APPLICATION FORM FOR HOME LOAN Date

APPLICATION FORM FOR HOME LOAN
Date:
To,
The Branch Manager
Maharashtra Gramin Bank
Branch: _______________
Taluka: _______________
District: _______________
st
Name of 1 Applicant
Father’s/Husband’s Name
Current Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No. 1
Whether Current Address is
Email ID:
Self owned
Family
Rented
Provided by employer/leased
Permanent Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No. 1
Email ID:
Date of Birth
DDMMYYYY
Age: (
Sex
Male
Female
Marital Status
Single
Married
Number of Dependants
Children
Others
KYC Details
PAN Card No.
Divorced
Year
Months)
Widow/Widower
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill(Consumer No.)
Other (please specify)
Occupation
Employed
Income (As per Income Tax
Financial year
Self Employed
Income ( Rupees)
Returns, Form-16, Salary
Slips, Balance sheets etc.)
Total
Average Income
Qualification/Designation
Employer Business
Name and Address
Pin Code
Telephone No. (with STD code ):
Fax:
Yrs. in present occupation
Name of 2
nd
Year
Months
Date of Retirement
Employee No.
Applicant /
Co-Applicant
Father’s/Husband’s Name
Current Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No. 1
Whether Current Address is
Email ID:
Self Owned
Family
Rented
Provided by employer/leased
Permanent Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No. 1
Email ID:
Date of Birth
DDMMYYYY
Age: (
Sex
Male
Female
Marital Status
Single
Married
Number of Dependants
Children
Others
KYC Details
PAN Card No.
Divorced
Year
Months)
Widow/Widower
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill(Consumer No)
Other (please specify)
Occupation
Employed
Income (As per Income Tax
Financial year
Self Employed
Income ( Rupees)
Returns, Form-16, Salary
Slips, Balance sheets etc.)
Total
Average Income
Qualification/Designation
Employer Business/
Name and Address
Pin Code
Telephone No. (with STD code ):
Yrs. in present occupation
Year
Months
Date of retirement
Fax:
Employee No
rd
Name of 3 Applicant/
Co-applicant
Father’s/Husband’s Name
Current Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No. 1
Whether Current Address is
Email ID:
Self owned
Family
Rented
Provided by employer/leased
Permanent Residential
Address
Pin Code
Telephone No. (with STD code ):
Mobile No.1
Email ID:
Date of Birth
DDMMYYYY
Age: (
Sex
Male
Female
Marital Status
Single
Married
Number of Dependants
Children
Others
KYC Details
PAN Card No.
Divorced
Year
Months)
Widow/Widower
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill (Consumer No.)
Other (please specify)
Occupation
Employed
Self Employed
Income (As per Income Tax
Financial Year
Income (Rupees)
Returns, Form-16, Salary
Slips, Balance sheets etc.)
Total Income
Average Income
Qualification/Designation
Employer Business/
Name and Address
Pin Code
Telephone No. (with STD code ):
Yrs. in present occupation
Year
Months
Fax:
Date of Retirement
Loan Amount Requested
Employee No.
Term:
Monthly Expenditure
Rs.
Installment you & co-applicants can pay (per month):
Details of property (tick)
Purchase
Construct
st
Signature of 1 applicant
Signature of 2
nd
applicant
Signature of 3
rd
applicant
st
Name of 1 Guarantor
Father’s/Husband’s name
Address
Extension
Years
Repair/Renovation
Pin code
Telephone No. (with STD code ):
Mobile No. 1
Name of 2
nd
Email ID:
Guarantor
Father’s/Husband’s name
Address
Pin code
Telephone No. (with STD code ):
Mobile No. 1
Email ID:
rd
Name of 3 Guarantor
Father’s/Husband’s name
Address
Pin code
Telephone No. (with STD code ):
Mobile No. 1
Loan Details
Email ID:
Estimate of Requirement of funds
Estimate of sources to meet requirement of funds
1. Land Cost Rs
7. Loan amount requested from bank
Fixed Rate Rs
Adjustable Rate Rs
2. Total purchase
8. Savings from Bank Rs
price/construction cost Rs
3. Incidental cost (if any)
9. Disposal of Investments
e.g. Stamp duty,
(fixed deposit/shares etc) Rs
registration charges Rs
4. Other cost
10. Amount already spent
(please specify) Rs
(Source………………………..) Rs
5. Market Value of
11. Provident fund Rs
Property Rs
6. Loan outstanding
12. Other (specify……………….) Rs
(for refinance) Rs
A. Total requirement
B. Estimate of sources
of funds Rs.
of funds Rs.
Note: “A” which is the total requirement of funds, should equal estimate of sources, “B” which indicates the sources from where the cost will be met.
It is important that you indicate in details the sources from where the cost will be met in order to help us process your application faster.
FINANCIAL INFORMATION
Savings, Investment, etc.
Bank Name and Branch
Account No.
Bank Name and Branch
Account No.
Total Saving in Banks
Immovable property with current
value (land, house etc.)
1.
2.
st
1 Applicant
nd
2 Applicant
rd
3 Applicant
3.
Current balance in Provident
Fund
Other assets (vehicles, etc.)
1.
2.
Loans Availed/Liabilities
Source of Loan
Outstanding Amount
EMI
Term
st
1 applicant
Employer
Bank
Credit Society
nd
2 applicant
Employer
Bank
Credit Society
rd
3 applicant
Employer
Bank
Credit Society
Details of Property
Please tick ( )
1.To be purchased
2.To be constructed
4.To be repaired/renovated
5. Purchase of Land
Area of Land/Plot/Flat/House
………….. Sq. Mt OR ……………….. Sq. Ft.
Built up area
………….. Sq. Mt OR ……………….. Sq. Ft.
Address
Plot No.
Flat No.
Floor No.
3.To be extended
House No.
Building No.
Survey No.
Street Name
Colony/Land Mark
Ward Name
Village :
Taluka
District :
Pin code
DECLARATION:
I/we declare that all the particulars and information given in the application form are true, correct and complete and that
they shall form the basis of any loan the bank may decide to grant me/us. I/we have had no insolvency against me/us nor
have i/we ever been adjudicated insolvent and further confirm that i/we have read the brochure and understood the
contents. I/we are aware that fees paid me /us is non refundable. I am /we are aware that the bank offers loans under
variable interest rate of option. I/we agree that the bank may take up such references and make such enquiries in respect of
this application, as it may deem necessary. I/we undertake to inform the bank regarding any change in my/our occupation
employment and to provide any further information that the bank require. I/We also undertake to authorize my/our
employer(s) to deduct equated monthly installments from my/our salary and remit the same to the bank directly every
month. The bank may make available any information contained in this form and other documents submitted to the bank
and information pertaining to the loan to any institution or body. The bank may seek / receive information from any source /
person to consider this application. I/we further agree that my/our loan shall be governed by rules/norms of the bank which
may be in force from time to time and the bank shall be entitled to reject my/our application without giving any reason
thereof.
_____________________
st
Signature of 1 Applicant
Paste recent
Photograph of
st
1
Applicant
With across
Signature
______________________
Signature of 2
nd
Applicant
Paste recent
Photograph of
nd
2
Applicant
With across
Signature
_____________________
rd
Signature of 3 Applicant
Paste recent
Photograph of
rd
3
Applicant
With across
Signature
GUARANTOR’S FORM
Mr./Mrs._________________________________________,Mr./Mrs.________________________________________and
Mr./Mrs.________________________________________ have applied for housing loan of Rs______________ (in words
Rupees___________________________________________________________________________________________)
I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per
payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under:
st
Name of 1 Guarantor
Father’s /husband’s Name
Address
Pin code
Telephone No. (with STD code ):
Mobile No.1
KYC Details
Email ID:
PAN Card No.
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill(Consumer No.)
Others (please specify)
Occupation
No. of years in occupation
Income
Details of Assets
Details of Liabilities
Particulars
House/Flat
Vehicles 1.
2.
Investments
Employee Provident fund/PPF
Deposit (FD/RD/SB A/c
LIC/Insurance Policies
Shares /Mutual Fund etc
Assets of Business
Agriculture land
Particulars
Housing Loan
Vehicle Loan
Personal loan
Others (Loans if any)
Net worth
Whether guarantee given to anybody? Yes/No
If yes, The loan Amount Rs.______________________________
Date:
Description
Value
Total (A)
Description
Value
Total (B)
(A-B)
If yes, outstanding loan Rs._____________________
Place:
Name:
Signature:_______________________________
Paste recent
Photograph of
st
1
Guarantor
With across
Signature
GUARANTOR’S FORM
Mr./Mrs._________________________________________,Mr./Mrs._______________________________________and
Mr./Mrs.________________________________________ have applied for housing loan of Rs______________ (in words
Rupees__________________________________________________________________________________________)
I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per
payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under:
nd
Name of 2 Guarantor
Father’s /husband’s Name
Address
Pin code
Telephone No. (with STD code ):
Mobile No.1
KYC Details
Email ID:
PAN Card No.
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill(Consumer No.)
Others (please specify)
Occupation
No. of years in occupation
Income
Details of Assets
Details of Liabilities
Particulars
House/Flat
Vehicles 1.
2.
Investments
Employee Provident fund/PPF
Deposit (FD/RD/SB A/c
LIC/Insurance Policies
Shares /Mutual Fund etc
Assets of Business
Agriculture land
Particulars
Housing Loan
Vehicle Loan
Personal loan
Others (Loans if any)
Net worth
Whether guarantee given to anybody? Yes/No
If yes, The loan Amount Rs.______________________________
Date:
Description
Value
Total (A)
Description
Value
Total (B)
(A-B)
If yes, outstanding loan Rs.____________________
Place:
Name:
Signature:_____________________________
Paste recent
Photograph of
nd
2
Guarantor
With across
Signature
GUARANTOR’S FORM
Mr./Mrs._________________________________________,Mr./Mrs.________________________________________an
d Mr./Mrs.________________________________________ have applied for housing loan of Rs_____________(in words
Rupees__________________________________________________________________________________________)
I/we am/are ready to stand as guarantor/s for said loan, if the applicant/s fail/s to repay loan and other dues as per
payment schedule, it will be my/our responsibility to pay the same. My/our information is/are as under:
rd
Name of 3 Guarantor
Father’s /husband’s Name
Address
Pin code
Telephone No. (with STD code ):
Mobile No.1
KYC Details
Email ID:
PAN Card No.
AADHAAR Card No.
Driving License No.
EPIC (Voter Card) No.
Passport No.
Electricity\Telephone Bill(Consumer No.)
Others (please specify)
Occupation
No. of years in occupation
Income
Details of Assets
Details of Liabilities
Particulars
House/Flat
Vehicles 1.
2.
Investments
Employee Provident fund/PPF
Deposit (FD/RD/SB A/c
LIC/Insurance Policies
Shares /Mutual Fund etc
Assets of Business
Agriculture land
Particulars
Housing Loan
Vehicle Loan
Personal loan
Others (Loans if any)
Net worth
Whether guarantee given to anybody? Yes/No
If yes, The loan Amount Rs.______________________________
Date:
Description
Value
Total (A)
Description
Value
Total (B)
(A-B)
If yes, outstanding loan Rs.____________________
Place:
Name:
Signature:_________________________
Paste recent
Photograph of
rd
3
Guarantor
With across
Signature