1. No category

TAHERI QARDAN HASANA TRUST
(Secunderabad)
Application Form
Its No:
Photo
File No:
App No:
PERSONAL DATA
First Name:
Surname:
Father's name:
Date Of Birth:
Mohalla Tanzeem:
Qardan Hasana required Rs:
Repayment Period:
Installment Of Rs:
Type of Business:
Business Experience:
Current Occupation:
Years In current occupation:
Qualification:
Residential Address:
Mobile No:
Phone No:
Email address:
Business Address:
Office Phone No:
Residential Property:
TO BE FILLED BY AAMIL SAHEB
Name:
Its No:
File No:
App No:
Any Moharramat:
Involvement In Riba:
Yes
No
Recommend Rs:
In Words:
Reason for Recommendation:
We Certify that we have verified the above details of the applicant.
Signature of Aamil Saheb with Seal
Total Number of Family Members Living Together:
Number of Dependants:
Age of Dependants
years
years
years
years
years
years
Current Monthly Income:
A) Personal Rs:
B) Income of other Family Members Living Together:
Name
Amount (Rs.)
1)
2)
3)
4)
Total Income (A+B) Rs.
Monthly Household Expenses Rs.:
Have you taken Qardan Hasana from Burhani Qardan Hasana Trust / Taheri Qardan Hasana Trust
(Secunderabad) or any other organisation previously.
Yes
If Yes Then Organisation name:
Amount Taken Rs.
On What Date:
Repaid In Full:
Balance Payable Rs.:
Repayment On Time:
If No, Reason for Delay In Repayment:
Signature Of Applicant:
Date:
Any Concealment / Misinformation of details filled in by the applicant will debar him from barakat of
Qardan Hasana.
No
PURPOSE OF QARDAN HASANA
Security Offered:
Jewellery Valuation Rs.:
A. NEW BUSINESS
Type Of Business:
Prior Experience:
Means of Financing:
Description
1. Self (Own Capital)
2. Family & Friends
3. Others
4. Qardan Hasana Required
Total Rs.
Amount (Rs.)
Financial Projections:
Description
Expected Sales p.m. Rs.
Expected Expenses p.m. Rs.
Expected Net Profit p.m. Rs.
Amount (Rs.)
B. EXPANSION OF EXISTING BUSINESS
Type Of Business:
Limitation / Problems of Current Business:
Means of Financing
Description
1. Self (Own Capital)
2. Family & Friends
3. Others
4. Qardan Hasana Required
Total Rs.
Amount (Rs.)
Financial Projections:
Description
Expected Sales p.m. Rs.
Expected Expenses p.m. Rs.
Expected Net Profit p.m. Rs.
Amount (Rs.)