's Details:

Profession and Income Details:

Loan Details:

Purpose of Loan*

Loan Details:

Details of Family Member:

Purpose of Loan*

Details Of Business:

Are you availing the loan from other BFI�s ? YES NO

Please fill up the loan details.

Document Details

Are you availing the loan from other BFI�s ?