Housing Finance Limited


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LOAN APPLICATION FORM (PNBHF-54)

pnb Housing Finance Limited

(A wholly owned subsidiary of Punjab National Bank)
Registered Office: 9th Floor, Antriksh Bhawan,
22, Kasturba Gandhi Marg, New Delhi-110001
Branch office:

Name of DMA

APPLICANT

CO-APPLICANT
1.1 Name (in full)
1.2 Father's/Husband's name
1.3 Relationship with applicant
1.4 Residential address and No. of
      years in present residence		 Address:

Pin code:

Years in present residence:
 Address:

Pin code:

Years in present residence:
1.5 Current residence is
1.6 Phone no. with STD code  -  -
1.7 Mobile No.
1.8 E-mail ID
1.9 Date of birth & sex



1.10 Marital status
1.11 No. of dependents Children:   Other: Children:   Other:
1.12 Category
1.13 Income Tax PAN No.
1.14 Education & Professional Qualification
1.15 Occupation
1.16 Designation
1.17 Name & Address of
        employer/business concern		 Address:

Pin code: 		Address:

Pin code:
1.18 Phone no. with STD code  -  -
1.19 No. of years in present occupation  years  years
1.20 No. of years of remaining service
        (for salaried persons)		  years  years
2.1  INCOME DETAILS (for salaried persons) Rs. Ps. Rs. Ps.
Gross monthly salary
Deduction of PF
Deduction of ITAX
Deduction of loans
Other deductions
Net monthly salary
2.2  INCOME DETAILS (for self employed persons)
Income as per Income Tax Returns Last year AY   Previous to
last year AY  		 Previous to
previous last
year AY 		Last year AY  

Previous to
last year AY		 Previous to
previous last year AY

(Rs.)

(Rs.)

(Rs.)

(Rs.)

(Rs.)

(Rs.)
Business Income
Income from house property
Income from other sources (specify)
Total income as shown in the return form
3.0 Are you a citizen of India ?  Status
4.1 Name, age, address of legal heirs of applicant with relation to applicant:
1.
2.
3.
4.
4.2 Name, age, address of legal heirs of co-applicant with relation to co-applicant:
1.
2.
3.
4.
5. BANK ACCOUNT DETAILS
Name of account holder Saving or current a/c Name and address of bank with Phone No. Account No. Since in operation

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