Housing Finance Limited


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( In Partnership with Destimoney Enterprises Pvt. Ltd. )
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LOAN APPLICATION FORM

pnb Housing Finance Limited

Name & Sig. 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:

Year:
 Address:

Year:
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 Date:

Date:

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:
1.20 No. of years of remaining service
        (for salaried persons)
2.1 INCOME DETAILS (for Self 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 salaried 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 form house property
Income from other sources (specify)
Total income as shown in the return form
3.0 Are you a citizen of India? 
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
6. FINANCIAL INFORMATION (in rupees)
6.1 Savings, investments etc. 6.2 Loans availed/proposed
Particulars Applicant Co-applicant Please indicate below all loans availed/proposed from employer, provident fund, etc. and installment(s) payable per month including interest against each loan.
Savings in bank Source of loan Outstanding Monthly Installment Balance term(months)
Immovable property (specify) Applicant
Current balance in Provident Fund (your share) Employer
Other assets   1. Bank
2. Credit Society
Insurance policy(ies) Others
Amount Co-applicant
Maturity Dates Employer
Bank
Credit Socity
Others
7. LOAN DETAILS
7.1 Purpose of loan:
7.2 Period of loan:     Years
7.3 Interest Rate Option:
7.4 Project Cost:
Land Cost Rs.   Savings from bank/own funds Rs.  
Total purchase price Rs.   Disposal of investments Rs.  
Construction cost Rs.   Amount already spent Rs.  
Incidental cost (if any) Rs.   Other if any (to be specified) Rs.  
Others (please specify) Rs.   Loan request from PNBHFL Rs.  
Total Rs.   Total Rs.  
8. PROPERTY DETAILS (To be purchased/constructed/extended/repaired/offered as security)
8.1 Address 8.2 Status of Propety 8.3 Typeof property






8.4 Seller's name:
8.5 Extimate Market Value: If leasehold, unexpired years of
8.6 Lease:  years
8.7 Complete item (A), (B) or (C) whichever is application in your case;
(A) For construction (B) For purchase (C) For extension/repair
Purchase price land Purchase price of unit Age of structure
Area of land in sqm Built up area in sqm Original cost of land
Estimate of construction Is dwelling unit booked? Construction cost
Proposed built up area in sqm If yes, amount paid? Cost of extension
Has sanction for construction from the competent authority been obtained? Has the completion certificate from the competent authority obtained? Has sanction from the competent\authority been obtained?
Stage of construction Present owner Built up areas of extension in sqm
8.8 Is the house or flat intended for self occupation immediately upon completion?
8.9 In case of purchase, have all property taxes, annual lease rent, Govt. dues etc. been paid upto date?
8.10 Has/Have the applicant(s) or spouse of applicant(s) earlier applied to PNBHF for loan?
8.11 If yes, give details?
8.12 Has/Have the applicant(s) given guarantee(s) for any borrower(s) of PNBHF if yes, please specify?
References : Name and address of two references (not related to you).
1. Name 2. Name
   Address
    Address
   Phone  -     Phone  -
   Mobile     Mobile
I/We apply for sanction of loan of Rs. .......................................................... (Rs. in words) ....................................................................... ...................................................................................against the security of mortgage of property and such other securities as may be required by the company for purchase of plot/land/house/flat/construction of house/flat or for carrying our repairs/renovation/addition/ alteration to the existing house/flat (details as mentioned above) on the basis of information given above.
I/We declare and confirm the following :
1. That all the particulars and information given in the application form are true, correct and complete and upto date in all respects.
2. That any material and relevant information to this application have not been with held/concealed.
3. That no insolvency proceedings have been initiated against me/us nor have ever been adjudicated insolvent.
4. That there had never been awarded an adverse judgement or decree in court case involving breach of contract, tax malfeasance or other serious misconduct and never been a defaulter with PNBHFL/PNB/other financial institution.
5. That if any discrepancy is found or observed between the information given above and the documents produced in support thereof, PNBHFL shall have sole discretion to cancel the sanction at any stage and recall the loan if already disbursed. The processing fee shall be liable for forfeiture. PNBHFL shall have a right not a refund the registration/upfront/processing/any other fees or to adjust it in any other proposal.t
6. I/We under take to inform PNBHFL regarding any change in any of the above information submitted including change in address, income and telephone numbers.
7. To pay processing charges as applicable and charged by PNBHFL
8. Having read and understood the terms and conditions relating to Housing Finance Scheme and hereby agree to be bound by these terms and conditions 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.P
9. I/We Authorize PNBHFL or its agent to make references and enquiries relating to information in this application from which PNBHFL considers necessary and indemnify the concerned institutions for any action against disclosures.
10. PNBHFL reserves the right to reject the loan application without assigning any reason..
Applicant Co-applicant Co-applicant Co-applicant
Signature
Name
Date
Place