Customer Verification Sheet

Applicant Name
Father’s Name
Mother’s Maiden Name*
Date Of Birth
Residence Add: With Landmark & Pin
code*
Mobile No.
Telephone No. Landline Residence
Company Name
Company Add: With Landmark & Pin

Designation & Department

No. Of Years In Present Job
TOTAL JOB EXEPRIENCE
Aadhaar no.*
PAN NO
Landline Office// SENIOR MOBILE
NO.
Educational Qualification*
Loan Amount required*
No. of years in previous job& Name Of
Company
Net salary (Bank A/C Transfer)
Cheque availability*
Two References
A) Name(Relative)
Mobile No:
Residence Address:
B) Name: (Friend)
Mobile No:
Residence Address:
Office & Personal Mail ID
Married: Y/N
Dependents: Y/N
No. of years at Presents address:
No. of years in city:
If Rented, Please Mention
Permanent add.*
Monthly Rent Amount
Do You Own Vehicles*
Type of Vehicles*
Bank Details: Bank Name/A/c
No./Branch
If Married: name of H/W
DOB OF SPOUSE
WORKING (Y/N)
If any Loan mention detail (Bank Name,
Amount & EMI )