indiabulls-housing-finance-application-form

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INDIABULLS HOUSING FINANCE LIMITED LOAN APPLICATION FORM TERM LOAN

HOME LOAN LOAN FOR PROPERTY PURCHASE

OVERDRAFT

BUSINESS LOAN - LOAN AGAINST PROPERTY

Applicant

Co-Applicant

Name S/o, W/o, D/o

Current Residential Address Landmark :

Current Residence

Self owned

Family

PIN :

State :

Rented

Tel.

Phone No. with STD Code

Landmark :

PIN :

State :

Provided by Employer

Relationship with Applicant ___________________________ Tel.

Mob**

Mob

E-mail ID** Rent Paid (if rented)

No. of Yrs. at current residence :

Permanent Address Landmark :

Tel.

Phone No. with STD Code Date of Birth / Sex

No. of Dependants

____________ Others

Salaried

Qualifications/Designation

Mob

SENP

SEP

Others ______________

Male

D D / M M / Y Y Y Y

Female

Married

Other _________________

____________ Children

____________ Others

Single

PASSPORT

PAN

Occupation

Female

Other _________________

____________ Children

PAN No. / Passport No.

Tel. Male

Married

Single

State :

PIN :

Mob

D D / M M / Y Y Y Y

Marital Status

Landmark :

State :

PIN :

PASSPORT

PAN Salaried

SENP

SEP

Others ______________

Qualifications

Designation

Qualifications

Designation

Age

Employee No.

Age

Employee No.

Retirement Age/Emp. No. Monthly Income

Source:

Other Income

Source:

Employer/Business Name & Address Landmark :

Landmark :

PIN :

State :

PIN :

State :

Phone No. with STD code Organisation

Multinational

Public Ltd.

Govt./Semi Govt. Ent.

Multinational

Public Ltd.

Govt./Semi Govt. Ent.

Pvt. Ltd.

Partnership

Proprietorship

Pvt. Ltd.

Partnership

Proprietorship

Others ______________________ Services

Industry

Trading

Others ______________________ Manufacturing

Others ______________________ SC

Category

ST

OBC

Services

Trading

Manufacturing

Others ______________________ General

Religion/Place Minority ____________________________

SAVING, INVESTMENTS, ASSETS, ETC. DETAILS Particulars

Applicant (Rs.)

Co-applicant (Rs.)

1. Savings in Bank

____________

____________

___________________

2. Immovable Property

____________

____________

___________________

3. Provident Fund (EPF/GPF/CPF/PPF)

____________

____________

___________________

4. Post office/RBI/Company Deposits

____________

____________

___________________

5. Shares & Mutual Funds

____________

____________

___________________

6. Cars/Vehicles

____________

____________

___________________

7. Others (Please Specify)

____________

____________

___________________

Remarks

DSA/DST/Connector Name(with stamp): __________________________________ Signature:_______________________ Paste & Sign Across Recent Photograph of Applicant

Paste & Sign Across Recent Photograph of Co-Applicant

RM Name:______________________

DETAILS FEES ____________________________________ CHEQUE NO. ___________________________________ DATE _____________________ BANK_________________________________________________________

** SMS/E-mail alerts will be sent by Indiabulls on these Mobile no. & E-mail address.

Acknowledgement (Tear away acknowledgment (to be given to/retained by the Applicant) Dear Sir/Madam, This is to acknowledge receipt to your Loan Application Form No. Dated :____________________ We thank you for the same. Our representatives shall be in touch with you in connection with the same. Sales Executive Name :_________________________________________________ Sales Executive Signature :_______________________ Phone No. :_______________________________________________ Location :______________________ Date :______________________ Key Terms & Condition : Repayment of loan is to be by way of equated monthly installments ( EMI). s Interest is being calculated on monthly reducing balance. s Indiabulls Housing Finance Limited offers loan under floating interest . arrangement only s Foreclosure charges are levied / calculated on the balance principal outstanding of the loan (if applicable). Refer website for charges and fees for various purposes as notified & applicable from time to time. s Incomplete / defective application will not be processed & Indiabulls Housing Finance Limited shall not be responsible in any manner for resulting delay or otherwise. s For details terms & condition please refer to our website www.indiabulls.com s


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