AP Runa Mafi Application Form/Affidavit
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Application –Cum-Unstamped Affidavit to be submitted by Head of family
1. Name of the Family Head and other / Family members with full address.
2. Fathers Name or family Head.
3. Name of the Village/ Mandal/ District. Where the farmers resides.
4. Name of the Bank with full Address where land ownership document is lodged.
5. Aadhaar Card number of the family.
6. Saving Bank Account Number with details of the family members.
7. Loan outstanding under Different Head (Self and Family) in different banks
Sl.No.-Name-Purpose of loan availed-Account No-Bank/branch Where availed-Limit-Outstanding as on
8. Amount of crop insurance received details.
9. Whether wife is a member of SHGs Groups and give full details of loans obtained, if any
10. Voter ID Cards details.
Sl.No.-Name-Voter ID No.-Full address as per Voter ID Issued by/ place
11. Mobile Numbers of Self and Family as follows
Sl.No.-Name-Mobile No- Relationship
12. Any other information that farmer wants to provide.
I hereby declare that all the information furnished by me above is true, if any information is found to be incorrect in claiming debt relief I am liable for any action taken by State Government as per provisions under relevant legislation.
Name & Signature of Head of Family
Date:
Place
Download application form/affidavit
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