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LOANS TAKEN/PROPOSED
rnpodanl Non d scosure i ia s€ d€caTaton can ead to cance alion ol your oan
app callon
Source/Purpose outstanding lllonlhlylnstalment Term
of Loan Amount (l) Payable (t)
Applicaot :

Employer
Bank
others
Co-app icant i

Employer
Bank
Others

BAI{K ACCOUNT DETAILS (PLEASE I\IENTION DETAILS OF YOUR SALARY ACCOUNT IN ROW 1 AND OTHER IND'AN & OVERSEAS A/C IN ROW 2 & O

Name ofAccount Holder

1.

2.

'tuquiEd onlylncase of accounl with HofC Bank, L Pleasellck your NRE/,{RO Accouil fom yhlch pct dat.d ch€ques/standinq in6truction5 will be issued tor repayment oi loan

DETAILS OF PROPERTY (To BE pURHASED/coNsrRUcrED/ExrENrrED/lMpRovED) (pLEAsE coMpLETE ASAppLtcABLE)

Address of dwe ing un t N,lention dweling !nl no sqm
street, Nearest and nrark cily and p n code. B! llup area sqm
lf not seected mention irtended locaton:
Cost of conslru ction/purchase/extens on Rs
gage of
""."lrrc1i
No
i property not selecled would you ke HDFC Rea ly to asslst you? l l
Do you propose to renl the dwe ng Lrn t ? l l
Are you lhe so e owner ofthe dwelling unit ? l
s lhe ega tle to the dwelling unit c ear ? l
Pin State Will HDFC be ab e to obtain firsl mortgage of the dwe ng unit ?

GENERAL IAppHcaBtE To appucAlrr al{D co.AppltcANr 0F atly)l

Yes No Are you a citizen(s)of lndia?
1 Have you oryour spouse ear erappled lo HDFClor a oan ? Yes No.
llyes Fe/LoanAicNo
Do you belong to
Have you oryour spouse g ven guamntee(s)for any borrower/s ol HDFC ? I trSCtI STtI NA
li yes 4 Fie / Loan Aic No
Did you get to know HDFC through:
bl Name of borrower/s
3 What olh€r s€curly wl you be ab e to provide
i Advertsement r Seryice Associates
E Builder/Developer n Frends/Re at ves

@
REFERENCES I
HDFC Nome LoEn Proleclon plan
{rom HDFC Lfe?
Yes No
Home Sumksha Pus lrom HDFC EFGO
Cefera isumnceco Lld ? Y* ilo
Products offered by HDFC Bank?
a Sa!nSs BaiiAccounl -CredlCad lOlherLoans

DECLARATION
,,03.43../;'

d. . .1 '. b" e'

t"r '"on .n'. s ir.% '""o

"..
Date . . .. Applicanl's Signature / Co app icant's Signature
IIiDIVIDUAL LOAI{ APPLIGATIOI{ FORM IOR IIO]{.RESIDEilT INDIANS /
PERSoi{S 0F [{DtAt{ oRtctt{

Applicanl Co-applicant

NAE
FAT9ER s/Hu.sBAND s NAME
I CJRTENT REsTDENTAL P0. Box
AooREss

ctv: Country Cityi Country

PHoNE No. riTn ISD CooE Mob e: l,4ob le
CURRENT RES DEN0E s Sel owned Fanriy Rented Company Leased/Provded by Enrpoyer
PemanenlAddress in nda
Land trlark P n Code:
PHoNE No. !,/TN STD CoDE Mob e:
E-MAr D (PERSoNAL)
DATE oF BrRTr/SEx Age Yrs I
'tr4
rF Age -F
Yrs. / l\4
STAius/l\4AR rAL STATUs - Non-Resident I P 0I Res denlI . S ng e: Mared.olher Nor-Re9oo- o0 Re)oe'l Slqle lvd-eo O-F'
Appied for - Not ava labe . App ed ior I Nol ava abe
No oF DEPENoANTS Ch dren 0therc Children Others
occLlPAT oN / DEs GNAT oN i Empoyed S€lempoyed I t Emp oyed E Sefemp oyed I

ouAL F cAi oNs

tr/oNTNLY Ncor,rE Currency Cuffency
0THER lNcoME I Source:
EMPLoYER/BIS NEss NA F

AND ADoREss lPease menlon ihe

adCE$ ol the of.e you are ba$d al)
Country Country:
OFFrE PNoNE Nc \|,nN SD CmE
E-MA r lD (OFF c A0
YRs. N PRESENT occuPAr oN Ret rement age Rei remenl age
Employee No: Emp oyee No
Applioant: Passporl No. VsaVadupto Co.applicant:Passporl No VsaVadupto
Please indicate preferred HDFC location for processing your application in lndia:
Please indicate orefered Communication address bv tickinq J the
LOAN REQUESTED
Amounl< : Term yrs TYPE OF LOAN
You ro'r' ) e,po-ol.'e ]' Rest Frequency I Annual Monthly
//
Signalur€
ksra' "'llo .rd o-aoo,.dTl Rate Option - Fix€d Adjusiable
I a_, o , od, 'o -DE( oe' -o-t , r Combination Applicant_
'" ro,d ,0, al Sa-(o'eo DaF r Home Loan Home lrrprolement Loan - Home Convercon Loan
o'e'e'/oL od o be b)Dso. (.0 Ddr" r Home Exlenson Loan Shor(Term Brdqng Loai
LOA]{ DETAILS
Purpose of Loan . Constrlcton I Purchase - Extenson I lm I Refnance
Eslimate of Requirement offunds Estimate of Sources lo meet requirement of funds
1. Tolalpurchase price/conslruction cosl {: 5 Loan requesled irom HDFC
Fxed Rate I Adjusiabe Raie I
) ,. oe_.o co!.) l "_) ? : - ,
e s. sramp dury Resisrrarioi charses elc ?. 8'.",1131 'ilT,*ll[*, ,,_ *,, .,*,* o., I
3 other cosls (pease specl]) l: 8. Amount a ready spent (source ) ?

4 Loan outslandinq {for refnancel f, ra. Orf,eiiip",ify-'

'- ---- - -
9. ProvdentFund(reiundabe/non-reiundable)
')f I
A. Tolal requhement offunds (Tota ) ? | B. Estimate of sources of funds (To(al) I
Note: A whch slhelora requ rementottunds, shoud pqua estmateofsources'B which ndcatesthesourc€sfromwherethecostwl be met
ll is imporlanl lhal you ind caie n delaillhe sources from where lhe cosl willbe met in oderto help us prccess your application fasler

Nlmo andAddrc$ of Loca C oi h.UPover ol Ato hry in lndla

FOR OFFICE USE ONLY

]L\TITH
WTH PN cooEr SDiE
S GNATURE PHor Nc 01)
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