Qardan Hasana Application Form

Applicant Basic Information

Please provide your personal and contact details

Name of the Individual *

ITS No. *

Mobile No. *

Residence Address *

Shop Address

Type of Business / Service *

Amount of Qardan Hasana Requested (₹) *

Category of Qardan Hasana *

Minimum Rehan Amount Required (Collateral/Gold Value - ₹)

₹0

Minimum 75% of Qardan amount must be provided as collateral (gold/jewelry)

Repayment Period (Months) *

Monthly Installment Amount (₹)

₹0

Amount you need to pay each month

Family Income & Expenditure

Please provide details about your family's financial situation

Monthly Personal Income (₹) *

Total Monthly Household Expenses (₹) *

Number of Dependents *

Ages of Dependents

Other Earning Members

Their Monthly Contribution (₹)

Existing Financial Liabilities

Business Details & Turnover

Tell us about your business operations and financial performance

What type of business are you engaged in? *

Average Monthly Sales Turnover (₹) *

Approximate Monthly Net Profit (₹) *

Do you maintain business records?

Key Challenges/Limitations in Current Business

Self/Family Savings Contribution (₹)

Have you conducted a market survey?

Purpose of Qardan Hasana

Explain how you plan to use the Qardan Hasana

Purpose of Qardan Hasana *

How will this Qardan Hasana improve your sales, profits, or business stability? *

Is the requested amount appropriate for the planned activity? Please justify. *

Education of Family Members

Information about family members' education

Number of family members currently studying

Level of their education

Are you seeking Qardan Hasana support for their education?

Repayment Capacity

Assessment of your ability to repay the Qardan Hasana

Confident Monthly Installment Amount (₹) *

Do you expect seasonal fluctuations in income?

How will you manage repayments during low seasons?

Have you ever defaulted on any Qardan Hasana?

Please explain the reason for default

How practical are the specified installments for your current financial situation? *

Plan B - Alternate Repayment Sources

Backup plans for repayment in case of difficulties

If your business expansion fails, how will you repay Qardan Hasana? *

Can you repay from your existing business income?

Do you have alternate income sources?

Details of alternate income sources

Are your guarantors capable of assisting in repayment?

Do you have backup assets for security?

Details of backup assets

Guarantors and Documents

Guarantor information and required documents

Qardan Hasana Application

Applicant Basic Information

Family Income & Expenditure

Business Details & Turnover

Purpose of Qardan Hasana

Education of Family Members

Repayment Capacity

Plan B - Alternate Repayment Sources

Guarantors and Documents

Guarantors Required: 2

Required Documents

Applicant Basic Information

Family Income & Expenditure

Business Details & Turnover

Purpose of Qardan Hasana

Education of Family Members

Repayment Capacity

Plan B - Alternate Repayment Sources

Guarantors and Documents

Guarantors Required: 2

Required Documents

Progress Saved