Swadesi

Personal Details

Name:

Date of Birth:

Gender:

Education:

Father's Name:

Phone Number:

Password:

Telephone Number:

Email:

Working Location details

State id:

Location Category:

Pin code:

Dist id:

Sub District:

Village:

Ref by:

Link branch code:

Latitude:

Longitude:

Dist frm csp:

Dist frm branch:

Communication Details

At (Present Address):

Gram Panchayat (Present Address):

Via (Present Address):

Post (Present Address):

Police Station (Present Address):

Block (Present Address):

Present add dist:

Present pin:

At (Permanent Address):

Gram Panchayat (Permanent Address):

Via (Permanent Address):

Post (Permanent Address):

Police Station (Permanent Address):

Block (Permanent Address):

Permanent add dist:

Permanent pin:

Misc. Details

Check facility:

Whatsapp Number:

Total population:

No of household:

No. of Accounts expected:

Appx no bussiness est:

Main activity of ppl:

Annual Business expected:

Potential btmw:

No of years in vil:

Languages known:

Profile picture:

Dynamic Identification Proof

PAN CARD
IIBF Certificate
Police Verification		Yes No
Are you physically challenged?		Yes No
Are you computer educated? If yes, Please Upload the Certificate.		Yes No
Are you in any SHG group, please submit the name of SHG
Votor ID (1. Front Side)
Pan Card
Aadhaar Card (1. Front Side)
Driving Licence
Passport
10th/Equivalent Certificate		Yes No
+2/Equivalent Certificate		Yes No
Graduate Certificate		Yes No
Post Graduate Certificate		Yes No
IIBF Certificate
No Dues Certificate/CIBIL Report		Yes No
Police Verification Certificate (PVR)
Do you have your own house where you applied for CSP? Please Upoad the Proof		Yes No
House rent agreement where you applied for CSP		Yes No
Address Proof (Telephone Bill, Electric Bill)		Yes No
Name, Contact No. of two people to whom reference may be made
KO Declaration for SubKo(Only after LOGIN)		Yes No
Account Number (Only for New CSP)
Notary Affidavit/Declaration		Yes No
Aadhaar Card (2. Back Side)
Votor ID (2. Back Side)
Current Account Proof for Settlement
DRA Certificate		Yes No
Internet Connection (Mobile Data, VSAT, Broadband)

Ko Registration

Personal Details

Working Location details

Communication Details

Misc. Details

Dynamic Identification Proof

PAN CARD

IIBF Certificate

Police Verification

Are you physically challenged?

Are you computer educated? If yes, Please Upload the Certificate.

Are you in any SHG group, please submit the name of SHG

Votor ID (1. Front Side)

Pan Card

Aadhaar Card (1. Front Side)

Driving Licence

Passport

10th/Equivalent Certificate

+2/Equivalent Certificate

Graduate Certificate

Post Graduate Certificate

IIBF Certificate

No Dues Certificate/CIBIL Report

Police Verification Certificate (PVR)

Do you have your own house where you applied for CSP? Please Upoad the Proof

House rent agreement where you applied for CSP

Address Proof (Telephone Bill, Electric Bill)

Name, Contact No. of two people to whom reference may be made

KO Declaration for SubKo(Only after LOGIN)

Account Number (Only for New CSP)

Notary Affidavit/Declaration

Aadhaar Card (2. Back Side)

Votor ID (2. Back Side)

Current Account Proof for Settlement

DRA Certificate

Internet Connection (Mobile Data, VSAT, Broadband)