TAZAKPAY LOAN APPLICATION

Name

Address

City

Phone Number

Business Information

Type of Business

Business Since

Legal form under which Business Operates

Name of the Shop/Enterprise

Name of the Enterprise Principle Responsible for the Business Transaction:

Address

Phone No

Bank Information

Bank Name:

Bank Branch

Bank Code

Type of Account:

Account No

Address

Permanent Address

Address

Social Category: ST/SC/Others

Do you Currently have Ongoing loan? Y/N

Name of Company, Amount and tenure.

Loan Applied Amount (Max 50,000 for new members)

Upload Photo

Upload Documents for ID proof (eg. Aadhaar card, Voter ID card etc.)

Upload Shop Registration

Upload 6 Months Bank statement