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Phas e I, Phas e II & Phas e- III (Cle ared ) Sl. No Ration Card No Aadhaa r Card No Farmer Name Father Name Address Bank Branch Nature of facili ty Workin g Capita l for Nature of Land proof docume nt Owner/ Tenant Survey No's (PPB No) Loan A/C No Disburse ment Date Crop detai ls - exten t (sof ) & Total Eligi ble Exten t(A.C ) Disbu rsed amoun t & Loan Eligi ble as per SoF Out Stand ing Amoun t & Amoun t eligi ble for Debt Relie f Amoun t of Relie f exten ded Amou nt alre ady adju sted in curr ent year & Amou nt yet to adju st in Rema rks

Phase I

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Page 1: Phase I

Phase I,

Phase II &

Phase-III

(Cleared)

Sl.No

Ration Card No

Aadhaar Card No

Farmer Name Father Name Address

Bank Branch

Nature of facility Working Capital for Nature of Land proof document Owner/Tenant

Survey No's (PPB No)

Loan A/C No Disbursement Date

Crop details -extent (sof ) & Total Eligible Extent(A.C)

Disbursed

amount & Loan

Eligible as per

SoF

Out Stand

ing Amou

nt & Amou

nt eligibl

e for Debt

Relief

Amount of

Relief exten

ded

Amount

already

adjusted in curre

nt year

& Amo

unt yet to adjus

t in curre

nt year

Remarks

1 2 3 4 5 6 7 8 9 10 11 12 13 14

1 G2_072600600009

373961729347

SURISETTYSAMBASIVARAOC/o KOTAIAHGuntur-Guntur - Guntur (u) - ,103;SAHITI RESIDENCY,V LANE,AT AGRAHAM

011 -Andhra Bank1569 -AT AGRAHARAM

Gold LoanCrop LoanPattadar Pass BookOwner

Guntur-Ponnur - Mamillapalli - 76/1,56/32,56/5,74/2,75/2,75/3 (328167)

15693010003818922/01/2013

Chillies - 2.88 (55000)2.88

200000.00158400.00

215459.00170643.53

150000.00

0.0030000.00

Page 2: Phase I

2     Total Amount

150000.00

0.0030000.00