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