Online Loan Application
Online Housing Loan Application
1. Personal Information of the Applicant:
Note: All fields marked with *  are mandatory
SL. No. 401708
1) Name (Surname/First Name/Middle Name) *
 2) Father's(Surname/First Name/Middle Name)*  
3) Category*
4) a. Date of Birth *  (dd/mm/yyyy)
    b. Age in Years 
 5) Educational Qualification *  
6) Residential Status*
7.) Sex*  
7) Marital status*
8) * a. PAN NO.
      b. UID NO.
     c. Voter's ID No.
     d. Ration Card No.
     e. Passport No. 
10)  Employment Details* :
11)*  a.  Name & Address of the Employer  :
       b. PIN       
12) If Self Employed, nature of business*  :
13) Date of Retirement*  :
14) Total Service in present employment*  :
15) Present Designation*  :
17) Applicant’s Local address:*
Road* City* pin*
Landline No (O)      ;   Email ID*   :   
Mobile No                
18) Applicants Permanent address:
* City* pin*
19) Applicant's Annual Income : *
Gross Salary per month:                                                                                                                    
Total monthly deduction inclusive of income tax :  
Net Salary per month :  
Other Sources of income (if any) :  
Total Annual income :  
20) In case of non salaried class only * :
Nature of Business.. Indicate Relationship
Commencement of Business (MM/YYYY) Business Address
Income for last 3 Years  
2. Details of Existing Liabilities:
SNo* Bank/Branch* Purpose* Date Availed* Amount Availed* Balance Outstanding* Status of A/c* Security Offered* Remarks*
21) Name of the Spouse
22) Nature of Employment
23) Monthly Income
24) Whether IT Assessee ?
3. Details of Legal heirs of applicant/s:
SNo. Name* Relationship* Age in Years* Income* Remarks*
25) Details of Project*  
26) Total Project Cost*
          4.  Details of Salary Account/ Business Accountt
Name of the Bank and Branch Type of Account and Number Dealing since (which year)
27) Repayment period proposed   (No of months)*                                                            
28) Moratorium period proposed  (No of months)*
29) Mode of Repayment *
30) Rate of Interest Option*
31) Address of the Project/location (on which, project is implemented and offered as security)*
Plot Noo Street Locality
Size of the plot Market value
Location/Area Town/City Pin
Name Address Profession Contact No.
32). Branch where loan is required * :

The above information is taken in confidence as general information only and will not be considered as claim for loan. If information submitted above is found acceptable to the Bank to proceed further, Bank’s officials will contact for submission of additional/detailed information required for considering the request for facilities as per Bank’s credit policy and on merits of the case.

Bank reserves the right to accept or reject the application submitted above by the prospective customer.

Bank does not accept any legal liability, whatsoever, for errors or any omissions pertaining to the information and materials herein.

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