BankofBaroda Please Affix

Recent
Photograph
(5cm x Son)
Application Form for HOME LOAN / MORTGAGE LOAN

I/We request you to grant me/us a loan facility of ?. lacs under Home Loan Scheme for
purchase of a new flat / purchase of a flat in Resale / .under fixed/floating rate option. To enable you to consider the
proposal, I/We submit the following paritculafs.
(Please complete all section in BLOCK LETTERS and tick s options wherever applicable)
Name:
(First name) (Middle name) (Last name)
Father's/Husband's Name: Mr.

PAN/GIR No.:. Present address:

Address:
Date of Birth:
(DD) (MM) (YYYY)
Age: . (years)
Sex:Male/Female City:. . State:.
Marital Status: Single/Married/Divorced/Widowed Pin Code:.
E-mail:: Phone No.:_

Employment status (tick mark): Years in current address:.

•Salaried• Self-employed / Business Mobile Phone No.:

•Professional• Housewife Fax No.:

•Others Changed Residence in past 3 years:

• Not changed Once• More than once

Permanent address: Previous address: ( If stay at above address is less than 3

years)
Address:
Address:;,

City: . State:.

Pin Code: _ City:. . State:

Phone No.: Pin Code:.

Are you a BOB staff (Y/N):. Education (tick mark): Banking with us (Y/N)^
Category: SC / ST / OBC / Others / Minority •Matric or below matric If yes, then fill the following:
Community •Under Graduate/higher secondary
Banking with us since:
No. of dependent^ (excluding spouse) l. •Graduate /Post-graduate
(year)
•Doctorate
Account type:
No. of Children:.
Aadhar Card No.:. Account No: •
Earning member in family, if any, other than
applicant (Y/N): Passport No.: Branch name:.

Mention branch where loan account should be opened:

Reason for choosing the branch (tick mark) Near location of target property
Near place of work/business
Near place of present residence
Branch maintains salary account
Others:—;

Income and expenses

Primary monthly income in
7
Other income details in Monthly expenditure in

Gross income: Rent received: Existing Loan repayment:

Deduction: Agriculture: Rent paid:

Others: Statutory dues:

Description: I.T/P.F./Prof.Tax.:.

Others:
 Salaried: Please tell about your work: Self-employed / Professionals/Business:
Employer name : Please tell about your work:
Department : Name of the Company / firm:

Address:' Type of Business : _

Capacity in the firm :_

City : State :
Pin Code: Address:
Phone No. :Extn No.:,
Fax No. : '
City:. . State:.
Official email : ____^___________
Designation : Executive/Managerial/Clerk: Pin Code:. . Phone No. :_

Years in Current employment : Fax No.: _

Contact Person :
Company / firm email:
Retirement age :
Designation : Executive / Managerial / Professional
Name of previous employer: '
If professional, then choose one of the following :
Working with:
• Doctor• Architect• CA
•Govt/Public sector• Public Ltd.• Private Ltd.
•Partnership• Proprietorship • MNC '• MBA • Engineer -Lawyer
Details of previous employment: (In case the present employment Others:.
is less than 3 years).
Years in business / profession :
Name & Address of Designation Period No. of
Contact person:
the employer from To Months
Retirement age:

Business details:

•Private Ltd. • Proprietorship ' Partnership

•Others:

Established since:

Credit card details: Other assets:

Name of Credit Cards Owned ; •Colour TV/LED/LCD TV 'Telephone

Card Issuer • • Refrigerator • Cellular Phone / Smart Phone
Card Nn • Car-Hatchback / Sedan / SUV • Personal Computer / Laptop

(Please attach copy of latest statements). • Two Wheeler • Washing Machine

About bank accounts (including credit facilities, if any):

Name of bank Branch Branch Number of Account Account Account As on dated

Telephone years Type Number Balance ?
Number account held

Outstanding Loan details:

Source/Name of Purpose Date of Loan Outstanding EMI Overdue Overdue

the Bank Sanction Amount Balance amount, if any since
Sanctioned as on

Income Details:

1 rtrnss Monthly Innnme f • 4. For Tax Purpose:

0 Salaried Person (i) Total Annual Savings under S/88 :

(i) Monthly Rasio ? • (ii) 10^% Rehate Amount •
(ill) nedi irtion i inder ohapter VI A •
(II) % of PFdedi lotion •
(iv) ^th^r R^ha^e / nednotion olaimed •
^ Annual Professional Tav •
5. Net Annual Income of other Family members:
(Excluding co-applicant & Guarantor)
Information about Guarantor/Co-applicant (if applicable)

About your Co-appliQftpt: About your Guarantor:

Name: Name:

Date of Birth:. . (DD/MM/YYYY) Date of Birth:. . (DD/MM/YYYY)

Father's/husband's Name :Mr_ Father's/husband's Name: Mr

Relation with applicant: Relation with applicant: (If any).

Address :- - - Address:

City:_ . Pin code: City:_ . Pin code:

State:. State:.

Net worth
In? Applicant Co-applicant, if present Guarantor, if present

1. Total moveable

2. Total immovable

3. Total assets (1+2)

4. Total liabilities

5. Net assets (3-4)

6. Amount of collaterals

7. Outside borrowing

Proposed Loan Det ail*:

Cost of Property: Repayment Period in Months.

(a)Purchase Price ?: Margin

(b)Stamp Duty ?: Rate of Interest .% (Fixed/Floating)

(c)Registration Fee ?:
(d)Other?:
Total Cost (a+b+c+d) ?

Property Det ails:

1.Stage of construction For New Construction: Final / Intermediate / Foundation / Plot.
2.Age of Buildin^Flat in years (For Existing Construction, If building is older than 25 years structural soundness certificate is required.)_ _Years

Builder 's/Seller "s Name:.

Bank det ails of Builder / Seller: '.
Loan facilities, if any , taken by the Seller: Name of the Bank

Present Outstanding balance^_

Area det ails : Total area: Sq. ft. Built up area:. . Sq. ft.

Location / Address : _____

Details of Movable Assets in my name:

(A) Life Insurance Policies
Sum Co. & Branch Annual Premium paid or
Policy No. Dateei
Assured Name Premium surrender value
Issuance

(B) Shares/Debentures/T erm Deposit s/Govt. Securities (NSC etc.):

Date of Face Value Present Value Due Date Whether
Co./Bank/Post Office
Encumbered
Instrument
(C) Other movable asset:
Descriptions Year of acquiring Purchase price Market Value Valuation date

(D) Capital of the firm as on.

(E) Details of other present Immovable properties (ottwthan proposed as security for housing loan):
Nature of properties:,,
• Plot of land• Agriculture Land• House/Qodowns• Others

Location: Survey/House No.. . Street/Locality. . Village^Town. . Dist..

Property in whose name ? _

Area/size of the Property: _

Cost (at the time of purchase): .lacs. Present estimated market value: Jacs

Whether encumbered: if yes, give detail:•

(F) Details of Liabilities:

Details of Loan in Firm' s Name/Comp any1 s Name where you are interested as Prop,/Partner/Director:
a)Name of the Bank / Institution and it s branch:.
b)Purpose and amount of loan / credit facilities:;
c)Security / Repayment schedule:
d)Present outstanding:^
e) Liabilities other than to Bank and Financial Institutions:,
(Q) Details of Personal Guarantee given for any person/firm. If yes, furnish det ails (i.e. Name of the Bank / Institutions, on whose behalf amount of
guarantee, present status of a/o. etc.)
I enclose / submit documentary proof in support of the above submissions.
The loan applied as above for ?lacs. (Rupees,) under Direct Housing Finance Scheme is
repayable Inmonthly Instalment of ?each. I / We note that the rate of interest applicable on the loan will be at
% p.a. (fixed/floating) which would be applied at quarterly / monthly interval or as applicable from time to time. I undertake to contribute
? towards margin money being% of the project cost'
Further I give below particulars about myself, dependants & legal heirs.
Name of dependents/Relationship with Address Occupation / Vocation
Legal heirsAgethe borrower of Legal heirs

I/We hereby declare that all the particulars and information furnished In this application form are true, correct and complete and up-to date in all respect.
I/we have not withheld any information. I/We confirm that I/We have no insolvency proceedings initiated against me/us nor have I/We ever been
adjudicated insolvent. I/We also authorize Bank of Baroda or Its agents to make references and Inquiries related to information in this
application which Bank of Baroda considers necessary. I/We also authorize Bank of Baroda to exchange, share, part with all information relating to
my/our loan details and repayment history information to other bank/financial Institution/credit bureaus/agencies as may be required and shall not hold
Bank of Baroda liable for use of this information. I/We undertake to inform Bank of Baroda regarding any change in my/our residence/
employment/occupation/transfer and to provide any other information that Bank of Baroda may require. I/We further agree that my/our loan shall be
governed by the rules of Bank of Baroda which may be enforced from time to time. Bank of Baroda reserves the right to reject any application without
providing any reason.
I/We undertake to bear processing, service, documentation charges etc. stipulated by the Bank from time to time. I/We agree, note and understand that
Bank of Baroda shall be entitled at its sole discretion to call back, the entire loan/advance whether due and payable or not at any time without assigning
any reason and enforce its rights, remedies and securities.
p|ace.____Yours faithfully

Date :___
Signature of the applicant/s / Co-applicant
I am willing to stand as guarantor.
Place:.
Date :. Signature of the guarantor/s

For office use only .

Lead No.: Name of the Sales Executive:.

Name of Sanctioning Authority:. Mobile No,:
Alpha code of branch:
 ^m 3mi ^i^^^r BankofBaroda Please Affix
Recent

Photograph
(5 cm x 5 cm)
Particulars about Co-applicant/ Guarantor (wherever applicable)
Name: MrVMrs. Date of Birth
Father's /Husband's Name : Mr. Educational Qualification
Phone / Fax No. . e-mail
Address:
PAN/GIR Number . Occupation: Business/Self employed/salaried.
If salaried : Name of the Employer: Designation
If self employed/business.; Name of the firm. Since when
Type of Business Capacity in firm.
Address:
Since when
Phone No. Net Annual Income
Details of other Exisiting Immovable properties :
Nature of Property : Plot of land/Agricultural Land/House/Godowns/Others
Location : Surey/House No. . Street / Locality
Village Town Dist.:
Area / Size of the property: Present Market Value
Whether encumbered: If yes, give details:
Detials of Movable Assets in my name:
a) Life Insurance Policies :
Policy No. Maturity Date Sum Assured Co. & Branch Last Premium Total Premium paid
Name paid upto or surrender value

(Please attach separate sheet, if space is not sufficient)

b) Investments (Shares/Debentures/Term Deposits/Govt. Securities like, NSC etc.):

Description Face Value No. of Units Present Market Value

c) Other movable assets (Please attach separate sheet, if space is not sufficient)

Description Face Value No. of Units Present Market Value

(Please attach separate sheet, If space is not sufficient)

Total of all Assets :
d) Detials of liabilities :
Details of Loans/advances availed from Bank/Institution & other liabilities :
Name of Bank/Institution : Purpose :
Amount of Loan ? P/O .Overdue, if any_
Detials of Personal Guarantee given, if any : Bank/Institution
Name of the person on whose behalf
Amount of commitment . Overdue, if any.
e) Particulars of Legal Heirs :
Sr. No. Name Relationship Age Present Address

I enclose / submit documentary proof of the above submission. I further declare that the information submitted above is true
and correct to best of my knowledge and behalf.
Palce:
Date:Signature