APPLICATION FORM for HOME LOAN

For office use only

Branch: ___________________

Reference no.: _____________ Recent Photograph Recent Photograph

of Applicant of Co-Applicant
Received on: ___/___/___

Personal Details
Co-Applicant
Information Applicant
Relation with Applicant: Parent Spouse Other
Sh. Smt. Km. Others Sh. Smt. Km. Others
First Name

Middle Name

Last Name

Father’s/Husband's Name

Income Tax PAN No.*

AADHAR No.*

Identification no.(tick any one)*

Passport no. Voter ID
Driving License UID

d d m m y y y y Male Female d d m m y y y y Male Female

Date of Birth* and Gender
Third gender Third gender
Category Physical Ex-Serviceman Minority Physical Ex-Serviceman Minority
Handicapped None of these SC/ST Handicapped None of these SC/ST
Undergraduate Graduate PG Undergraduate Graduate PG
Educational Qualification*
Professional course Other Professional course Other
Marital Status and No. of
Single Married No. of Dependants Single Married No. of Dependants
dependents in the household

Email address

__ __
Phone details (STD code – Tel res.)

Mobile No.
Relative of Staff/ Director of bank? Yes No Yes No
Residential Address Applicant Co-Applicant
Residence Address* (Present)

City: State: City: State:

Pin: Country: Pin: Country:

Residence Address* (Permanent)
Same as above

City: State: City: State:

Pin: Country: Pin: Country:

Owned (Self/spouse/ dependent children) Owned (Self/spouse/ dependent children)
Status of current residence Owned (Parents) Rented by Self/Spouse Owned (Parents) Rented by Self/Spouse
Leased by company/govt. Other Leased by company/govt. Other
Years at current residence* Years Months Years Months
Address for correspondence Current Residence Permanent Residence Office Current Residence Permanent Residence Office
*Supporting documents duly signed by the applicant should be attached
Work and Financial Details
Information Applicant Co-Applicant

Employment Nature Salaried Self employed Professional Other Salaried Self employed Professional Other
CA Doctor Engineer/Architect Lawyer CA Doctor Engineer/Architect Lawyer
If professional
Small/Marginal farmer Other agriculturist Other Small/Marginal farmer Other agriculturist Other
Nature of Organization Govt./PSU Public Ltd. Co. Pvt. Ltd. Govt./PSU Public Ltd. Co. Pvt. Ltd.
Proprietorship Partnership Other Proprietorship Partnership Other
Period in Current Employment/
Years Months Years Months
Business

Total Employment/ Business Period Years Months Years Months

Date of Retirement (If salaried) Years Months Years Months

Name of Organization/Business

Designation
Office Address

City: State: City: State:

Pin: Country: Pin: Country:

__ __
Phone details (STD code – Tel off.)

If Self Employed/Professional
FY1 (20__ - 20__) FY 1 (20__ - 20__)
Income in last 3 Financial
years*(Rs.) FY 2 (20__ - 20__) FY 2 (20__ - 20__)
(As per Income Tax Return) FY 3 (20__ - 20__) FY 3 (20__ - 20__)
If Salaried/Other

Gross Gross
Annual Income* (Rs.)
Net Net
IT assessee & paid tax last yr Earns but not formally IT assessee & paid tax last yr Earns but not formally
Spouse's financial information*
IT assessee but no tax paid Does not earn IT assessee but no tax paid Does not earn
Bank Account Details
Account I Account II Account I Account II
(Details of PNB a/c if applicable)
Name of Bank

Branch

A/c No. (details of salary a/c. for

salaried)

Statement of Assets and Liabilities

Information Applicant Co-Applicant
Assets
Immovable Properties Amount (Rs.) Amount (Rs.)

Building/House
Land
Movable Properties
Cash
Deposits with banks
Investment in government
securities
Others
Total
*Supporting documents duly signed by the applicant should be attached
Statement of Assets and Liabilities (Contd.)
Information Applicant Co-Applicant
Liabilities
Outstanding Loans/Advances Amount (Rs.) Amount (Rs.)
Bank(s)
Employer
Provident Fund
Relatives and Friends
Others
Total
Net Worth (Actual in Rs.)
(Assets-Liabilities)
Information about other Loans taken (including previous loans from PNB)
Total Loan Limit (Rs.)
Total Monthly Repayment (Rs.)
Whether Regular Yes No Yes No

Proposed Loan Details

Information Applicant
Purchase of Plot/land
Construction of house
Purchase of Built house/Residential flat/under construction
Purpose for which loan is required
Carrying out Repairs/Renovation/Addition/Alteration to existing house/flat
(Details as per enclosure 'A' or 'B')
Take over loan from other bank/FI
For Purchase of Solar Power systems [along with Home Loan (existing or fresh)]
For Purchase of Solar Power systems on standalone basis
Total Cost of house/flat/construction and
Applicant's contribution/
Applicant's contribution/Margin/Solar Power system Total Cost (Rs.)
Margin (Rs.)
(including cost of solar power systems)
Loan Amount applied (Rs.) and Rate of Interest option Floating Fixed
Repayment Period proposed Years Months Moratorium/Holiday Period: Months
Monthly Installment Mode Advance Cheques Standing Instructions Electronic Clearing System
Other Information
Information Applicant/Co-Applicant
Collateral security proposed Yes No
Type of collateral Property NSC/LIC Policy/Govt. Security Shares Others
If yes Value of collateral (Rs.)

Guarantor Available Yes No If yes, then furnish details in Part II

Pending court cases of Banks/Financial Institutions Yes No
against Applicants/ As Partners/As Director: (Enclose details on an annexure, if needed)
Reference Details
Reference I Reference II

Name
Address

City: State: City: State:

Pin: Country: Pin: Country:

Mobile No./Telephone
*Supporting documents duly signed by the applicant should be attached
I/We hereby request for a loan as above and declare that: The information given in the loan application is true and nothing h as been concealed. The undersigned undertakes to inform the Bank any
change in my residence/office address and to provide any further information that the Bank may require. The undersigned has b een informed of the charges/fee to be levied by the Bank and agrees to
pay upfront fee, documentation charges, etc. as applicable ad charged by the bank. The undersigned hereby agree to be bound by these terms and conditio ns 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. I have read the attached Most Important Terms and Conditions (MITC) annexed to the
application form carefully and agree to the same.
Yours faithfully,
Signature of Applicant: ____________________________________ Signature of Co-Applicant:_________________________________

Name of Applicant: _______________________________________ Name of Co-Applicant: ____________________________________

Date: Date:
Place: Place:

Note: In case there is more than one co-applicant, he/she should fill up another form.
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)
 ENCLOSURE - 'A'
ADDITIONAL INFORMATION REQUIRED TO BE GIVEN IF THE LOAN IS REQUIRED FOR CONSTRUCTION OF A HOUSE OR FOR CARRYING OUT
REPAIRS/RENOVATION/ADDITION /ALTERATION TO THE HOUSE/FLAT
(* applicable only in case of carrying out repairs/renovation/addition /alteration to the house/flat)
Purchase price/acquisition cost of land:
1.
(Please attach attested copy of sale deed /lease deed)
Address, location & surroundings of the house/flat (a rough plan indicating
2.
the location and surroundings of the house should be attached)
Name & Address of the seller(s) /dealer/Housing Society to whom the
3.
payment is to be made
4. Area of land (sq.metres)
5. Proposed built up area
Estimated cost of construction OR repairs/renovation/addition/alteration
6.
(Estimate from qualified Engineer/ Architect be attached)
Particulars of construction OR particulars of repairs /renovation/
7. addition/alteration be given
(Plan approved by the competent authority be attached)
Purchase price/original cost of house/flat as per the sale/title deed in case
the house was constructed by the present owner, the purchase price of
8.
the plot and cost of construction of the house should be separately stated.
(Please attach a certified copy of the sale/title deed) *
9. Present market value of the house/flat *
Whether the plot is free hold or lease hold (In case the plot is lease hold,
10. please state whether the lessee is authorised to mortgage the house -
copy of the letter of authority from the lessor be attached)
Has sanction for construction from the Competent authority been
11. obtained? (If yes, give details and attach copy of plan duly approved by
Municipal Body / Corporation concerned)
Whether the plot on which construction or House on which
12. repairs/renovation/addition/alteration is proposed is free from all
encumbrances whatsoever (Attach non encumbrance certificate)
Whether the place where the property is/will be situated is served by some
13.
Municipal Body/other agency?
14. Any other information
(Not Applicable for Standalone loan for purchasing solar power system)
ENCLOSURE - 'B'
ADDITIONAL INFORMATION REQUIRED TO BE GIVEN IF THE LOAN IS REQUIRED FOR PURCHASE OF A BUILT HOUSE / RESIDENTIAL
FLAT/UNDER CONSTRUCTION OR IF THE LOAN IS BEING TAKEN OVER FROM ANOTHER BANK/FI
Address, location and surroundings of the house proposed to be
1. purchased (Please attach a map/plan of the house)

Name & Address of the seller(s) /dealer/Housing Society to whom the

2. payment is to be made

3. Covered area of house/flat

4. Year in which the house/flat was Constructed /allotted
Whether completion certificate from the competent authority obtained
5. (If yes, attach copy)
Name & address of the present owner of the house / flat
6. (Attach proof)

The price at which the house/flat is proposed to be purchased (Attach

7. copy of agreement to sell / letter of allotment)
Whether the house is built on a lease hold plot. If so, whether
8. authority to mortgage the house is available to the lessee (copy of
letter of authority from the lessor be attached)
In case lease hold property is intended to be purchased on power of
attorney/agreement to sell basis (attach proof):
(a) Whether the vendor is original allottee of the house/flat:
9. (b) Whether the development authority/housing board, etc. which
allotted the property to vendor has a scheme in force for conversion of
lease hold property into free hold property
(c) Whether vendor is in possession of property
Whether the place where the property is/will be situated is served by
10. some Municipal Body/other agency?
Whether the house proposed to be purchased is free from all
11. encumbrances whatsoever (attach non encumbrance certificate)
Please provide the following Name of Bank/FI from which loan
details in case of a take-over is being taken over:
12. loan only Limit (Rs.):
Present Outstanding (Rs.):
(Not Applicable for Standalone loan for purchasing solar power system)

Place:
Date: Signature of the applicant(s)