(1) Government of Jammu and Kashmir Office of the Assistant Director Handicraft Kupwara. Tel/Fax

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1 (1) Government of Jammu and Kashmir Office of the Assistant Director Handicraft Kupwara. Tel/Fax Application form for Artisan Registration, mention craft. 1. Name of the Applicant. 2. Name of father/husband/guardian. 3. Residential Address Passport size photograph dully attested by Gazzetted officer 4. Craft in which registration sought 5. Do you practice the craft. Part time/full time 6. Age as on date of registration 7. Whether registered with any other Institution/Organization/Department if so, mention agency 8. Name of the constituency I certify that the above contents are true to the best of my knowledge and belief and nothing has been concealed therein. Place: Date: Signature /thumb impression of the applicant Note: - One photograph shall be pasted on the above given space and one photograph pinned with the application.

2 (2) INSPECTION CUM VERIFICATION REPORT. (For office use only) It is certified that undersigned has conducted on spot verification with regard to the declaration made by the applicant in his/her application for registration as an Artisan in craft. Verification/ Ancients of applicant. 1. Full name in Capital letters 2. Parentage/Husband s Name 3. Full permanent Address Proficiency in the Line i) Craft practiced ii) Nature of practice (Tick) Full time Part time iii. Place of working/karkhana/residential house (Mention address) RECOMMENDATIONS:- The applicant has been put to the practical test merely to determine his /her skill in the craft. The applicant has been found conversant in the said craft and is earning lively-hood out of it. The applicant qualifies for registration as an Artisan in craft and is recommended for grant of registration. The documents in support of registration as an Artisan submitted by the applicant have been checked /verified and found correct. The sample attempted by the applicant is also enclosed. Signature of the ADH. Signature of the verifying Officer Name Designation Place of posting

3 Registration purposes. AFFIDAVIT I D/O,W/O,S/O R/O do by solemnly declare on oath as under:- 1. That I am permanent resident of Jammu and Kashmir State, 2. That I have not been registered by the Directorate of Handicrafts as an Artisan/Unit Holder in any craft till date. 3. That I am not working in any Government/ semi Govt. department or I am on the roll in any institute. 4. That I am years of age as on 5. That I am trained in the Handicrafts work in the craft of. 6. That I am not a member of any co-operative society or any organization registered with any of the Government Department. 7. That I solicit this affidavit for registration as an Artisan and shall abide by all rules/regulation pertaining to registration. DEPONENT. Verification:- Verified that the above contents are true and correct to the best of my knowledge and belief and nothing has been concealed thereof. DEPONENT

4 01 State Subject Certificate 02 Copy of Ration card. 03 Date of Birth Check List Supporting Pre-Requisite Documents. 04 Technical/Qualification certificate 05 Copy of Registration Card 06 Below Poverty Line Certificate (if applicable) 07 Affidavit 08 Spare copy of passport size photograph Tick It is certified that the application has been filed in properly and is supported by pre-requisite documents. Dealing Assistant Name Designation

5 (01) Government of Jammu and Kashmir Office of the Assistant Director Handicraft Kupwara. Tel/Fax APPLICATION FORM FOR CREDIT LOAN UNDER HANDICRAFTS MICRO ENTERPRISES SCHEME/ARITISAN CREDIT CARD SCHEME FOR THE YEAR. 01. Name of the applicant (in Block letters). 02. Sex Male Female. 03. Father s/husband s/guardian Name. 04. Occupation Passport size photograph dully attested by Gazzetted officer 05. Address self. a. Permanent Residence (attested copy of State Subject) b).correspondance. c.whether residing continuously for the last three years in the area from where loan is applied for (copy of Ration Card to be attached). 06. Age Particulars:- a. Date of Birth(certificate to be attached. D D M M Y Y Y Y b. Age on date of application (if illiterate). No 07. Qualification certificate to be attached. a. Academic. b. Technical. 08. Training received,if any:- a. Name of the Training centre. b. Craft c. Duration

6 (02) 09. Whether the applicant is registered with Handicrafts Department. If yes, Registration & Date. (Copy to be attached) 10. Whether the applicant is living Below Poverty Line If yes, photo copy of certificate to be attached) 11. Type of Trade/Activity. 12. Place of work (Give full details). 13. Amount of loan required. a. Tools and equipments. b. Other fixed assets. c. Working capital d. Working capital e. Total 14. Margin money proposed to be invested. 15. Whether loan taken from any Nationalized Bank/Financial Institution/Co-Operative Bank. (Should not be defaulter, an affidavit to be. furnished which should interlaid indicate that the applicant has not received any type of financial assistance under Government subsidy scheme. 16. Whether the applicant is a Government/Corporation/College/School going student: (Certificate from a Gazzetted officer that the applicant is not Government/Corporation/ College/School going student to be attached.) 17. I certify that the information furnished by me is true and corret and that no bborrowing arrangements for my above trade with any Bank/Financial Institution. Signature of the applicant.

7 Loan purposes. AFFIDAVIT I S/O.D/O,W/O, R/O do by solemnly declare on oath as under:- 1. That I am permanent resident of Jammu and Kashmir State, 2. That I am registered by the Directorate of Handicrafts as an Artisan in the craft of vide Registration No Dated.. 3. That I am not working in any Government/ semi Govt. department or I am on the roll in any institute. 4. That I am years of age as on 5. That I have not raised any loan from any Bank or financial institution(s) on the recommendation of Directorate of Handicrafts District Office Kupwara. 6. That I am not a member of any co-operative society or any organization registered with any of the Government Department. 7. That I solicit this affidavit for sponsorship of my case to bank for financial assistance under Micro Enterprises Scheme/Artisan Credit Card scheme and shall abide by all rules/regulation pertaining to sponsorship DEPONENT. Verification:- Verified that the above contents are true and correct to the best of my knowledge and belief and nothing has been concealed thereof. DEPONENT

8 INSPETION CUM-VERIFICATION REPORT. (For Office Use Only) It is certified that undersigned has conducted on spot verification with regard to the declaration made by the applicant in his loan application form bearing supported by pre-requisite documents in order to determine his bona fide eligibility for seeking financial assistance under Handicrafts Micro Enterprises Scheme/Artisans Credit Card scheme for the year. The observations made are elucidated as under: - A. Verified antecedents of applicant: 01. Full name in Capital Letters. 02. Parentage/Husband s Name. 03. Permanent address. B. Proficiency in the line. 01. Craft practiced. 02. Nature of practice. a. Part time. b. Full Time 03. Place of working. 04. Registration & Date. C. Recommendations: It is certified that the applicant qualifies for financial assistance under Handicrafts Micro Enterprises Scheme/Artisan Credit Card Scheme under Credit Plan for the year as all the pre-requisite formalities stands completed by the applicant and in elucidation to the above observations made after on spot verification of the applicant s declarations. Specimen signature/thumb impression of applicant. Signature of Verification Officer Name: Designation. Place of posting.

ACCOUNT OPENING FORM FOR NON-INDIVIDUAL ENTITY

ACCOUNT OPENING FORM FOR NON-INDIVIDUAL ENTITY For Bank Use Only BANK OF BARODA (GUYANA) INC. Name & Code of the Branch GEORGETOWN/ MON REPOS Customer Id A/c No. I/ We request you to open my/ our deposit