PMAY – CLSS : PLI Claim Application

Credit Linked Subsidy Scheme under Pradhan Mantri Awas Yojana

Claim Application for Disbursement of Subsidy

Name of the Primary Lending Institution

PLI Code
Claim Application No.
Claim Application Date DD / MM / YYYY
Contact Details (Name, Phone and email ID)

The General Manager

CLSS Division
National Housing Bank
Core 5A, India Habitat Centre
Lodhi Road, New Delhi – 110003.

Sir/Madam,

Subsidy may kindly be disbursed in respect of the housing loans extended to

EWS/LIG categories as per the details furnished below. Account-wise information is
furnished by us in Appendix I.

SN Particulars
1. Total housing loan accounts under this claim (4)+(5) (in number)
2. Total disbursed amount under this claim (in )
3. Total subsidy amount under this claim (in )
4. Number of loan accounts with first time disbursement under
this claim (in number)
5. Number of loan accounts with subsequent disbursement under
this claim (in number)
6. Processing fee under this claim (4) x 1,000 (in )
7. Amount requested for release under this claim (3)+(6) (in )

2. We agree and undertake that:

i. Approval of the Board has been obtained by us for claiming subsidy from
NHB, under the Scheme.
ii. Loans to households, as per details provided in Appendix I, have been
sanctioned and disbursed in accordance with the guidelines issued for the
Scheme by the Government of India, Ministry of Housing and Urban Poverty
Alleviation,.
iii. Subsidy is not being claimed in respect of any housing unit against which
subsidy has already been claimed from NHB/any other institution earlier.

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 PMAY – CLSS : PLI Claim Application

iv. NOCs have been obtained from State/UT Governments or Designated

Agency of State/UT Governments for the list of beneficiaries being given
benefits under Credit Linked Subsidy (This para will not be applicable till 31-
12-2015 or until States/UTs sign MoA under the Mission, whichever is later)
v. Subsidy claimed will be passed on to the beneficiaries immediately on receipt
of the subsidy amount from NHB by crediting to the housing loan accounts of
the beneficiaries resulting in reduced effective housing loan.
vi. The beneficiary will be provided with a statement, which will make him/her
understand the amount given as subsidy, how the subsidy has been adjusted
and the impact of the subsidy on his/her equated monthly installment (EMI).
vii. Processing fee was not collected from the beneficiaries for sanction of the
housing loan.
viii. The subsidy claimed from NHB but not credited to the beneficiary/ies under
the scheme shall be refunded to NHB, before submission of the next claim.
ix. In respect of recovery/ies made on NPA/s from the benefitted accounts, the
subsidy shall be refunded as per the scheme.
x. Books of Accounts and other relevant documents /records shall be made
available for inspection /scrutiny to the officials/representatives of NHB.
xi. Utilization Certificate / Information / Data as may be required by NHB from
time to time shall be submitted promptly.
xii. NHB is authorized to credit subsidy to the current/savings bank account No.
________________________________________, operating in the name of
__________________________________________, having IFSC Code of
__________________, maintained with ______________________________
_____________________________ (Name of the Bank, Branch & Address).

3. We confirm that:
i. Subsidy amount/s claimed earlier from NHB on behalf of the beneficiaries
were credited to their accounts, and no amount of subsidy is remained
unutilized.
ii. Out of the previous subsidy amount claimed from NHB on behalf of the
beneficiaries, details on unutilized amount of subsidy refunded to NHB
account are given below –
PLI Claim No., NHB Subsidy No. of loan Un-utilized NHB Bank A/c
Amt. & Date disbursed accounts & subsidy No. & date on
Advice No. Subsidy refunded to which amount
Amt. & Date Utilized Amt. NHB – No. of transferred
loan accounts
& Amt.
____________ ____________
___________ ___________ ___________ ___________ DD/MM/YYYY
DD/MM/YYYY DD/MM/YYYY

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 PMAY – CLSS : PLI Claim Application

iii. The Utilization Certificate in respect of the claim mentioned at (ii) above, has
been furnished to NHB on DD / MM / YYYY.

Authorized Signatory Signature : ___________________________________

Name : ___________________________________
Seal :

(Note: Strike whichever is not applicable, without making amendment to the format)

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