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HOME LOAN APPLICATION FORM

Affix Photo

Name

Complete Residential Address

Phone No.

Date of Birth

Marital Status

Status

No. of Dependants

Voter ID Card No.

Occupation

Age	Yrs
Male	Female
Single	Married	Other
Resident	Non-Resident
Children	Others

Employed	Self-Employed

Relationship with 1st applicant

Age	Yrs
Male	Female
Single	Married	Other
Resident	Non-Resident
Children	Others

Employed	Self-Employed

Designation

Qualifications

Monthly Salary Income

Other Income

Photo copy of Last 3 yrs ITRs.

Office/Company

Name & Address

Pin code:

Office phone no.

Ext.

Fax:

Ext.

Fax:

No. of years in present Occupation

Yrs Retirement Age

YrsEmployee No.

Yrs Retirement Age

YrsEmployee No.

Department

Loan Amount Rs

Type of Loan
	Home Loan	Home Extension
	Home Repair

Your monthly
Expenses : Rs
Instalment you and 2nd applicant (if any) can pay
per month : Rs

Purpose of loan

Estimated Requirement of funds

Expected Sources to meet requirement of funds

Construction

1. Total purchase price/
Construction cost

1. Loan requested Rs

Purchase

2. Incidental costs
(if any)

2. Savings from Bank Rs

Extension

3. Other costs
Please specify

3. Disposal of investments
(FDs/Shares etc.)Rs

Repairs

Total amount required
A. (sum of 1 to 3) Total Rs

4. Amt. already spent
(source)Rs

5. Provident Fund
(Refundable/non (ref.) Rs

6. Other (specify)Rs

B. (sum of 1 to 6) Total

Savings, Investments Etc.
Particulars	1st Applicant(Rs)	2nd applicant (Rs)
Savings in Bank Immovable property
(specify) Current balance in
Provident Fund (your share)Other Assets (specify)
	1.
	2.
LIC Policy(ies) Postal Life Insurance
Policy(ies) Amount
Maturity Dates

Loans Taken / Proposed Please indicate below all loans taken / proposed from employer, Provident Fund etc., and instalment(s) payable per month including interest against each loan.

Source Of Loan	Outstanding Amount (Rs)	Monthly Instalment Payable (Rs)	Term (months)
1st Applicant:
1. Employer
2. Bank
3. Credit Society
4. Others
2nd applicant
1. Employer
2. Bank
3. Credit Society
4. Others

Name of the Account Holder	Name of the Bank	Branch Name	CD / SB a/c	Account No.

Address
Mention dwelling unit no, street, city and pin code
If not selected, mention intended location:

Area of Land	Sq. mts.
Built-up area	Sq. mts.
Cost of Land	Rs.
Cost of construction / purchase / Extension / improvement	Rs.
Stage of construction / extension / improvement :	Rs.

	Yes	No
1. Are you the sole owner of the dwelling unit
2. Is the legal title to the dwelling unit clear?
3. will the Bank be able to obtain first mortgage of the Dwelling unit?

Do you propose to rent the Dwelling unit?	Yes	No

Yes No

3. What other security will you be able to provide

Are you a citizen(s) of India?

Have you or your spouse earlier

Yes

Applied for a loan?

4. Please select the mode of repayment convenient to you: Tick (ü) against the appropriate box.

Do you belong to

If yes a). Bank Name

a) Deduction of monthly instalment By your employer

b) Other details

b) Post dated cheques

2. Have you or your spouse given Guarantee(s) for any borrower

c) Standing instructions to bankers

If yes, a) Loan a/c no

d) Any other (please specify)

b) Name of the borrower/s

Not applicable for employed applicants, whose employers have a deduction at source arrangement.

(NAMES AND ADDRESSES OF TWO REFEREES WHO ARE NOT RELATED TO YOU)
We may make such enquiries from the referees if it deems necessary.	1.	2.
	Phone: Off: Res:	Phone: Off: Res:

DECLARATION

I / We declare that all the particulars and information given in the application form are true, correct and they shall form the basis of any loan Bank may decide to grant me / us. I / We confirm that I / We have had no insolvency proceedings against me / us I / We further confirm that I / We have read the brochure and understood the contents. I / We am / are aware that the Equated Monthly Instalment comprising principal and interest is calculated on the basis of annual interest. I / We agree that Bank may take up such references and
make such enquiries in respect of this application, as it may deem necessary. I / We further agree that my / our loan shall be governed by rules of Bank which may be in force from time to time.

1st Applicant’s Signature

2nd Applicant’s Signature

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