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Loan Application
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आवेदक का नाम (Name of the Applicant)
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जन्म तिथि (Date of Birth)
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--Month--
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--Year--
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उम्र (Age of the Applicant)
--Select--
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लिंग (Gender)
--Select--
Male
Female
व्यवसाय (Occupation)
पता (Address)
गांव (Village)
ब्लॉक (Block)
डाकघर (Post-Office)
जिला (District)
राज्य (State)
पिन (PinCode)
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मोबाइल/फोन नं. (Mobile/Phone no.)
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राशि का उद्देश्य (Purpose for Loan)
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कुल निवेश (Investment Amount)
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कुल ऋण (Loan Amount)