APPLICATION SLroananthapurHOCS-01862008-06-06T07:59:00Z2008-05-06T05:19:00Z2008-06-06T07:59:00Z12421383apsmfc113162211.5604QWN0aXZlTWltZQAAAfAEAAAA/////wAADPBeAQAAmPiKoKPC0RG+IwDAT6MQCQwAAAAAAAAAAAAA AEZyb206ICJtYXN0YW4iIDxyYXNoZW1vaGFtbWFkQGdtYWlsLmNvbT4NClN1YmplY3Q6IEludHJl c3Qgc3Vic2lkeSBhcHBsaWNhdGlvbg0KRGF0ZTogRnJpLCA2IEp1biAyMDA4IDEzOjI5OjUzICsw NTMwDQpNSU1FLVZlcnNpb246IDEuMA0KQ29udGVudC1UeXBlOiB0ZXh0L3BsYWluOw0KCWNoYXJz ZXQ9Imlzby04ODU5LTEiDQpDb250ZW50LVRyYW5zZmVyLUVuY29kaW5nOiA3Yml0DQpYLVByaW9y aXR5OiAzDQpYLU1TTWFpbC1Qcmlvcml0eTogTm9ybWFsDQpYLU1pbWVPTEU6IFByb2R1Y2VkIEJ5 IE1pY3Jvc29mdCBNaW1lT0xFIFY2LjAwLjI5MDAuMjE4MA0KDQoAAAvwBAAAABI0Vng= A P STATE MINORITIESFINANCE CORPORATION LIMITEDAPPLICATION FOR INTEREST SUBSIDY SCHEME.Registration No: Date:Recent Passport Size Photo attested by Related Bank Branch Manager Name:D/o / W/o: Minority Community: Muslim Christian Sikh Buddhist Parsi Residential Address :Door No. Land MarkStreet Ward/VillageCity/Municipality/Mandal District ConstituencyDate of Loan Availed: Date of Loan Cleared: Bank Account No. Total Interest Paid: Rs. Requested to sanction and reimburse the interest subsidy Rs.__________ which was paid by me over and above 3% of Bank Interest.Place: Date: Signature of the Applicant LOAN PAYMENT CERTIFICATE This is to certify that Sri/Smt.______________________________________ had availed loan Rs. __________ @ _____ interest from our bank in collaboration with APSMFC to establish activity _____________________and repaid total loan Rs.___________ along with Interest with in stipulated time. This is for favour of information. Place:Date: Bank Branch Manager. (With Seal) PAGE 1