Loan Application For Finance Against Mortgageof Immovable Property Branch Name Date of Application Borrower Guarantor

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LOAN APPLICATION FOR FINANCE AGAINST MORTGAGEOF IMMOVABLE


PROPERTY

Branch Name Date of Application


Borrower Guarantor
1. NAME

2. FATHER'S/HUSBAND'S
NAME
3. AGE (WITH DATE OF
BIRTH)
4. RESIDENTIAL/OFFICE
COMPLETE ADDRE`SS
CITY LOCATION
COUNTRY
DIST. CODE
PIN CODE

TELEPHONE NO.
(OFFICE/RESIDENCE
WITH STD CODE)
MOBILE NO.
FAX NO. (OFFICE)
5. CATEGORY
(RESIDENT INDIAN
INDIVIDUAL, NON-
RESIDENT INDIAN OR
FOREIGN NATIONAL)
6. GENDER
MALE/FEMALE
7. QUALIFICATION
8. AADHAR NUMBER
9. OCCUPATION BUSINESS
SALARIED
RETIRED
OTHERS
a. IF BUSINESS
ENTERPRISE (INDICATE
DETAILS OF
CONSTITUTION &
BUSINESS)
i) CONSTITUTION
ii) NATURE OF ACTIVITY
iii) DESIGNATION
(DIRECTOR/PARTNER/
SOLE PROP./TRUSTEE,
ETC.)
iv) PER CENT CONTROL
b. IF SALARIED GOVT./PUBLIC GOVT./PUBLIC SECTOR
(ATTACH PROOF ) SECTORPUBLIC PUBLIC LTD. CO.
LTD. CO.PVT. LTD. PVT. LTD. CO.
CO.OTHERS OTHERS
i) EMPLOYER NAME AND
ADDRESS.
ii) DESIGNATION
iii) LENGTH OF SERVICE
WITH PRESENT
EMPLOYER
10. INDICATE PAN NO.
11. VOTER ID NO.
12. PASSPORT NO.
13. DRIVING LICENCE NO.
14. TOTAL ANNUAL INCOME
(ATTACH PROOF)
GROSS SALARY/INCOME
STATUTORY
DEDUCTIONSOTHER
LOAN INSTALMENTS
NET SALARY/INCOME
OTHER INCOME, IF ANY
(PROOF TO BE
ATTACHED)
15. Net Worth
FOR BORROWER ONLY
16. DETAILS OF SPOUSE

NAME

OCCUPATION

IF EMPLOYED, SALARY/
INCOME

ADDRESS & TEL. NO.


17. OWNERSHIP OF RESIDENCE OWNED (SELF/SPOUSE) RENTED
COMPANY LEASE OTHER*
(PLEASE SPECIFY)
18. IN CASE OF OD FACILITY:

PROJECT TURNOVER:

(PROOF TO BE ATTACHED I.E.


SALES TAXRETURN/STATEMENT OF
ACCOUNT OF EXISTING BANKER/
OTHER DOCUMENTARY EVIDENCE)
19. DETAILS OF ASSETS AND LIABILITIES
LIABILITIES ASSETS
OUTSTANDING AMOUNT ASSETS AMOUNT
LOANS/ADVANCES
BANK IMMOVABLE PROPERTIES
EMPLOYER LAND
PROVIDENT FUND BUILDING
RELALTIVES AND MOVABLE PROPERTIES
FRIENDS
OTHERS CASH
DEPOSITS WITH BANKS
INVESTMENT IN
GOVT.SECURITIES
OTHERS
TOTAL TOTAL

19. PURPOSE OF LOAN/LIMIT


20. AMOUNT OF LOAN/LIMIT
21. REPAYEMENT PERIOD IN CASE OF
TERM LOAN

22. DETAIL NAME OF


OF IMMOVABLE OWNER OF THE
PROPERTY PROPERTY
PROPOSED TO
BE MORTGAGED
a. DESCRIPTION OF PROPERTY
(HOUSE/FLAT/COMMERCIAL/
INDUSTRIAL PROPERTY ETC.
b. MARKET VALUE

23. I/WE request for sanction of loan of Rs. _____________for meeting my/our business
and/or personal needs against Equitable Mortgage of Immovable Property on the basis of
information given above.

24. I have read the attached Most Important Terms and Conditions (MITC) annexed to the
application form carefully and agree to the same.

I/WE confirm that the above information is correct. I/WE have read and have been advised the
terms and conditions relating to Mortgage Loan Scheme and I/WE hereby agree to be bound
by these rules or by the revised additional terms and conditions which may at any time
hereafter be made while the loan obtained by me/us is still outstanding.

Yours faithfully,

Signature and name of applicant


PNB 1241
____________________________________________________________________
ACKNOWLEDGEMENT
*Sl. No.________ Date:____________

Received application from Mr/Ms/M/S _______________________________ R/O/Office at


_______________________________________________________________ for a ______________ (Type of
Loan) loan/limit of Rs._____________________ for ______________________________ (State the purpose). The
loan application will be disposed-off and acceptance/ rejection would be intimated within ____ days from date of
receipt of completed application form with supporting documents.
Serial number and date of the acknowledgement should be quoted in all future correspondence.

Officer/Manager (Loans)/Incumbent

(Seal of the Receiving Branch)


*Sl. No. of the acknowledgement format should be the same as indicated in the register for receipt of credit
proposals.

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